Friday, May 6, 2011

Snippets of information about ME/CFS (including symptom list)

The overwhelming degree of exhaustion in ME/CFS is unmistakable and can never be confused with chronic tiredness or "fatigue", nor can the objective signs that are invariably present in ME/CFS be mistaken for chronic "fatigue"; such signs include:

 

  • labile blood pressure (this is a cardinal sign in ME/CFS)
  • nystagmus  and vestibular disturbance (vestibular dysfunction seen in 90% of patients with ME/CFS)
  • sluggish visual accommodation
  • fasciculation
  • hand tremor
  • neuromuscular incoordination
  • cogwheel movement of the leg on testing
  • muscular weakness
  • marked facial pallor
  • postural orthostatic tachycardia syndrome (POTS)
  • positive Romberg
  • abnormal tandem or augmented tandem stance
  • abnormal gait
  • evidence of Raynaud's syndrome and vasculitis (vascular signs cross dermatomes)
  • mouth ulcers
  • hair loss
  • singular reduction in lung function (shortened breath-holding capacity seen in 60%)
  • enlarged liver (not usually looked for by psychiatrists)

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