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Editorial Myofascial pain, fibromyalgia or fibrositis? free! 2004
Pearce JM. · No affiliation provided · Eur Neurol. · Pubmed #15256826 links to free full text
Abstract: The terms myofascial pain, fibromyalgia and fibrositis are critically examined. They constitute diagnostic labels for non-specific musculoskeletal aches and pains. Analysis of the evidence shows that none of these labels is substantiated by hard physical signs or by laboratory evidence of consistent pathological or biochemical abnormality. What is the objective evidence for disorder(s) of muscle, fascia or fibrous tissues, so clearly indicated by these diagnostic names? Alternative terms such as 'regional pain syndrome' or 'chronic pain syndrome' merely redefine the clinical problem without providing a mechanism or basis for diagnosis. Despite different diagnostic criteria, these conditions, along with chronic fatigue syndrome, have many demographic and clinical similarities, most notably tender trigger points. Indeed, the terms are often used interchangeably. There are few differences in the symptoms, physical findings, laboratory tests, functional status, psychosocial features and psychiatric disorders. This paper seeks not to deny the existence of aches and pains, but to critically examine the utility of these terms. The only claimed physical sign is the presence of tender trigger points over muscles or muscle attachments. Research suggests that tender points are a measure of general distress related to pain complaints but separately associated with fatigue and depression. They are present in some normal subjects and are variable in occurrence in time in the same individual. They reflect no demonstrable pathology. It is therefore argued that none of these commonly used diagnoses represent distinct disease entities. A possible but unproven alternative hypothesis is that such symptoms relate to neural pain with both peripheral and central components, and in some instances psychological or wilful embellishment.
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Editorial To exercise or not to exercise in chronic fatigue syndrome? No longer a question. free! 2004
Lloyd AR. · No affiliation provided · Med J Aust. · Pubmed #15115418 links to free full text
This publication has no abstract.
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| 28 |
Editorial Overview of an autoimmune theory of endogenous vasoactive neuropeptides in the aetiology of certain conditions. 2004
Staines DR. · Public Health Physician, Gold Coast Public Health Unit, 10-12 Young Street, Southport 4215, Queensland, Australia. · Med Hypotheses. · Pubmed #15082082 No free full text.
This publication has no abstract.
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| 29 |
Editorial Chronic fatigue--chronically confusing but growing information. 2004
Shapiro CM. · No affiliation provided · J Psychosom Res. · Pubmed #15016572 No free full text.
This publication has no abstract.
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| 30 |
Editorial Adolescent chronic fatigue syndrome. 2004
Smith MS. · No affiliation provided · Arch Pediatr Adolesc Med. · Pubmed #14993075 No free full text.
This publication has no abstract.
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| 31 |
Editorial Various clinical types of Q-fever disease. free! 2004
Watanabe A. · No affiliation provided · Intern Med. · Pubmed #14964570 links to free full text
This publication has no abstract.
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| 32 |
Editorial Pilot studies: one swallow does not make a summer... free! 2003
van Gelder T, Smits P. · No affiliation provided · Neth J Med. · Pubmed #14692438 links to free full text
Abstract: What should we expect from pilot studies, done in small series of patients? In the literature there are many examples of small studies with very promising results, that in subsequent larger or better controlled studies proved to be much less promising, or even disastrous. In some instances the initial favourable outcome was due to selection bias. In others the use of nonvalidated methods of measuring outcome made the reproducibility of promising observations problematic. However, we have to start somewhere. In ths issue The et al. report favourable results of granisetron treatment in four out of five patients with chronic fatigue syndrome. A prospective, randomised, placebo-controlled, double-blind clinical trial with granisetron in patients with chronic fatigue syndrome is now ongoing.
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| 33 |
Editorial Chronic fatigue and chronic fatigue syndrome in the general population. free! 2003
Bleijenberg G. · No affiliation provided · Health Qual Life Outcomes. · Pubmed #14613570 links to free full text
This publication has no abstract.
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| 34 |
Editorial Enteroviruses in chronic fatigue syndrome: "now you see them, now you don't". free! 2003
Dalakas MC. · No affiliation provided · J Neurol Neurosurg Psychiatry. · Pubmed #14570825 links to free full text
This publication has no abstract.
