Myalgia: Difference between revisions
| Line 14: | Line 14: | ||
**Bisphosphonates | **Bisphosphonates | ||
**Corticosteroids | **Corticosteroids | ||
**Ciprofloxacin | **[[Ciprofloxacin]] | ||
**Clofibrate | **Clofibrate | ||
**Colchicine | **Colchicine | ||
| Line 37: | Line 37: | ||
**[[Hyperparathyroidism]] | **[[Hyperparathyroidism]] | ||
*[[Polymyalgia rheumatica]] | *[[Polymyalgia rheumatica]] | ||
*[Rhabdomyolysis]] | *[[Rhabdomyolysis]] | ||
*[[Myositis]] (e.g, polymyositis, dermatomyositis) | *[[Myositis]] (e.g, polymyositis, dermatomyositis) | ||
*[[Systemic lupus erythematosus]] | *[[Systemic lupus erythematosus]] | ||
| Line 50: | Line 50: | ||
*[[Lyme disease]] | *[[Lyme disease]] | ||
*Ehlers Danlos (Hypermobility syndrome) | *Ehlers Danlos (Hypermobility syndrome) | ||
*[HIV]] myopathy | *[[HIV]] myopathy | ||
*[[Hypophosphatemia]] | *[[Hypophosphatemia]] | ||
*[[Hypokalemia]] | *[[Hypokalemia]] | ||
| Line 58: | Line 58: | ||
*[[Seizure]] | *[[Seizure]] | ||
*Severe volume contraction | *Severe volume contraction | ||
*[Alcoholism]] | *[[Alcoholism]] | ||
*Muscular dystrophy | *Muscular dystrophy | ||
**Duchenne | **Duchenne | ||
Revision as of 00:46, 2 April 2019
Background
Clinical Features
Differential Diagnosis
- Infection:
- Viral infection (e.g. Influenza)
- Bacterial infection
- Spirochete infection (E.g. Dengue fever; Trichinella)
- Drugs:
- Statins
- Bisphosphonates
- Corticosteroids
- Ciprofloxacin
- Clofibrate
- Colchicine
- Chloroquine
- Emetine
- Aminocaproic acid
- Zidovudine
- Bretylium
- Penicillamine
- Drugs causing hypokalemia
- Metabolic disorders:
- Vitamin D deficiency
- Mitochondrial myopathy
- Scurvy
- Osteomalacia
- Fibromyalgia
- Endocrine:
- Polymyalgia rheumatica
- Rhabdomyolysis
- Myositis (e.g, polymyositis, dermatomyositis)
- Systemic lupus erythematosus
- [Rheumatoid arthritis]]
- Inclusion body myositis
- Sarcoidosis
- Scleroderma
- Sjögren’s syndrome
- Psychiatric (e.g. somatic manifestations of depression)
- Domestic abuse
- Crush injury
- Lyme disease
- Ehlers Danlos (Hypermobility syndrome)
- HIV myopathy
- Hypophosphatemia
- Hypokalemia
- Hypothermia
- Prolonged immobility
- Strenuous exercise (overuse) or heat stroke
- Seizure
- Severe volume contraction
- Alcoholism
- Muscular dystrophy
- Duchenne
- Becker
- limb-girdle
- facioscapulohumeral
- Myotonic dystrophy
- Myotonia congenita
- Compartment syndrome; Muscle infarction
- Neuropathic
- Chronic fatigue syndrome
- Vasculitis
- Sarcocystosis
- Spinal stenosis
- Diabetic lumbosacral plexopathy
Evaluation
- Myalgias can be divided into diffuse (systemic) myalgias vs. Localized myalgias.
- Muscle pain can come from Rhabdomyolysis, Myositis, or Myopathy.