Zeitschrift für Rheumatologie
-
Comparative Study Controlled Clinical Trial
[Effects of a cognitive-behavioral patient education on fibromyalgia: a controlled efficacy study].
The efficacy of a cognitive-behavioral patient education program was compared with the efficacy of treatment based solely on patient education. Both forms of treatment were integrated into the inpatient rehabilitation program. For therapy of fibromyalgia a multimodal therapy has been shown to be effective. Stress management, pain management and relaxation techniques enhance the ability to cope with the disease. ⋯ Multimodal inpatient rehabilitation programs can have a strong positive impact on the course of the disease for patients with fibromyalgia. A cognitive-behavioral treatment appears to strongly influence coping with the disease.
-
Various rheumatic symptoms can occur in association with malignancies and are termed the so-called paraneoplastic arthropathy. The clinical picture is often similar to primary inflammatory rheumatic diseases. ⋯ The case of a patient with tibial pain and unilateral knee arthritis as precursors of a paraneoplastic syndrome is presented. The patient presented with the clinical manifestation of small cell lung cancer 2 years after the first presentation in the rheumatology clinic.