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Fibromylagia Syndrome Review

Arnold LM, Clauw DJ, McCarberg BH: Improving the recognition and diagnosis of fibromyalgia. Mayo Clin Proc 86: 457–464, 2011 Despite greater interest in and increasing awareness of fibromyalgia (FM) and its pathophysiological underpinnings, FM is still underdiagnosed and undertreated. This article provides a concise up-to-date review focussing on the broad variety of clinical aspects of the disorder. A proposed diagnostic flow chart includes recommendations on when and how to initiate treatment. It balances diagnostic steps and tools from both 1990 and 2010 ACR criteria, emphasizing that these criteria do not exclude each other, but that both can be used for establishing the diagnosis. The authors conclude that the diagnosis has not to be confirmed by a specialist. This may be different in other countries than the United States, according to different rules in different healthcare systems.