Critérios Diagnósticos para Fibromialgia: Desafios e Perspectivas Futuras

Julia Piton; Bárbara Salvati Grellmann; Daniela Venturin Baldin; Júlia do Nascimento Marcon; Juliana da Rosa Wendt

doi:10.36489/saudecoletiva.2025v15i94p15241-15250

Authors

Julia Piton Graduanda em Medicina na Universidade Federal de Santa Maria https://orcid.org/0009-0004-4457-9197
Bárbara Salvati Grellmann Graduanda em Medicina na Universidade Franciscana https://orcid.org/0009-0004-5935-2462
Daniela Venturin Baldin Graduanda em Medicina no Centro Universitário Assis Gurgacz https://orcid.org/0009-0003-4184-8470
Júlia do Nascimento Marcon Graduanda em Medicina na Universidade Franciscana https://orcid.org/0009-0005-4187-2264
Juliana da Rosa Wendt Doutora em Promoção da Saúde; docente na Universidade Federal de Santa Maria https://orcid.org/0000-0003-2014-6288

DOI:

https://doi.org/10.36489/saudecoletiva.2025v15i94p15241-15250

Keywords:

Fibromyalgia, Diagnosis, Diagnostic criteria, Late diagnosis

Abstract

Fibromyalgia is a chronic syndrome that affects millions of people around the world, characterized by widespread pain, fatigue, hypersensitivity and several other clinical and psycho-emotional symptoms, including sleep disorders and cognitive difficulties. Due to the lack of objective markers, unknown pathophysiology and high variability of clinical presentations, the diagnosis of fibromyalgia remains a very controversial topic today. In this context, this article aims to critically review the diagnostic criteria for fibromyalgia, with an emphasis on its challenges, social impacts and future perspectives. To this end, a literature review was carried out in the PubMed, LILACS and SciElo databases, selecting scientific articles that were in line with the theme. The studies confirmed that, despite the existence of established and validated criteria, the diagnosis of fibromyalgia is still a clinical process that encounters several barriers, negatively impacting the quality of life of affected patients. Therefore, we hidhlight the importance of continued education and research in the field to increase diagnostic accuracy and improve patient care.

References

Qureshi AG, Jha SK, Iskander J, Avanthika C, Jhaveri S, Patel VH, Potini BR, Azam AT. Diagnostic Challenges and Management of Fibromyalgia. Cureus. 2021;13(10): e18692. Disponível em: https://pubmed.ncbi.nlm.nih.gov/34786265/. Acesso em: 01 set. 2024.

Trevisan M, Atavila FP, Machado HAS, Aota KG, Soares DA. Diagnóstico e tratamento da fibromialgia: uma revisão integrativa. Braz. J. Develop. 2022; 8(9):62404-23. Disponível em: https://doi.org/10.34117/bjdv8n9-131. Acesso em: 02 set. 2024.

Al Sharie S, Varga SJ, Al-Husinat L, Sarzi-Puttini P, Araydah M, Bal’awi BR, Varrassi G. Unraveling the Complex Web of Fibromyalgia: A Narrative Review. Medicina. 2024; 60(2):272-86. Disponível em: https://pubmed.ncbi.nlm.nih.gov/38399559/. Acesso em: 02 set. 2024.

Galvez-Sánchez CM, Del Paso GAR. Diagnostic Criteria for Fibromyalgia: Critical Review and Future Perspectives. J Clinical Medicine. 2020, 9(4):1219-35. Disponível em: https://pubmed.ncbi.nlm.nih.gov/32340369/. Acesso em: 02 set. 2024.

Wasti AZ, Mackawy AM, Hussain A, Huq M, Ahmed H, Memon AG. Fibromyalgia interventions, obstacles and prospects: narrative review. Acta Myol. 2023; 42(2-3):71-8. Disponível em: https://pubmed.ncbi.nlm.nih.gov/38090547/. Acesso em: 02 set. 2024.

Wolfe F, Rasker JJ. The Evolution of Fibromyalgia, Its Concepts, and Criteria. Cureus, 2021; 13(11):e200010-18. Disponível em: https://pubmed.ncbi.nlm.nih.gov/34987901/. Acesso em: 01 set. 2024.

Heymann RE, Paiva ES, Martinez JE, Helfenstein M, Rezende MC, Provenza JR, Ranzolin A, Assis MR, et al. New guidelines for the diagnosis of fibromyalgia. Rev Bras Reumatol. 2017; 57:s467–76. Disponível em: https://doi.org/10.1016/j.rbre.2017.07.002. Acesso em: 01 set. 2024.

D’Amuri A, Greco S, Pagani M, Presciuttini B, Ciaffi J, Ursini F. Common Non-Rheumatic Medical Conditions Mimicking Fibromyalgia: A Simple Framework for Differential Diagnosis. Diagnostics. 2024; 14(16):1758-82. Disponível em: https://www.mdpi.com/2075-4418/14/16/1758. Acesso em: 02 set. 2024.

Kumbhare D, Ahmed S, Watter S. A narrative review on the difficulties associated with fibromyalgia diagnosis. Therapeutic Advances in Musculoskeletal Disease. 2018;10(1):13-26. Disponível em: https://pubmed.ncbi.nlm.nih.gov/29290763/. Acesso em: 01 set. 2024.

Souza JB, Perissinotti DMN. The prevalence of fibromyalgia in Brazil – a population-based study with secondary data of the study on chronic pain prevalence in Brazil. BrJP. 2018;1(4):345–8. Disponível em: https://doi.org/10.5935/2595-0118.20180065. Acesso em: 01 set. 2024.