Carette S, Lefrançois L
Department of Medicine, Le Centre Hospitalier de l'Université Laval, Quebec City, PQ, Canada.
J Rheumatol. 1988 Sep;15(9):1418-21.
The prevalence of fibrositis was determined in 100 patients with subclinical or biochemical primary hypothyroidism. Nineteen patients reported symptoms of joint and/or muscle pain with stiffness. Five of these patients presented 7 or more tender points on examination, thus allowing a diagnosis of fibrositis to be made in only 5% of the total group. Symptomatic improvement after thyroid hormone replacement occurred in 10 of the 19 patients, including 3 of those with fibrositis. There were no significant changes in tender points. Our data indicate that fibrositis is uncommon in patients with primary hypothyroidism despite the frequent occurrence of symptoms suggestive of this syndrome.
在100例亚临床或生化原发性甲状腺功能减退患者中确定了纤维织炎的患病率。19例患者报告有关节和/或肌肉疼痛伴僵硬的症状。其中5例患者在检查时出现7个或更多的压痛点，因此仅在全部患者的5%中作出了纤维织炎的诊断。19例患者中有10例在甲状腺激素替代治疗后症状改善，其中包括3例纤维织炎患者。压痛点无明显变化。我们的数据表明，尽管原发性甲状腺功能减退患者中经常出现提示该综合征的症状，但纤维织炎并不常见。
