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Persistence of enterovirus RNA in muscle biopsy samples suggests that some cases of Chronic Fatigue Syndrome (CFS) result from a previous, inflammatory viral myopathy

  [ 41 votes ]   [ Discuss This Article ]
www.ProHealth.com • January 3, 1993


Molecular hybridization using an enterovirus group specific
probe detected virus RNA in muscle biopsy samples from 25 of
96 cases of inflammatory muscle disease and similarly from 41
of 158 cases of postviral fatigue syndrome (PFS). Enterovirus
RNA was detected in only two of 152 samples of control muscle.
The inflammatory myopathy group comprised patients with
polymyositis (PM), juvenile dermatomyositis (JDM) or adult
dermatomyositis (DM), and all showed the presence of an
inflammatory infiltrate and fiber necrosis on histological
examination of a muscle biopsy sample. In contrast, muscle
samples from the PFS group were histologically normal except
for non-specific changes such as occasional single fiber
atrophy. By analogy with enteroviral myocarditis, which can
progress to a post-inflammatory disease with persistence of
virus in myocardium and disposes to the rapid development of
dilated cardiomyopathy, we propose that PFS syndrome may be a
sequela of a previous inflammatory viral myopathy.

Bowles NE, Bayston TA, Zhang HY, Doyle D, Lane RJ, Cunningham L,
Archard LC




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