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Answer :
Historically, fibromyalgia was diagnosed using 18 anatomical points, with a requirement of 11 being tender. Modern criteria from ACR have moved away from this method, focusing on a wider range of symptoms. The correct option is A.
Fibromyalgia is indeed a complex condition to diagnose due to its overlapping symptoms with other disorders. Historically, diagnosis relied on the presence of tenderness in certain anatomical points.
According to the criteria that were widely used until it was updated, there were 18 anatomical points used to diagnose fibromyalgia, and out of these, 11 had to be tender for a diagnosis to be considered. The correct option is A.
However, it is important to note that these diagnostic criteria have been updated. The American College of Rheumatology (ACR) published new guidelines in 2010, which moved away from the tender point count to a widespread pain index and symptom severity scale.
This change reflects a broader understanding of the condition as not only pain-related but also involving symptoms of fatigue, cognitive difficulties, and somatic symptoms.
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