Rheumatology Book


ACR Fibromyalgia Diagnostic Criteria

Aka: ACR Fibromyalgia Diagnostic Criteria, ACRFDC, Widespread Pain Index, Fibromyalgia Diagnosis
  1. See Also
    1. Fibromyalgia
    2. Tender Points
  2. Background
    1. Replaces Tender Points in the diagnosis of Fibromyalgia as of 2010
  3. Criteria
    1. Instructions
      1. Part 1: Patient checks boxes on a diagram of a person from back)
      2. Parts 2 and 3: Questions answered without diagram
    2. Part 1: Over the last 7 days, indicate the areas where you have had pain or tenderness
      1. See Tender Points
      2. Neck
      3. Upper Back
      4. Chest or Breast
      5. Abdomen
      6. Lower Back
      7. Left jaw
      8. Left Shoulder
      9. Left upper arm
      10. Left lower arm
      11. Left hip
      12. Left upper leg
      13. Left lower leg
      14. Right jaw
      15. Right Shoulder
      16. Right upper arm
      17. Right lower arm
      18. Right hip
      19. Right upper leg
      20. Right lower leg
    3. Part 2: Over the last 7 days, rate your symptoms based on the following scale
      1. Rating scale
        1. Points 0: No problem
        2. Points 1: Slight or mild
        3. Points 2: Moderate (considerable problems)
        4. Points 3: Severe (life-disturbing problems)
      2. Questions
        1. Fatigue
        2. Trouble thinking or remembering
        3. Waking up tired or unrefreshed
    4. Part 3: Over the last 6 months, have you had any of the following symptoms
      1. Score 1 for 1-10 positive, 2 for 11-24 positive or 3 for 25 or more
      2. Fever
      3. Depressed Mood
      4. Insomnia
      5. Nervousness
      6. Hair Loss
      7. Headache
      8. Seizures
      9. Thinking or memory problem
      10. Numbness of tingling
      11. Dizziness
      12. Fatigue
      13. Hearing problems
      14. Ringing in the ears (Tinnitus)
      15. Blurred Vision
      16. Dry Eyes
      17. Dry Mouth
      18. Oral Ulcers
      19. Shortness of Breath
      20. Chest Pain
      21. Heartburn
      22. Pain in upper Abdomen
      23. Pain or cramps in the lower Abdomen
      24. Nausea
      25. Vomiting
      26. Diarrhea
      27. Constipation
      28. Loss of appetite
      29. Loss or change in taste
      30. Irritable Bowel Syndrome
      31. Bladder spasms
      32. Frequent Urination
      33. Painful urination
      34. Easy Bruising
      35. Hives
      36. Itching
      37. Rash
      38. Sun sensitivity
      39. Raynaud Phenomenon
      40. Muscle pain
      41. Muscle Weakness
  4. Scoring
    1. Widespread Pain Index (WPI)
      1. Part 1: Total the number of areas of tenderness or pain (out of 19 possible)
    2. Symptom Score (SS)
      1. Total the points from parts 2 and 3 (out of 12 possible)
      2. Part 2: Total the number of points from the 3 questions (assign 0-3 points for each of the 3 questions)
      3. Part 3: Assign 1 point for each of the 3 questions that are positive
  5. Interpretation: Diagnosis of Fibromyalgia
    1. Criteria 1
      1. Widespread Pain Index (WPI): 7 of 19 and
      2. Symptom Score (SS): 5 of 12
    2. Criteria 2
      1. Widespread Pain Index (WPI): 3-6 of 19 and
      2. Symptom Score (SS): 9 of 12
  6. References
    1. Wolfe (2010) Arthritis Care Res 62(5): 600-10 [PubMed]

Fibromyalgia (C0016053)

Definition (MEDLINEPLUS)

Fibromyalgia is a disorder that causes muscle pain and fatigue. People with fibromyalgia have "tender points" on the body. Tender points are specific places on the neck, shoulders, back, hips, arms, and legs. These points hurt when pressure is put on them.

People with fibromyalgia may also have other symptoms, such as

  • Trouble sleeping
  • Morning stiffness
  • Headaches
  • Painful menstrual periods
  • Tingling or numbness in hands and feet
  • Problems with thinking and memory (sometimes called "fibro fog")

No one knows what causes fibromyalgia. Anyone can get it, but it is most common in middle-aged women. People with rheumatoid arthritis and other autoimmune diseases are particularly likely to develop fibromyalgia. There is no cure for fibromyalgia, but medicine can help you manage your symptoms. Getting enough sleep, exercising, and eating well may also help.

NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases

Definition (NCI) Inflammation and fibrous degeneration of a muscle.
Definition (NCI) A chronic disorder of unknown etiology characterized by pain, stiffness, and tenderness in the muscles of neck, shoulders, back, hips, arms, and legs. Other signs and symptoms include headaches, fatigue, sleep disturbances, and painful menstruation.
Definition (NCI_FDA) Inflammation and fibrous degeneration of a muscle.
Definition (MSH) A common nonarticular rheumatic syndrome characterized by myalgia and multiple points of focal muscle tenderness to palpation (trigger points). Muscle pain is typically aggravated by inactivity or exposure to cold. This condition is often associated with general symptoms, such as sleep disturbances, fatigue, stiffness, HEADACHES, and occasionally DEPRESSION. There is significant overlap between fibromyalgia and the chronic fatigue syndrome (FATIGUE SYNDROME, CHRONIC). Fibromyalgia may arise as a primary or secondary disease process. It is most frequent in females aged 20 to 50 years. (From Adams et al., Principles of Neurology, 6th ed, p1494-95)
Definition (PSY) A common nonarticular rheumatic condition that is characterized by muscle pain, tenderness, and stiffness.
Definition (CSP) an acute, subacute, or chronic painful state of muscles, subcutaneous tissues, ligaments, tendons, or fasciae caused by a number of agents such as trauma, strain, occupation, exposure, posture, infection, or arthritis.
Concepts Disease or Syndrome (T047)
MSH D005356
ICD10 M79.7, M79.1
SnomedCT 1304004, 203101004, 203082005, 203111006, 247365004, 13612005, 156727006, 268107007, 203138004, 24693007, 56557000, 203102006
English Fibromyalgias, Fibrositides, Fibrositis, Muscular Rheumatism, Rheumatism, Muscular, Diffuse myofascial pain synd, Fibrositis unspecified, MPDS-Myofac pain dysfunct syn, Myofac pain dysfunct syndrome, Myofascial pain dysfunct syn, Myofascial pain dysfunction syndrome, myofascial pain dysfunction syndrome, MPD syndrome, muscular rheumatism, fibrositis, fibromyalgia (diagnosis), fibromyalgia, fibrositis (diagnosis), Fibromyalgia syndrome, Diffuse Myofascial Pain Syndrome, Myofascial Pain Syndrome, Diffuse, Fibromyalgia Fibromyositis Syndrome, Fibromyalgia-Fibromyositis Syndrome, Fibromyalgia-Fibromyositis Syndromes, Fibromyositis Fibromyalgia Syndrome, Fibromyositis-Fibromyalgia Syndrome, Fibromyositis-Fibromyalgia Syndromes, Syndrome, Fibromyalgia-Fibromyositis, Syndrome, Fibromyositis-Fibromyalgia, Syndromes, Fibromyalgia-Fibromyositis, Syndromes, Fibromyositis-Fibromyalgia, Fibromyalgia [Disease/Finding], fibromyalgia (FM), fibromyalgia syndrome, pain syndrome myofascial, syndrome fibromyalgia, fibromyalgias, fms, mpd syndrome, fibromyalgia (FMS), Fibromyalgia Syndrome, fibromyositis fibromyalgia syndrome, FMS, Fibrositis unspecified (disorder), Fibromyalgia (finding), Fibromyalgia (disorder), Fibromyositis NOS (disorder), Fibrositis NOS, FIBROMYOSITIS, Fibromyositis, Diffuse myofascial pain syndrome, MPDS - Myofacial pain dysfunction syndrome, Myofacial pain dysfunction syndrome, Myofascial pain syndrome, Muscular rheumatism, Fibromyositis (disorder), Fibrositis (disorder), Muscular rheumatism (disorder), fibromyositis, Fibromyositis, NOS, Fibrositis, NOS, Fibromyalgia, NOS, Fibromyalgia -RETIRED-, Fibromyalgia [Ambiguous], Fibromyalgia, Fibromyositis NOS
Dutch fibrositis, fibromyalgiesyndroom, fibromyositis, spier reumatisme, fibromyalgie, Fibromyalgie, Fibrositis, Myofasciaal pijnsyndroom, Spierreuma, Wekedelenreuma
French Syndrome fibromyalgique, Fibrosite, Rhumatisme musculaire, Fibromyalgie, Fibro-myosite, Fibromyosite, Polyenthésopathie, Syndrome de la douleur chronique myofasciale, Syndrome polyalgique diffus
German Fibromyalgiesyndrom, Fibromyositis, Fibromyalgie, Fibrositis, Diffuses myofasziales Schmerzsyndrom, Muskelrheumatismus, Rheumatismus, muskulärer
Italian Fibromiosite, Sindrome fibromialgica, Fibrosite, Reumatismo muscolare, Sindrome dolorosa miofasciale diffusa, Fibromialgia
Portuguese Síndrome de fibromialgia, Reumatismo muscular, Fibromiosite, Síndrome da Dor Miofascial Difusa, Fibromialgia, Fibrosite, Reumatismo Muscular
Spanish Fibromiositis, Reumatismo muscular, Síndrome de fibromialgia, Síndrome de Dolor Miofascial Difuso, fibromiositis, SAI, fibromiositis, SAI (trastorno), fibrositis, no especificada (trastorno), fibromialgia - RETIRADO - (concepto no activo), fibrositis, no especificada, fibromialgia - RETIRADO -, fibromialgia, no especificada (trastorno), fibromialgia, no especificada, fibromialgia, fibromiositis (trastorno), fibromiositis, fibrositis (trastorno), fibrositis, reumatismo muscular (trastorno), reumatismo muscular, síndrome de dolor miofascial, Fibromialgia, Fibrositis, Reumatismo Muscular
Japanese 線維筋炎, 線維筋痛, 線維筋痛症候群, 結合織炎, センイキンツウショウコウグン, センイキンツウ, ケツゴウシキエン, センイキンエン, キンニクリウマチ, 筋肉リウマチ, 線維筋痛症, 筋リウマチ, 結合組織炎, リウマチ-筋肉
Swedish Fibromyalgi
Czech fibromyalgie, Fibrozitida, Fibromyalgie, Svalový revmatismus, Syndrom fibromyalgie, Fibromyozitida, fibrositis, fibromyalgický syndrom, svalový revmatismus, fibrozitida, myofasciální bolestivý dysfunkční syndrom
Finnish Fibromyalgia
Korean 섬유근육통
Polish Zapalenie tkanki łącznej włóknistej, Fibromialgia, Reumatyzm mięśniowy
Hungarian Fibromyalgia syndroma, Fibromyositis, Fibrositis, Muscularis rheumatismus, Fibromyalgia
Norwegian Fibromyalgi, Kronisk muskelsmerte syndrom, Fibrositt, Myofascielle smerter, Myofibrositt, Fibromyositt
Derived from the NIH UMLS (Unified Medical Language System)

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