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J Korean Neurol Assoc. 2013;31(4):246-249.
- Clinical Characteristics of Chronic Headache Patients With
Fibromyalgia: A Hospital-based Study
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Hee Jin Im
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Departments of Neurology, Konkuk University School of Medicine, Seoul, Korea
- 섬유근통을 동반한 만성매일두통 환자의 임상 특징:
일개 병원 기반 조사
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임희진, 김희진 박소희 송승훈 김한영 김동욱 오지영
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건국대학교 의학전문대학원 신경과학교실
- Abstract
- Background
Fibromyalgia (FM) is a chronic diffuse pain syndrome of unknown etiology. FM is commonly associated
with various neurological symptoms and signs including headache, non-restorative sleep, fatigue, and cognitive
dysfunction. The purpose of this study is to investigate the clinical features of chronic daily headache patients with FM
comorbidity.
Methods
Outpatients with chronic daily headache were recruited. FM was diagnosed on the basis of 2010 American
College of Rheumatology criteria. We analyzed clinical features of the patients with FM and which general somatic
symptoms were common in them.
Results
Of the 70 patients with chronic headache, 22 (about 31%) met the new ACR criteria of FM. Most of them were
female, and their headache was likely to be tension type. Paresthesia, itching, and heartburn were significantly common
in the headache patients with FM.
Conclusions
Our study showed that a significant proportion of female patients with chronic tension type headache had
chance to have FM. While taking history from patients with headache, neurologists should concern other somatic
symptoms of FM as well as headache itself. Identification of FM in chronic headache patients may help more efficient
treatment for the headache. Key Words: Fibromyalgia, Headache, Migraine, Tension-type headache
Keywords :
- 초록
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