A RARE DIAGNOSIS IN CHILDREN: JUVENILE FIBROMYALGIA
Journal Title: Kocatepe Medical Journal - Year 2022, Vol 23, Issue 3
Abstract
Juvenile fibromyalgia (JFM) is a chronic pain condition in children. This extremely rare disease was first described in 1985. Although it is seen at young ages, its incidence is increasing in adolescents. Girls are more affected. Despite the researches, a clear etiology has not been determined. It is thought to be due to hypersensitivity of some synapses and increased activity in the synaptic space. It causes widespread pain, fatigue, sleep diffuculties and school absenteeism in children, and a decrease in school success. This situation affects the quality of life of the patients. It is a very important morbidity problem for both the family and the patient. JFM is similar to the clinic in adult patients with its basic features. But unlike adults, joint laxity or hypermobility is more common in children diagnosed with JFM. There are no specific diagnostic tests to detect the disease. Although it is difficult to diagnose, symptoms should be evaluated together with a detailed physical examination and clinical findings. The criteria developed by Yunus and Massi for JFM in 1985 were revised for children. In addition, the American College of Rheumatology is used in the diagnosis by rearranging the 1990 criteria. Early diagnosis and timely initiation of appropriate treatment are very important for the patient's quality of life. All chronic pain complaints should be evaluated in the differential diagnosis. A detailed physical examination and anamnesis should be taken to ensure that diseases such as thyroid dysfunction, systemic lupus erythematosus, juvenile idiopathic arthritis, and sleep disorders are excluded. Psychosocial support, appropriate physiotherapy, and continuous activity are very beneficial in the treatment of JFM. Additional problems should also be treated in a multidisciplinary manner. The main purpose of the treatment is to relieve pain and maximize the functionality of the patient. In this article, we aimed to review JFM, which is rarely considered in pediatric outpatient clinics.
Authors and Affiliations
Emine ÖZDEMİR KAÇER, Hüseyin KAPLAN
Keywords
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- EP ID EP706877
- DOI https://doi.org/10.18229/kocatepetip.842767
- Views 47
- Downloads 0
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