Fibromyalgia in patients with other rheumatic diseases: prevalence and relationship with disease activity

Haliloğlu, Sema; Çarlıoğlu, Ayşe; Akdeniz, Derya; Karaaslan, Yaşar; Koşar, Ali

doi:10.1007/s00296-014-2972-8

Cited by 143 publications

(116 citation statements)

References 33 publications

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“…Another strength of our study was excluding patients with comorbidities, including obesity, fibromyalgia, diabetes mellitus, smoking, and secondary osteoarthritis, which might exacerbate pain in AS (43). Recent studies have shown that the majority of AS patients have accompanying fibromyalgia (44)(45)(46), often considered the prototypical central pain syndrome (47). Based on this knowledge, we evaluated our patients with the 2010 American College of Rheumatology fibromyalgia criteria and excluded the patients with fibromyalgia.…”

Section: Discussionmentioning

confidence: 99%

e association of neuropathic pain and disease activity, functional level, and quality of life in patients with ankylosing spondylitis: a cross-sectional study

2018

Turk J Med Sci

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Background/aim: Increased neuropathic pain (NP) symptoms are seen in rheumatologic diseases such as fibromyalgia, osteoarthritis, and rheumatoid arthritis, but no studies have demonstrated a relationship between ankylosing spondylitis (AS) and NP except for a brain imaging study. The aim of this study was to estimate the presence of NP in patients with AS and to investigate how NP was related to disease activity, functional status, and quality of life.Materials and methods: A total of 100 AS patients (71 males and 29 females; median age: 37 years, range: 18-71 years) were included in the study. Pain (visual analog scale (VAS) and the painDETECT questionnaire), disease activity (Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Maastricht Ankylosing Spondylitis Enthesitis Score (MASES), Patient Global Assessment of Disease Activity (PGA), and Ankylosing Spondylitis Disease Activity Score (ASDAS)), functional level (Bath Ankylosing Spondylitis Functional Index (BASFI)), and health-related quality of life (36-Item Short Form Survey (SF-36)) were evaluated. Patients were divided into two groups. Group 1 included patients with possible or likely NP symptoms (painDETECT score of ≥13) and Group 2 included patients without NP symptoms (painDETECT score of <13).Results: Low back pain-VAS, peripheral joint-VAS, BASDAI, PGA, ASDAS, and BASFI scores were significantly higher in Group 1 compared to those of Group 2 (P < 0.05). The SF-36 physical component (PC) score was significantly lower in Group 1 compared to that of Group 2 (P < 0.05). There were no significant differences between the groups regarding SF-36 mental component (MC) scores, erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP) values and MASES scores. Total painDETECT scores correlated positively with low back pain-VAS, peripheral joint-VAS, morning stiffness-VAS, BASDAI, ASDAS-CRP, ASDAS-ESR, PGA, BASFI, and MASES scores and ESR values, and inversely with SF-36 PC scores. Conclusion:Our results suggest that AS patients should be evaluated in terms of NP in order not to underestimate NP. If clinicians find evidence of likely NP, they should treat the patient with drugs that target NP.

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Section: Discussionmentioning

confidence: 99%

e association of neuropathic pain and disease activity, functional level, and quality of life in patients with ankylosing spondylitis: a cross-sectional study

2018

Turk J Med Sci

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“…In comparison to a population prevalence of 2-4% based on the American College of Rheumatology (ACR) 1990 criteria for FM (1), studies in patients with ankylosing spondylitis (AS) from Turkey (prevalence 12.6%; n = 119), Italy (prevalence 12.7%; n = 211), and Brazil (prevalence 15%; n = 71) have all shown a similar excess prevalence of FM (2)(3)(4). This is consistent with the observation of a high prevalence of FM in inflammatory rheumatic diseases in general (5).…”

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confidence: 99%

Co‐Occurrence and Characteristics of Patients With Axial Spondyloarthritis Who Meet Criteria for Fibromyalgia

Macfarlane

Barnish

Pathan

et al. 2017

Arthritis & Rheumatology

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Objective To estimate the proportion of patients with axial spondyloarthritis (SpA) in a UK national biologics registry who met criteria for fibromyalgia (FM), and to delineate the characteristics of these patients. Methods Two cohorts of patients are prospectively recruited from across 83 centers in the UK for the British Society for Rheumatology Biologics Register in Ankylosing Spondylitis (BSRBR‐AS). All patients are required to meet Assessment of SpondyloArthritis international Society (ASAS) criteria for axial SpA. Patients are either newly starting biologic therapy (biologics cohort) or are naive to treatment with biologic agents (non‐biologics cohort) at the time of recruitment, and all patients are followed up prospectively. At recruitment and follow‐up, clinical information and measurements are recorded while patients complete the 2011 research criteria for FM and assessments of the level of disease activity and work impact. Results Of the patients registered in the BSRBR‐AS, 1,504 (68% male) were eligible for the current analysis, of whom 311 (20.7%) met the 2011 research criteria for FM. Prevalence of FM was similar between patients who fulfilled the modified New York criteria for AS (19.7%) and those who fulfilled ASAS imaging criteria but not the modified New York criteria (25.2%); however, among those who fulfilled only the ASAS clinical criteria, the prevalence of FM was lower (9.5%). Patients who met FM criteria reported significantly worse disease activity, function, global severity scores, and quality of life, and were more likely to have moderate or severe levels of mood disorder and clinically important fatigue. Patients who met FM criteria reported experiencing work impairment around half their working time. Meeting FM criteria was not related to elevated C‐reactive protein levels or most extraspinal manifestations, but was associated with a higher likelihood of having received biologic therapy. Conclusion Developing management approaches that would address the significant unmet clinical needs of the 1 in 5 patients with axial SpA who meet criteria for FM should be a research priority.

