title: [Clinical analysis of six cases with juvenile primary fibromyalgia syndrome].
abstract: OBJECTIVE
  To study the clinical features of juvenile primary fibromyalgia syndrome (FMS) and to evaluate outcome after treatment.
  
  
  METHODS
  Six patients with juvenile primary FMS were registered in department of rheumatology and their clinical data were assessed, including degree of pain (visual analog scale, VAS), fatigue, depression, anxiety, sleep disturbances, arthrodynia, subjective joint swelling, abdominal pain, irritable bowel symptoms, urinary urgency, dysmenorrhea, morning stiffness, paresthesias, illness changes with weather, feeling worse with exercise, laboratory examination and outcome of treatment.
  
  
  RESULTS
  Abdominal pain was the first symptom in 5 of the cases with juvenile primary FMS, diffuse aching and left knee pain were the first symptoms in one patient. All the 6 patients were misdiagnosed prior to their rheumatological evaluation. Diffuse aching, fatigue, sleep disturbances, illness changes with weather and feeling worse with exercise existed in all the 6 patients (100%), the mean pain score was 8.8 and the mean initial tender points (TP) count was 13.7. Arthrodynia, subjective joint swelling, abdominal pain, irritable bowel symptoms and urinary urgency existed in 5 of the 6 patients (83%). Dysmenorrhea existed in 4 (67%), depression in 3 (50%), morning stiffness in 2 (33%), paresthesias in 2 (33%) and anxiety in 2 (33%), respectively. The results of laboratory examination were normal and the outcomes of treatment were good.
  
  
  CONCLUSIONS
  Juvenile primary FMS may not be a rare disease and the clinicians should pay more attention to it for avoiding misdiagnosis.
authors.affiliation: Department of Rheumatology, People's Hospital, Jiangsu University, Zhenjiang 212002, China.
authors.forename: Xiu-feng
authors.initials: XF
authors.lastname: Cheng
authors.forename: Jun
authors.initials: J
authors.lastname: Tan
authors.forename: Kui-lin
authors.initials: KL
authors.lastname: Tan
mesh_terms: D000293:Adolescent; D002648:Child; D005260:Female; D005356:Fibromyalgia / Q000175:diagnosis* / Q000473:pathology*; D006801:Humans; D008297:Male; D016896:Treatment Outcome