Leavitt F, Katz R S, Golden H E, Glickman P B, Layfer L F
Arthritis Rheum. 1986 Jun;29(6):775-81. doi: 10.1002/art.1780290611.
Pain properties of 50 fibromyalgia patients were examined and compared with pain properties of 50 rheumatoid arthritis patients. In both fibromyalgia and rheumatoid arthritis, pain was bilateral, involved multiple sites, and was of equal intensity (60.8 versus 58.7, respectively, on a scale of 100). Fibromyalgia pain, however, was less localized to the joints and suggested greater spatial diffusion. It involved more kinds of pain experiences (radiating, steady, spreading, spasms, gnawing, unlocalized, pricking, crushing, shooting, pressing, splitting, cramping, nagging, and pins and needles), and was dispersed over larger areas of the body. The anatomic sites best for discrimination between patients with fibromyalgia and patients with rheumatoid arthritis were the lower back, thigh, abdomen, head, and hips for fibromyalgia, and wrist, foot, and fingers for rheumatoid arthritis. The traditional clinical description of aching and stiffness does not appear to accurately describe the complexity of the fibromyalgia pain syndrome.
对50名纤维肌痛患者的疼痛特征进行了检查，并与50名类风湿性关节炎患者的疼痛特征进行了比较。在纤维肌痛和类风湿性关节炎中，疼痛都是双侧的，涉及多个部位，且强度相同（在100分制中分别为60.8和58.7）。然而，纤维肌痛的疼痛较少局限于关节，提示有更大的空间扩散。它涉及更多种类的疼痛体验（放射痛、持续性疼痛、扩散痛、痉挛痛、啃咬痛、非局限性疼痛、刺痛、挤压痛、射击样痛、压榨痛、撕裂痛、绞痛、隐痛和针刺感），并分散在身体的更大区域。最有助于区分纤维肌痛患者和类风湿性关节炎患者的解剖部位，对于纤维肌痛是下背部、大腿、腹部、头部和臀部，对于类风湿性关节炎是手腕、足部和手指。疼痛和僵硬的传统临床描述似乎并不能准确描述纤维肌痛疼痛综合征的复杂性。
