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首页> 外文期刊>Journal of Clinical Medicine >Diagnostic Criteria for Fibromyalgia: Critical Review and Future Perspectives
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Diagnostic Criteria for Fibromyalgia: Critical Review and Future Perspectives

机译：纤维肌痛的诊断标准：批判性审查和未来的观点

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摘要

Fibromyalgia syndrome (FMS) is a chronic illness characterized by widespread pain and other clinical and emotional symptoms. The lack of objective markers of the illness has been a persistent problem in FMS research, clinical management, and social recognition of the disease. A critical historical revision of diagnostic criteria for FMS, especially those formulated by the American College of Rheumatology (ACR), was performed. This narrative review has been structured as follows: Introduction; historical background of FMS, including studies proposing and revising the diagnostic criteria; the process of development of the ACR FMS diagnostic criteria (1990 and 2010 versions); revisions of the 2010 ACR FMS diagnostic criteria; the development of scales based on the 2010 and 2011 criteria, which could help with diagnosis and evaluation of the clinical severity of the disease, such as the Polysymptomatic Distress Scale and the FMS Survey Questionnaire; relationships of prevalence and sex ratio with the different diagnostic criteria; validity and diagnostic accuracy of the ACR FMS criteria; the issues of differential diagnosis and comorbidity; the strength and main limitations of the ACR FMS criteria; new perspectives regarding FMS diagnosis; and the impact of the novel findings in the diagnosis of FMS. It is concluded that despite the official 2010 FMS diagnostic criteria and the diagnostic proposal of 2011 and 2016, complaints from health professionals and patients continue.
机译：纤维肌痛综合征（FMS）是一种慢性疾病，其特征在于广泛的疼痛和其他临床和情绪症状。疾病缺乏客观标志物是FMS研究，临床管理和疾病社会认可的持续存在问题。进行了FMS诊断标准的关键历史修订，特别是由美国风湿病学院（ACR）制定的诊断标准。这种叙述审查已如下构造：介绍; FMS的历史背景，包括提出和修改诊断标准的研究;发展ACR FMS诊断标准（1990和2010年版本）的发展过程; 2010年ACR FMS诊断标准的修订;基于2010年和2011年标准的尺度的发展，可以有助于诊断和评估疾病的临床严重程度，例如多患痛苦规模和FMS调查问卷;患病率和性别比与不同诊断标准的关系; ACR FMS标准的有效性和诊断准确性;鉴别诊断和合并症的问题; ACR FMS标准的强度和主要局限性;关于FMS诊断的新观点;新型发现在FMS诊断中的影响。得出结论，尽管2010年官方FMS诊断标准和2011年和2016年的诊断提案，卫生专业人士和患者的投诉继续。

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