RESUMEN
A histological and ultrastructural study of dense foci characteristics for soft tissues in fibromyalgia syndrome revealed that they consist of rough fibrillar connective tissue frequently hyalinized. Vascularization occurred at the periphery of these foci only where thin nervous fibrils and sometimes small paraganglia were seen. Severe degenerative changes of the collagen fibers, marked decrease and degeneration of fibroblasts were found electron microscopically. Signs of inflammation were absent.
Asunto(s)
Fibromialgia/patología , Tejido Adiposo/patología , Adulto , Anciano , Autopsia , Biopsia , Enfermedad Crónica , Fascia/patología , Femenino , Humanos , Rodilla/patología , Masculino , Microscopía Electrónica , Persona de Mediana Edad , Músculos/patología , Coloración y Etiquetado/métodosRESUMEN
Palpation of the chest-covering tissues was performed in 150 patients with neurocirculatory dystonia with complaints of pain in the cardiac region. In all the patients painful muscular consolidations of various size, shape and consistency were detected in the thickness of the pectoral muscles and at the sites of their transition into tendons. Direct correlation between the gravity of cardialgia and expression of the muscular pain syndrome was noted. In 98% of cases therapy aimed at the elimination of the muscular pain syndrome (repeated novocaine-hydrocortisone infiltrations) resulted in the correction or a significant decrease in a degree of cardialgia. The results obtained suggested that the cardiac pain syndrome in patients with neurocirculatory dystonia was mainly caused by local changes in the musculotendinous tissues of the chest.