Lupus & antiphospholipid syndrome

Patient-reported outcome measures in patients with systemic lupus erythematosus with or without concurrent fibromyalgia

LupusPublished Cross-sectional study

Authors' conclusion

SLE patients with non-FM chronic pain have similar symptoms to FM compared with SLE patients without chronic pain; however, symptoms are not as severe as those meeting FM criteria.

Study context

Population
Patients with systemic lupus erythematosus (SLE) in a convenience cohort, categorised by 2016 American College of Rheumatology (ACR) fibromyalgia (FM) Survey
Participants
181 patients
Exposure
SLE with concurrent FM chronic pain vs non-FM chronic pain vs no chronic pain
  • FM painn = 31
  • Non-FM chronic painn = 23
  • No chronic painn = 127reference
Outcome
PROMIS measures (e.g., depression, fatigue) by pain group
Methodological detailsconvenience cohort
  • Convenience cohort

Main finding

As reported in the abstract

PROMIS measures by pain group
  • Median Patient-Reported Outcomes Measurement Information System (PROMIS) symptom scores (fatigue, sleep disturbance, pain intensity and interference, depression) highest and cognitive function lowest in the FM group, despite 13% being in remission
  • FM pain vs Non-FM chronic pain: P < 0.02

Observational data: associations, not effects.

Further findings

No significant differences in SLE Disease Activity Index (SLEDAI) score

Original publication

Patient-reported outcome measures in patients with systemic lupus erythematosus with or without concurrent fibromyalgia. Lupus. Published 16 January 2026. doi:10.1177/09612033261415949

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