title: Tension myalgia versus myoadenylate deaminase deficiency: a case report.
abstract: Myalgia is a complaint associated with numerous medical conditions such as metabolic or hormonal abnormalities, toxic myopathies, tetanus, electrolyte disturbances, inflammatory diseases, and exertion-related pain. A diagnosis of tension myalgia or myofascial-type pain is often considered when no objective findings are seen in the evaluation. This is a report of a patient who was treated unsuccessfully for fibromyalgia for many years and who ultimately was diagnosed with a rare benign skeletal muscle metabolic disorder caused by myoadenylate deaminase deficiency. We discuss this enzyme deficiency and its importance for the physiatric community.
authors.affiliation: Physical Medicine & Rehabilitation Service, Landstuhl Regional Medical Center, Germany.
authors.forename: R
authors.initials: R
authors.lastname: Marin
authors.forename: E
authors.initials: E
authors.lastname: Connick
mesh_terms: D000659:AMP Deaminase / Q000172:deficiency*; D003951:Diagnostic Errors; D005260:Female; D006801:Humans; D008875:Middle Aged; D009209:Myofascial Pain Syndromes / Q000175:diagnosis*
chemical_list: D000659:AMP Deaminase