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PubMed - NLM - Abstract

Oral symptoms associated with fibromyalgia syndrome

RHODUS Nelson L. (1); FRICTON James (2); CARLSON Patricia (2) ; MESSNER Ronald (3) ; Affiliation(s) du ou des auteurs / Author(s) Affiliation(s) (1) Division of Oral Medicine, University of Minnesota, Minneapolis, Minnesota, ETATS-UNIS (2) Division of Orofucial Pain, University of Minnesota, Minneapolis, Minnesota, ETATS-UNIS (3) Department of Rheumatology, University of Minnesota, Minneapolis, Minnesota, ETATS-UNIS Résumé / Abstract

Objective.

Studies have described oral problems associated with fibromyalgia syndrome (FM), including sicca, oral ulcerations, and orofacial pain. We evaluated the prevalence and profile of various oral symptoms in a population of patients diagnosed with FM. Methods. Subjects diagnosed with FM by American College of Rheumatology criteria (n = 67; all women, mean age ± SEM 47.6 ± 2.3 yrs) were enrolled in the study after meeting strict exclusion criteria (i.e., oral mucosal conditions, Sjögren's syndrome, anemia, inflammatory bowel syndrome or other gastrointestinal disturbances, and other disorders that may manifest oral symptoms). Subjective oral evaluations were carried out for each subject, including oral pain (Melzack scale) for glossodynia, throbbing, aching, etc.; temporomandibular joint dysfunction (TMD); xerostomia (including intake of fluids, functional problems, etc.); dysphagia; dysgeusia; and information about frequent oral ulcerations or lesions. Psychological tests included Beck Depression Scale (BDS) and Spielberger Anxiety Scale (SAS) were administered. Results. The results indicated a significant prevalence in some subjects' oral symptoms, compared to age and sex matched control data (mean ± SEM) for xerostomia 70.9% vs 5.7% (p < 0.001); glossodynia 32.8% vs 1.1% (p < 0.001); TMD 67.6% vs 20% (p < 0.01); dysphagia 37.3% vs 0.4% (p < 0.001); dysgeusia 34.2% vs 1.0% (p < 0.001). Other findings were not significantly different from controls: oral ulcerations/lesions 5.1% vs 4.4% (NS); BDS 34% vs 30% (NS); SAS 21% vs 19% (NS). The average visual analog scale (100 mm) for burning pain was 5.30 ± 5.6 (p < 0.001). Anxiety and depression scores were no different in the FM subjects compared to controls with chronic pain conditions. Conclusion. These data indicate that patients with FM have significantly increased prevalence of xerostomia, glossodynia, dysphagia, dysgeusia, and TMD compared to controls, with no significant difference in clinical oral lesions or psychological status.

Journal of rheumatology ISSN 0315-162X CODEN JRHUA9

Source / Source

2003, vol. 30, no8, pp. 1841-1845 [5 page(s) (article)] (17 ref.)

Journal of Rheumatology Publishing, Toronto, ON, CANADA (1974) (Revue)

Mots-clés anglais / English Keywords =>

Arthropathy; Maxillary disease; Stomatology ; Salivary gland disease ; ENT disease ; Striated muscle disease; Diseases of the osteoarticular system ; Tongue ; Pain ; Temporomandibular joint dysfunction; Epidemiology ; Oral cavity disease ; Glossodynia ; Human ; Prevalence; Aptyalism ; Association ; Symptomatology ; Fibromyalgia ; =>Artropatía ; Maxilar patología ; Estomatología ; Glándula salival patología ; ORL patología ; Músculo estriado patología ; Sistema osteoarticular patología ; Lengua ; Dolor ; Temporomaxilar síndrome ; Epidemiología ; Cavidad bucal patología ; Glosodinia ; Hombre ; Prevalencia ; Aptialismo ; Asociación ; Sintomatología ; Fibromialgia ;Localisation / Location INIST-CNRS, Cote INIST: 16024, 35400011272540.0290 From the above you get not only terms in multiple languages for further search, but also places where the work was done and names attached to those works.

From the above you get not only terms in multiple languages for further search, but also places where the work was done and names attached to those works.