(Fibromyalgia, FM)

.
FM
, 70
. 1990
FM (American College of Rheumatology,
ACR).
.
, , , .

, , FM.
.

FM, (.. ,
, , , ).

FM.
FM
.
;

FM ,
, , , ,
.
,
.
, , , ,
, . 1/3 FM
,
.

FM .
( ).
FM , . FM,
, .
, FM, .

. , FM
, ..
FM,
FM ,
FM .
.
, -
FM.

:
(70-90%)
(~43 )
6-20% , 10%
, 2%
: 3,4% 0,5%
(Wolfe 1996)
.
:
1.
95%
2.
89%
3. -
86,4%
4.
87,8%
5. 32%
90% FM
, 72%
, 67% , 33% , 80%
( San
Antoine)
4 ..
90% FM
( 30%
)
26% 26%


30-50%, 60-70%

,
5945$

FM (75-80% ),
30 ..
. :
(, , ).
FM, , .

,
: ) (
), .
, , ,
. ) ,
( , ).
.
( ),
(
, ).
, , stress .
, .

3

. (90%)
, (30%)
. ,
, , ,
. Raynaud .
: , (
, )
. .
, ,
- - ,
FM. ,
.
/ .
.
(70% FM , 65%
FM, 10% ).
.

FM
,

(, )
.

FM :
85-90%
55-100%
, 40-50%
16%



:
1. 27%
2. 3686%
3.
4. . Raynaud
5.

FM

stress

4


.
. ,

.
,
(), , (1
), , , ,
.
, .
FM,
(American College of Rheumatology, ACR) 1990
11 .
, pinch-roll
(
) .
. ,
.
( Heberden Bouchard) .

( )

FM.
( , CRP), ,
.
FM.

FM.
, , Gougerot-Sjogren
. ()
FM.
.
FM
, ,
Gougerot-Sjogren .
, , ,
FM.
(Rose-Waaler reaction). ACR
FM.

,
FM. ,
. FM
:
.

,
.
.
. (Magnetic Resonance Spectrometry)

5
, ,
(ATP & ) .

.
. ,
, .
FM
, MRS
.

. : FM,
25% .
- .

FM, .
FM
.
FM
.
. :
FM 50-70% .
FM . ,
.

, FM
.

.
. :
FM, .

. ,
,
, .
, ,
.

,
. FM
.
(SPECT)
, .
MRI.

. ,
.
. NMDA
,
.
,
.

6

. :
.
.
, ,

. .
. :
FM. tilt test
.
. ,
, FM
.
. :
( , ),
(Ebstein-Barr, Borrelia .).
.
FM .

,
.

FM, .

FM ,
. ,
,
.
,
, .

.
, , .

, .
.
.

. : ,
. ,
.
. :
FM.

. ,
.
stress, - ()
.
. :
FM, .
,

7
(.. zolpidem,
zopiclone),
.

,
, .
. :
FM, .
. ,
.
.
,
. ,
.
, ,
.
.
. : ()
FM.
. ,

.
,
,
. .
,
.
FM IGF-1.
.
( ), .

FM ,
.
. ,
.
(
,
).
,
. ,
stress, .
Schultz ,
.
FM .
,
. ,
,
.

: Fibromyalgia: from complaints to evidence/ Les entretiens du Carla, April 2004

Fibromyalgia, L observatoire du movement, November 2003
Fibromyalgia, L observatoire du movement, May 2004


. .
. . -
: 210-7261508
Email: efstaureu@otenet.gr