[Polymyalgia rheumatica--fibromyalgia-syndrome: symptoms, syndromes or diseases?].
Polymyalgia rheumatica and Fibromyalgia are probably not distinct clinical entities. Rather polymyalgia rheumatica is the common denomiator of a large spectrum of different diseases. The historical separation between Polymyalgia rheumatica and Giant-Cell Arteritis is no more clinically applicable in most cases. A better clinical approach is to view them as extrems of a continuum. Similarly, fibromyalgia is one manifestation of chronic pain syndromes of undetermined etiology. In addition, fibromyalgia can often not be delineated clearely from functional disorders, including depression.
Wermelinger
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Klinik für Rheumatologie und klinische Immunologie/Allergologie, Inselspital, Bern. felix.wermelinger@insel.ch
D000368:Aged; D001158:Arteries / Q000473:pathology; D001706:Biopsy; D003937:Diagnosis, Differential; D005260:Female; D005356:Fibromyalgia / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology; D013700:Giant Cell Arteritis / Q000175:diagnosis / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011111:Polymyalgia Rheumatica / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology