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Update on Rheumatologic Mimics of Fibromyalgia

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By Esther Hwang and Andre Barkhuizen • www.ProHealth.com • September 27, 2006


Publication: Current Pain and Headache Reports 2006, 10:327-332 Authors and Affiliations: Esther Hwang and Andre Barkhuizen, Oregon Health and Science University, e-mail hwange@ohsu.edu Current Science, Inc. ISSN 1531-3433 Fibromyalgia is a common disorder of diffuse musculoskeletal pain. Several rheumatic diseases can mimic Fibromyalgia, and a clinician would not want to miss these diagnoses because of their potential long-term sequelae, such as progressive joint damage or life- or organ-threatening disease if they remain untreated. This paper discusses the typical clinical presentations of selected rheumatic diseases (systemic lupus erythematosus, rheumatoid arthritis, ankylosing spondylitis, polymyalgia rheumatica, and osteoarthritis), then highlights the key features in history, laboratory testing, and radiographic imaging that aid the clinician in differentiating between Fibromyalgia and these rheumatic diseases.




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