Comment savoir s’il s’agit de fibromyalgie ou de sclérose en plaques

Il y a tellement de mystère dans le monde de la fibromyalgie, en grande partie parce que cela affecte chacun différemment. Une autre raison de ce mystère est due à la similitude des symptômes de fibro par rapport à d’autres maladies et syndromes. La fibromyalgie est parfois diagnostiquée à tort comme un problème différent et inversement. En effet, la myriade de symptômes associés au fibro se  retrouvent couramment  dans d’autres maladies telles que la sclérose en plaques, également appelée SP. Alors, comment pouvez-vous savoir s’il s’agit de fibromyalgie ou de sclérose en plaques?

QU’EST-CE QUE EXACTLY MS?

La  National Society Society la  définit comme suit: «La sclérose en plaques (SEP) implique un processus immunitaire dans lequel une réponse anormale du système immunitaire du corps est dirigée contre le système nerveux central (SNC), composé du cerveau la moelle épinière et les nerfs optiques. »Si vous ou un être cher êtes atteint de fibromyalgie, vous pouvez certainement repérer quelques mots à la mode et expressions familières, n’est-ce pas? Plus précisément, «système immunitaire», «réponse anormale» et «système nerveux central». En fait, les similitudes dans les symptômes deviennent assez frappantes lorsque vous passez en revue une comparaison côte à côte. Notez que la plupart des symptômes de la fibromyalgie, mais pas tous, se chevauchent avec ceux de la SP, ce qui rend difficile la distinction entre fibromyalgie et sclérose en plaques:

SYMTPOMS MSSYMPTÔMES DE LA FIBROMYALGIE
FatigueFatigue / épuisement
Engourdissement ou fourmillementEngourdissement ou fourmillement
La faiblesseFaiblesse musculaire
Vertiges et vertigesVertiges
DouleurDouleur
Changements émotionnelsAnxiété
Difficultés de marcheCoordination altérée
Spasticité (c.-à-d. Raideur musculaire et spasmes)Douleurs musculaires, palpitations et contractions musculaires
Problèmes de vueProblèmes de vue
Problèmes de vessieProblèmes de vessie
Problèmes intestinauxSyndrome de l’intestin irritable
Changements cognitifsProblèmes cognitifs
DépressionDépression
TremblementLe syndrome des jambes sans repos
Mal de têteMaux de tête / migraines
Problèmes de déglutitionYeux secs et bouche
DémangeaisonsDémangeaisons et / ou brûlures
Problèmes sexuelsInsomnie / mauvais sommeil
Problèmes d’élocutionBourdonnement dans les oreilles
Problèmes de respirationSymptômes neurologiques
Les saisiesSensibilités cutanées et éruptions cutanées
Perte auditive

Il est évident que la fibromyalgie et la sclérose en plaques présentent de nombreuses similitudes, notamment des connexions neurologiques claires   associées à la douleur, à un engourdissement et à des picotements. Cependant, les experts  expliquent  que, contrairement à la SP, la fibromyalgie ne se présente pas sous forme de lésions cérébrales à l’IRM. En outre, bien que les deux affections n’aient pas de source connue, la SEP est clairement classée dans la catégorie des maladies auto-immunes, mais la fibromyalgie ne l’est pas. C’est donc un moyen de déterminer s’il s’agit de fibromyalgie ou de sclérose en plaques.

Une différence essentielle dans la SEP réside dans le fait que le patient contracte en réalité des lésions nerveuses à long terme qui entraînent des déficiences physiques et cognitives. En fait, certains types de SEP sont progressifs. La SP progressive primaire (PPMS), par exemple, «se caractérise par une détérioration de la fonction neurologique (accumulation d’invalidité) dès l’apparition des symptômes, sans rechute précoce ni rémission». La fibromyalgie, par contre, est souvent considérée à tort comme une affection arthritique , il ne provoque pas de dommages aux articulations, aux muscles ou aux tissus.

QU’EST-CE QUE LA FIBROMYALGIE?

RED ORBIT TV

La fibromyalgie est principalement caractérisée par une douleur chronique et étendue. La seconde est la fatigue débilitante. Mais comme vous pouvez le voir sur le graphique ci-dessus, les symptômes sont assez larges. Le problème rencontré par de nombreux patients est que la fibromyalgie ressemble à tant d’autres affections qu’il est généralement difficile d’établir un diagnostic. Cependant, certains médecins sont  plus enclins  à le détecter que d’autres.

COMMENT ÉVALUER LA SP et FIBROMYALGIA?

Le  centre médical de l’Université du Maryland  explique qu’un diagnostic de fibromyalgie consiste en un examen musculaire détaillé incluant la vérification de la sensibilité au toucher à des endroits spécifiques du corps. L’évaluation de la gravité de symptômes spécifiques est un autre élément clé de l’examen. Les symptômes doivent être présents depuis au moins trois mois. Ils ajoutent qu’il n’y a pas de sang, d’urine ou de tests de laboratoire susceptibles de fournir un diagnostic définitif de la fibromyalgie. Cependant, le diagnostic fibro signifie également qu’aucun autre trouble ou condition ne peut expliquer les symptômes.

Le diagnostic de la SP est toutefois très différent, car il provoque plusieurs symptômes neurologiques plus nombreux que la fibromyalgie. Ainsi, les examens ont tendance à se concentrer sur les fonctions cérébrale et nerveuse, y compris une IRM cérébrale et parfois une ponction lombaire. Même si la SEP peut aussi être difficile à diagnostiquer, elle est souvent plus facile que la fibromyalgie. En effet, l’évaluation nécessite de rechercher des lésions ou des zones endommagées du système nerveux central.

COMMENT PUIS-JE DIRE SI C’EST DE LA FIBROMYALGIE OU DE LA SCLÉROSE EN PLAQUES?

Il est vrai que les similitudes entre la sclérose en plaques et la fibromyalgie sont frappantes. Mais étant donné les dommages neurologiques causés par la SP, il s’agit d’un trouble légèrement plus facile à cibler que la fibromyalgie. Les patients atteints de sclérose en plaques sont généralement traités par un neurologue. Mais il en va de même pour de nombreux patients fibro. En tant que tel, un neurologue a probablement un sens aigu de la distinction entre les deux. Seuls les tests pourront dire. Avez-vous été mal diagnostiqué? Comment cela vous a-t-il affecté? Raconte-nous ton histoire, s’il te plaît!

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