Abstract：
UNASSIGNED: Many patients affected by FM present different comorbidities, but to date no case of FM in patients with CRMO has been reported in literature. Several studies show the importance of psychosomatic assessment in FM, but only one reported the presence of allostatic overload.
UNASSIGNED: In April 2022, a 21-year-old female patient, a third-year medical student, came to our clinic to be assessed and treated for FM. She presents with a diagnosis of CRMO made in 2014 and a diagnosis of FM made in 2019.
UNASSIGNED: At the psychiatric evaluation she presented symptoms of anxiety, depression, insomnia and reported widespread pain with the presence of almost daily headaches. From the psychosomatic point of view using DCPR-revised she presented diagnostic criteria for allostatic overload, related to study and periodic flare-ups of painful symptoms due to CRMO, persistent somatization, with musculoskeletal and gastroenterological symptoms, demoralization and type A behaviour.
UNASSIGNED: This case shows how useful a psychosomatic assessment of the patient can be for offering insights into what stressors at the origin of allostatic overload may be present in different FM patients.
UNASSIGNED: In April 2022, a 21-year-old female patient, a third-year medical student, came to our clinic to be assessed and treated for FM. She presents with a diagnosis of CRMO made in 2014 and a diagnosis of FM made in 2019.
UNASSIGNED: At the psychiatric evaluation she presented symptoms of anxiety, depression, insomnia and reported widespread pain with the presence of almost daily headaches. From the psychosomatic point of view using DCPR-revised she presented diagnostic criteria for allostatic overload, related to study and periodic flare-ups of painful symptoms due to CRMO, persistent somatization, with musculoskeletal and gastroenterological symptoms, demoralization and type A behaviour.
UNASSIGNED: This case shows how useful a psychosomatic assessment of the patient can be for offering insights into what stressors at the origin of allostatic overload may be present in different FM patients.
摘要：
■许多受FM影响的患者存在不同的合并症，但迄今为止,文献中还没有报道CRMO患者发生FM的病例.几项研究表明心身评估在调频中的重要性，但只有一个报告了同种异体超负荷的存在。
■2022年4月，一名21岁的女性患者，一个三年级的医学生，来到我们的诊所接受FM评估和治疗。她提出了2014年对CRMO的诊断和2019年对FM的诊断。
■在精神病评估中，她出现了焦虑症状，抑郁症,失眠和报告广泛的疼痛，几乎每天都有头痛。从使用DCPR修订的心身角度来看，她提出了同种异体超负荷的诊断标准，与CRMO引起的疼痛症状的研究和周期性发作有关，持续性躯体化，有肌肉骨骼和胃肠病症状，士气低落和A型行为。
■此案例显示了对患者的心身评估对于提供对不同FM患者中可能存在的同种异体超负荷起源的应激源的见解是多么有用。
■2022年4月，一名21岁的女性患者，一个三年级的医学生，来到我们的诊所接受FM评估和治疗。她提出了2014年对CRMO的诊断和2019年对FM的诊断。
■在精神病评估中，她出现了焦虑症状，抑郁症,失眠和报告广泛的疼痛，几乎每天都有头痛。从使用DCPR修订的心身角度来看，她提出了同种异体超负荷的诊断标准，与CRMO引起的疼痛症状的研究和周期性发作有关，持续性躯体化，有肌肉骨骼和胃肠病症状，士气低落和A型行为。
■此案例显示了对患者的心身评估对于提供对不同FM患者中可能存在的同种异体超负荷起源的应激源的见解是多么有用。
