Wolfe F
Am J Med. 1986 Sep 29;81(3A):99-104. doi: 10.1016/0002-9343(86)90886-7.
The essential symptoms of fibrositis--widespread aching and pain, disturbed sleep, morning stiffness, and fatigue--are common in both rheumatic and nonrheumatic patients. But the essential sign of fibrositis--widespread local tenderness over specific anatomic sites ("tender points")--is rare in any patients except those with fibrositis. Clinical criteria for the diagnosis of fibrositis rely heavily on a high tender point count in the presence of characteristic fibrositic symptoms. Multiple tender points are uncommon in normal subjects and in those with rheumatic and nonrheumatic disorders. The tender point count thus also serves to distinguish fibrositis from other musculoskeletal diseases.
纤维织炎的基本症状——广泛疼痛、睡眠障碍、晨僵和疲劳——在风湿性和非风湿性患者中都很常见。但纤维织炎的基本体征——特定解剖部位（“压痛点”）广泛的局部压痛——除纤维织炎患者外，在其他任何患者中都很少见。纤维织炎的临床诊断标准在出现典型纤维织炎症状时很大程度上依赖于较高的压痛点计数。多个压痛点在正常人和患有风湿性及非风湿性疾病的人中并不常见。因此，压痛点计数也有助于将纤维织炎与其他肌肉骨骼疾病区分开来。
