幼年型纤维肌痛综合征六例临床分析

目的了解幼年型纤维肌痛综合征（FMS）的临床特点。方法回顾分析本院收治的6例幼年型FMS患者的临床资料，并与36例成人FMS资料相比较。结果6例幼年型FMS患者中，5例以腹痛起病．1例以广泛性疼痛及左膝关节痛起病。6例幼年型FMS患者均有全身弥漫性疼痛（平均疼痛得分8．8，压痛点数13．7个）、疲乏、睡眠障碍、气温下降及活动后疼痛加重（100％），出现关节痛、肌痉挛、腹痛、肠激惹征及尿急各有5例患者（83％），痛经4例（67％），抑郁3例（50％），晨僵、感觉异常及焦虑各2例（33％），与成人FMS相比较差异无统计学意义。结论幼年型FMS临床并非少见，应引起重视，避免误诊。

Clinical analysis of six cases of juvenile primary fibromyalgia syndrome

Objective To study the clinical features of juvenile primary fibromyalgia syndrome (FMS). Methods Six patients with juvenile primary FMS were registered in the department. Their clinical data were assessed and compared with 36 patients with adults FMS. Results Abdominal pain was the first symptom in five of six juvenile primary FMS, diffuse aching and left knee pain were the first symptoms in one of six patients. All were misdiagnosed prior to their rheumatological evaluation. Diffuse aching, fatigue, sleep disturbances, illness changes with weather and feeling worse with exercise were existed in six juvenile FMS patients (100%), the mean pain score was 8.8 and the mean initial tender point (TP) was 13.7. Arthrodynia, subjective joint swelling, abdominal pain, irritable bowel symptoms and urinary urgency were existed in five of six patients (83%). Dysmenorrhea was present in 4(67%), depression in 3 (50%), morning stiffness in 2 (33%), paresthesias in 2 (33%) and anxiety in 2 (33%) respectively. There was no difference compared with adults FMS. Conclusion Juvenile primary FMS is a common disease and clinicians should pay more attention to it to avoid misdiagnosis.