title: [Difficulties with diagnosis of fibromyalgia: case report].
abstract: OBJECTIVE
  We present a case of a 33-year-old woman with nonspecific systemic symptoms (fatigue, weakness), widespread pains, sleep disorders, morning stiffness, accompanied by symptoms from the autonomic nervous system (chest pain, digestive tract disorders, hyperesthesia of the skin, dizziness, paresthesia with a feeling of coldness in hands and feet, excessive sweating, breath problems, palpitations). The diagnostic process was difficult and it took a long time to establish the diagnosis partly because of problems in cooperating with this patient. During several years, the woman was hospitalized at several specialist departments, underwent many consultations, laboratory tests, and imaging studies. Finally, fibromyalgia was diagnosed.
  
  
  CONCLUSIONS
  Treatment was implemented with good results improving the quality of life of this patient.
authors.affiliation: Klinika Fizjoterapii Reumatologii i Rehabilitacji Akademii Medycznej im. K. Marcinkowskiego ul. 28 Czerwca 1956 roku 135/147, 61-545 Poznań.
authors.forename: Magdalena
authors.initials: M
authors.lastname: Atarowska
authors.forename: Włodzimierz
authors.initials: W
authors.lastname: Samborski
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D004244:Dizziness / Q000209:etiology; D005221:Fatigue / Q000209:etiology; D005260:Female; D005356:Fibromyalgia / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D006941:Hyperesthesia / Q000175:diagnosis / Q000209:etiology; D010146:Pain / Q000209:etiology*; D059408:Pain Management; D011788:Quality of Life; D012216:Rheumatic Diseases / Q000175:diagnosis; D012893:Sleep Wake Disorders / Q000209:etiology