Tension myalgia versus myoadenylate deaminase deficiency: a case report

Myalgia is a complaint associated with numerous medical
conditions such as metabolic or hormonal abnormalities, toxic
myopathies, tetanus, electrolyte disturbances, inflammatory
diseases, and exertion-related pain. A diagnosis of tension
myalgia or myofascial-type pain is often considered when no
objective findings are seen in the evaluation. This is a
report of a patient who was treated unsuccessfully for
fibromyalgia for many years and who ultimately was diagnosed
with a rare benign skeletal muscle metabolic disorder caused
by myoadenylate deaminase deficiency. We discuss this enzyme
deficiency and its importance for the physiatric community.

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