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Tytuł pozycji:

Fibromyalgia and Associated Disorders: From Pain to Chronic Suffering, From Subjective Hypersensitivity to Hypersensitivity Syndrome

Tytuł:
Fibromyalgia and Associated Disorders: From Pain to Chronic Suffering, From Subjective Hypersensitivity to Hypersensitivity Syndrome
Autorzy:
Yves Maugars
Jean-Marie Berthelot
Benoit Le Goff
Christelle Darrieutort-Laffite
Temat:
fibromyalgia
pain
fatigue
diagnosis
psyche
neuro-imaging
Medicine (General)
R5-920
Źródło:
Frontiers in Medicine, Vol 8 (2021)
Wydawca:
Frontiers Media S.A., 2021.
Rok publikacji:
2021
Kolekcja:
LCC:Medicine (General)
Typ dokumentu:
article
Opis pliku:
electronic resource
Język:
English
ISSN:
2296-858X
Relacje:
https://www.frontiersin.org/articles/10.3389/fmed.2021.666914/full; https://doaj.org/toc/2296-858X
DOI:
10.3389/fmed.2021.666914
Dostęp URL:
https://doaj.org/article/d6872a6fc67c4a24b92c5823ecbd5825  Link otwiera się w nowym oknie
Numer akcesji:
edsdoj.6872a6fc67c4a24b92c5823ecbd5825
Czasopismo naukowe
The concept of fibromyalgia has progressed to achieve a certain consensus regarding the definition of the condition. We summarize what is known in 2020, be it in terms of diagnosis, with the criteria that have changed over the years, or at the level of the psychological profile, via the notions of “catastrophizing” and “coping” and post-traumatic syndrome. The importance of fatigue and sleep disorders is underlined, with the chronological sequence of post-traumatic syndrome, chronic fatigue, and then amplification of the pain and the onset of multiple associated symptoms. The etiopathogenic debate has been enriched thanks to neuro-imaging data to discover the start of the central neurological signature. The many associated symptoms are reanalyzed in the context of so-called sister conditions which form sometimes more or less separate entities, such as chronic fatigue syndrome or restless legs syndrome for example. What these conditions have in common is hypersensitivity, not just to pain, but also to all exteroceptive stimuli, from deep sensitivity in the neuro-vegetative system, the sense organs and certain functions of the central nervous system, to the psychological aspects and sleep control. In summary, it is possible to define fibromyalgia as a cognitive disorder of cortical integration of chronic pain, with amplification of painful and sensory nociception, decrease in the threshold for the perception of pain, and persistence of a stimulus that maintains the process in chronicity. Fibromyalgia is part of a group of chronic hypersensitivity syndromes of central origin, with a very wide range of means of expression.

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