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FIBROMYALGIA 2001
Full text articles and references are available by subscription.

PRACTICE POINTS

Consider requiring testing of

1. blood for natural killer cells

2. nocturnal EEG for alpha-wave intrusion into delta-wave sleep

3. cerebrospinal fluid for

a. serotonin by-products   b. substance P   c. nerve growth factor

Trauma and emotional stress do not Cause FMS but either can trigger a relapse lasting weeks to months

Obtain medical expert opinion on

1. predisposing factors - stressful life events, chronic medical or psychiatric illness, personality disorder
2. precipitating factors - infection, trauma, emotional stresses
3. perpetuating factors - dislike of work, medical or psychiatric illness, psycho-social problems, sleep disruption, faulty attribution of symptoms

Insist on psychological assessment:

1. depressive disorder
2. Post Traumatic Stress Disorder (PTSD)
3. undisclosed childhood trauma
4. pain disorder
5. somatoform disorders
6. personality disorder
7. malingering.

Related Guest Articles:

Fibromyalgia 93

FIBROMYALGIA 1994 - more pieces of the jigsaw
Fibromyalgia 1995-6
Fibromyalgia 1997

Fibromyalgia 1998
Fibromyalgia 1999 - 2000

Related full text articles available to subscribing members:

Fibromyalgia News (Fibromyalgia News)	Volume 1, Issue 1
Fibromyalgia 1993 (Medical Litigation News)	Volume 1, Issue 2
Fibromyalgia 1994 - More Pieces of the Jigsaw (Medical Litigation News)	Volume 1, Issue 8
Fibromyalgia 1995 - 1996 (Medical Litigation News)	Volume 2, Issue 3
Fibromyalgia 1997 (Medical Litigation News)	Volume 3, Issue 8
Fibromyalgia 1998 (Personal Injury News)	Volume 5, Issue 1
Fibromyalgia 1999- 2000 (Personal Injury News)	Volume 6, Issue 4
Fibromyalgia 2001 (Personal Injury News)	Volume 7, Issue 4

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