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. " " "46 " " " ' 46 " " 47 " "48 " " '48 " " " ' 51 ." " ' 51 ........53

t t t t t sct t lair cs 0' l ' tottblcs t()tttl l \rtrHt,n t, RAl dtr stttttrlrcil 0 'l\rrublcs t()tttr l ,ottRt.n l, lt At ncrvcuxccntral dtt systcnlc f 'l'rrrublcs 'l'roul'rlcs ... tlc la scrotoninc O l ,r' ,r ttt' ttt' tt 1t t '1t lidc"; p .... I S rrhst'ncc C et hormonede croissance O Sotttitttttndclino O Irr,l uct ir r c I l i rrtl or phincs. . . . . lry,1xilhttlumo-hypophysaire 1,',,,r'r, t e( llt ffl t rRt.n r lR4t n('rvcltx autonome (SNA) . /,r',r'flr/r)rnc crirdhrale l,tt \'(t,\('ttl(tri,rulion l .A t 't r Aler 1t t ffrrtr1 pt'rlttrltulittns hormonales l,e,,r let jt i l ,ptrnt,n t , RAl immunologiques . l,c"t rttttlntttlit's Itl ttn t,n I 'RAt t ( Jt JI i

" "99 ''""'106 ' ' '106 " ' '113 '" "113 " " " " 'll4 " '115 . . . . . . 115 ' ' 'l 16 . . . . . . 118 '""119 " "119 " " " '123 " " "123 " " " '126 . . . . . ' '127 " " "128 " " " '130 " "130 '133 """

C- Diagnos t ic d i ff6 re n ti e l

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" " 54 " " "56 " ' ' " '56 ' ' ' ' '56 ..... " ' 59 " " " ' 60 ...... " 61

Quelques diagnostics dffirentiels particuliers r)Lesyndromemyofascial I Le syndrome de fatigue chronique d m a c ro p h a g e s I Lam y o fa s c i i te I Lad6p re s s i o n ... P ouRT a .PR AT IQU E

D - Comment 6valuer l'6tat d'un patient fibromyalgique . .....

. . ' '61

E -La

controverse surla r6alit6 de la fibromyalgie .

... " " '78

g6n6tique E : Pr6Otrposltlon
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Ill,A l,j',1y,,r1lmc

. . .133 133 134

TJ 4

Chapitre II Comprendre la maladie

. a.-, A - lrproemrologre La privalence de la fibromyalgie FounlePRArIeuE .......83 ' ' ' '84 ... " " '90

g(nlliquas Atunnuliet
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" " " '135

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136

B-Cottsm6dico-sociaux.
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94

ChapitreIII et Psychiatrie F'lbromYalgie

ct lcr lroublcs psychl)ll)giquos" A = l,e rhutttntolrrgtte Mrrlliplrlsic ttt't't'le'., M ittttcsttltr l'rir,/i.reir',r tinnle,r lttvettlot v " 1Alll l)l ) ffet'ruttnlitv " " '139

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