Fibromyalgia Developed after Administration of Gonadotrophin- Releasing Hormone Analogue

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This case report describes a woman who developed fibromyalgia symptoms, including widespread pain and sleep difficulties, after treatment with a gonadotrophin-releasing hormone analogue for endometriosis.

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This paper reports a clinical case of a woman with endometriosis who was treated with a gonadotrophin-releasing hormone analogue and subsequently developed typical fibromyalgia features, including widespread musculoskeletal pain, sleep difficulties, neuropsychological complaints, and tender points on examination. The authors discuss that the treatment probably induced disturbances in the neuroendocrine system and altered neurotransmitter secretion as a potential causal mechanism. The main limitation is that this is a single case report, so no definitive causal inference can be made. This paper is centrally about endometriosis — it describes fibromyalgia developing after administration of a gonadotrophin-releasing hormone analogue given specifically for endometriosis.

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Abstract: We report the case of a woman treated with a gonadotrophin-releasing hormone analogue for endometriosis who developed typical clinical features of fibromyalgia, with widespread musculoskeletal pain, sleep difficulties, neuropsychological complaints and tender points on clininal examination. The gonadotrophin-releasing hormone analogue treatment probably induced disturbances in the neuroendocrine system and the secretion of neurotransmitters, and may be suspected to be the cause of this case of fibromyalgia. Similar content being viewed by others Author information Authors and Affiliations Additional information Received: 3 May 2000 / Accepted: 25 October 2000 Rights and permissions About this article Cite this article Toussirot, E., Wendling, D. Fibromyalgia Developed after Administration of Gonadotrophin- Releasing Hormone Analogue. Clin Rheumatol 20, 150–152 (2001). https://doi.org/10.1007/PL00011195 Published: Issue date: DOI: https://doi.org/10.1007/PL00011195

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Condition tags

endometriosis

MeSH descriptors

Antineoplastic Agents, Hormonal Endometriosis Fibromyalgia Leuprolide Adult Antineoplastic Agents, Hormonal Endometriosis Endometriosis Female Fibromyalgia Fibromyalgia Humans Leuprolide

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