{"id":25288,"date":"2020-04-07T19:19:52","date_gmt":"2020-04-07T19:19:52","guid":{"rendered":"https:\/\/wames.org.uk\/cms-english\/?p=25288"},"modified":"2020-04-07T19:19:52","modified_gmt":"2020-04-07T19:19:52","slug":"systemic-hyperalgesia-in-females-with-gulf-war-illness-cfs-fm","status":"publish","type":"post","link":"https:\/\/wames.org.uk\/cms-english\/systemic-hyperalgesia-in-females-with-gulf-war-illness-cfs-fm\/","title":{"rendered":"Systemic hyperalgesia in females with Gulf War Illness, CFS &#038; FM"},"content":{"rendered":"<h3><a href=\"https:\/\/www.nature.com\/articles\/s41598-020-62771-9\" target=\"_blank\" rel=\"noopener noreferrer\">Systemic hyperalgesia in females with Gulf War Illness, Chronic Fatigue Syndrome and Fibromyalgia<\/a>, by Amber A Surian, James N Baraniuk <span style=\"text-decoration: underline;\">in<\/span> <em>Scientific Reports<\/em> vol 10, no.\u00a05751 (2020)<\/h3>\n<p>&nbsp;<\/p>\n<h3><strong>Research abstract:<\/strong><\/h3>\n<p><img data-recalc-dims=\"1\" decoding=\"async\" class=\"alignright wp-image-23322 size-medium lazyload\" data-src=\"https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2019\/12\/wooden-figure-pain.jpg?resize=200%2C300&#038;ssl=1\" alt=\"\" width=\"200\" height=\"300\" data-srcset=\"https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2019\/12\/wooden-figure-pain.jpg?resize=200%2C300&amp;ssl=1 200w, https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2019\/12\/wooden-figure-pain.jpg?resize=683%2C1024&amp;ssl=1 683w, https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2019\/12\/wooden-figure-pain.jpg?resize=100%2C150&amp;ssl=1 100w, https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2019\/12\/wooden-figure-pain.jpg?resize=768%2C1152&amp;ssl=1 768w, https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2019\/12\/wooden-figure-pain.jpg?resize=1024%2C1536&amp;ssl=1 1024w, https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2019\/12\/wooden-figure-pain.jpg?w=853&amp;ssl=1 853w\" data-sizes=\"(max-width: 200px) 100vw, 200px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 200px; --smush-placeholder-aspect-ratio: 200\/300;\" \/>Pain is a diagnostic criterion for Gulf War Illness (GWI), Chronic Fatigue Syndrome (CFS), and fibromyalgia (FM). The physical sign of systemic <a href=\"https:\/\/en.wikipedia.org\/wiki\/Hyperalgesia\" target=\"_blank\" rel=\"noopener noreferrer\">hyperalgesia<\/a> (tenderness) was assessed in 920 women who were stratified by 2000 Kansas GWI, 1994 CFS, and 1990 FM criteria.<\/p>\n<p>Pressure was applied by <a href=\"https:\/\/en.wikipedia.org\/wiki\/Dolorimeter\" target=\"_blank\" rel=\"noopener noreferrer\">dolorimetry<\/a> at 18 traditional tender points and the average pressure causing pain determined. GWI women were the most tender (2.9\u2009\u00b1\u20091.6\u2009kg, mean \u00b1 SD, n\u2009=\u200970), followed by CFS\/FM (3.1\u2009\u00b1\u20091.4\u2009kg, n\u2009=\u2009196), FM (3.9\u2009\u00b1\u20091.4\u2009kg, n\u2009=\u200956), and CFS (5.8\u2009\u00b1\u20092.1\u2009kg, n\u2009=\u2009170) compared to controls (7.2\u2009\u00b1\u20092.4\u2009kg, significantly highest by Mann-Whitney tests p\u2009&lt;\u20090.0001, n\u2009=\u2009428).<\/p>\n<p>Receiver operating characteristics set pressure thresholds of 4.0\u2009kg to define GWI and CFS\/FM (specificity 0.85, sensitivities 0.80 and 0.83, respectively), 4.5\u2009kg for FM, and 6.0\u2009kg for CFS.<\/p>\n<p>Pain, fatigue, quality of life, and CFS symptoms were equivalent for GWI, CFS\/FM and CFS. Dolorimetry correlated with symptoms in GWI but not CFS or FM. Therefore, women with GWI, CFS and FM have systemic hyperalgesia compared to sedentary controls.<\/p>\n<p>The physical sign of tenderness may complement the symptoms of the Kansas criteria as a diagnostic criterion for GWI females, and aid in the diagnosis of CFS. Molecular mechanisms of systemic hyperalgesia may provide new insights into the neuropathology and treatments of these <a href=\"https:\/\/www.medicalnewstoday.com\/articles\/319895\" target=\"_blank\" rel=\"noopener noreferrer\">nociceptive<\/a>, <a href=\"https:\/\/medical-dictionary.thefreedictionary.com\/interoceptive\" target=\"_blank\" rel=\"noopener noreferrer\">interoceptive<\/a> and fatiguing illnesses.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Systemic hyperalgesia in females with Gulf War Illness, Chronic Fatigue Syndrome and Fibromyalgia, by Amber A Surian, James N Baraniuk in Scientific Reports vol 10, no.\u00a05751 (2020) &nbsp; Research abstract: Pain is a diagnostic criterion for Gulf War Illness (GWI), &hellip; <a href=\"https:\/\/wames.org.uk\/cms-english\/systemic-hyperalgesia-in-females-with-gulf-war-illness-cfs-fm\/\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[5772,5773,3894,251,252,845,846,4689,503],"class_list":["post-25288","post","type-post","status-publish","format-standard","hentry","category-news","tag-amber-a-surian","tag-dolorimetry","tag-dr-james-n-baraniuk","tag-fibromyalgia","tag-fm","tag-gulf-war-illness","tag-gwi","tag-hyperalgesia","tag-pain"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p5qkYK-6zS","_links":{"self":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/25288","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/comments?post=25288"}],"version-history":[{"count":2,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/25288\/revisions"}],"predecessor-version":[{"id":25330,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/25288\/revisions\/25330"}],"wp:attachment":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/media?parent=25288"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/categories?post=25288"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/tags?post=25288"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}