How common is it to get Fibromyalgia if I have been diagnosed with RA?
I am starting to get other symptoms that are more consistent with FM and not my RA. Is this common to have both diseases?
Answers from our Doctors
Dr. Brian Walitt says:
Bothersome sensations such as widespread pain, fatigue, and non-refreshing sleep are the defining features of fibromyalgia. These are also common complaints in other active rheumatic diseases. In fact, a person with active rheumatoid arthritis with multiple active joints will often meet the American College of Rheumatology criteria (both 1990 and 2010) for fibromyalgia. Adding to the confusion, the development of concomitant fibromyalgia symptoms is greater in people with rheumatic disease than in the general population. The prevalence of concomitant fibromyalgia in rheumatoid arthritis patients has been estimated in several papers to be somewhere around 15%. The most recent paper on the subject in Pain by Wolfe, et al. showed that 7.4% of 9739 rheumatoid arthritis patients met fibromyalgia criteria at their most recent evaluation but 19.8% met fibromyalgia criteria at some point during follow-up. In summary, it is not uncommon to have both problems.
In practice, a person with symptoms of both disorders will typically be treated aggressively for their rheumatoid arthritis by their rheumatologist. This is because there are objective markers that can be measured in rheumatoid arthritis, such as joint swelling, joint tenderness, and inflammatory markers in the blood (such as erythrocyte sedimentation rate and C-reactive protein). If aggressive therapy leads to improvements in the signs of rheumatoid arthritis but do not alleviate diffuse body pain, fatigue, non-refreshing sleep, and other bothersome symptoms, then therapies directed at fibromyalgia symptoms should be considered.
Answered on: Wednesday, April 20, 2011 - 13:31
Add comment
Get Updates
Please log in or join RheumMD.org to sign up for updates by email.
Join a Study
Do you have just a few hours a year to participate in a rheumatic diseases research study? Learn more about the National Data Bank for Rheumatic Diseases
Related Questions
Featured Doctor
Dr. Frederick Wolfe
Dr. Wolfe is the founder and director of the National Data Bank for Rheumatic Diseases, and a specialist in fibromyalgia and rheumatoid arthritis research.
Comments
zithromax otc https://zithromaxes.com/ citramax
zithomax https://zithromaxes.com/ zmax drugs
cheap alprostadil https://alprostadildrugs.com/ erection injection medicine
zitromax pfizer https://zithromaxes.com/ zithromax antibiotics
zithromax is used for https://zithromaxes.com/ zithromax
zithromax https://zithromaxes.com/ zepak antibiotics
parkinson and alprostadil https://alprostadildrugs.com/ where to buy alprostadil gel
sildenafil citrate india https://eunicesildenafilcitrate.com/ sildenafil online sale
Satta King game is mainly popular in india & It is considered a lottery based game
& comes under the category of "Gambling".The Genuine name of The so called "Satta" game
is called Satta Matka.Now a days people call it in short form namely as "Satta king" only.
Behind Satta Matka there is history behind this about the name Matka(POT) earlier when
someone used to draw a number out of and If person won, he was called "Satta King".
Ever since this game went popular thereby people started knowing name as satta king.
Satta` usually in India is that the Hindi conversion of the term `Gambling`, And Yes
Gambling is illegal in many countries but many people playing Satta. Satta king result
Satta king aapka game hai pel ke khelo ro lagao chamkao apni kismat .
Despite the fact that there are various satta ruler played in rest of the world as satta
lord have not itself an identity.Satta lord game relies upon different factors, for example,
place for example city,place and region.Satta lord game is exceptionally gigantic and played
worldwide however we have separated most famous satta lord games out of the rundown and interestinly
well known in India.There are essentially 8 games primarily wager or played mostly.Disawar is most
popluar among 8 games(disawar, gali,Delhi, faridabad, gaziabad, Taj, Maha Laxmi, Hindustan, Etc.....)
& is operated from Dubai and played in Indian region.
Disawar
Gaziabad
Gali
Faridabad
You should choose a number between one to hundred at the start. These numbers are additionally
separated into different games, for example, disawar, gali which without a doubt known as Jodi.
We will discuss here the primary game. Along these lines, you pick a numberr going from one to
hundred number and in this manner presently converse with your booking say your ideal number to
your bookie. The bookie will note down that number and the sum related with the number and this
interaction is finished now with your bookie.satta king Presently after following day the game outcome will
open at perticular time and assuming fortunately in the event that you get wanted number you picked
has out, at that point you definately win generally multiple times of money you contributed to your
bookie. Accordingly you know how satta ruler game functions. what's more, significantly satta ruler
is only about your karma .Good karma ! While this game depends upon on progress and the champ gets
multiple times additional sum, it makes a temptation and draw for cash in individuals' heart.
Individuals who're seeing this game and regularly play it who know about changing numbers and
hence they dominate match without any problem. Individuals who regularly play diswar , gali
games in some cases surmise right number as well . Satta King
Satta King game is mainly popular in india & It is considered a lottery based game
& comes under the category of "Gambling".The Genuine name of The so called "Satta" game
is called Satta Matka.Now a days people call it in short form namely as "Satta king" only.
Behind Satta Matka there is history behind this about the name Matka(POT) earlier when
someone used to draw a number out of and If person won, he was called "Satta King".
Ever since this game went popular thereby people started knowing name as satta king.
Satta` usually in India is that the Hindi conversion of the term `Gambling`, And Yes
Gambling is illegal in many countries but many people playing Satta. Satta king result
Satta king aapka game hai pel ke khelo ro lagao chamkao apni kismat .
Despite the fact that there are various satta ruler played in rest of the world as satta
lord have not itself an identity.Satta lord game relies upon different factors, for example,
place for example city,place and region.Satta lord game is exceptionally gigantic and played
worldwide however we have separated most famous satta lord games out of the rundown and interestinly
well known in India.There are essentially 8 games primarily wager or played mostly.Disawar is most
popluar among 8 games(disawar, gali,Delhi, faridabad, gaziabad, Taj, Maha Laxmi, Hindustan, Etc.....)
& is operated from Dubai and played in Indian region.
Disawar
Gaziabad
Gali
Faridabad
You should choose a number between one to hundred at the start. These numbers are additionally
separated into different games, for example, disawar, gali which without a doubt known as Jodi.
We will discuss here the primary game. Along these lines, you pick a numberr going from one to
hundred number and in this manner presently converse with your booking say your ideal number to
your bookie. The bookie will note down that number and the sum related with the number and this
interaction is finished now with your bookie.satta king Presently after following day the game outcome will
open at perticular time and assuming fortunately in the event that you get wanted number you picked
has out, at that point you definately win generally multiple times of money you contributed to your
bookie. Accordingly you know how satta ruler game functions. what's more, significantly satta ruler
is only about your karma .Good karma ! While this game depends upon on progress and the champ gets
multiple times additional sum, it makes a temptation and draw for cash in individuals' heart.
Individuals who're seeing this game and regularly play it who know about changing numbers and
hence they dominate match without any problem. Individuals who regularly play diswar , gali
games in some cases surmise right number as well . Satta King
satta king
satta king
satta king
sattaking
satta king
sattaking
satta king
sattaking
satta king
sattaking
satta king
sattaking
satta king
sattaking
vardenafil 20 mg tablets https://vegavardenafil.com/ generic vardenafil 20mg india