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

• Literatur

• 1 Müller W, Zeidler H. Differentialdiagnosen rheumatischer Erkrankungen. 3. Aufl Berlin, Heidelberg, New York: Springer; 1998
• 2 Späth M. Fibromyalgie. Z Rheumatol 2011; 70: 573-558
• 3 Wolfe F. New American College of Rheumatology 1990 Criteria for the Classification of Fibromyalgia: a twenty-year journey. Arthritis Care Res 2010; 62: 583-584
• 4 Wolfe F, Smythe HA, Yunus MB et al. The American College of Rheumatology 1990 Criteria for the Classification of Fibromyalgia. Report of the Multicenter Committee. Arthritis Rheu 1990; 33: 160-172
• 5 Jäckel WH, Genth E. Fibromyalgie. Z Rheumatol 2007; 66: 579-590
• 6 Eich W, Häuser W, Friedel E et al. Definition, Klassifikation und Diagnose des Fibromyalgiesyndroms. Z Rheumatol 2008; 67: 665-676
• 7 Buskila D, Neumann L, Odes LR et al. The prevalence of muskuloskeletal pain and fiobromyalgia in patients hospitalized on internal medicine wards. Semin Arthritis Rheum 2001; 30: 411-417
• 8 Alonso-Blanco C, Fernández-de-Las-Peñas C, de-la-Llave-Rincón AI et al. Characteristics of referred muscle pain to the head from active trigger points in women with myofascial temporomandibular pain and fibromyalgia syndrome. J Headache Pain 2012; 13: 625-637 Epub 2012 Aug 31
• 9 Buyukbese MA, Pamuk ON, Yurekli OA et al. Effect of fibromyalgia on bone mineral density in patients with fibromylagia and rheumatoid arthritis. J Postgrad Med 2013; 59: 106-109
• 10 Mateos F, Valero C, Olnos JM et al. Bone mass and vitamin D levels in women with a diagnosis of fibromyalgia. Osteoporos Int 2014; 25: 525-533 Epub 2013 Sep 6
• 11 Bird HA, Esselinckx W, Dixon AS et al. An evaluation of criteria for polymyalgia rheumatic. Ann Rheum Dis 1979; 38: 434-439
• 12 Vaith P. http://dgrh.de
• 13 Clauw DJ, Katz P. The overlap between fibromyalgia and inflammatory rheumatic diseases: when and why does it occur?. J Clin Rheumatol 1995; 1: 335 -341
• 14 Köhler L, Zeidler H. http://dgrh.de
• 15 Röther E, von Kempis J, Ch Scholz et al. Kriterien zur Diagnose oder Klassifikation rheumatischer Erkrankungen. Rheumazentrum Südbaden, 4. Auflage 2006
• 16 Demir SE, Aytekin E, Caracan I et al. The prevalence of fibromyalgia among patients with cervical radiculopathy due to cervical disc herniation: a pilot study. J Back Musculoskelet Rehabil 2014; 27: 167-171
• 17 Buskila D, Neumann L, Vaisberg G et al. Increased rates of fibromyalgia following cervical spine injury. A controlled study of 161 cases of traumatic injury. Arthritis Rheum 1997; 40: 446-452
• 18 Neumann L, Zeldets V, Bolotin A et al. Outcome of posttraumatic fibromyalgia: a 3-year follow-up of 78 cases of cervical spine injuries. Semin Arthritis Rheum 2003; 32: 320-325
• 19 Tishler M, Levy O, Maslakov I et al. Neck injury and fibromyalgia – are they really associated?. J Rheumatol 2006; 33: 1183-1185 Epub 2006 May 1
• 20 Tishler M, Levy O, Amit-Vazina M et al. Can fibromyalgia be associated with whiplash injury? A 3-year follow-up study. Rheumatol Int 2011; Sep 31: 1209-1213 Epub 2010 Apr 1
• 21 Robinson JP, Theodore BR, Wilson HD et al. Determination of fibromyalgia syndrome after whiplash injuries: methodologic issues. Pain 2011; 152: 1311-1316 Epub 2011 Mar 17
• 22 Otte A, Stratz T. Brain SPET statistical parametric mapping (SPM) in fibromyalgia syndrome: is brainstem perfusion impaired?. J Vasc Invest 1998; 4: 111-116
• 23 Themenheft „Interdisziplinäre S3-Leitlinie“. Definition, Pathophysiologie, Diagnostik und Therapie des Fibromyalgiesyndromes. Der Schmerz 2008; 22 Themenheft