The Challenges of Identifying Fibromyalgia in Adolescents

Table 1

Comparison of diagnostic criteria for FM.

Author	Major criteria	Minor criteria	Clinical diagnosis
Yunus and Masi [7]	(1) Generalized musculoskeletal aching at 3 or more sites; (2) Duration of 3 months or more; (3) Normal labs; (4) No underlying condition	(1) Chronic anxiety; (2) Fatigue; (3) Poor sleep; (4) Chronic headaches; (5) Irritable bowel syndrome; (6) Subjective soft tissue swelling; (7) Numbness; (8) Pain modulation by: (i) Physical activity; (ii) Anxiety/stress; (iii) Weather	Juvenile FM: 4 major with; 5 tender points +3 minor; Or 4 tender points + 5 minor
Wolfe et al. [4]	N/A	N/A	FM: (1) Generalized pain in at least 4 of 5 regions; (2) Symptoms present for at least 3 months; (3) WPI >/ = 7 and SSS >/ = 5 or WPI 4–6 and SSS >/ = 9; (4) FM diagnosis is valid irrespective of other diagnoses