Objectives: Several biological findings reported in fibromyalgia [FMS]
, support a ''free radicals hypothesis'' justifying appropriate invest
igations in this condition. Methods: Plasma or erythrocytes malondiald
ehyde, protein carbonyls [PC], nitric oxide [NO] as well as antioxidan
t parameters such as vitamin A, vitamin E, thiols, glutathione and glu
tathione peroxidase, were assessed in 28 FMS patients [mean age 40 yea
rs] and 20 age-matched controls. Results: Protein carbonyls [P < 0.01]
were significantly increased. Thiols [P < 0.01], were significantly d
ecreased and correlated with PC [R = -0.44, P < 0.05]. Nitric oxide [P
< 0.01] was significantly decreased. Conclusions: Increased protein p
eroxidation, associated with thiol abnormalities and decreased plasma
NO levels are demonstrated in FMS.