soM M Allll:

l .n l ;l l l l { o MY nl.(i l l

0 Maladiede Lyrne
I Leparv o v i ru s ...
I Lev ir u s d ' E p s te i n -Ba rr....
r) Autres virus .
Les maladies rhumathologiques
r ) Les y nd ro me d ' h y p e rmo b i l i t6 ..
Les s y ndr o m e s p s y c h i a tri q u e s .
P ounr eP R A rIQ U E

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

. " " "46

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

..

Quelques diagnostics dffirentiels particuliers

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

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

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

E -La

controverse surla r6alit6 de la fibromyalgie .

. . ' '61

... " " '78

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. a.-,
A - lrproemrologre
La privalence de la fibromyalgie
FounlePRArIeuE

B-Cottsm6dico-sociaux.
PouR r-4.PRATIQUE

C - M6canismes: pourquoi devient-onfihronlyrtlgkptc?

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0 liil'rrot r r y ir lSie

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. . . . . . 115
' ' 'l 16
. . . . . . 118
'""119
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" " " '123
" " "123

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" " " '126

. . . . . ' '127

l,e,,rpt'rlttrltulittns hormonales
let jt i
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" " "128

" " " '130

l,c"t rttttlntttlit'simmunologiques .
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" "130
'133
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g6n6tique
E : Pr6Otrposltlon
..
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l,j',1y,,r1lmc

Chapitre II
Comprendre la maladie

" "99
''""'106
' ' '106
"
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"
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. . .133
133
134
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" " " '135

.......83
' ' ' '84
... " " '90

""'90

136

E = P mn t llt lc . . .

94

ChapitreIII
et Psychiatrie
F'lbromYalgie

95

A = l,e rhutttntolrrgttect lcr lroublcs psychl)ll)giquos"

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" " '139

140