Early-Stage Juvenile Fibromyalgia in a 12-Year-Old GirlReport as inadecuate




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Juvenile fibromyalgia JFM is often diagnosed at a later stage.Therefore, little is known about its early phase. A 12-year-old girl withpersistent lumbago without fever consulted an orthopedist, but imaging studiesshowed no abnormalities and analgesics were ineffective. She therefore visitedour pediatric clinic. On digital palpation, she had pain in 13 of the 18 tenderpoint sites of fibromyalgia. The blood test results were unremarkable. Amedical interview revealed character tendenciesoften seen in patients with JFM; she was serious-minded, uncompromising, andshowed excessive concern for others. Furthermore, psychological stressfor the approaching annual sports day might have built up. All factorsconsidered, early-stage JFM was the probable diagnosis. The patient acceptedthe diagnosis and understood that the disease may be psychogenic. Gettingthrough the sports day cured her symptoms. This case highlights the importanceof initial care, including a detailed explanation, in those with JFM.

KEYWORDS

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

Cite this paper

Sakurai, Y. 2015 Early-Stage Juvenile Fibromyalgia in a 12-Year-Old Girl. Open Journal of Pediatrics, 5, 353-357. doi: 10.4236-ojped.2015.54053.





Author: Yoshihiko Sakurai

Source: http://www.scirp.org/



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