Chronic Fatigue Syndrome (cont.)
Charles Patrick Davis, MD, PhD
Dr. Charles "Pat" Davis, MD, PhD, is a board certified Emergency Medicine doctor who currently practices as a consultant and staff member for hospitals. He has a PhD in Microbiology (UT at Austin), and the MD (Univ. Texas Medical Branch, Galveston). He is a Clinical Professor (retired) in the Division of Emergency Medicine, UT Health Science Center at San Antonio, and has been the Chief of Emergency Medicine at UT Medical Branch and at UTHSCSA with over 250 publications.
Jerry R. Balentine, DO, FACEP
Dr. Balentine received his undergraduate degree from McDaniel College in Westminster, Maryland. He attended medical school at the Philadelphia College of Osteopathic Medicine graduating in1983. He completed his internship at St. Joseph's Hospital in Philadelphia and his Emergency Medicine residency at Lincoln Medical and Mental Health Center in the Bronx, where he served as chief resident.
In this Article
- Chronic fatigue syndrome (CFS) or systemic exertion intolerance disease (SEID) facts
- What is chronic fatigue syndrome (CFS or SEID)?
- What causes chronic fatigue syndrome or systemic exertional intolerance disease?
- What are risk factors for CFS/SEID?
- What are systemic exertion intolerance disease or chronic fatigue syndrome symptoms and signs?
- What are CFS/SEID symptoms in men?
- What are SEID/CFS symptoms in women?
- How is chronic fatigue syndrome (or systemic exertion intolerance disease) diagnosed?
- What is the treatment for CFS/SEID?
- Is there a cure for CFS/SEID?
- What is the prognosis (outcome) for CFS/SEID?
- Is it possible to prevent CFS/SEID?
- Where can people find additional information about CFS/SEID?
- Chronic Fatigue Syndrome FAQs
- Find a local Rheumatologist in your town
What causes chronic fatigue syndrome or systemic exertional intolerance disease?
No defined cause of CFS or SEID is known, even after about two decades of research on patients who fit the CFS or SEID criteria. Although many diseases coexist with CFS or SEID in patients, there are no proven links to any known disease (physical or mental) or pathogen (including viral) that is responsible for CFS or SEID development.
The Centers for Disease Control (CDC) indicates that researchers are still trying to identify the cause(s) of CFS/SEID and offer some speculation about the ongoing research. For example, they suggest the possibility that CFS/SEID represents an endpoint of multiple diseases or conditions such as viral infections, stress, and toxin exposure. However, the CDC states that "CFS is not caused exclusively by any single recognized infectious disease agent." This includes Epstein-Barr virus, Lyme disease bacteria (Borrelia burgdorferi), human retroviruses, bornaviruses, fungi, Mycoplasma spp, and many others. However, if a person has been infected with several (at least three) different pathogens, the chances of getting CFS/SEID goes up. In addition, some researchers had suggested that a new virus found in some CFS/SEID patients (termed XMRV or xenotropic murine leukemia virus-related virus) may be a candidate for cause, but a recent larger study has disproven this theory. In addition, although the CDC says no autoimmune changes like lupus or other diseases are found in CFS/SEID, many CFS/SEID patients have high levels of immune complexes and anti-self antibodies in their blood that may be a clue about what causes CFS/SEID. The CDC mentions other findings (allergies, T-cell activation, and cytokines), but none have any direct link to causing CFS/SEID.
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