Schlesinger Naomi
Department of Medicine, UMDNJ-Robert Wood Johnson Medical School, New Brunswick, New Jersey 08903-0019, USA.
J Rheumatol. 2004 Mar;31(3):598-600.
To investigate the association between sickle cell disease (SCD) and fibromyalgia (FM).
Nine patients with SCD for whom a rheumatology consult was requested were assessed for FM by retrospective chart review. Eleven inpatients with other forms of anemia referred for rheumatology consult were also assessed for FM.
Eight of 9 patients with SCD fulfilled classification criteria for FM compared to one of 11 patients without SCD (p < 0.001).
Awareness of the high frequency of FM in SCD can improve treatment of sickle cell crisis. Some pain that is labeled as sickle cell crisis pain may be due to FM, and may improve with tender point injections.
研究镰状细胞病(SCD)与纤维肌痛(FM)之间的关联。
通过回顾性病历审查,对9例因风湿病会诊而被转诊的SCD患者进行FM评估。还对11例因风湿病会诊而转诊的其他形式贫血的住院患者进行了FM评估。
9例SCD患者中有8例符合FM分类标准,而11例非SCD患者中只有1例符合(p < 0.001)。
认识到SCD中FM的高发生率可改善镰状细胞危象的治疗。一些被标记为镰状细胞危象疼痛的疼痛可能是由FM引起的,并且可能通过压痛点注射得到改善。