Fibromyalgia and Postherpetic Neuralgia

Fibromyalgia and Post-herpetic Neuralgia 0731 W41

fibromyalgia??

!?3Fibromyalgia

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5

82%

7

P(substance P)serotonin..10

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! thermography

But still not so specificity

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17

! ?182011

19!? ?

- FAD : Pregabalin (Lyrica 75mg)Dulxetine (Cymbalta 30mg)Milnacipran

22

amitriptylinefluoxetineduloxetinemilnacipranmeclobemidepirlindoletropisetronpramipexole

FAD : Pregabalin (Lyrica 75mg)Dulxetine (Cymbalta 30mg)

Pregabalin (Lyrica 75mg)

heated pool therapyB

Herpes Zoster and Postherpetic Neuralgia Herpes zosterHerpes zoster (shingles) presents as a painful vesicular rash and is caused by reactivation of the varicella-zoster virus within the dorsal root or cranial nerve ganglia.

Abnormal skin sensations range from itching and burning to hyperesthesia and severe pain. Management of Acute Herpes ZosterAntiviral therapy is first-line treatment and should be initiated within 72 hours of rash onset to increase the rate of healing and decrease pain.

Acyclovir (Zovirax), Famciclovir (Famvir), Valacyclovir (Valtrex)

Postherpetic neuralgiaPostherpetic neuralgia is the most common complication of herpes zoster.

>80 y/o : 30%60~65 y/o: 20%