All::Rheumatology::Diseases::Chronic fatigue syndrom
Intro
How is Chronic Fatigue Syndrome (CFS) diagnosed?
Diagnosed after 3 months of disabling fatigue, affecting mental and physical function over 50% of the time, in the absence of other explanatory diseases.
What are some recognized features of CFS?
Sleep problems, muscle/joint pains, headaches, painful lymph nodes, sore throat, cognitive dysfunction, worsened symptoms with exertion, malaise, dizziness, nausea, palpitations.
What investigations are suggested for CFS according to NICE guidelines?
Screening blood tests including FBC, U&E, LFT, glucose, TFT, ESR, CRP, calcium, CK, ferritin, coeliac screening, and urinalysis.
When is a diagnosis of CFS typically made?
Typically made if symptoms persist for 3 months.
What is the management approach for CFS?
Refer to a specialist CFS service if criteria are met and symptoms persist for 3 months. Use energy management, cautious physical activity/exercise overseen by specialists, and consider supportive cognitive-behavioral therapy.