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- Louise C Pollard, Fowzia Ibrahim, Ernest H Choy, and David L Scott.
- Department of Rheumatology, King's College London, Weston Education Centre, Denmark Hill, 10 Cutcombe Road, London SE5 9RJ, UK. louise.pollard@kcl.ac.uk
- J Rheumatol. 2012 Jan 1;39(1):28-31.
ObjectiveWe evaluated the influence of demographic and clinical factors on pain thresholds in patients with rheumatoid arthritis (RA).MethodsA cross-sectional observational study (105 patients with RA) assessed pain thresholds using an algometer. Regression analysis examined the influence of demographic and clinical assessments.ResultsPain thresholds (median 289, interquartile range 89-434) correlated with assessments of disease activity (tender joint counts), disability (Health Assessment Questionnaire), fatigue, depression, and anxiety. Ordinal logistic regression showed tender point counts and disease duration were the dominant contributors.ConclusionThese findings suggest that low pain thresholds reflect "fibromyalgic" RA (many tender points) and central pain sensitization with prolonged disease duration.
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