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See Latest ArticlesFibromyalgia Is Common and Adversely Affects Pain and Fatigue Perception in North Indian Patients with Rheumatoid Arthritis
Journal of Rheumatology, 10/16/09
Dhir V et al. – FM is more common in North Indian patients with RA compared to controls. It adversely affects the pain and fatigue felt by RA patients. Disease activity and FM influence each other.
Methods- This cross–sectional study included 200 RA patients and an equal number of controls.
- This cross–sectional study included 200 RA patients and an equal number of controls.
- Pain and fatigue scores were assessed using a 10 cm visual analog scale.
- Quality of life and presence of depression/anxiety were determined using validated questionnaires.
- Disease activity and functional disability in RA patients was assessed using the Disease Activity Score 28–3 and Health Assessment Questionnaire, respectively.
- FM was present in 15% of patients with RA compared to 2.5% of controls in the North Indian population.
- RA patients with FM did not differ from those without FM in terms of age, gender, current disease–modifying agents, or steroid use.
- RA patients with FM had higher disease activity and worse functional disability.
- The number of tender and swollen joints was higher in patients with FM, but correlated poorly with each other.
- RA patients with FM had higher pain and fatigue scores but were not different in the quality of life or mood.
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