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,
Thank you for submitting a comment on this article. It will be reviewed by JAMA Internal Medicine editors. You will be notified when your comment has been published. Comments should not exceed 500 words of text and 10 references.
Do not submit personal medical questions or information that could identify a specific patient, questions about a particular case, or general inquiries to an author. Only content that has not been published, posted, or submitted elsewhere should be submitted. By submitting this Comment, you and any coauthors transfer copyright to the journal if your Comment is posted.
* = Required Field
Disclosure of Any Conflicts of Interest*
Indicate all relevant conflicts of interest of each author below, including all relevant financial interests, activities, and relationships within the past 3 years including, but not limited to, employment, affiliation, grants or funding, consultancies, honoraria or payment, speakers’ bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued. If all authors have none, check "No potential conflicts or relevant financial interests" in the box below. Please also indicate any funding received in support of this work. The information will be posted with your response.
Some tools below are only available to our subscribers or users with an online account.
Download citation file:
Web of Science® Times Cited: 5
Customize your page view by dragging & repositioning the boxes below.
More Listings atJAMACareerCenter.com >
Enter your username and email address. We'll send you a link to reset your password.
Enter your username and email address. We'll send instructions on how to reset your password to the email address we have on record.
Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.