original abstract†Abstracts here may not perfectly match originals, for a variety of technical and practical reasons. Some abstacts are truncated for my purposes here, if they are particularly long-winded and unhelpful. I occasionally add clarifying notes. And I make some minor corrections.
OBJECTIVE: To evaluate the prevalence of sacroiliitis, the radiographic hallmark of inflammatory spondyloarthropathy, among patients diagnosed with the fibromyalgia syndrome, using the current ASAS criteria and MR imaging.
METHODS: Patients suffering from FMS (ACR 1990 criteria) were interviewed regarding presence of SpA features and underwent HLA-B27 testing, CRP measurement and MRI examinations of the sacro-iliac joints. FMS severity was assessed by the FIQ and SF-36 questionnaires. SpA severity was assessed by the BASDAI.
RESULTS: Sacroiliitis was demonstrated among 8 (8.1%) of patients and ASAS criteria for diagnosis of axial SpA were met in 10 (10.2%) of patients. Imaging changes suggestive of inflammatory involvement (e.g. erosions and sub-chondreal sclerosis) were demonstrated in 15 (17%) and 22 (25%) of patients respectively. The diagnosis of axial SpA was positively correlated with increased CRP and with physical role limitation at recruitment.
CONCLUSION: Imaging changes suggestive of axial SpA were common among patients presenting with a diagnosis of FMS. These findings suggest that FMS may mask an underlying axial SpA, a diagnosis with important therapeutic implications. Physicians involved in the management of FMS should remain vigilant to the possibility of underlying inflammatory disorders and actively search for such co-morbidities.
These two articles on PainScience.com cite Ablin 2016 as a source:
- Save Yourself from Low Back Pain! — Low back pain myths debunked and all your treatment options reviewed
- Morning Back Pain — Why is back pain worst first thing in the morning, and what can you do about it?
This page is part of the PainScience BIBLIOGRAPHY, which contains plain language summaries of thousands of scientific papers & others sources. It’s like a highly specialized blog. A few highlights:
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