Neurobiologic Features of Fibromyalgia Are Also Present Among Rheumatoid Arthritis Patients

Many patients with rheumatoid arthritis (RA) report pain despite excellent control of inflammation with immunotherapies. Variable degrees of coexisting fibromyalgia (FM) may explain this disparity. FM has been characterized by aberrant brain functional connectivity, especially between the default mode network (DMN) and insula. We undertook this study to test the hypothesis that RA patients with the highest 2011 American College of Rheumatology FM survey criteria scores—a continuous measure of the degree of FM also known as “fibromyalgianess” (FMness)—would demonstrate functional connectivity abnormalities similar to those in FM.

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