Chronic Fatigue Syndrome

Definition
· Chronic Fatigue Syndrome is the disorder of debilitating fatigue without an obvious cause and has been persistent or relapsing over time.

Overview
· Chronic Fatigue Syndrome usually starts at age 25 to 45 years.
· Chronic Fatigue Syndrome is almost twice as common in women than men.
· Chronic Fatigue Syndrome is not common, occurring in one to three percent of the population.
The exact cause of Chronic Fatigue Syndrome is not known.
· Chronic Fatigue Syndrome result from one of the following:
·Problems with the communication between the adrenal grand and the pituitary gland, possibly leading to impaired adrenal function.
· Some studies have previously showed a relationship with infections such as Epstein Barr virus (infectious mononucleosis), fungus, mycoplasma.  Follow up studies can not confirm these findings.
· Up to 60% of patients with Chronic Fatigue Syndrome have depression.  It is difficult to known if depression caused the Chronic Fatigue Syndrome or was the result.

Symptoms
· Chronic Fatigue Syndrome symptoms include:
Fatigue
Difficulty concentrating
Headache
Sore throat
Tender lymph nodes
Muscle pain
Joint aches
Fevers
Difficulty sleeping
Psychiatric problems such as depression or anxiety disorder
Allergies
Abdominal cramps
Weight loss

Treatment
Although there is no generally accepted treatment for Chronic Fatigue Syndrome. Interventions such as Cognitive Behavior and graded exercise programs are helpful.

References
Ann Intern Med 121:953, 1994  [PMID: 7978722]
The epidemiology of chronic fatigue in San Francisco. Am J Med 105:83S, 1998

Posted on September 24, 2008

Leave a Reply