Case report, case study
https://doi.org/10.21860/medflum2022_284702
Fibromyalgia – syndrome of chronic widespread pain – a case report
Nino Zahirović
orcid.org/0000-0002-9161-4328
; Klinički bolnički centar Rijeka, Zavod za fizikalnu i rehabilitacijsku medicinu, Rijeka, Hrvatska
Viviana Avancini-Dobrović
; Klinički bolnički centar Rijeka, Zavod za fizikalnu i rehabilitacijsku medicinu, Rijeka, Hrvatska
Adelmo Šegota
; Klinički bolnički centar Rijeka, Zavod za fizikalnu i rehabilitacijsku medicinu, Rijeka, Hrvatska
Martina Buršić
; Istarski dom zdravlja, Turistička ordinacija Rovinj, Rovinj, Hrvatska
Tea Schnurrer-Luke-Vrbanić
orcid.org/0000-0002-9161-4328
; Klinički bolnički centar Rijeka, Zavod za fizikalnu i rehabilitacijsku medicinu, Rijeka, Hrvatska
Abstract
Aim: To present a case of a patient with fibromyalgia who initially presented with chronic widespread pain and a diagnostic-therapeutic procedure. Case report: A 61-year-old patient was treated at the Department of physical and rehabilitation medicine with rheumatology for severe chronic joint and muscle pain. The patient additionally describes difficulty of sleeping, depression, and anxiety. She suffers from hypothyroidism and degenerative changes of the spine have been previously determined on magnetic resonance imaging. Extensive diagnostic treatment ruled out inflammatory rheumatic disease, neurological disease, paraneoplastic syndrome, unregulated hypothyroidism, and chronic infection. The Fibromyalgia Diagnostic Questionnaire confirmed the suspicion that the patient was suffering from fibromyalgia based on the results of the questionnaire Widespread pain index (WPI) 15 and symptom severity scale (SSS) 9. The Functional Assessment of Chronic Illness Therapy-fatigue (FACIT-F) gave an extremely poor result, 15 points. Non-pharmacologic treatment was conducted, consisted of education, individual exercise, physical therapy procedures and multimodal pharmacological therapy, with the choice of drugs affected the nociceptive and neuropathic type of pain, as well as the anxiety of the patient with a favorable therapeutic response. This approach to treatment has achieved a significant improvement in the symptoms of fibromyalgia syndrome in our patient. Conclusion: Fibromyalgia should be suspected in patients with widespread chronic pain, chronic fatigue, and mental disorders. It is necessary to exclude another serious disease by diagnostic processing. The 2016 American College of Rheumatology (ACR) diagnostic criteria are used to diagnose fibromyalgia. With this presentation of the patient, we wanted to raise awareness about this disease, which is recognized in the world as a serious health problem, although sometimes neglected and unrecognized.
Keywords
chronic pain; fibromyalgia; rehabilitation
Hrčak ID:
284702
URI
Publication date:
1.12.2022.
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