Fatigue in patients with rheumatic diseases

Joint, Bone, Spine : Revue Du Rhumatisme
Jean-Louis Dupond

Abstract

Fatigue is a prominent symptom in many rheumatic diseases. Numerous factors contribute to cause fatigue, which can be a source of frustration for the patients and physicians, as the treatment often fails to produce the desired improvement. Diagnostic guidelines direct insufficient attention to the various semiological patterns of fatigue seen in rheumatic diseases. This update describes three main patterns of fatigue, depending on whether the source is physical or mental: muscle weakness in patients with neuromuscular disease; asthenia related to organic disease with excessive energy expenditure, deficient energy production (e.g., endocrine disorders), or inadequate recovery; and weariness due to the impact of stress and depression on quality of life. The prevalence of each pattern in various rheumatic diseases is discussed. This update underlines the practical benefits provided by a detailed semiological analysis of fatigue in patients with rheumatic disease and emphasizes the marked predominance of weariness due to stress and depression, on which the personality of the patient and inadequacy of social support systems may exert a major influence. Serotonin reuptake inhibitors (SSRIs) may be valuable in patients with fatigue no...Continue Reading

References

Oct 1, 1991·British Journal of Rheumatology·P BownessA B Myles
Jun 18, 1998·Annals of the New York Academy of Sciences·S E WalkerJ A Schlechte
Dec 31, 1998·Arthritis and Rheumatism·B A HuyserR Hoffman
Dec 4, 2003·Rheumatology·J MusiałM Celińska-Lowenhoff
Aug 11, 2004·Human Psychopharmacology·Sinead M O'BrienTimothy G Dinan
Sep 3, 2004·Medicine·Sophie DelalandePierre-Yves Hatron
Mar 22, 2005·Archives of Medical Research·Caroline Kaercher KramerMiriam da Costa Oliveira
Apr 4, 2006·Arthritis and Rheumatism·Larry W MorelandAmitabh Singh
Aug 31, 2006·Clinical Rheumatology·Ahmet IsikOsman Mermi
Nov 10, 2006·Current Rheumatology Reports·Roland Staud
Jan 26, 2007·Rheumatology International·Yasemin TuranAlev Gurgan
Mar 6, 2007·Joint, Bone, Spine : Revue Du Rhumatisme·Hassene AttoutClaire Sériès
Jun 1, 2007·Autoimmunity Reviews·Ljudmila StojanovichNatasa Sikanich
Aug 1, 2007·Arthritis and Rheumatism·Brett D ThombsMurray Baron
Dec 6, 2007·Journal of Clinical Nursing·Han Repping-WutsPiet van Riel
Oct 28, 2008·Autonomic Neuroscience : Basic & Clinical·Steven VerninoZhengbei Wang
Jan 7, 2009·Journal of Clinical Rheumatology : Practical Reports on Rheumatic & Musculoskeletal Diseases·Regina M Taylor-GjevreBindu Nair
May 12, 2009·The Neurologist·Benjamin M Greenberg

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Citations

Jun 2, 2005·BMC Cardiovascular Disorders·Katharine A RobertsonBongani M Mayosi
Aug 15, 2015·Clinical Rheumatology·Cécile L OvermanRinie Geenen
Feb 11, 2016·Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række·Jone Furlund OweOle-Bjørn Tysnes
May 23, 2014·Journal of Clinical Rheumatology : Practical Reports on Rheumatic & Musculoskeletal Diseases·Philip J MeaseYong Wang
Jun 22, 2014·Clinical Reviews in Allergy & Immunology·Divi CornecValérie Devauchelle-Pensec
Apr 9, 2016·Joint, Bone, Spine : Revue Du Rhumatisme·Tania GuduLaure Gossec
Apr 23, 2015·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Lorraine C AlsM Elena Garralda
Jan 31, 2019·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Fernando Estévez-LópezManuel Delgado-Fernández
Jun 22, 2020·Rheumatology International·Mehmet Tuncay DuruözTiraje Tuncer

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