Fibromyalgia & musculoskeletal pain

The concomitant diagnosis of fibromyalgia and connective tissue disorders: A systematic review

Semin Arthritis RheumPublished Systematic review

Authors' conclusion

There may be overlapping symptomatology and diagnostic prevalence of FMS and hEDS/HSD/GJH.

Study context

Population
Adults screened for hypermobile Ehlers-Danlos Syndrome (hEDS)/Hypermobility Spectrum disorders (HSD)/Generalized Joint Hypermobility (GJH) and fibromyalgia syndrome (FMS); paediatric studies excluded11 studies
Comparison
Concomitant diagnosis of FMS with hEDS/HSD/GJH
Outcome
Prevalence of concomitant diagnosis of FMS and hEDS/HSD/GJH, and shared symptomatic manifestations
Methodological detailsobservational studies (case-control or single group), MEDLINE search, prospectively registered
  • Observational studies (case-control or single group)
  • MEDLINE search
  • Prospectively registered

Pooled result

As reported in the abstract

Prevalence of concomitant diagnosis

Concomitant hEDS/HSD and FMS

68%-88.9%

Concomitant GJH and FMS

8.0 to 64.2%

Further pooled results

Shared features, hEDS/HSD vs FMS

Prevalence and severity similar between hEDS/HSD and FMS: joint pain, joint swelling, muscle weakness, neurological problems, MPI-activity, dysautonomia and total autonomic symptoms burden, function, and quality of life

Shared features, GJH vs FMS

Shared: mean pain level, tender points count, total myalgia score and psychological impact

Original publication

The concomitant diagnosis of fibromyalgia and connective tissue disorders: A systematic review. Semin Arthritis Rheum. Published 17 November 2022. doi:10.1016/j.semarthrit.2022.152127

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