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“…De acordo com a literatura atual, o número de casos de associação entre as doenças supracitadas não chega a 15% dos relatos 1 .…”

Section: Introductionunclassified

Atuação fisioterapêutica em um indivíduo com lúpus eritematoso sistêmico associado à artrite reumatoide e à fibromialgia

et al. 2017

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Introdução:As doenças reumáticas podem manifestar-se de forma isolada ou concomitante, como, por exemplo, o lúpus eritematoso sistêmico, que pode associar-se à artrite reumatoide e à fibromialgia, comprometendo a funcionalidade e a qualidade de vida. O objetivo deste estudo foi verificar os efeitos da fisioterapia na dor, na força de preensão palmar, no equilíbrio postural, no nível de incapacidade e na qualidade de vida de um indivíduo com lúpus eritematoso sistêmico associado à artrite reumatoide e à fibromialgia. Relato de caso: Mulher, 56 anos, diagnosticada com lúpus eritematoso sistêmico, artrite reumatoide e fibromialgia há 14 anos. Sua queixa principal era dor generalizada e intensa em diversos pontos do corpo. Foram avaliados a dor, a força de preensão palmar, o equilíbrio postural, o nível de incapacidade e a qualidade de vida. O indivíduo realizou 30 sessões de fisioterapia (cinesioterapia e hidrocinesioterapia), duas vezes por semana, entre os meses de agosto e novembro de 2015, na Clínica de Fisioterapia da Universidade de Passo Fundo. Após a intervenção, houve diminuição da dor em 5 pontos e da incapacidade em 30%; aumento da força de preensão palmar em 2,2 kgf (mão direita) e 1,2 kgf (mão esquerda); e do equilíbrio postural em 6 pontos. Como consequência, a qualidade de vida do indivíduo melhorou. Conclusão: A fisioterapia demonstrou-se eficaz na diminuição da dor e da incapacidade, no aumento da força de preensão palmar bilateral e do equilíbrio postural e na melhora da qualidade de vida em um indivíduo com lúpus eritematoso sistêmico associado à artrite reumatoide e à fibromialgia.Palavras-chave: lúpus eritematoso sistêmico; artrite reumatoide; fibromialgia; exercício; fisioterapia; hidroterapia. ABSTRACTIntroduction: Rheumatic diseases may occur singularly or in concomitant way, such as systemic lupus erythematosus, that may be associated with rheumatoid arthritis and fibromyalgia, compromising the functionality and quality of life. The aim of this study was to investigate the effects of physiotherapy on pain, handgrip strength, postural balance, incapacity level and quality of life in an individual with systemic lupus erythematosus associated with rheumatoid arthritis and fibromyalgia. Case report: Woman, 56 years old, diagnosed with systemic lupus erythematosus, rheumatoid arthritis and fibromyalgia for 14 years. Her main complaint was widespread and intense pain in several points of the body. We evaluated pain, handgrip strength, postural balance, incapacity level and quality of life. The individual performed 30 sessions of physiotherapy (kinesiotherapy and hydrokinesiotherapy), twice a week, between August and November 2015, at Physiotherapy Clinic of the University of Passo Fundo. After the intervention, there was reduction of pain by 5 points and incapacity by 30%, increased handgrip strength in 2,2 kgf (right hand) and 1,2 kgf (left hand) and postural balance in 6 points. As a consequence, the individual's quality of life improved. Conclusion: The physiotherapy proved to be effective in ...

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Fibromyalgia in patients with other rheumatic diseases: prevalence and relationship with disease activity

Cited by 143 publications

References 33 publications

e association of neuropathic pain and disease activity, functional level, and quality of life in patients with ankylosing spondylitis: a cross-sectional study

e association of neuropathic pain and disease activity, functional level, and quality of life in patients with ankylosing spondylitis: a cross-sectional study

Co‐Occurrence and Characteristics of Patients With Axial Spondyloarthritis Who Meet Criteria for Fibromyalgia

Atuação fisioterapêutica em um indivíduo com lúpus eritematoso sistêmico associado à artrite reumatoide e à fibromialgia

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