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Clinical and Immunologic Study of 205 Patients With Chronic Fatigue Syndrome: A Case Series From Italy

Umberto Tirelli, MD; Antonio Pinto, MD; Giuseppe Marotta, MD; Marina Crovato, PhD; Michele Quaia, PhD; Paolo De Paoli, MD; Enzo Galligioni, MD; Gianfranco Santini, MD
Arch Intern Med. 1993;153(1):116-120. doi:10.1001/archinte.1993.00410010136014.
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Chronic fatigue syndrome (CFS) is a recently defined illness of unknown cause, characterized by unexplained disabling fatigue and neuropsychological symptoms such as difficulties with concentration and depression.1 Recently, DeFreitas et al2 have evidenced by polymerase chain reaction and in situ hybridization assays that the majority of 34 patients with CFS and some of their household and casual contacts appeared to be infected with a retrovirus related, but not identical, to human T-lymphotropic virus type 2 (HTLV-2). Other viruses such as human herpes virus 6 (HHV-6)3 or enterovirus4 have been implicated in the cause of CFS. Conflicting results on the immunologic abnormalities of CFS have been reported in the literature,5,6 although a recent report suggests T-cell activation and natural killer (NK) cell activity depression as the main immunologic features of CFS.7 Chronic fatigue syndrome has been described mainly in the United States, Australia, and Great

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