Biasi G, Fioravanti A, Franci A, Marcolongo R
Istituto di Reumatologia, Università degli Studi di Siena.
Minerva Med. 1994 Sep;85(9):451-4.
Fibromyalgia syndrome is a form of extraarticular rheumatism of unknown origin; its diagnosis is fundamentally based on clinical and anamnestic findings, on characteristics of pain and on number and sites of tender points, very painful areas to palpation. At present there is no laboratory or instrumental test available for a more objective diagnosis. The Authors verified the utility of telethermography for fibromyalgia syndrome diagnosis to point out a possible specific pattern; in particular the tender points were studied, even to find some analogy to myofascial syndromes trigger points, which appear as hot spot to telethermography. The telethermographic patterns of 156 patients with fibromyalgia syndrome have been compared with tender point maps obtained from same subjects and with telethermographic data of patients affected by spine osteoarthritis and normal controls. The patients with fibromyalgia syndrome showed a non specific hyperthermic pattern, corresponding to painful muscular areas, comparable with pattern of osteoarthritic patients. This phenomenon can be interpreted as a greater thermic emission by hypertonic muscles. Therefore, telethermography in fibromyalgia syndrome cannot represent a basic diagnostic tool but can support the clinical diagnosis and play an important role in the follow-up of patients.
纤维肌痛综合征是一种病因不明的关节外风湿病；其诊断主要基于临床和既往史检查结果、疼痛特征以及压痛点的数量和部位，压痛点即触诊时非常疼痛的区域。目前尚无实验室或仪器检查可用于更客观的诊断。作者验证了远红外热像仪在纤维肌痛综合征诊断中的效用，以指出可能的特定模式；特别是对压痛点进行了研究，甚至试图找到与肌筋膜综合征触发点的一些相似之处，这些触发点在远红外热像图上表现为热点。将156例纤维肌痛综合征患者的远红外热像图模式与从同一受试者获得的压痛点图以及脊柱骨关节炎患者和正常对照的远红外热像图数据进行了比较。纤维肌痛综合征患者表现出一种非特异性的高温模式，与疼痛的肌肉区域相对应，与骨关节炎患者的模式相似。这种现象可以解释为高张力肌肉发出更多的热辐射。因此，远红外热像仪在纤维肌痛综合征中不能作为一种基本的诊断工具，但可以辅助临床诊断并在患者随访中发挥重要作用。
