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Environmental Rheumatology

 

Environmental factors and fibromyalgia syndrome: a narrative review

1, 2, 3, 4, 5, 6, 7, 8

 

  1. Rheumatology Unit, IRCCS Ospedale Galeazzi Sant’Ambrogio, Milan, Italy. l.bazzichi@gmail.com
  2. Unità di Ricerca Clinica, Gruppo Ospedaliero Moncucco, Lugano, Switzerland.
  3. Rheumatology Unit, Department of Clinical Internal, Anaesthesiologic and Cardiovascular Sciences, Sapienza University of Rome, Italy.
  4. Rheumatology Unit, Department of Clinical Internal, Anaesthesiologic and Cardiovascular Sciences, Sapienza University of Rome, Italy.
  5. Rheumatology Unit, IRCCS Ospedale Galeazzi Sant’Ambrogio, Milan, Italy.
  6. Rheumatology Unit, Internal Medicine Department, ASST Sette Laghi, Ospedale Di Circolo, Fondazione Macchi, Varese, Italy.
  7. Rheumatology Unit, IRCCS Ospedale Galeazzi Sant’Ambrogio, Milan, Italy.
  8. Rheumatology Unit, IRCCS Ospedale Galeazzi Sant’Ambrogio, Milan, and Department of Biomedical and Clinical Sciences, University of Milan, Italy.

CER17726
2024 Vol.42, N°6
PI 1240, PF 1247
Environmental Rheumatology

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PMID: 38855963 [PubMed]

Received: 29/03/2024
Accepted : 21/05/2024
In Press: 10/06/2024
Published: 04/07/2024

Abstract

This in-depth review of fibromyalgia (FM), which is a complex condition characterised by chronic pain, fatigue, sleep disturbances, and a spectrum of diagnostically and therapeutically challenging symptoms, underlines the need for a comprehensive and integrated approach that also takes into account the psychological factors affecting patient responses. We focus on the substantial impact that environmental factors (climatic variations, air pollution, electromagnetic field exposure, physical and emotional traumas, dietary patterns, and infections) have on the manifestation and intensity of symptoms, and advocate personalised, holistic treatment of patients’ psychological and environmental sensitivities by suggesting the benefits of tailored dietary and stress management. We also call for further research into the complex interplay of environmental, biological and psychological factors influencing FM in order to develop more effective individualised treatments that are capable of enhancing patient care and outcomes.

DOI: https://doi.org/10.55563/clinexprheumatol/4e091z

Rheumatology Article