Differential diagnosis of fibromyalgia

Diagnosis	Helpful features
Rheumatoid arthritis or lupus	Symmetrical polyarthritis, systemic features (dermatitis, nephritis), elevated erythrocyte sedimentation rate, serologic abnormalities (rheumatoid factor, anti-DNA antibodies)
Polymyalgia rheumatica	Elderly, elevated erythrocyte sedimentation rate, stiffness>pain, responds well and quickly to steroids
Myositis	Muscle weakness, elevated muscle enzymes
Hypothyroidism	Abnormal thyroid function tests
Hyperparathyroidism	Hypercalcemia
Neuropathies	Clinical and electrical evidence of neuropathy

Differential_dx_fibromyalgi.htm

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