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Abstract #0096

Fibromyalgia associates with pain-promoting and inhibitory functional connectivity of the default mode network in psoriatic arthritis.

Kristian Stefanov1, Flavia Sunzini1, Salim Al-Wasity1, Steven Harte2, Richard Harris3, Daniel J. Clauw2, Gordon Waiter4, Jonathan Cavanagh1, and Neil Basu1
1School of Infection & Immunity, University of Glasgow, Glasgow, United Kingdom, 2Chronic Pain and Fatigue Research Center, University of Michigan, Ann Arbor, MI, United States, 3University of Michigan, Ann Arbor, MI, United States, 4Aberdeen Biomedical Imaging Centre, University of Aberdeen, Aberdeen, United Kingdom

Synopsis

Keywords: Rheumatoid Arthritis, Brain Connectivity, Brain, fMRI (Resting State), Inflammation, Multimodal

Patients with the musculoskeletal disorder psoriatic arthritis improve their inflammation with current treatments but still experience pain. Previous neuroimaging findings have identified functional connectivity of the resting-state default mode network and we explored how such features associate with nociplastic pain using both agonistic and selective approaches. We observed increased connectivity between the default mode network and regions of the brain related to both increased pain intensity and decreased pain inhibition. The implications of such findings shift the focus onto targeting central pain pathways in people with psoriatic arthritis.

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Keywords