La Fibromialgia Les Cuesta Caro a Las Personas Con Enfermedad Inflamatoria de La Columna Vertebral

Los pacientes con espondiloartritis axial, que afecta a la columna vertebral, muchas veces se ven afectados por fibromialgia, que empeora el impacto de la enfermedad en su calidad de vida.
Aunque la salud física y psicológica se ve afectada, la presencia de fibromialgia, no afectó los niveles de inflamación, o la mayoría de los síntomas de la enfermedad no relacionados con la columna vertebral.

El estudio, “La co-ocurrencia de espondiloartritis y fibromialgia axial: resultados de un registro nacional (BSRBR-AS)”, fue presentado en la Reunión de Reumatología 2017, celebrada del 25 al 27 de abril en Birmingham, Inglaterra.
La espondiloartritis axial es una condición en la que la inflamación en la columna vertebral hace que algunas vértebras se fusionen, haciendo que el enfermo tome una postura encorvada.
A diferencia de la fibromialgia, la enfermedad es más común en los hombres.
Los médicos han observado que la fibromialgia aparece a veces entre estos pacientes, hasta ahora las dos condiciones no habían sido parte de un estudio en común.

Un equipo de investigación de la Universidad de Aberdeen en la U.K. reclutó a pacientes de la Sociedad Británica de Reumatología Biológica Registrarse para la Espondilitis Anquilosante (BSRBR-AS).
Desde 2015, los pacientes incluidos en el registro también se examinan para la fibromialgia.
De los 886 pacientes incluidos en el estudio, el 69% eran hombres y el 17,7%, o uno de cada seis, fueron diagnosticados con fibromialgia.
Los pacientes incluidos habían iniciado recientemente tratamientos con anticuerpos contra el factor de necrosis tumoral (TNF), para hacer trabajar la inflamación, o que nunca habían utilizado ningún fármaco biológico.

Los que tenían espondiloartritis axial y fibromialgia, obtuvieron la puntuación más alta en en cuanto a la evaluación de la gravedad, y el impacto de la condición de la columna vertebral.
También eran más propensos a tener ansiedad, depresión y fatiga significativa.
Además, obtuvieron puntuaciones más bajas en las mediciones en cuanto a la calidad de vida.
Mientras que sólo el 3% de los pacientes con espondiloartritis axial, declaró que estar ausente del trabajo fue el resultado de su condición, el 17% de las personas con ambas condiciones reportaron ausentismo laboral.

Cuando trabajan, el 52% de los que padecen fibromialgia afirmaron que su trabajo se deterioró aproximadamente a la mitad.
En cambio el número de pacientes con espondiloartritis sin fibromialgia fue del 23%, en la misma situación.
Los niveles de proteína C reactiva -un marcador de inflamación- fueron similares en los dos grupos de pacientes.
El único síntoma no espinal, que era más común entre los que tenían fibromialgia era las articulaciones hinchadas.

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