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Scientific paper - Case study
Fibromialgija – sindrom kronične generalizirane boli – prikaz slučaja
Medicina Fluminensis, 58 (2022), 4; 444-449. https://doi.org/10.21860/medflum2022_284702
Zahirović, Nino; Avancini-Dobrović, Viviana; Šegota, Adelmo; Buršić, Martina; Schnurrer-Luke-Vrbanić, Tea

Institutional repository: Repository of the University of Rijeka, Faculty of Medicine

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Zahirović, N., Avancini Dobrović, V., Šegota, A., Buršić, M. & Schnurrer Luke Vrbanić, T. (2022). Fibromialgija – sindrom kronične generalizirane boli – prikaz slučaja. Medicina Fluminensis, 58. (4), 444-449. doi: 10.21860/medflum2022_284702

Zahirović, Nino, et al. "Fibromialgija – sindrom kronične generalizirane boli – prikaz slučaja." Medicina Fluminensis, vol. 58, no. 4, 2022, pp. 444-449. https://doi.org/10.21860/medflum2022_284702

Zahirović, Nino, Viviana Avancini Dobrović, Adelmo Šegota, Martina Buršić and Tea Schnurrer Luke Vrbanić. "Fibromialgija – sindrom kronične generalizirane boli – prikaz slučaja." Medicina Fluminensis 58, no. 4 (2022): 444-449. https://doi.org/10.21860/medflum2022_284702

Zahirović, N., et al. (2022) 'Fibromialgija – sindrom kronične generalizirane boli – prikaz slučaja', Medicina Fluminensis, 58(4), pp. 444-449. doi: 10.21860/medflum2022_284702

Zahirović N, Avancini Dobrović V, Šegota A, Buršić M, Schnurrer Luke Vrbanić T. Fibromialgija – sindrom kronične generalizirane boli – prikaz slučaja. Medicina Fluminensis [Internet]. 2022 December 01 [cited 2024 December 25];58(4):444-449. doi: 10.21860/medflum2022_284702

N. Zahirović, V. Avancini Dobrović, A. Šegota, M. Buršić and T. Schnurrer Luke Vrbanić, "Fibromialgija – sindrom kronične generalizirane boli – prikaz slučaja", Medicina Fluminensis, vol. 58, no. 4, pp. 444-449, December 2022. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:184:363230. [Accessed: 25 December 2024]

Metadata
Title (croatian)Fibromialgija – sindrom kronične generalizirane boli – prikaz slučaja
Title (english)Fibromyalgia – syndrome of chronic widespread pain – a case report
AuthorNino Zahirović
AuthorViviana Avancini-Dobrović
AuthorAdelmo Šegota https://orcid.org/0009-0004-0775-366X
AuthorMartina Buršić
AuthorTea Schnurrer-Luke-Vrbanić
Author's institution(Clinical Hospital Center Rijeka)
Author's institutionUniversity of Rijeka
Faculty of Medicine
(Department of Orthopedics and Physical Medicine)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Abstract (croatian)
Cilj: Prikaz slučaja bolesnice s fibromialgijom koja se inicijalno prezentirala kroničnom proširenom boli te je proveden dijagnostičko-terapijski postupak. Prikaz slučaja: Bolesnica u dobi od 61 godine liječena je pri Zavodu za fizikalnu i rehabilitacijsku medicinu s reumatologijom zbog jakih kroničnih bolova u zglobovima i mišićima. Bolesnica dodatno opisuje poteškoće sa spavanjem, tegobe depresije i anksioznosti. Boluje od hipotireoze, a prethodno su na magnetskoj rezonanciji utvrđene degenerativne promjene kralježnice. Opsežnom je dijagnostičkom obradom isključena upalna reumatska bolest, neurološka bolest, paraneoplastični sindrom, neregulirana hipotireoza te kronična infekcija. Dijagnostički upitnik za fibromialgiju potvrdio je sumnju da bolesnica boluje od fibromialgije temeljem rezultata upitnika (Widespread pain index (WPI) 15; symptom severity scale (SSS) 9). Procjena umora kronične bolesti dala je izrazito loš rezultat (The Functional Assessment of Chronic Illness Therapy (FACIT-F) 15/52), što je ukazalo na lošu kvalitetu života. Provedeno je nefarmakološko liječenje koje se sastojalo od edukacije, individulane kineziterapije i fizikalno-terapijskih procedura te multimodalno farmakološko liječenje. Izborom lijekova djelovalo se na nociceptivnu i neuropatsku vrstu boli, kao i na anksioznost bolesnice s povoljnim terapijskim odgovorom. Navedenim pristupom liječenja postignuto je značajno poboljšanje tegoba sindroma fibromialgije u naše bolesnice. Zaključak: U bolesnika s proširenom kroničnom boli, kroničnim umorom i poremećajima mentalnog stanja treba posumnjati na fibromialgiju. Dijagnostičkom je obradom potrebno isključiti drugu ozbiljnu bolest. Za postavljanje dijagnoze fibromialgije koriste se dijagnostički kriteriji iz 2016. godine – American College of Rheumatology (ACR). Ovim prikazom bolesnice željeli smo podignuti svijest o ovoj bolesti koja je u svijetu prepoznata kao ozbiljan zdravstveni problem iako ponekad zanemaren i nepriznat.
Abstract (english)
Aim: To present a case of a patient with fibromyalgia who initially presented with chronic widespread pain and a diagnostic-therapeutic procedure. Case report: A 61-year-old patient was treated at the Department of physical and rehabilitation medicine with rheumatology for severe chronic joint and muscle pain. The patient additionally describes difficulty of sleeping, depression, and anxiety. She suffers from hypothyroidism and degenerative changes of the spine have been previously determined on magnetic resonance imaging. Extensive diagnostic treatment ruled out inflammatory rheumatic disease, neurological disease, paraneoplastic syndrome, unregulated hypothyroidism, and chronic infection. The Fibromyalgia Diagnostic Questionnaire confirmed the suspicion that the patient was suffering from fibromyalgia based on the results of the questionnaire Widespread pain index (WPI) 15 and symptom severity scale (SSS) 9. The Functional Assessment of Chronic Illness Therapy-fatigue (FACIT-F) gave an extremely poor result, 15 points. Non-pharmacologic treatment was conducted, consisted of education, individual exercise, physical therapy procedures and multimodal pharmacological therapy, with the choice of drugs affected the nociceptive and neuropathic type of pain, as well as the anxiety of the patient with a favorable therapeutic response. This approach to treatment has achieved a significant improvement in the symptoms of fibromyalgia syndrome in our patient. Conclusion: Fibromyalgia should be suspected in patients with widespread chronic pain, chronic fatigue, and mental disorders. It is necessary to exclude another serious disease by diagnostic processing. The 2016 American College of Rheumatology (ACR) diagnostic criteria are used to diagnose fibromyalgia. With this presentation of the patient, we wanted to raise awareness about this disease, which is recognized in the world as a serious health problem, although sometimes neglected and unrecognized.
Keywords (croatian)
Keywords (english)
Languagecroatian
Languageenglish
Publication typeScientific paper - Case study
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleMedicina Fluminensis
Numberingvol. 58, no. 4, pp. 444-449
p-ISSN1847-6864
e-ISSN1848-820X
DOIhttps://doi.org/10.21860/medflum2022_284702
URN:NBNurn:nbn:hr:184:363230
Publication2022-12-01
Document URLhttps://hrcak.srce.hr/284702
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution 4.0 International (CC BY 4.0) icon
Created on2022-12-01 11:46:26