New Home Treatment for Chronic Fatigue
Chronic fatigue syndrome (CFS) is often referred to by other names or used interchangeably with similar disorders, such as chronic fatigue and immune dysfunction syndrome (CFIDS), fibromyalgia (FM), myalgic encephalomyelitis (ME), Gulf War Syndrome, and chronic Epstein-Barr disease. Recently, the Centers for Disease Control (CDC) has published epidemiologic figures estimating that approximately 800,000 Americans are affected by CFS. The associated economic loss is estimated in the billions of dollars, due to disability, medical expenses, and loss of wages. CFS is an incompletely understood, yet severely disabling disease of unknown etiology. It is characterized by profound, debilitating fatigue, of greater than 6 months duration that cannot be resolved with rest. Associated symptoms include fever, sore throat, myalgias, lymphadenopathy, sleep disturbance, headaches, neurocognitive difficulties (such as memory and concentration impairment and mental fog''), and symptoms associated with...
Jason is a 19-year-old college student who goes to the doctor complaining of chronic fatigue.The doctor palpates Jason's radial pulse and discovers that it is fast and weak. An echocardiogram and later coronary arteriograph reveal that he has a ventricular septal defect and mitral stenosis. His electrocardiogram (ECG) indicates that he has sinus tachycardia.When laboratory test results are returned, they indicate that Jason has a very high plasma cholesterol concentration with a high LDL HDL ratio. What can be concluded from these findings, and how are they related to Jason's complaint of chronic fatigue
Other research has evaluated patients suffering from chronic fatigue syndrome (CFS), type I diabetes, atopic dermatitis, and individuals with elevated cardiovascular disease risk. For example, Gaab and colleagues (2005) compared cortisol and proinflammatory cytokine responses in patients with CFS versus healthy controls. They found that both groups demonstrated increased cortisol response to the TSST, but cytokine levels in those with CFS were significantly attenuated compared with controls. In type I diabetic patients, a significant delay in the decrease of glucose levels after food intake was observed post-challenge (Wiesli et al, 2005). Additionally,
Early randomised trials have compared the effectiveness of counselling with treatment as usual from the GP (Ashurst & Ward, 1983 Boot et al., 1994 Friedli et al., 1997 Harvey et al., 1998 Hemmings, 1997). More recently, randomised trials have compared counselling, cognitive-behaviour therapy (CBT) and treatment as usual (Ridsdale et al., 2001 Simpson et al., 2000, 2003 Ward et al., 2000), with patient preference conditions, and between counselling and drug treatment (Bedi et al., 2000). The patient groups taking part in these studies have included individuals assessed as suffering from moderate and chronic depression, anxiety and chronic fatigue. This set of studies has been systematically
In contrast to other human herpesviruses such as herpes simplex virus (HSV) or cytomegalovirus (CMV), HHV-6 has not been the subject of extensive antiviral screening, the main reason being the uncertainty about the large need for specific anti-HHV-6 therapies. Transplant recipients commonly show laboratory signs of HHV-6 reactivation, but the frequency by which this is associated with serious disease is still ill defined (Yoshikawa, 2004). Even more controversial is the role of HHV-6 in chronic neurological disorders, such as multiple sclerosis (MS) or chronic fatigue syndrome (CFS). In the absence of HHV-6-specific therapies, treatment of HHV-6 infections currently relies on the relatively broad-spectrum antiherpetic agents (val)ganciclovir and foscarnet. Although these drugs offer an indisputable benefit in the therapy or prophylaxis of CMV, their clinical efficacy against HHV-6 can only be estimated from a number of heterogeneous case reports. Long-term administration of these...
Jason is a 19-year-old college student who goes to the doctor complaining of chronic fatigue. The doctor palpates Jason's radial pulse and discovers that it is fast and weak. An echocardiogram and later coronary arteriograph reveal that he has a ventricular septal defect and mitral stenosis. His electrocardiogram (ECG) indicates that he has sinus tachycardia.When laboratory test results are returned, they indicate that Jason has a very high plasma cholesterol concentration with a high LDL HDL ratio. What can be concluded from these findings, and how are they related to Jason's complaint of chronic fatigue
Disease associations between HHV-6 infection and multiple sclerosis, fibromyalgia, and chronic fatigue syndrome Ablashi et al. (2005) have performed a meta-analysis of over 85 published papers in which the relationship between HHV-6 and patients with multiple sclerosis or fibromyalgia, or chronic fatigue syndrome (CFS) was examined. Although a clear causal relationship has not been established between HHV-6 and these chronic illnesses, his study discerned that there is evidence of correlation in more than 75 of those papers that distinguish between active and latent virus. Since both in vitro studies and in vivo clinical experience provide evidence that HHV-6 is immuno-suppressive, patients with a history of CFS (data provided through the courtesy of Daniel Peterson, MD) were tested for the functionality of their global T-cell response using an FDA-cleared test for cell-mediated immunity assessment (Cylex Immune Function Assay, ImmuKnowTM) and these cellular immune responses were...
All the ginsenosids (saponins) so tested have shown antifatigue actions in mice (25). This may reflect the purported adaptogenic action of ginseng, which can be defined as an increase in resistance to stresses and is thought to be secondary to normalization of body processes through regulation of the production of various hormones (4). In evaluating the administration of Siberian ginseng for treatment of chronic fatigue syndrome, Hartz and colleagues found no measurable positive effect in those individuals receiving ginseng as compared to subjects receiving placebo (26).
Bereavement, like retirement, is more likely to occur in later adulthood. Depression, sleep disturbances, loss of appetite and weight, chronic fatigue, lack of interest in external things, and difficulties in concentrating are among the symptoms of bereavement. In some cases, reactions to the death of a spouse or other close relative are so intense that severe physical illness, a serious accident, or even death may result (Parkes, 1972).
Fibromyalgia, chronic fatigue syndrome (CFS), and potentially multiple sclerosis. As molecular, serological, and cellular methodologies for HHV-6's detection improve, insight into causality will provide avenues for developing prophylactic and treatment strategies for this ubiquitous virus that affects millions of individuals.
CNS demyelination 312-6 febrile seizures 214-5 HHV-6 infection 213-4, 215, 257f mesial temporal-lobe epilepsy (MTLE) 215 multiple sclerosis (MS) 215-8 progressive multifocal leukoencephalopathy (PML) 219-20 cerebral lymphomas 194 characteristic tissue reaction 140f chronic allograft nephropathy 205, 286 chronic fatigue syndrome (CFS) 86-7, 207-9, 251-2, 309
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