<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1409-0015</journal-id>
<journal-title><![CDATA[Medicina Legal de Costa Rica]]></journal-title>
<abbrev-journal-title><![CDATA[Med. leg. Costa Rica]]></abbrev-journal-title>
<issn>1409-0015</issn>
<publisher>
<publisher-name><![CDATA[Asociación Costarricense de Medicina Forense]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1409-00152016000200038</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Fibromialgia, desafío médico legal en los casos de pensiones por invalidez]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Canessa]]></surname>
<given-names><![CDATA[Allan Li]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Medicina Legal  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2016</year>
</pub-date>
<volume>33</volume>
<numero>2</numero>
<fpage>38</fpage>
<lpage>46</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S1409-00152016000200038&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S1409-00152016000200038&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S1409-00152016000200038&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: El síndrome de fibromialgia se caracteriza por dolor musculoesquelético crónico que puede asociarse con otros síntomas como fatiga, dificultades para dormir, disfunción cognitiva y estado de ánimo depresivo. La ausencia de pruebas diagnósticas específicas resulta un problema para los médicos realizar el diagnóstico. Desde la perspectiva médico forense, surge un gran reto cuando se trata de valorar enfermedades como la fibromialgia, que no se contemplan en listados o baremos de lesiones permanentes y determinar si alcanza o no el grado de invalidez. El presente artículo pretende considerar ciertos aspectos útiles para el diagnóstico y evaluación médico legal de esta patología como causa de discapacidad y/o invalidez.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ Abstract: Fibromyalgia syndrome is characterized by chronic musculoskeletal pain that may be associated with other symptoms such as fatigue, sleep difficulties, cognitive dysfunction and depressed mood. The absence of specific diagnostic tests is a problem for medical diagnosis. From the forensic medical perspective, arises a great challenge when it tries of assess diseases as the fibromialgia, which is not contemplated in lists or scales of permanent injuries and determining if it reaches or not the degree of invalidity. This article aims to consider some useful aspects for the diagnosis and forensic evaluation of this disease as a cause of disability and / or invalidity.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Fibromialgia]]></kwd>
<kwd lng="es"><![CDATA[Medicina Forense]]></kwd>
<kwd lng="es"><![CDATA[Pensiones]]></kwd>
<kwd lng="es"><![CDATA[Invalidez]]></kwd>
<kwd lng="en"><![CDATA[Fibromyalgia]]></kwd>
<kwd lng="en"><![CDATA[Forensic Medicine]]></kwd>
<kwd lng="en"><![CDATA[Pensions]]></kwd>
<kwd lng="en"><![CDATA[Disability]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Abásolo]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Carmona]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Lajas]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Candelas]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Blanco]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Loza]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Hernández]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Jover]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prognostic factors in short-term disability due to Musculoskeletal Disorders]]></article-title>
<source><![CDATA[Arthritis &amp; Rheum]]></source>
<year>2008</year>
<volume>59</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>489-96</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ablin]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Buskila]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<source><![CDATA[Fibromyalgia syndrome - Novel therapeutic targets]]></source>
<year>2013</year>
<volume>75</volume>
<page-range>335-40</page-range><publisher-name><![CDATA[Elsevier, Maturitas]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Arguedas]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[El estado de invalidez y su definición, un desafío médico legal]]></article-title>
<source><![CDATA[Med. Leg. De Costa Rica]]></source>
<year>2002</year>
<volume>19</volume>
<numero>2</numero>
<issue>2</issue>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bennet]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Bushmakin]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Cappelleri]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Zlateva]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Sadosky]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Minimal clinically important difference in the fibromyalgia impact questionnaire]]></article-title>
<source><![CDATA[J Rheumatol]]></source>
<year>2009</year>
<volume>36</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>1304-11</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chaves]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Actualización en fibromialgia]]></article-title>
