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