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JOHN W. YRIOS AND EDWARD BALISH * Departments of Medical Microbiology and Surgery, University of Wisconsin Medical School, Madison, Wisconsin 53706.
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Being a non-articular, non-inflammatory condition, fibromyalgia is a somewhat atypical entity in the field of rheumatology, a medical specialty dealing typically with articular, inflammatory diseases. Muscle abnormalities do not play a key role in the pathophysiology; at the level of joint pathology and impairment there are no serious problems, in contrast to the degree of problems on the level of handicap. In this respect, fibromyalgia differs from an inflammatory joint disease such as rheumatoid arthritis see Table 3 ; . So why do we still classify fibromyalgia as soft-tissue rheumatism or as a rheumatic condition? Our answer is that rheumatologists are the.
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