A physician with experience with fibromyalgia will usually make the correct diagnosis without any uncertainty. However, in special cases, the diagnosis may be difficult. The suggestions below can then be considered.
- Localized muscle pain
- Not as widespread symptoms
- Polymyositis
- Muscle weakness
- CK in the blood sample is high
- Muscular Dystrophy (Hereditary progressive muscle diseases)
- Glycogen storage disease type V: McArdle's disease / phosphorylase deficiency
- Pain / cramps after activity
- Glycogen storage disease type II, Adult acid maltase deficiency (Pompes disease)
- Electrolyte shortage
- Hypokalemia
- Hypocalcemia
- Hypomagnesaemia
- Carnitine-palmitoyltransferase II deficiency
- Muscle pain
- Polymyalgia rheumatica
- Age over 50 years
- High erythrocyte sedimentation rate (ESR) and CRP
- Low metabolism
- High TSH and low f-T4 in blood test
- High metabolism (hyperthyroidism)
- Make TSH and High f-T4 in blood test
- Hyperparathyreosis
- High parathymone (PTH) and calcium in blood samples
- Vitamin B12 deficiency
- Make B 12 in blood test, macrocytosis (MCV high)
- Parkinsonism
- Stiffness, less pain
- Stiff person syndrome
- Depression
- Complex regional pain syndrome (CRPS)
Fibromyalgia, BINDEVEVSSYKDOMMER.no
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