Fibromyalgie und seine differenzialdiagnostische Bedeutung bei HWS-Beschwerden

Zusammenfassung

Das Fibromyalgiesyndrom (FMS) stellt in der rheumatologischen Sprechstunde eine wichtige Differenzialdiagnose bei Patienten mit chronischen Nackenbeschwerden dar. Mehrere entzündlich-rheumatische Krankheiten können sich im Bereich der HWS manifestieren und müssen dabei von einem FMS unterschieden werden. Dazu gehören die Polymyalgia rheumatica, die Rheumatoide Arthritis, axiale Spondarthritiden oder eine Dermatomyositis/Polymyositis. Andererseits können chronische Schmerzsyndrome auch begleitend bei entzündlichen und degenerativen Erkrankungen oder posttraumatisch auftreten.

Abstract

In rheumatology practice, the fibromyalgia syndrome (FMS) is a crucial differential diagnosis in patients with chronic nuchal discomfort. A number of inflammatory rheumatic diseases manifested in the area of the cervical spine must be differentiated from FMS. They include rheumatic polymyalgia, rheumatoid arthritis, axial spondyloarthritis and dermatomyositis/polymyositis. On the other hand, chronic pain syndromes may also occur in association with inflammatory or degenerative diseases or as a posttraumatic condition.

Schlüsselwörter

Fibromyalgiesyndrom - Halswirbelsäule - entzündlich-rheumatische Erkrankung - Polymyalgia rheumatica

Key words

fibromyalgia syndrome - cervical spine - inflammatory rheumatic diseases - polymyalgia rheumatic

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