Clinical Quiz - Neurology Advisor

Clinical Quiz

Fibromyalgia is a syndrome characterized by chronic pain, stiffness, and tenderness of muscles, tendons, and joints without detectable inflammation. It affects an estimated 3 to 6 million Americans. Fibromyalgia is the second most common disorder seen by rheumatologists. It predominantly affects women at a rate of 3.4%, and less commonly, men at 0.5%, children at 1.2% to 6.2%, and the elderly. Prevalence increases with age, and diagnosis is most common between ages 60 and 79, although symptoms are often present years prior to diagnosis. It can occur independently or can be associated with another rheumatic disease, such as systemic lupus or rheumatoid arthritis.

Diagnosing and Treating Fibromyalgia

A woman aged 53 presents with fatigue, tingling in the hands and feet, and muscular pain, particularly in the lower back. Symptoms have been present for 6 months, but have not become worse or better. Upon questioning, the patient admits to feeling a lack of initiative to engage in her typical activities, including moderate exercise.…