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Hauser W et al. – A symptom–based diagnosis of fibromyalgia syndrome (FMS) without tender point examination is needed for primary care. The authors tested if a symptom–based diagnosis of FMS can be founded on the intensity of the symptoms musculoskeletal pain and fatigue...The greatest mean differences between fibromyalgia syndrome (FMS) patients and the other samples were found within the subscales “limb pains” and “fatigue”. FMS patients scored higher in the subscales “heart problems” and “dyspepsia”, but both subscales did not contribute to a differentiation of the samples. The rates of reclassification of the subsamples based on the subcales “limb pains” and “fatigue” ranged between 80 and 93%. High levels of the intensity of chronic widespread musculoskeletal pain and chronic fatigue may form the basis of a symptom–based diagnosis of FMS.

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