J Rheumatol
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We report the results of a 1982 pilot survey of pediatric rheumatology physicians and fellowship training programs in the United States. All physicians indicating in the ARA directory that they could care for rheumatic diseases of children were surveyed, with a response rate of 57.6%. ⋯ The survey provided basic information concerning training and practice characteristics of respondent physicians and the sources of funding, size, and emphasis of the fellowship programs. Specific attention is given to indicators of demand for pediatric rheumatology services.
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Recent reports have not emphasized the presence of paresthesias in fibromyalgia syndrome. In our retrospective review of 161 patients with fibromyalgia we found that 84% complained of numbness or tingling at initial evaluation. Most had either bilateral upper and lower extremity or bilateral upper extremity paresthesias. ⋯ At a second assessment performed at a mean of 25 months from time of diagnosis, 56 of these 57 patients reported current paresthesias. Paresthesias are common in fibromyalgia and may mimic a neurologic disorder, although objective abnormalities are rare. Judicious use of neurodiagnostic tests are therefore indicated in the clinical setting of fibromyalgia.