0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Defining the Chronic Fatigue Syndrome

Stephen E. Straus, MD
Arch Intern Med. 1992;152(8):1569-1570. doi:10.1001/archinte.1992.00400200007001.
Text Size: A A A
Published online

The term chronic fatigue syndrome emerged in the course of a workshop1 convened in 1987 by the US Centers for Disease Control (CDC), Atlanta, Ga. The goal of the meeting was to forge a workable case definition of an illness that, just 2 years earlier, had been called chronic Epstein-Barr virusinfection, but for which there was already mounting evidence against an etiologic role for that agent. The case definition that arose represented a consensus opinion rather than rigorously derived criteria. We participants in the meeting had a fairly clear sense of the illness; we just could not delineate it with precision.

Three problems were immediately apparent with the case definition. First, the lack of pathognomonic physical and laboratory findings essentially leaves the definition to rest on a series of unconfirmable symptoms. Second, some of the specifics of the definition are vague and subject to variable interpretation and application,

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Web of Science® Times Cited: 5

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();