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Acylcarnitine deficiency in Chronic Fatigue Syndrome (CFS)

  [ 38 votes ]   [ Discuss This Article ] • January 3, 1994

One of the characteristic complaints of patients with chronic
fatigue syndrome (CFS) is the skeletal muscle-related symptom.
However, the abnormalities in the skeletal muscle that explain
the symptom are not clear. Herein, we show that our patients
with CFS had a deficiency of serum acylcarnitine. As carnitine
has an important role in energy production and modulation of
the intramitochondrial coenzyme A (CoA)/acyl-CoA ratio in the
skeletal muscle, this deficiency might induce an energy
deficit and/or abnormality of the intramitochondrial condition
in the skeletal muscle, thus resulting in general fatigue,
myalgia, muscle weakness, and postexertional malaise in
patients with CFS. Furthermore, the concentration of serum
acylcarnitine in patients with CFS tended to increase to the
normal level with the recovery of general fatigue. Therefore,
the measurement of acylcarnitine would be a useful tool for
the diagnosis and assessment of the degree of clinical
manifestation in patients with CFS.

Kuratsune H, Yamaguti K, Takahashi M, Misaki H, Tagawa S, Kitani T

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