Myalgia
From Wikipedia, the free encyclopedia
ICD-10 | M79..1 |
---|---|
ICD-9 | 729.1 |
Myalgia means "muscle pain" and is a symptom of many diseases and disorders. The most common cause for myalgia is either overuse or over-stretching of a muscle or group of muscles. Myalgia without a traumatic history is often due to viral infections. Longer-term myalgias may be indicative of a metabolic myopathy, some nutritional deficiencies or chronic fatigue syndrome.
Contents |
[edit] Causes
[edit] Diseases/Disorders
It is helpful to categorize the causes of myalgia
[edit] Infectious
Trichinosis, Typhoid fever, Upper respiratory tract infection, Viral pneumonia, Avian influenza, Common cold, Community-acquired pneumonia, Coccidioidomycosis, Endemic typhus, HIV, Infectious mononucleosis, Legionellosis, Leptospirosis, Lyme disease, Malaria, Marburg virus, Meningitis, Monkeypox, Pharyngitis, Pneumonia, Prostatitis, Psittacosis, Q fever, Rabies, Rift Valley fever, Severe Acute Respiratory Syndrome, Toxic shock syndrome, West Nile, Chikungunya
[edit] Autoimmune
Multiple sclerosis, Myositis, Lupus erythematosus, Familial Mediterranean fever, Polyarteritis nodosa, Devic's disease
[edit] Metabolic defect
Carnitine palmitoyltransferase II deficiency, Conn's syndrome,
[edit] Other
Chronic fatigue syndrome, Hypokalemia, Exercise intolerance, Mastocytosis, Peripheral neuropathy, Eosinophilia myalgia syndrome, Fibromyalgia
[edit] Medications
Acrylamide, Darbepoetin, Procainamide, Quinupristin/dalfopristin, Spiriva, Sumatriptan, Vardenafil, Statins, Zetia, Zomig, Boniva
[edit] As a Response to Vaccination
A moderate occurrence (25-35%) of myalgia in recipients of tetanus vaccination is identified in the US; it presents in the large muscle groups and at the subcutaneous injection site. When a patient returns with these symptoms (which include fever, poor appetite and lethargy), a clinician who fails to notice the recent tetanus vaccination on the patient's chart is in danger of making a life-threatening misdiagnosis.
- An item of note is that in heart patients using selective β1-blockers such as metoprolol, incidence of myalgia after tetanus vaccination is significantly higher.
[edit] Withdrawal Syndromes
Sudden cessation of opioids, barbiturates, benzodiazepines, or alcohol can induce myalgiae.