Friday, November 6, 2009

RES: Chronic fatigue syndrome: aetiology, diagnosis and treatment

Chronic fatigue syndrome: aetiology, diagnosis and treatment.

Journal: BMC Psychiatry. 2009 Oct 23;9 Suppl 1:S1.

Authors: Avellaneda Fern=E1ndez A, P=E9rez Mart=EDn A, Izquierdo Mart=EDn=
ez=20
M, Arruti Bustillo M, Barbado Hern=E1ndez FJ, de la Cruz Labrado J,=20
D=EDaz-Delgado Pe=F1as R, Guti=E9rrez Rivas E, Palac=EDn Delgado C, River=
a=20
Redondo J, Ram=F3n Gim=E9nez JR.

Affiliation: Carlos III Health Institute, Sinesio Delgado, n degrees=20
6, 28029, Madrid, Spanish Society of Primary Care Physicians,=20
Narv=E1ez, 15 1 degrees Izda, 28009, Madrid, Spain. <alfavel@gmail.com>

NLM Citation: PMID: 19857242


Chronic fatigue syndrome is characterised by intense fatigue, with=20
duration of over six months and associated to other related symptoms.=20
The latter include asthenia and easily induced tiredness that is not=20
recovered after a night's sleep. The fatigue becomes so severe that=20
it forces a 50% reduction in daily activities. Given its unknown=20
aetiology, different hypotheses have been considered to explain the=20
origin of the condition (from immunological disorders to the presence=20
of post-traumatic oxidative stress), although there are no conclusive=20
diagnostic tests. Diagnosis is established through the exclusion of=20
other diseases causing fatigue. This syndrome is rare in childhood=20
and adolescence, although the fatigue symptom per se is quite common=20
in paediatric patients. Currently, no curative treatment exists for=20
patients with chronic fatigue syndrome. The therapeutic approach to=20
this syndrome requires a combination of different therapeutic=20
modalities. The specific characteristics of the symptomatology of=20
patients with chronic fatigue require a rapid adaptation of the=20
educational, healthcare and social systems to prevent the problems=20
derived from current systems. Such patients require multidisciplinary=20
management due to the multiple and different issues affecting them.=20
This document was realized by one of the Interdisciplinary Work=20
Groups from the Institute for Rare Diseases, and its aim is to point=20
out the main social and care needs for people affected with Chronic=20
Fatigue Syndrome. For this, it includes not only the view of=20
representatives for different scientific societies, but also the=20
patient associations view, because they know the true history of=20
their social and sanitary needs. In an interdisciplinary approach,=20
this work also reviews the principal scientific, medical,=20
socio-sanitary and psychological aspects of Chronic Fatigue Syndrome.


[Note: This is an Open Access article, the full text of which can be foun=
d at
http://www.biomedcentral.com/1471-244X/9/S1/S1 ]

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