Fibromyalgia

Alternate Name:

Test:

Nil specific. Differential diagnoses should be ex-cluded by appropriate investigations

Sign:

Widespread tender bony points

Dd:

Polymyalgia rheumatics, rheumatoid arthritis,myopathies, hypothyroidism, hyperthyroidism, Addison's disease, metastatic carcinoma, Parkin­son's disease, psychiatric conditions, alcoholism, narcotic or other drug withdrawal

Phys:

Diffuse musculoskeletal pain. and stiffness, wide-spread areas of local tenderness, fatigue