medalphabetМедицинский алфавитMedical alphabet2078-56312949-2807ООО «Альфмед»10.33667/2078-5631-2025-28-7-14medalphabet-4719Research ArticleСтатьиПациент с фибромиалгией на приеме врача общей практики – на что обратить вниманиеA patient with fibromyalgia at a general practitioner's appointment – what to look out forhttps://orcid.org/0000-0002-1391-0711КаратеевА. Е.KarateevA. E.

Каратеев Андрей Евгеньевич, д.м.н., зав. лабораторией  патофизиологии боли и полиморфизма ревматических заболеваний

SCOPUD ID: 6603615916

Москва

Karateev Andrey E., DM Sci (habil.), head of the Laboratory of PainPathophysiology and Polymorphism of Rheumatic Diseases

SCOPUD ID: 6603615916

Moscow

https://orcid.org/0000-0002-2475-8620ФилатоваЕ. С.FilatovaE. S.

Филатова Екатерина Сергеевна, д.м.н., ст. научный сотрудник лаборатории патофизиологии боли и полиморфизма ревматических заболеваний

SCOPUS ID: 57212194160

Москва

Filatova Ekaterina S., DM Sci (habil.), senior researcher at the Laboratory of Pathophysiology of Pain and Polymorphism of Rheumatic Diseases

SCOPUS ID: 57212194160

Moscow

Es-Filatova@mail.ruhttps://orcid.org/0000-0002-6068-3080ЛилаА. М.LilaA. M.

Лила Александр Михайлович, чл.‑ корр. РАН, д.м.н., проф., директор; зав. кафедрой ревматологии, главный внештатный специалист-ревматолог МЗ РФ, заслуженный врач РФ

SCOPUS ID: 6602550827

Москва

Lila Alexander M., RAS corresponding member, DM Sci (habil.), professor, director; head of Dept of Rheumatology, chief freelance rheumatologist of the Ministry of Health of the Russian Federation, Honored Doctor of the Russian Federation

SCOPUS ID: 6602550827

Moscow

ФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой»РоссияV.A. Nasonova Research Institute of RheumatologyRussian FederationФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава РоссииРоссияV.A. Nasonova Research Institute of RheumatologyRussian FederationФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой»; ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава РоссииРоссияV.A. Nasonova Research Institute of Rheumatology; Russian Medical Academy of Continuing Professional EducationRussian Federation202503122025028Ревматология в общей врачебной практике (2)714Copyright © Каратеев А.Е., Филатова Е.С., Лила А.М., 20252025Каратеев А.Е., Филатова Е.С., Лила А.М.Karateev A.E., Filatova E.S., Lila A.M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-alphabet.com/jour/article/view/4719

Фибромиалгия (ФМ) является одним из наиболее частых хронических заболеваний человека: ее распространенность составляет 2–3 случая на 100 жителей развитых стран мира. Основное проявление ФМ – персистирующая генерализованная боль, которая сочетается с широким спектром психоэмоциональных и дисфункциональных нарушений, таких как нарушение сна, утомляемость, тревога и депрессия, головная боль, синдром раздраженного кишечника и др. ФМ нередко сопровождает системные ревматические заболевания, так, при ревматоидном артрите и спондилоартритах ее частота достигает 20–30%.

Несмотря на широкий интерес, ФМ до настоящего времени остается во многом малоизученной патологией. Разнообразие клинических симптомов, избыточная эмоциональность и непростой психологический настрой пациентов нередко определяют трудности при диагностике и лечении этого заболевания. Это определяет необходимость формирования четкого алгоритма действий, который поможет врачу общей практики успешно консультировать пациентов с подозрением на данное заболевание, проводить эффективный диагностический поиск и определять возможности его комплексной терапии.

Fibromyalgia (FM) is one of the most prevalent chronic diseases in the developed world, with a prevalence of 2–3 cases per 100 inhabitants. The predominant manifestation of FM is characterised by persistent generalized pain, frequently accompanied by a plethora of psychoemotional and dysfunctional disorders, including sleep disturbances, fatigue, anxiety and depression, headaches, irritable bowel syndrome, and numerous others. FM frequently occurs in conjunction with systemic rheumatic diseases. For instance, in rheumatoid arthritis and spondyloarthritis, the frequency reaches 20–30%.

Despite widespread interest, FM remains a largely understudied pathology to date. The diversity of clinical symptoms, excessive emotionality and difficult psychological mood of patients often determine difficulties in the diagnosis and treatment of this disease. This determines the need to form a clear algorithm of actions, which will help the general practitioner to successfully consult patients with suspicion of this disease, to conduct an effective diagnostic search and determine the possibilities of its complex therapy.

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The authors declare that there are no conflicts of interest present.