Fibromyalgia’s A Real Pain In The Head And Sometimes Even My Hair Hurts Shirt
EpidemiologyFibromyalgia is a common rheumatologic disorder that is underdiagnosed. Using the 1990 ACR classification criteria, the prevalence of fibromyalgia in the general population of the United States is reported to be 3.4 percent in women and 0.5 percent in men.3 Prevalence increases steadily through 80 years of age, and then declines. This condition affects women 10 times more often than men.3 Fibromyalgia is usually considered a disorder of women 20 to 50 years of age; however, it also has been observed in males, children, adolescents, and older persons. Fibromyalgia is more common in relatives of patients with fibromyalgia, suggesting the contribution of both genetic and environmental factors.4
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Fibromyalgia’s A Real Pain In The Head And Sometimes Even My Hair Hurts Shirt
Demographic and social characteristics associated with the presence of fibromyalgia are female sex, being divorced, failing to complete high school, and low income. Psychological factors associated with this syndrome include somatization disorder, anxiety, and personal or family history of depression.5PathophysiologyThe pathophysiology of fibromyalgia is unclear. Fibromyalgia clusters in families, suggesting a genetic predisposition. Environmental and psychological factors, which could impact various members of the same family, may contribute to the symptomatology of the disease.6 Current theories of pathogenesis include central sensitization and hypothalamic-pituitary-adrenal axis dysregulation; however, more research is needed to determine a definite pathophysiology.
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