Investigation of Pathergy In Patients With Fibromyalgia

Aim: Recent studies showed increased axon reflex flare reaction to mechanical and chemical stimuli associated with neurogenic inflammation in patients with fibromyalgia (FM). Pathergy test is identified as a non-specific hypersensitivity reaction to minimal trauma. The purpose of this study was to i...

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Main Authors: Pelin Oktayoğlu, Mehtap Bozkurt, Mehmet Çağlayan, Sabahattin Verim, Kemal Nas
Format: Article
Language:English
Published: Mustafa Kemal University 2015-03-01
Series:Mustafa Kemal Üniversitesi Tıp Dergisi
Subjects:
Online Access:http://dergipark.gov.tr/mkutfd/issue/19600/209469?publisher=mku
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author Pelin Oktayoğlu
Mehtap Bozkurt
Mehmet Çağlayan
Sabahattin Verim
Kemal Nas
author_facet Pelin Oktayoğlu
Mehtap Bozkurt
Mehmet Çağlayan
Sabahattin Verim
Kemal Nas
author_sort Pelin Oktayoğlu
collection DOAJ
description Aim: Recent studies showed increased axon reflex flare reaction to mechanical and chemical stimuli associated with neurogenic inflammation in patients with fibromyalgia (FM). Pathergy test is identified as a non-specific hypersensitivity reaction to minimal trauma. The purpose of this study was to investigate whether patients with FM had a positive pathergy test or not.Methods: Forty-six patients who met the 1990 American College of Rheumatology (ACR) criteria for the classification of FM and fifty-one healthy control subjects (HCs) were included in this study. Twenty-eight patients with Behcet’s disease were included as disease control for Pathergy test. The Fibromyalgia Impact Questionnaire (FIQ) was used for assessment of functional status in patients with FM. The Nottingham Health Profile was used for assessment of quality of life in all subjects.Results: There was no significant difference in demographic characteristics between the three groups (p > 0.05). NHP-pain, NHP-physical mobility, NHP-energy, NHP-emotional reaction, NHP-sleep and NHP-total scores were significantly higher in patients with FM compared to HCs (p < 0.001). Neither patients with FM nor HCs had a positive pathergy test.Conclusion: There are some pathophysiological changes in the skin biopsies of patients with FM; however, these changes are not accompanied by a positive pathergy test.Key Words: Fibromyalgia, Pathergy test
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spelling doaj.art-693551063b3d4f71a5a430c74bad231f2023-02-15T16:11:32ZengMustafa Kemal UniversityMustafa Kemal Üniversitesi Tıp Dergisi2149-31032015-03-0162110.17944/mkutfd.32623102Investigation of Pathergy In Patients With FibromyalgiaPelin OktayoğluMehtap BozkurtMehmet ÇağlayanSabahattin VerimKemal NasAim: Recent studies showed increased axon reflex flare reaction to mechanical and chemical stimuli associated with neurogenic inflammation in patients with fibromyalgia (FM). Pathergy test is identified as a non-specific hypersensitivity reaction to minimal trauma. The purpose of this study was to investigate whether patients with FM had a positive pathergy test or not.Methods: Forty-six patients who met the 1990 American College of Rheumatology (ACR) criteria for the classification of FM and fifty-one healthy control subjects (HCs) were included in this study. Twenty-eight patients with Behcet’s disease were included as disease control for Pathergy test. The Fibromyalgia Impact Questionnaire (FIQ) was used for assessment of functional status in patients with FM. The Nottingham Health Profile was used for assessment of quality of life in all subjects.Results: There was no significant difference in demographic characteristics between the three groups (p > 0.05). NHP-pain, NHP-physical mobility, NHP-energy, NHP-emotional reaction, NHP-sleep and NHP-total scores were significantly higher in patients with FM compared to HCs (p < 0.001). Neither patients with FM nor HCs had a positive pathergy test.Conclusion: There are some pathophysiological changes in the skin biopsies of patients with FM; however, these changes are not accompanied by a positive pathergy test.Key Words: Fibromyalgia, Pathergy testhttp://dergipark.gov.tr/mkutfd/issue/19600/209469?publisher=mku--Fibromiyalji Paterji
spellingShingle Pelin Oktayoğlu
Mehtap Bozkurt
Mehmet Çağlayan
Sabahattin Verim
Kemal Nas
Investigation of Pathergy In Patients With Fibromyalgia
Mustafa Kemal Üniversitesi Tıp Dergisi
-
-
Fibromiyalji
Paterji
title Investigation of Pathergy In Patients With Fibromyalgia
title_full Investigation of Pathergy In Patients With Fibromyalgia
title_fullStr Investigation of Pathergy In Patients With Fibromyalgia
title_full_unstemmed Investigation of Pathergy In Patients With Fibromyalgia
title_short Investigation of Pathergy In Patients With Fibromyalgia
title_sort investigation of pathergy in patients with fibromyalgia
topic -
-
Fibromiyalji
Paterji
url http://dergipark.gov.tr/mkutfd/issue/19600/209469?publisher=mku
work_keys_str_mv AT pelinoktayoglu investigationofpathergyinpatientswithfibromyalgia
AT mehtapbozkurt investigationofpathergyinpatientswithfibromyalgia
AT mehmetcaglayan investigationofpathergyinpatientswithfibromyalgia
AT sabahattinverim investigationofpathergyinpatientswithfibromyalgia
AT kemalnas investigationofpathergyinpatientswithfibromyalgia