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| 35 |
Editorial Unicorns, dragons, polymyositis, and other mythological beasts. 2003
Amato AA, Griggs RC. · No affiliation provided · Neurology. · Pubmed #12913184 No free full text.
This publication has no abstract.
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| 36 |
Editorial Prevention of organ failure in hereditary haemochromatosis. free! 2002
Marx JJ. · No affiliation provided · Neth J Med. · Pubmed #12685487 links to free full text
Abstract: In this editorial the dominant sites of organ manifestations in hereditary haemochromatosis are discussed as well as conditions that can occur as a result of iron-mediated manifestations: liver disease, diabetes mellitus, arthritis, and cardiomyopathy. The incidences of these organ manifestations and their well-known typical symptomatology are mentioned, in order to investigate hereditary haemochromatosis as a possible (missed?) cause of the chronic fatigue syndrome. In particular the limitations of most studies about the prevalence of hereditary haemochromatosis in patients with the chronic fatigue syndrome are clearly summarised.
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| 37 |
Editorial Costs, correlates and consequences of fatigue in children and adults. 2003
White PD. · No affiliation provided · Psychol Med. · Pubmed #12622299 No free full text.
This publication has no abstract.
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| 38 |
Editorial Changing perceptions of disease. 2003
Watkins P. · No affiliation provided · Clin Med. · Pubmed #12617403 No free full text.
This publication has no abstract.
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| 39 |
Editorial Grading autonomic dysfunction in chronic fatigue syndrome. 2002
Ferreira AC, de Marchena E. · No affiliation provided · Semin Arthritis Rheum. · Pubmed #12528076 No free full text.
This publication has no abstract.
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| 40 |
Editorial Chronic fatigue syndrome and hidden happenings of the heartbeat. 2002
Goldberger AL. · No affiliation provided · Clin Auton Res. · Pubmed #12357273 No free full text.
This publication has no abstract.
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| 41 |
Editorial Chronic unexplained fatigue. free! 2002
White PD. · No affiliation provided · Postgrad Med J. · Pubmed #12185213 links to free full text
This publication has no abstract.
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| 42 |
Editorial [Chronic fatigue] 2002
Loge JH, Hem E. · No affiliation provided · Tidsskr Nor Laegeforen. · Pubmed #12098899 No free full text.
This publication has no abstract.
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| 43 |
Editorial Listening to CFS: why we should pay more attention to the story of the patient. 2002
Van Houdenhove B. · No affiliation provided · J Psychosom Res. · Pubmed #12069874 No free full text.
This publication has no abstract.
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| 44 |
Editorial Doctors and social epidemics: the problem of persistent unexplained physical symptoms, including chronic fatigue. free! 2002
Stanley I, Salmon P, Peters S. · No affiliation provided · Br J Gen Pract. · Pubmed #12014530 links to free full text
This publication has no abstract.
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| 45 |
Editorial Orthostatic intolerance and chronic fatigue syndrome: new light on an old problem. 2002
Rowe PC. · No affiliation provided · J Pediatr. · Pubmed #12006948 No free full text.
This publication has no abstract.
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| 46 |
Editorial Caring for patients with chronic fatigue syndrome. Conclusions in CMO's report are shaped by anecdote not evidence. free! 2002
Straus SE. · No affiliation provided · BMJ. · Pubmed #11799015 links to free full text
This publication has no abstract.
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| 47 |
Editorial Infectious mononucleosis: not always what it seems. 2001
Nye F. · No affiliation provided · Hosp Med. · Pubmed #11480122 No free full text.
This publication has no abstract.
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| 48 |
Editorial [Is there such a thing as brain fatigue?] 2001
Staub F, Bogousslavsky J. · No affiliation provided · Rev Neurol (Paris). · Pubmed #11319487 No free full text.
This publication has no abstract.
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| 49 |
Editorial The role of physical inactivity in the chronic fatigue syndrome. 2000
White PD. · No affiliation provided · J Psychosom Res. · Pubmed #11164051 No free full text.
This publication has no abstract.
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| 50 |
Editorial Chronic fatigue syndrome. New developments. 2000
Kahn MF. · No affiliation provided · Joint Bone Spine. · Pubmed #11143901 No free full text.
This publication has no abstract.
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