Thune Per O
Dermatology OMNIA Medical Center, Strømmen, Norway.
Acta Derm Venereol. 2005;85(1):33-7. doi: 10.1080/00015550410001044.
The aim of the present study was to investigate the prevalence of fibromyalgia and allied symptoms in patients with psoriasis. During a 3-year period from 1997 until 2000, 1269 patients were consecutively diagnosed with psoriasis. All patients were questioned about musculoskeletal symptoms and those with such symptoms were further examined according to a standardized protocol. In total 335 of 1269 patients had musculoskeletal symptoms. More women than men had such complaints, 33% versus 18.5%, respectively. As many as 13% of the women fulfilled the American College of Rheumatology 1990 (ACR-90) criteria for fibromyalgia, while 14.1% had symptoms compatible with chronic widespread pain without meeting the fibromyalgia criteria. In total, 8.3% suffered from fibromyalgia and 9% from chronic widespread pain. The results indicate that fibromyalgia and allied symptoms are frequent in female patients with psoriasis and constitute important problems with regard to disability and health-related quality of life. Only 35 of 105 patients with fibromyalgia had previously been diagnosed with psoriasis and the diagnostic label of fibromyalgia was new to 51 of them. Female patients with symptoms of psoriasis and pain seem to constitute a subgroup which deserves further studies.
本研究的目的是调查银屑病患者中纤维肌痛及相关症状的患病率。在1997年至2000年的3年期间，连续有1269例患者被诊断为银屑病。所有患者均被询问肌肉骨骼症状，有此类症状的患者按照标准化方案进一步检查。1269例患者中共有335例有肌肉骨骼症状。有此类症状的女性多于男性，分别为33%和18.5%。多达13%的女性符合美国风湿病学会1990年（ACR - 90）纤维肌痛标准，而14.1%有与慢性广泛性疼痛相符的症状但未达到纤维肌痛标准。总体而言，8.3%患有纤维肌痛，9%患有慢性广泛性疼痛。结果表明，纤维肌痛及相关症状在女性银屑病患者中很常见，并且在残疾和健康相关生活质量方面构成重要问题。105例纤维肌痛患者中只有35例先前被诊断为银屑病，其中51例对纤维肌痛的诊断标签是新的。有银屑病症状和疼痛的女性患者似乎构成一个值得进一步研究的亚组。
