Clasificación de la fibromialgia: ¿existen distintos tipos de pacientes?

Rafael Belenguer; Antoni Sisó; Manuel Ramos-Casals

doi:10.31053/1853.0605.v66.n4.23458

Autores

Rafael Belenguer Unidad de Fibromialgia, Hospital 9 d’Octubre. Valencia
Antoni Sisó CAP Les Corts, GESCLINIC, Hospital Clínic, Barcelona.
Manuel Ramos-Casals Servicio de Enfermedades Autoinmunes, IDIBAPS, Hospital Clínic, Barcelona.

DOI:

https://doi.org/10.31053/1853.0605.v66.n4.23458

Palavras-chave:

fibromialgia, clasificación, dolor crónico

Resumo

La fibromialgia (FM) es una de las enfermedades que con más frecuencia provoca dolor crónico en la población general. Debido a la gran heterogeneidad en su expresión clínica y a la falta de instrumentos estandarizados para ordenar y clasificar los distintos síntomas y presentaciones clínicas, el disponer de una clasificación de los pacientes con FM nos permitirá identificar grupos de pacientes más homogéneos, candidatos por tanto a recibir unas pautas diagnósticas y terapéuticas más individualizadas. Para poder clasificar correctamente a un paciente con FM, recomendamos una evaluación diagnóstica individualizada por parte de un equipo mutidisciplinario, compuesto por el médico de familia, el reumatólogo/especialista en enfermedades autoinmunes, el traumatólogo y el psicólogo/psiquiatra. El diagnóstico de cada uno de estos especialistas, así como el análisis en la relación temporal de la aparición de los distintos síntomas o procesos, resulta imprescindible para evaluar el subgrupo de FM al que pertenece el paciente.

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