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Fibromyalgia (FM) syndrome, a problem of tautology

  [ 25 votes ]   [ Discuss This Article ] • October 9, 1993

Fibromyalgia syndrome is generally taken to denote a clinical state
of widespread musculoskeletal pain, stiffness, and fatigue but
its pathophysiology, physical and psychological, is unknown,
and the nature of the diagnostically mandatory "tender points"
remains obscure. Diagnostic criteria convey no
pathophysiological insight and they have been "validated" via
a circular argument in which the evidence on which the
construct is based is taken as proof of its veracity. The
concept of fibromyalgia syndrome is valid only in the sense
that it includes all possibilities. An alternative approach to
this very real clinical presentation is via secondary

Cohen ML, Quintner JL

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