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Lupus and Fibromyalgia: Similarities and Differences

by Jeri Jewett-Tennant, MPH
for About.com

Updated October 03, 2008

About.com Health's Disease and Condition content is reviewed by our Medical Review Board

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Systemic lupus erythematosus is often a disease that is misdiagnosed as some other disease. Interestingly enough, fibromyalgia, a disorder that causes muscle pain and fatigue, is often misdiagnosed as lupus, because both are rheumatic illnesses that share some similar symptoms. Also of note is that lupus sufferers are more likely to contract fibromyalgia.

What is Fibromyalgia:

Fibromyalgia is a disorder that causes muscle pain and fatigue. It is characterized by tender points, areas of the body that cause pain when pressure is applied. These points are more prevalent on the neck, shoulders, back, hips, arms and legs.

Specific causes are unknown, but its appearance is frequently associated with certain diseases, such as lupus, as well as traumatic physical events, repetitive injuries and illness. It can also occur on its own. There is speculation that the disease could be genetic.

The disease affects 1 in 50 Americans, mostly women and the middle-aged. There’s an increased risk for an individual if they have a family member with the illness.

Symptoms:

Symptoms typically associated with fibromyalgia include:

  • Sleeplessness
  • Muscle stiffness, especially in the morning
  • Headaches
  • Painful menstrual periods
  • Tingling or numbness in hands and feet
  • Problems with thinking and memory
Treatment:

Unfortunately, treatment for fibromyalgia is complex and a bit difficult. Only one drug has been approved to treat the disease — Lyrica (pregabalin) — which has been around only since June 2007. Other drugs are used to treat the symptoms, including antidepressants.

The best course of action for a patient is to find a doctor who understands and has experience treating fibromyalgia, such as a rheumatologist. Often, more than one specialist is necessary to successfully manage the disease.

Sources::
What Is Fibromyalgia? Fast Facts: An Easy-to-Read Series of Publications for the Public National Institute of Arthritis and Musculoskeletal and Skin Diseases. August 2007

Living with Fibromyalgia, Drugs Approved to Manage Pain. . U.S. Food and Drug Administration. July 18, 2008

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