Modern concepts of chronic fatigue syndrome: diagnosis and differential diagnosis with other variants of asthenic syndrome
https://doi.org/10.24884/1609-2201-2024-103-2-42-50
Abstract
Chronic fatigue is one of the most common syndromes in the clinical practice of medical doctors of various specialties. However, issues of criteria for distinguishing chronic fatigue from physiological fatigue, differential diagnosis of reactive asthenia, secondary fatigue syndrome and myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) as a distinct nosological form can be challenging for physicians. The provision of care to patients with ME/CFS is negatively impacted by the lack of accurate and up-to-date knowledge about the disease among healthcare professionals. Even if doctors are compassionate, they often do not know how to make a diagnosis or what can be done to improve the well-being of patients. Currently, this problem is especially relevant due to the increased risk of developing ME/CFS after suffering from a new coronavirus infection, COVID-19. This article presents a modern approach to the diagnosis of ME/CFS, set out in consensus recommendations that were developed in 2021 independently by groups of experts on the diagnosis and treatment of this disease in European countries and the USA, and taking into account the recommendations of domestic specialists.
Supporting agencies: This research was funded by the grant of the RF Government No. 075-15-2022-1110 dated 30 June 2022.
About the Authors
V. A. Ryabkova
Saint Petersburg State University ; Pavlov University
Russian Federation
Russian Federation
Varvara A. Ryabkova, Cand. of Sci. (Med.), General practitioner of the Department of Hospital Therapy, junior researcher in Medical Institute, Laboratory of the Mosaic of Autoimmunity
6–8, L’va Tolstogo str., Saint Petersburg, 197022
S. Ya. Batagov
Pavlov University
Russian Federation
Russian Federation
Sergey Ya. Batagov, Dr. of Sci. (Med)., Professor Department of Hospital Therapy
Saint Petersburg
V. N. Marchenko
Pavlov University
Russian Federation
Russian Federation
Valerii N. Marchenko, Dr. of Sci. (Med)., Honored Doctor of the Republic of North Ossetia-Alania, Professor Department of Hospital Therapy
Saint Petersburg
V. I. Trofimov
Pavlov University
Russian Federation
Russian Federation
Vasiliy I. Trofimov, Dr. of Sci. (Med)., Professor, Honored Scientist of the Russian Federation, Head of M. V. Chernorutskiy Department of Hospital Therapy with clinic
Saint Petersburg
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Review
For citations:
Ryabkova V.A., Batagov S.Ya., Marchenko V.N., Trofimov V.I. Modern concepts of chronic fatigue syndrome: diagnosis and differential diagnosis with other variants of asthenic syndrome. New St. Petersburg Medical Records. 2024;(2):42-50. (In Russ.) https://doi.org/10.24884/1609-2201-2024-103-2-42-50
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