Description
This article is from the Chronic Fatigue
Syndrome (CFS) FAQ, by cfs-news@cais.com (Roger Burns) with
numerous contributions by others.
2.022 Clinical views
Several helpful guides to diagnosis have been written by researchers
and experienced clinicians, including an article by Charles Lapp and
books by Charles Shepherd and by David Bell. See the references under
question 2.036 on treatments.
Drs. Buchwald and Komaroff did a study which surveyed the most common
symptoms found in those meeting the 1988 CDC criteria. [Komaroff AL,
Buchwald D. Symptoms and signs of chronic fatigue syndrome. Rev
Infect Dis 1991;13(Suppl 1):S8-11.] They found the following
frequencies:
Symptom/sign Frequency (%)
fatigue100
low-grade fever60 - 95
myalgias 20 - 95
sleep disorder 15 - 90
impaired cognition 50 - 85
depression70 - 85
headache 35 - 85
pharyngitis 50 - 75
anxiety 50 - 70
muscle weakness40 - 70
Postexertional malaise 50 - 60
worsening of premenstrual50 - 60
symptoms
stiffness 50 - 60
visual blurring50 - 60
nocturia 50 - 60
nausea 50 - 60
dizziness 30 - 50
arthralgias 40 - 50
tachychardia 40 - 50
dry eyes 30 - 40
dry mouth 30 - 40
diarrhea 30 - 40
anorexia 30 - 40
cough30 - 40
digital swelling 30 - 40
night sweats 30 - 40
painful lymph nodes 30 - 40
rash 30 - 40
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