Chronic fatigue is a frequent complaint, but only leads to a medical consultation when consequences like sleep disturbance and reduced productivity become debilitating. Fear of a somatic disorder is usually prominent. However, the symptoms are usually physical and psychological signs of chronic stress. There is often a lack of awareness of stressors or conflicts, which would allow such a conclusion. Therefore, a few somatic investigations are recommended, since the list of possible somatic causes is long. Otherwise the patient should be prepared and motivated for a psychosocial counselling.
Download full-text PDF |
Source |
---|---|
http://dx.doi.org/10.1024/1661-8157/a001781 | DOI Listing |
Immunol Med
December 2024
Department of Immunology and Rheumatology, Division of Advanced Preventive Medical Sciences, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
Chronic Fatigue Syndrome (CFS) is a complex disorder characterized by prolonged, unexplained fatigue and challenging diagnosis. We report the case of a 35-year-old Japanese woman with CFS who had experienced chronic fatigue since the age of 11 years. Despite treatment with modafinil, methylphenidate, levocarnitine, and ubiquinone, the symptoms persisted.
View Article and Find Full Text PDFJ Formos Med Assoc
December 2024
Department of Cardiology, Jiangbin Hospital of Guangxi Zhuang Autonomous Region, Guangxi Zhuang Autonomous Region, China. Electronic address:
BMJ Case Rep
December 2024
Ophthalmology, LLH Hospital, Abu Dhabi, Abu Dhabi, UAE.
Fatigue is a common symptom encountered in clinical practice, often posing a diagnostic challenge due to its myriad underlying causes. A comprehensive clinical history can serve as a valuable guide in such diagnostic dilemmas. A man in his 30s presented with a history of intermittent fatigue.
View Article and Find Full Text PDFJ Clin Med
November 2024
Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama 700-8558, Japan.
Hypophosphatasemia is often overlooked despite its potential to indicate underlying pathologies. The aim of this study was to determine the prevalence of persistent hypophosphatasemia in a large, urban, multi-specialty hospital population and characterize the clinical and laboratory findings in adult patients with this condition. In this retrospective observational study, the results of 424,434 alkaline phosphatase (ALP) tests in 50,136 patients aged ≥18 years that were performed at Okayama University Hospital between July 2020 and October 2023 were analyzed.
View Article and Find Full Text PDFEur Heart J Case Rep
December 2024
Department of Medicine, Division of Cardiology, University of California, Irvine, 333 City Blvd W, Orange, CA 92868, USA.
Background: Hypertrophic cardiomyopathy (HCM) is an inherited condition characterized by left ventricular (LV) hypertrophy unexplained by increased afterload, often with concomitant outflow tract obstruction. Verapamil is commonly used to treat symptomatic patients. However, its potential for adverse effects should be recognized.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!