关键词: anemia c-reactive protein diagnostic imaging family medicine fibromyalgia general medicine multiple myeloma pain management rural

来  源:   DOI:10.7759/cureus.63321   PDF(Pubmed)

Abstract:
Fibromyalgia (FM) presents a diagnostic challenge due to its complex symptoms and lack of definitive tests. This study discusses a 54-year-old female initially diagnosed with FM, characterized by widespread pain, fatigue, and tender points. Despite treatment, she developed elevated C-reactive protein (CRP) and anemia after two years, leading to further investigations. These tests revealed non-secretory multiple myeloma, underscoring the importance of vigilant monitoring in FM patients. This case highlights the need for regular CRP measurements and thorough follow-up to detect underlying conditions. Early detection and appropriate intervention are crucial in managing FM and improving patient outcomes.
摘要:
纤维肌痛(FM)由于其复杂的症状和缺乏明确的测试而提出了诊断挑战。这项研究讨论了一名54岁的女性,最初被诊断为FM,以广泛的疼痛为特征,疲劳,和招标点。尽管治疗,两年后,她出现了C反应蛋白(CRP)升高和贫血,导致进一步的调查。这些测试揭示了非分泌性多发性骨髓瘤,强调对FM患者进行警惕监测的重要性。这种情况突出了需要定期进行CRP测量和彻底的随访以检测潜在的状况。早期发现和适当的干预对于管理FM和改善患者预后至关重要。
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