Test z krwi na fibromialgię

Nowy test z krwi na fibromialgię, według lekarza, który ten test opracował, jest bardziej dokładny niż wcześniej sądzono i nie będzie mylony innymi zespołami przewlekłych bólów i innymi chorobami takimi jak toczeń rumieniowaty układowy i reumatoidalne zapalenie stawów.

The EpicGenetics Company introduced the FM test in 2012, calling it the first definitive blood test for fibromyalgia, a poorly understood disorder that is characterized by deep tissue pain, fatigue, headaches, depression and lack of sleep. Test results are usually available in about a week. The FM test looks for protein molecules in the blood called chemokines and cytokines, which are produced by white blood cells. Fibromyalgia patients have fewer chemokines and cytokines in their blood, according to EpiGenetics, and as a result have weaker immune systems than normal patients.

There is some criticism about this test. The same immune system biomarkers can be found in people with other illnesses, such as rheumatoid arthritis, making the blood test unreliable. However, in new research involving over 300 patients with either fibromyalgia, lupus or rheumatoid arthritis, Dr. Bruce Gillis (MD and CEO of Epigenetics) said only fibromyalgia patients were found to have below normal levels of chemokines and cytokines.

When the FM test was first introduced, EpicGenetics said it was 93% accurate in diagnosing fibromyalgia. Gillis says the sensitivity of the test is now estimated at 99%, which is about the same as the test used to diagnose HIV.

Researchers at Ohio State are in the initial stages of developing another type of blood test for fibromyalgia. Using a high powered infrared microscope, they’ve identified a pattern of molecules in the blood that appears to be unique to fibromyalgia patients.

Another team of researchers in upstate New York has found that fibromyalgia patients have excess sensory nerve fibers in the blood vessels of their hands, which may disrupt the flow of blood throughout the body.

W 2010 roku ACR = American College of Rheumatology (Amerykańskie Kolegium Reumatologii) zdefiniowało na nowo kryteria rozpoznania fibromialgii. Aby przejść dalej i zapoznać się z tym zagadnieniem kliknij --> nowe kryteria rozpoznania fibromialgii (plik pdf, 11 stron, język angielski)

Pobierz kwestionariusz nowe kliniczne kryteria diagnostyczne fibromialgii, (plik pdf), który ułatwi wyliczenie wskaźnika bólu oraz wskaźnika nasilenia objawów.