title: Fibromylagia.
abstract: BACKGROUND
  Fibromyalgia is a common and debilitating condition. The cardinal feature of fibromyalgia is musculoskeletal pain, usually accompanied by other problems, such as fatigue, sleep disturbance and cognitive difficulties. Fibromyalgia commonly coexists with other chronic illnesses and can result in poorer outcomes if untreated.
  
  
  OBJECTIVE
  The objective of this review is to discuss when fibromyalgia should be considered as a diagnosis, how it is diagnosed, the current understanding of the pathophysiology of fibromyalgia and the management strategies available.
  
  
  CONCLUSIONS
  The features of fibromyalgia are similar to those of many other chronic illnesses, sometimes resulting in diagnostic confusion. Fibromyalgia can co-exist with other disorders and it is important to consider the possibility of fibromyalgia contributing to symptoms in any chronically ill patient.
authors.affiliation: MBBS, FRACP, is a Rheumatologist and Head of the Fibromyalgia Clinic, Department of Rheumatology, Monash Medical Centre, Melbourne, and Adjunct Lecturer, Department of Medicine, Monash University, Melbourne, Victoria.
authors.forename: Emma
authors.initials: E
authors.lastname: Guymer
authors.forename: Geoffrey
authors.initials: G
authors.lastname: Littlejohn
mesh_terms: D000700:Analgesics / Q000627:therapeutic use; D000928:Antidepressive Agents / Q000627:therapeutic use; D015928:Cognitive Behavioral Therapy; D015444:Exercise; D005221:Fatigue / Q000209:etiology; D005356:Fibromyalgia / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D006801:Humans; D059352:Musculoskeletal Pain / Q000209:etiology; D010353:Patient Education as Topic; D020919:Sleep Disorders, Intrinsic / Q000209:etiology
chemical_list: D000700:Analgesics; D000928:Antidepressive Agents