Chronic Fatigue syndrome / Myalgic Encephalomyelitis
How is it diagnosed?
A diagnosis of CFS/ME cannot be made in the presence of the following primary diagnoses: major depression; somatoform disorders; chronic viral infections (for example, chronic viral hepatitis or HIV infection); and known medical disorders of chronic fatigue (for example, post-polio fatigue, rheumatoid arthritis, anaemia (anemia - US), diabetes, thyroid disorder, sarcoidosis, systemic lupus, multiple sclerosis or cancer), substance abuse or withdrawal and eating disorders.
The diagnosis of CFS/ME is clinical and based on the exclusion of any other underlying medical or psychiatric condition that can sufficiently account for chronic fatigue. For research purposes, modified US Centers for disease Control criteria (1994) are commonly used to make a diagnosis of CFS. There is no specific or sensitive laboratory test for CFS/ME. The diagnosis is based on a combination of careful history taking, physical examination and, where indicated, a set of appropriate laboratory investigations to exclude other disorders of chronic fatigue.
What are the causes?
| How is it treated? ![]()