Fibromialgia y/o Síndrome de la Fatiga Crónica. Una propuesta para la aproximación a su doble dimensión jurídica y médica

Abstract

During recent years we have been able to observe significant changes in the field of chronic diseases, both in form (different ways to acquire the illness) and factor (significant increase in the number of affected subjects). As such, new clinical realities taking after Fibromyalgia —FM— and Chronic Fatigue Syndrome —CFS—, are happening. With similar clinical specificities — chronic diffuse muscle-skeleton pain, and severe fatigue—, that account for a high epidemiologic base, and pose serious difficulties as to their objectification, since diagnosis tests will normally throw up results of practical normality, it represents a serious problem as to their being considered socio-labour entities, in accordance with the legal definition of Permanent Disability. Following a study of 77 disability dossiers, where these diagnosis were to be found, we encountered subjects who were in the majority of cases engaged in physical related professions, and who were subject to a higher number or arthrosis, hernia, and anxious-depressive states than those affecting the broader population with similar patogenous processes. It is still highly debated within the legal and medical arena, the influence FM and CFS may have in a psychological disorder, even though its high pharmacological cost is a proven fact —observed polymedication represents 1.634,19 euros per head/year— as it also is benefit wise —accounting for up to 14,66% of the global figure of Absolute and Total Permanent Disability Pensions, being handed over by the INSS—.