{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T03:10:05Z","timestamp":1772766605782,"version":"3.50.1"},"reference-count":11,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2013,8,5]],"date-time":"2013-08-05T00:00:00Z","timestamp":1375660800000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatrics International"],"published-print":{"date-parts":[[2013,8]]},"abstract":"Abstract<\/jats:title>Juvenile fibromyalgia (JFM<\/jats:styled-content>) is a disease in which patients complain of acute and chronic severe pain, an overt primary cause for which cannot be found or surmised. Although patients with JFM<\/jats:styled-content> mainly complain of systemic pain or allodynia in the medical interview and physical examination, the concept of the disease is the total sum of painful illness, chronic fatigue, hypothermia and many other autonomic symptoms and signs. Many issues are interacting including individual traits (personality, temperament, sensitivity, memory of pain; age: early adolescence), individual states (self\u2010esteem, anxiety, developmental level), and external stressors (parent especially mother, school environment). JFM<\/jats:styled-content> is diagnosed on the combination of disease history, physical examination to determine the 18 tender points and allodynia, pain from gently touching their hair, and negative results of blood tests (inflammatory markers, thyroid function, myogenic enzymes). The goals of treatment are the following: restoration of function and relief of pain. Psychological support is advocated. Although the exact number of patients with JFM<\/jats:styled-content> is still to be elucidated, it seems to be growing because pediatric rheumatologists in J<\/jats:styled-content>apan encounter children with a wide variety of musculoskeletal pains. This guideline describes how to diagnose JFM<\/jats:styled-content> in children and how to treat them appropriately.<\/jats:p>","DOI":"10.1111\/ped.12155","type":"journal-article","created":{"date-parts":[[2013,6,13]],"date-time":"2013-06-13T04:35:06Z","timestamp":1371098106000},"page":"403-409","source":"Crossref","is-referenced-by-count":15,"title":["Juvenile fibromyalgia: Guidance for management"],"prefix":"10.1111","volume":"55","author":[{"given":"Shumpei","family":"Yokota","sequence":"first","affiliation":[{"name":"Department of Pediatrics Yokohama City University School of Medicine Yokohama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masako","family":"Kikuchi","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Yokohama City University School of Medicine Yokohama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takako","family":"Miyamae","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Yokohama City University School of Medicine Yokohama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,8,5]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780330203"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.20140"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780280205"},{"key":"e_1_2_6_5_1","first-page":"75","volume-title":"Guideline for Mangement of Fibromyalgia","author":"Yokota S","year":"2009"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1179\/1351000212Y.0000000036"},{"key":"e_1_2_6_7_1","first-page":"728","article-title":"The fibromyalgia impact questionnaire (FIQ): Development and validation","volume":"18","author":"Burckhardt CS","year":"1991","journal-title":"J. Rheumatol."},{"key":"e_1_2_6_8_1","first-page":"49","article-title":"Fibromyalgia Impact Questionnaire (tentative) of Japanese version","volume":"59","author":"Toda K","year":"2006","journal-title":"Hiroshima Igaku"},{"key":"e_1_2_6_9_1","volume-title":"A Study of Diagnostic Criteria for Juvenile Chronic Fatigue Syndrome (A Study of Healthcare Measures Enhancement for Children at Puberty and Promotion of Health Education).","author":"Miike T","year":"2004"},{"key":"e_1_2_6_10_1","first-page":"462","article-title":"Our experience of 3 cases with childhood fibromyalgia","volume":"111","author":"Yokota S","year":"2007","journal-title":"J. Jpn. Pediatr. Soc."},{"key":"e_1_2_6_11_1","first-page":"1769","article-title":"The actual state and clinical features of fibromyalgia in our country","volume":"112","author":"Miyamae T","year":"2008","journal-title":"J. Jpn. Pediatr. Soc."},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0006-3223(96)00179-5"}],"container-title":["Pediatrics International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fped.12155","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ped.12155","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,30]],"date-time":"2023-09-30T02:08:08Z","timestamp":1696039688000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ped.12155"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,8]]},"references-count":11,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2013,8]]}},"alternative-id":["10.1111\/ped.12155"],"URL":"https:\/\/doi.org\/10.1111\/ped.12155","archive":["Portico"],"relation":{},"ISSN":["1328-8067","1442-200X"],"issn-type":[{"value":"1328-8067","type":"print"},{"value":"1442-200X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,8]]}}}