Fibromyalgia: Or something else? Differential Diagnosis

Endocrine, nutritional, and metabolic diseases (E00-E90).

Infectious and parasitic diseases (A00-B99).

Musculoskeletal system and connective tissue (M00-M99).

  • Collagenoses (group of connective tissue diseases caused by autoimmune processes) – systemic lupus erythematosus (SLE), polymyositis (PM) or dermatomyositis (DM), Sjögren’s syndrome (Sj), scleroderma (SSc), and Sharp syndrome (“mixed connective tissue disease”, MCTD).
  • Myopathies (muscle diseases, inflammatory, metabolic,endocrine).
  • Myalgia (muscle pain, toxic, in damage to the CNS and peripheral nervous system).
  • Osteoporosis (bone loss)
  • Polymyalgia rheumatica – disease from the rheumatic forms
  • Sjögren’s syndrome (group of sicca syndromes) – autoimmune disease from the group of collagenoses, which leads to a chronic inflammatory disease of the exocrine glands, most often the salivary and lacrimal glands; typical sequelae or complications of sicca syndrome are:
    • Keratoconjunctivitis sicca (dry eye syndrome) due to lack of wetting of the cornea and conjunctiva with tear fluid.
    • Increased susceptibility to caries due to xerostomia (dry mouth) due to reduced salivary secretion.
    • Rhinitis sicca (dry nasal mucous membranes), hoarseness and chronic cough irritation and impaired sexual function due to disruption of mucous gland production of the respiratory tract and genital organs.

Mouth, esophagus (esophagus), stomach, and intestines (K00-K67; K90-K93).

Neoplasms – tumor diseases (C00-D48).

  • Tumor diseases, unspecified

Psyche – nervous system (F00-F99; G00-G99).

Medication

  • Proton pump inhibitors (proton pump inhibitors, PPI, acid blockers).
  • Statins (statin therapy with or without CK elevation).
  • Arthralgia (joint pain) and myalgia (muscle pain) associated with aromatase inhibitors and interferons
  • For other medications, see “Drug Side Effects” under “Painful Myopathies Caused by Medications.”

Further

  • Eosinophilia-myalgia syndrome
  • Myofascial pain syndrome – pain in circumscribed areas of the body, such as the shoulder-neck area.