The history of the study of juvenile fibromyalgia: to the 40th anniversary of the first description. Part II. The clinical picture. Differential diagnosis. Comorbidity
Abstract
Muhammad B. Yunus and Alfonse T. Masi in February 1985 first described 33 cases of juvenile primary fibromyalgia and proposed its diagnostic criteria, however, 40 years later, practitioners often have difficulties in its diagnosis and treatment. This is largely due to the lack of awareness of pediatricians about this problem, since in the available foreign literature there is several orders of magnitude less information about juvenile fibromyalgia than about fibromyalgia in adult patients, and in Russian-language scientific articles the issues of juvenile fibromyalgia are practically not discussed. Most previously published literature reviews on juvenile fibromyalgia, as a rule, provide information not only directly about it, but also, to a greater extent, about fibromyalgia in adults, which is not entirely correct, since there are a number of unique features of juvenile fibromyalgia and its differences from fibromyalgia in adults. The purpose of this review is to summarize the original studies of juvenile fibromyalgia, avoiding references to studies involving only adult patients. Part II of the article provides data on the clinical picture, differential diagnosis and comorbidity of juvenile fibromyalgia.
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