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Clinical and sonographic discrimination between fibromyalgia and spondyloarthropathy in inflammatory bowel disease with musculoskeletal pain

Rheumatology Feb 25, 2020

Martinis F, Tinazzi I, Bertolini E, et al. - This research was carried out to investigate the prevalence of primary fibromyalgia (FM) and concomitant FM and spondyloarthropathy (SpA) in a cohort of individuals with inflammatory bowel disease (IBD) utilizing clinical and US assessment. Researchers examined a total of 301 consecutive cases with IBD attending two IBD Units by a rheumatologist for Assessment of SpondyloArthritis International Society criteria fulfillment for SpA or the 2010 ACR criteria for FM. Furthermore, some 158 cases also had US entheseal examination on large insertions in the upper and lower limbs. The results noted that FM occurred in 12% of SpA individuals and in this setting SpA disease activity indices performed poorly. In IBD individuals, US examination in a large patient subgroup revealed a promising discriminating capacity between FM and SpA.
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