fibromyalgia
Let an agent explain fibromyalgia in general terms, relay criteria, proposed mechanisms, management and debates from rheumatology and pain sources with positions attributed, point people to clinicians and support organisations without dismissing symptoms, flag misfiled panniculitis aliases, and distinguish fibromyalgia from arthritis, myositis, chronic fatigue syndrome and panniculitis, without diagnosing individuals.
Research draft, second pass
A second pass drafted this model: the structure a model of this thing needs, and what is known about it in the world. The line under this one says how the second half was obtained - researched against sources, or recalled without web access, in which case nothing here was read anywhere and every claim is a lead to verify. Unreviewed either way.
written by Claude from model knowledge without web access - no source was read, every claim is a lead to verify
Researched by: Claude
Purpose and description
Let an agent explain fibromyalgia in general terms, relay criteria, proposed mechanisms, management and debates from rheumatology and pain sources with positions attributed, point people to clinicians and support organisations without dismissing symptoms, flag misfiled panniculitis aliases, and distinguish fibromyalgia from arthritis, myositis, chronic fatigue syndrome and panniculitis, without diagnosing individuals.
A chronic condition characterised by widespread musculoskeletal pain, fatigue, sleep problems and cognitive difficulties, diagnosed by clinical criteria such as those of the American College of Rheumatology published in 1990 and revised in 2010 and 2016, affecting a few percent of adults, more often women, understood by many researchers as involving central pain processing changes; management focuses on exercise, education, psychological therapies and some medicines, and its nature is debated, with positions attributed. Fibromyositis is an older term, while the registry aliases for panniculitis and related fat inflammation disorders name different conditions and appear misfiled.
What it is for: Not applicable; a chronic pain condition.
It can be explain criteria and mechanisms in general terms; relay management and debates; flag misfiled aliases; point to clinicians and support.
Distinguishing features
Widespread pain
Fatigue and sleep problems
No inflammatory markers
Debated mechanisms
What it looks like
Not visible; experienced as widespread pain and fatigue.
Physical character
ACR criteria: 1990, revised 2010 and 2016 note
prevalence: about 2-4 percent of adults note - estimates vary
US FDA-approved medicines: pregabalin, duloxetine, milnacipran list
How it is recognised
Chronic widespread pain condition
Fibromyositis, panniculitis, fasciitis-panniculitis syndrome, atrophic connective tissue panniculitis, panniculitis with lipodystrophy, cytophagic histiocytic panniculitis
Arthritis inflames joints; myositis inflames muscle; ME/CFS centres on post-exertional malaise; panniculitis inflames fat tissue
Related models
is a kind of - in registry terms
is managed with -
is contrasted with -
is contrasted with - misfiled alias
In practice
Families and kinds
primary fibromyalgia
fibromyalgia with other rheumatic diseases
related central sensitivity syndromes
Standards and regulation
ACR diagnostic criteria
EULAR management recommendations
Disability benefit assessment rules
Failure modes and hazards
Dismissing patients symptoms
Promoting unproven cures
Misfiled panniculitis aliases
Also called
Where this came from
wikidata · CC0 1.0
Drafted structure
Bundle to layer to finding to question, as the second pass will find it: 4 bundles · 8 layers · 8 findings · 16 questions.
Understand What fibromyalgia is.
Attribution.
Definition
Definition.
Definition
Definition.
- What is fibromyalgia, and how does it differ from arthritis, myositis, ME/CFS and panniculitis? definition
- Is someone in severe distress or feeling hopeless because of pain, in which case a clinician or crisis support can help? boundary
Aliases
Named aliases.
Aliases
Aliases.
- What was fibromyositis, and why are the panniculitis conditions different? definition
- Which entry fits the specific condition? action
Medical Diagnosis and mechanisms.
Attribution.
Criteria
Diagnostic criteria.
Criteria
Criteria.
- How do the ACR criteria define fibromyalgia? provenance
- Which references are standard? provenance
Mechanisms
Proposed mechanisms.
Mechanisms
Mechanisms.
- What do researchers propose about central sensitisation and other mechanisms, with findings attributed? provenance
- Which sources are cited? provenance
Management Management.
Regulation.
Treatment
Treatments.
Treatment
Treatment.
- What do EULAR recommendations say about exercise, therapy and medicines, in general terms? provenance
- Which entry fits pain management? action
Unproven
Unproven cures.
Unproven
Unproven.
- How can patients evaluate treatments marketed as cures? provenance
- Is the presentation free of unsupported claims? boundary
Context Society.
Context.
Debates
Debates.
Debates
Debates.
- What debates exist about fibromyalgia s classification, with positions attributed? provenance
- Which entry fits central sensitization? action
Support
Support.
Support
Support.
- Which patient organisations support people with fibromyalgia? provenance
- Which entry fits Fibromyalgia Action UK? action
What the second pass must settle
- The registry aliases for panniculitis disorders should be moved to panniculitis
- How should rheumatology guidelines be linked?
- How should debates about the condition be presented?