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http://onlinelibrary.wiley.com/doi/10.1002/art.1780330203/pdf
http://dx.doi.org/10.1002/art.1780330203

has been cited by the following article:

• TITLE: Early-Stage Juvenile Fibromyalgia in a 12-Year-Old Girl

  AUTHORS: Yoshihiko Sakurai

  KEYWORDS: Juvenile Fibromyalgia, Early Stage, Character Tendency, Psychological Stress, Initial Care

  JOURNAL NAME: Open Journal of Pediatrics, Vol.5 No.4, December 30, 2015

  ABSTRACT: Juvenile fibromyalgia (JFM) is often diagnosed at a later stage. Therefore, little is known about its early phase. A 12-year-old girl with persistent lumbago without fever consulted an orthopedist, but imaging studies showed no abnormalities and analgesics were ineffective. She therefore visited our pediatric clinic. On digital palpation, she had pain in 13 of the 18 tender point sites of fibromyalgia. The blood test results were unremarkable. A medical interview revealed character tendencies often seen in patients with JFM; she was serious-minded, uncompromising, and showed excessive concern for others. Furthermore, psychological stress for the approaching annual sports day might have built up. All factors considered, early-stage JFM was the probable diagnosis. The patient accepted the diagnosis and understood that the disease may be psychogenic. Getting through the sports day cured her symptoms. This case highlights the importance of initial care, including a detailed explanation, in those with JFM.