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Are the ACR 2010 diagnostic criteria for fibromyalgia better than the 1990 criteria?

Sarzi-Puttini, Piercarlo, Atzeni, Fabiola, Masala, Ignazio Francesco, Salaffi, Fausto, Chapman, Joab and Choy, Ernest 2018. Are the ACR 2010 diagnostic criteria for fibromyalgia better than the 1990 criteria? Autoimmunity Reviews 17 (1) , pp. 33-35. 10.1016/j.autrev.2017.11.007

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Fibromyalgia (FM) is difficult to diagnose and manage chronic pain condition whose symptoms have no clear pathophysiological cause, although it is thought that patient hypersensitivity to a range of stimuli may give rise to mechanical hyperalgesia as a result of altered central nociceptive processing. The 1990 American College of Rheumatology (ACR) classification criteria, which have been widely used in clinical practice, require the existence of chronic widespread pain (CWP) for N3months, and the presence of at least 11 out of 18 specified tender points upon digital palpation, although this latter criterion has long been criticised. The newer 2010 ACR diagnostic criteria state that FM can be defined as CWP associated with somatic symptoms, and recommend the use of a widespread pain index and a scale to rate symptomseverity. Amodified version of the 2010 criteria removed the physician assessment of the extent of somatic symptoms and replaced it by a summary score of three self-reported symptoms, thusmaking it easier to usewhilemaintaining its sensitivity. This reviewdiscusses the advantages and limitations of all of these criteria.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Publisher: Elsevier
ISSN: 1568-9972
Date of First Compliant Deposit: 20 November 2017
Date of Acceptance: 7 November 2017
Last Modified: 18 Oct 2019 07:32

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