Evidence map›Paper›PMID 39512584›Full record

ArticlePain reports2024

Pain and small fiber pathology in men with fibromyalgia syndrome.

Betty Feulner, Franziska Gross, Dimitar Evdokimov, Rayaz A Malik, Daniel Kampik, Nurcan Üçeyler

Abstract read
In one paragraph

Article in Pain reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. [Fibromyalgia syndrome].Innere Medizin (Heidelberg, Germany) · 2026
    Review
  4. Review
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Betty FeulnerDepartment of Neurology, University Hospital Würzburg, Würzburg, Germany.
Franziska GrossDepartment of Neurology, University Hospital Würzburg, Würzburg, Germany.
Dimitar EvdokimovDepartment of Neurology, University Hospital Würzburg, Würzburg, Germany.
Rayaz A MalikWeill Cornell Medicine-Qatar, Education City, Qatar Foundation, Doha, Qatar.
Daniel KampikDepartment of Ophthalmology, University Hospital Würzburg, Würzburg, Germany.
Nurcan ÜçeylerDepartment of Neurology, University Hospital Würzburg, Würzburg, Germany.ORCID https://orcid.org/0000-0001-6973-6428

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Small fiber pathology may be involved in the pathophysiology of pain in women with fibromyalgia syndrome (FMS). Objectives: This prospective single-center case-control study provides detailed pain phenotyping and small fiber pathology data in a cohort of men with FMS on a morphological and functional level. Methods: Forty-two men with FMS underwent a comprehensive pain-related interview and neurological examination, a questionnaire and neurophysiological assessment, and specialized small fiber tests: skin punch biopsy, quantitative sensory testing including C-tactile afferents, and corneal confocal microscopy. Data were compared with those of healthy male controls. Results: Men with FMS reported generalized and permanent pain with additional pain attacks and a mostly pressing pain character. Intraepidermal nerve fiber density was reduced at ≥1 biopsy site in 35 of 42 (83%) men with FMS (controls: 32/65, 49%). Compared with male controls, men with FMS had elevated cold ( Conclusion: We show a distinct pain phenotype and small nerve fiber dysfunction and pathology in male patients with FMS. These findings may have implications for the diagnosis and management of men with FMS.

Indexed as

FibromyalgiaMenPain phenotypeSmall fiber pathology

Identifiers

PMID39512584
PMCPMC11543218

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.