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© 1990 British Society for Rheumatology

brief-report

DOES PRIMARY FIBROMYALGIA EXIST?

KRISTINA FORSLIND, EVA FREDRIKSSON and OLA NIVED

Department of Rheumatology, University Hospital 5–221 85 Lund, Sweden

Correspondence to: Correspondence to Kristina Forslind

Twenty-one of 25 consecutive primary fibromyalgia or fibrositis patients, identified during a 5-year period in a tertiary care day-ward for pain syndromes, were re-examined. Fifteen fulfilled criteria for fibromyalgia but unexpectedly, all cases had either psychiatric disturbance or thyroid dysfunction. Of the four patients not seen at follow-up, two had developed neuro-' logical diseases, another rheumatoid arthritis and one other hypothyroidism. Thus, after 5 years no patient fulfilled the criteria for primary fibromyalgia. Women occupied as manual workers were over-represented. Most patients reported beneficial effects of physiotherapy. None of the patients has been able to return to full time work

KEY WORDS: Pain, Thyroid disorders, Psychiatric dysfunction, Occupation, Muscle


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