Journal of Rheumatic Diseases

Korean College of Rheumatology (대한류마티스학회)
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Newer Diagnostic Criteria of Fibromyalgia and Its Clinical Implications

섬유근통 증후군의 새로운 진단기준과 임상적 의의

  • Lee, Shin-Seok (Department of Rheumatology, Chonnam National University Medical School)
  • 이신석 (전남대학교 의과대학 류마티스내과학교실)
  • Published : 2011.09.30
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Abstract

Since Smythe and Moldofsky proposed the first modern definition of fibromyalgia (FM), a number of different classification and diagnostic criteria have emerged. Among these criteria, the 1990 American College of Rheumatology (ACR) classification criteria have been the most widely accepted in both research and clinical settings. The 1990 ACR criteria were originally established as inclusion criteria for research purposes and were not intended for clinical diagnosis, but have become the de facto diagnostic criteria in clinical settings. However, an improved clinical case definition for FM, using diagnostic criteria that can be used by both primary care physicians and specialists has been desired for a long time. For this, Wolfe and colleagues developed several sets of diagnostic criteria and their last one received the endorsement of ACR, which is now known as the 2010 ACR diagnostic criteria. Unfortunately, the new criteria have been criticized as being inconsistent, non-specific, and lacking the ability to recognize FM concurrent with other diseases. Further studies are needed to assess the acceptance, reliability, and validity of the new criteria in epidemiologic and clinical studies.

Keywords

References

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