By Brian S. Alper, MD, MSPH, and Sandra Meskimen, FNP

Dr. Alper is medical director of clinical reference products for EBSCO Publishing, Inc., in Ipswich, Mass., and editor-in-chief of DynaMed (www.dynamicmedical.com), a database of comprehensive updated summaries covering nearly 2,000 clinical topics. Ms. Meskimen is a clinical instructor, University of Missouri-Columbia, and a reviewer for DynaMed. Description • Nonarticular rheumatic disorder resulting in muscle pain…