<source><![CDATA[Med. Leg. de Costa Rica]]></source>
<year>2013</year>
<volume>30</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Collado]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Fibromialgia]]></source>
<year>2011</year>
<publisher-name><![CDATA[Ministerio de Sanidad, Política Social e Igualdad]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="book">
<collab>Costa Rica</collab>
<source><![CDATA[Código de Trabajo]]></source>
<year>2008</year>
<edition>26</edition>
<publisher-loc><![CDATA[San José, Costa Rica ]]></publisher-loc>
<publisher-name><![CDATA[Editec]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="">
<collab>Costa Rica</collab>
<source><![CDATA[CCSS. Reglamento del Seguro de Invalidez, Vejez y Muerte de la Caja Costarricense de Seguro Social]]></source>
<year>2015</year>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="">
<source><![CDATA[Fibromialgia]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fraioli]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Clinical researches on the efficacy of spa therapy in fibromyalgia. A systematic review]]></article-title>
<source><![CDATA[Ann Ist Super Sanità]]></source>
<year>2013</year>
<volume>49</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>219-29</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Garro]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Valoración en Medicina del Trabajo]]></article-title>
<source><![CDATA[Med. Leg. de Costa Rica]]></source>
<year>2010</year>
<volume>27</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Häuser]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Fibromyalgia Syndrome Classification, Diagnosis, and Treatment]]></article-title>
<source><![CDATA[Dtsch Arztebl. Int]]></source>
<year>2009</year>
<volume>106</volume>
<numero>23</numero>
<issue>23</issue>
<page-range>383-91</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Henriksson]]></surname>
<given-names><![CDATA[C. M]]></given-names>
</name>
<name>
<surname><![CDATA[Liedberg]]></surname>
<given-names><![CDATA[G. M]]></given-names>
</name>
<name>
<surname><![CDATA[Gerdle]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Women with fibromyalgia: work and rehabilitation]]></article-title>
<source><![CDATA[Disability and Rehabilitation]]></source>
<year>2005</year>
<volume>27</volume>
<numero>12</numero>
<issue>12</issue>
<page-range>685-95</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Jay]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Barkin]]></surname>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Fibromyalgia]]></article-title>
<source><![CDATA[Disease-a-Month]]></source>
<year>2015</year>
<volume>61</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>66-111</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="">
<source><![CDATA[Manual de la Evaluación y Calificación del grado de discapacidad]]></source>
<year>2015</year>
</nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Montoya]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Actualización breve sobre Fibromialgia: Diagnóstico diferencial y opciones de tratamiento disponibles]]></article-title>
<source><![CDATA[Revista Argentina de Clínica Neuropsiquiátrica]]></source>
<year>2011</year>
<volume>17</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>189-98</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ojeda]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[Actualizaciones acerca del síndrome fibromiálgico. Consideraciones etiológicas, diagnósticas, terapéuticas y medicolegales como causa de invalidez]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rabah]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<source><![CDATA[Guías de dolor. FEDELAT (Federación latinoamericana de Sociedades de Dolor)]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ramírez]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[Análisis de los Criterios de Invalidez en la Valoración Médico-Legal por Asunto de Pensión por Invalidez en el Departamento de Medicina Legal]]></source>
<year>2014</year>
<publisher-loc><![CDATA[San José, Costa Rica ]]></publisher-loc>
<publisher-name><![CDATA[Universidad de Costa Rica]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Solórzano]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<source><![CDATA[Valoración Médico Legal de las Pensiones por invalidez otorgadas en el Departamento de Medicina Legal]]></source>
<year>2008</year>
<publisher-loc><![CDATA[San José, Costa Rica ]]></publisher-loc>
<publisher-name><![CDATA[Universidad de Costa Rica]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B21">
<label>21</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wolfe]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The American College of Rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity]]></article-title>
<source><![CDATA[Arthiritis Care Res(Hoboken)]]></source>
<year>2010</year>
<volume>62</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>600-10</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
