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Revista Colombiana de Reumatología

Print version ISSN 0121-8123

Abstract

JAIMES BELTRAN, Renny; RAMIREZ FIGUEROA, Javier  and  SKUPIN RUEDA, Natalia Andrea. Comorbidity of sleep apnoea syndrome in patients with fibromyalgia in a sleep clinic. Rev.Colomb.Reumatol. [online]. 2022, vol.29, n.3, pp.177-181.  Epub Apr 25, 2023. ISSN 0121-8123.  https://doi.org/10.1016/j.rcreu.2021.02.007.

Introduction:

Fibromyalgia syndrome (FMS) is characterized by chronic musculoskeletal pain, fatigue, and the sense of waking unrefreshed. Obstructive sleep apnoea syndrome (OSAS) and FMS have symptoms in common and the association of OSAS in these patients could confuse the diagnosis and worsen the severity and prognosis of FMS. The objective of this study was to establish the presence of OSAS in patients with FMS and sleep complaints in a sleep clinic.

Methods:

A cross-sectional study was conducted in patients aged 18 and above with FMS who were referred by rheumatology to a sleep clinic to confirm OSAS with polysomnography from 2015 to 2018. Descriptive statistics tools were applied.

Results:

Polysomnographic investigations were performed in 51 patients with FMS. OSAS was detected in 82% of patients. The mean age was 65 years. Of the patients studied, 82% were women and 78% of them had OSAS. All the male patients with FM had OSAS. Of the patients, 27.5% were normal weight and 45% were overweight. Of the patients, 23% had severe OSAS, 31% moderate and 45% mild.

Conclusion:

We found a high frequency of OSAS in this group of FMS patients. Since the 2 diseases share symptoms, it is interesting to delve deeper into the investigation of common pathophysiological mechanisms. The coexistence of the 2 pathologies poses diagnostic and therapeutic challenges that implies the need for further study at local level.

Keywords : Fibromyalgia; Sleep apnoea syndromes; Sleep obstructive apnoea; Sleep; Rheumatology.

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