What are the diagnostic considerations in fibromyalgia?

Updated: Apr 23, 2020
  • Author: Chad S Boomershine, MD, PhD, CPI, CPT; Chief Editor: Herbert S Diamond, MD  more...
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Fibromyalgia is a diagnosis of exclusion and patients must be thoroughly evaluated for the presence of other disorders that could be the cause of symptoms before a diagnosis of fibromyalgia is made. The clinical assessment may reveal objective evidence for a discrete or comorbid illness, such as the following:

  • Hypothyroidism

  • Rheumatoid arthritis

  • Systemic lupus erythematosus

  • Polymyalgia rheumatic

  • Other inflammatory or autoimmune disorders

  • Serious cardiac conditions in those with chest pain, dyspnea, and palpitations

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