The purpose of this letter is to explain the causes behind a late diagnosis in fibromyalgia. It’s important to recognize that with such an obstructive pathology as fibromyalgia, an early diagnosis shouldn’t’ be exclusively reserved for rheumatologists, it has to start from primary care in order to preserve life quality. In our context it’s been diminished since hospitals are still focused on COVID-19 patients, leaving out every other patient; this represents a risk factor for diagnosis delay. Lockdowns can also trigger fibromyalgia crisis by depression, anxiety, death of relatives, problems, lack of consultation and even exacerbations due to COVID-19 infection.
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Giral et al. (2021) studied this question.
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