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2022, Rheumatic Disease Clinics of North AmericaCitation Excerpt :The core symptoms of FMS are generalized aches and pains often worse with cold and humidity, fatigue, and nonrestorative sleep.28,29 Other common symptoms are tenderness to touch, stiffness, dryness of mouth and/or eyes, headaches, dizziness, temporomandibular joint complaints, nausea, abdominal pain and bloating, diarrhea often alternating with constipation, frequent urination at night, sensations of subjective swelling, intermittent paresthesias, and environmental sensitivity5,30 (Table 2). Classification criteria for FMS require a minimum of 3 months of symptoms, but most of the patients had symptoms for years, so physicians should be cautious diagnosing FMS in patients with short duration of symptoms, as none of these symptoms are specific for FMS and consider potential “red flags” that may suggest other conditions (Table 3).
- 1
From the Division of Rheumatology, Department of Medicine, Peoria School of Medicine, Peoria, Illinois.
- 2
From the St. Vincent Hospital, Worcester, Massachusetts.