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目的了解幼年型纤维肌痛综合征(FMS)的临床特点。方法回顾分析本院收治的6例幼年型FMS患者的临床资料,并与36例成人FMS资料相比较。结果6例幼年型FMS患者中,5例以腹痛起病,1例以广泛性疼痛及左膝关节痛起病。6例幼年型FMS患者均有全身弥漫性疼痛(平均疼痛得分8.8,压痛点数13.7个)、疲乏、睡眠障碍、气温下降及活动后疼痛加重(100%),出现关节痛、肌痉挛、腹痛、肠激惹征及尿急各有5例患者(83%),痛经4例(67%),抑郁3例(50%),晨僵、感觉异常及焦虑各2例(33%),与成人FMS相比较差异无统计学意义。结论幼年型FMS临床并非少见,应引起重视,避免误诊。
Objective To understand the clinical features of juvenile fibromyalgia syndrome (FMS). Methods The clinical data of 6 juvenile FMS patients admitted to our hospital were retrospectively analyzed and compared with 36 adult FMS data. Results Among 6 juvenile FMS patients, 5 cases developed abdominal pain and 1 case had extensive pain and left knee joint pain onset. Six patients with juvenile FMS had generalized diffuse pain (average pain score 8.8, tenderness points 13.7), fatigue, sleep disturbance, decreased temperature, and increased post-activity pain (100%), with joint pain, muscle spasms, abdominal pain, (83%), dysmenorrhea in 4 cases (67%), depression in 3 cases (50%), morning stiffness, sensory abnormalities and anxiety in 2 cases (33%) and adults FMS no significant difference. Conclusion It is not uncommon for juvenile FMS to pay attention to avoid misdiagnosis.