Chronic Fatigue Syndrome (CFS): an update for clinicians in primary care

Cases of long-standing (6 months or longer) fatigue that are not
explained by an existing medical or psychiatric diagnosis are
referred to as chronic fatigue syndrome (CFS). CFS is a
condition of unknown etiology that presents with a complex
array of symptoms in patients with diverse health histories. A
diagnosis of CFS is largely dependent upon ruling out other
organic and psychologic causes of fatigue. CFS can present the
clinician with a unique set of challenges in terms of
diagnosis and treatment. A review of recent research suggests
that the management of CFS requires an individualized approach
for each patient. An historic overview of the condition is
presented along with current theories of causation, diagnosis
considerations, symptom management, and health promotion

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