Secondary fibromyalgia in children with immune-inflammatory rheumatic diseases

Patients with immune-inflammatory rheumatic diseases (IIRDs) often present with non-inflammatory musculoskeletal pain associated with nociceptive dysfunction, central sensitization, and secondary fibromyalgia (FM). In recent years, an increasing number of publications have appeared dealing with FM i...

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Main Authors: A. V. Santimov, S. V. Grechanyi, G. A. Novik
Format: Article
Language:Russian
Published: IMA-PRESS LLC 2024-06-01
Series:Современная ревматология
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Online Access:https://mrj.ima-press.net/mrj/article/view/1595
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author A. V. Santimov
S. V. Grechanyi
G. A. Novik
author_facet A. V. Santimov
S. V. Grechanyi
G. A. Novik
author_sort A. V. Santimov
collection DOAJ
description Patients with immune-inflammatory rheumatic diseases (IIRDs) often present with non-inflammatory musculoskeletal pain associated with nociceptive dysfunction, central sensitization, and secondary fibromyalgia (FM). In recent years, an increasing number of publications have appeared dealing with FM in rheumatoid arthritis and systemic connective tissue diseases in adult patients, while this problem is little discussed in pediatric rheumatology, partly due to the differences between the existing diagnostic criteria in children and adults, which complicate the diagnosis of juvenile secondary FM. The consequence of this is often the unfounded prescription or switching of synthetic disease-modifying antirheumatic drugs (DMARDs) or biologic DMARDs in patients who do not require intensified antirheumatic therapy, but rather psychotherapy and psychopharmacotherapy, as well as the wider use of physical and rehabilitation medicine methods. In a brief narrative review, we tried to trace the investigation of FM in a rheumatological clinic, including children with IIRD, from a historical perspective, to summarize current literature data on this problem and to point out possible solutions.
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series Современная ревматология
spelling doaj-art-c40f44063cb44ef0b1f6e39d0148059a2025-08-20T03:20:58ZrusIMA-PRESS LLCСовременная ревматология1996-70122310-158X2024-06-011839910610.14412/1996-7012-2024-3-99-1062691Secondary fibromyalgia in children with immune-inflammatory rheumatic diseasesA. V. Santimov0S. V. Grechanyi1G. A. Novik2St. Petersburg State Pediatric Medical University, Ministry of Health of RussiaSt. Petersburg State Pediatric Medical University, Ministry of Health of RussiaSt. Petersburg State Pediatric Medical University, Ministry of Health of RussiaPatients with immune-inflammatory rheumatic diseases (IIRDs) often present with non-inflammatory musculoskeletal pain associated with nociceptive dysfunction, central sensitization, and secondary fibromyalgia (FM). In recent years, an increasing number of publications have appeared dealing with FM in rheumatoid arthritis and systemic connective tissue diseases in adult patients, while this problem is little discussed in pediatric rheumatology, partly due to the differences between the existing diagnostic criteria in children and adults, which complicate the diagnosis of juvenile secondary FM. The consequence of this is often the unfounded prescription or switching of synthetic disease-modifying antirheumatic drugs (DMARDs) or biologic DMARDs in patients who do not require intensified antirheumatic therapy, but rather psychotherapy and psychopharmacotherapy, as well as the wider use of physical and rehabilitation medicine methods. In a brief narrative review, we tried to trace the investigation of FM in a rheumatological clinic, including children with IIRD, from a historical perspective, to summarize current literature data on this problem and to point out possible solutions.https://mrj.ima-press.net/mrj/article/view/1595fibromyalgiaimmune-inflammatory rheumatic diseasesjuvenile idiopathic arthritissystemic lupus erythematosus with juvenile onsetchronic pain
spellingShingle A. V. Santimov
S. V. Grechanyi
G. A. Novik
Secondary fibromyalgia in children with immune-inflammatory rheumatic diseases
Современная ревматология
fibromyalgia
immune-inflammatory rheumatic diseases
juvenile idiopathic arthritis
systemic lupus erythematosus with juvenile onset
chronic pain
title Secondary fibromyalgia in children with immune-inflammatory rheumatic diseases
title_full Secondary fibromyalgia in children with immune-inflammatory rheumatic diseases
title_fullStr Secondary fibromyalgia in children with immune-inflammatory rheumatic diseases
title_full_unstemmed Secondary fibromyalgia in children with immune-inflammatory rheumatic diseases
title_short Secondary fibromyalgia in children with immune-inflammatory rheumatic diseases
title_sort secondary fibromyalgia in children with immune inflammatory rheumatic diseases
topic fibromyalgia
immune-inflammatory rheumatic diseases
juvenile idiopathic arthritis
systemic lupus erythematosus with juvenile onset
chronic pain
url https://mrj.ima-press.net/mrj/article/view/1595
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AT ganovik secondaryfibromyalgiainchildrenwithimmuneinflammatoryrheumaticdiseases