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CFS in Children and Adolescent: Ten Years of Retrospective Clinical Evaluation

Irene Elgen1, Omar Hikmat, Tora N Aspevik

  • 1Department of Child and Adolescent Psychiatry, Haukeland University Hospital, 5021 Bergen, Norway ; Department of Clinical Medicine, University of Bergen, P.O Box 7804, 5020 Bergen, Norway.

International Journal of Pediatrics
|July 12, 2013
PubMed

Insights

An increasing number of children are evaluated for chronic fatigue syndrome (CFS). A systematic, multidisciplinary approach is essential for accurate diagnosis and care.

Area of Science:

  • Pediatrics
  • Neurology
  • Infectious Diseases

Background:

  • Chronic Fatigue Syndrome (CFS) diagnosis in pediatric populations presents unique challenges.
  • Understanding the epidemiology and clinical characteristics of pediatric CFS is crucial for effective management.

Purpose of the Study:

  • To estimate the number of children diagnosed with chronic fatigue syndrome (CFS).
  • To analyze the clinical presentation and outcomes of pediatric CFS cases.

Main Methods:

  • Retrospective data collection over 10 years (2002-2011) from children referred for fatigue symptoms.
  • Analysis of diagnostic codes, patient history, infection markers, and anthropometric data.

Main Results:

  • 27 children received a CFS diagnosis (G93.3) after exclusions.
  • Most cases reported fatigue onset post-infection (Epstein-Barr virus, cytomegalovirus, or borrelia).
  • Underweight (BMI < 17.5) was noted in 44% of patients; 59% were boys.

Conclusions:

  • There is an observed increase in pediatric CFS evaluations.
  • Systematic clinical assessment, including nutritional, eating disorder, and psychosocial factors, is vital.
  • A multidisciplinary approach and European guidelines are needed for pediatric CFS assessment.

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