Bennett R M
West J Med. 1981 May;134(5):405-13.
Fibrositis is a misnomer for a very common form of nonarticular rheumatism. The name implies an inflammatory process in fibroconnective tissue which has never been verified. The symptoms of fibrositis are ill-defined musculoskeletal pain made worse by stress, cold, noise and unaccustomed exercise; there is usually a significant element of depression, nonrestorative sleep, chronic fatigue and early morning stiffness. Results of physical examination are strikingly normal, apart from painful tender spots which are remarkably consistent in location from patient to patient. It is important to realize that fibrositis can complicate diseases such as rheumatoid arthritis and systemic lupus erythematosus, where its prompt recognition is essential in averting inappropriate medication. Drug therapy alone is seldom effective in alleviating symptoms; a carefully planned education program is necessary to readjust both psyche and soma.
纤维织炎是一种非常常见的非关节性风湿病的误称。这个名称意味着纤维结缔组织中有炎症过程，但这从未得到证实。纤维织炎的症状是不明确的肌肉骨骼疼痛，压力、寒冷、噪音和不习惯的运动可使其加重；通常还伴有明显的抑郁、睡眠无法恢复、慢性疲劳和晨僵。体格检查结果除了有压痛点外，其他方面都明显正常，而且这些压痛点在不同患者身上的位置非常一致。必须认识到，纤维织炎可使类风湿关节炎和系统性红斑狼疮等疾病复杂化，在这些疾病中，及时识别对于避免不适当用药至关重要。仅药物治疗很少能有效缓解症状；需要精心制定教育计划来调整心理和身体状态。
