Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

[Chronic fatigue--'tired with 23 i's']

J W van der Meer1, L D Elving

  • 1Academisch Ziekenhuis, afd. Algemeen Interne Geneeskunde, Nijmegen.

Nederlands Tijdschrift Voor Geneeskunde
|August 2, 1997
PubMed
Summary

Severe chronic fatigue requires thorough examination to rule out underlying conditions. While chronic fatigue syndrome diagnosis needs careful consideration, recovery is possible with appropriate management.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Poly(trimethylene carbonate) and biphasic calcium phosphate composites for orbital floor reconstruction: a feasibility study in sheep.

European cells & materials·2014
Same author

Anti-ribosomal P antibodies as a single serological marker in SLE: lupus in disguise.

Scandinavian journal of rheumatology·2013
Same author

[Clinical reasoning and decision making in practice. A man with pneumonia and ill smelling watery sputum: the truth revealed after 80 years].

Nederlands tijdschrift voor geneeskunde·2004
Same author

[Nuchal rigidity in children: meningitis or not?].

Nederlands tijdschrift voor geneeskunde·2003
Same author

[Research into new methods for diagnosing, treating and preventing tuberculosis].

Nederlands tijdschrift voor geneeskunde·2003
Same author

[Hemopyrrollactamuria (HPU); from spots to pseudo-disease].

Nederlands tijdschrift voor geneeskunde·2003

Area of Science:

  • Internal Medicine
  • Endocrinology

Background:

  • Chronic fatigue is a debilitating condition impacting daily life.
  • Accurate diagnosis is crucial for effective treatment and prognosis.

Observation:

  • Two cases illustrate distinct causes of severe chronic fatigue: chronic fatigue syndrome and a pituitary adenoma.
  • Patient 1: A 32-year-old woman with chronic fatigue syndrome experienced a slow recovery.
  • Patient 2: A 49-year-old man with a follicle-stimulating hormone-producing pituitary adenoma recovered after surgery.

Findings:

  • A detailed patient history and physical examination are paramount for identifying underlying pathologies.
  • Overemphasis on secondary symptom criteria (e.g., Holmes, Fukuda criteria) can hinder accurate diagnosis.
  • Chronic fatigue syndrome diagnosis requires symptoms lasting over 6 months, provided the clinical picture is compatible.

Implications:

  • The prognosis for chronic fatigue is not necessarily poor; significant improvement is observed in a portion of patients.
  • Distinguishing between chronic fatigue syndrome and other treatable conditions like pituitary adenomas is vital.
  • This highlights the importance of a comprehensive diagnostic approach in managing patients with persistent fatigue.

Related Experiment Videos