Friday, July 22, 2011

Myalgic Encephalomyelitis International Consensus Criteria (link to article)

Worth a read and possibly printing out for MD's (I only copied a couple paragraphs from the article). It's worth reading the entire article which is at the link below.

From the ME Association:

Myalgic encephalomyelitis (ME), also referred to in the literature as chronic fatigue syndrome (CFS), is a complex disease involving profound dysregulation of the central nervous system (CNS) [1-3] and immune system [4-8], dysfunction of cellular energy metabolism and ion transport [9-11], and cardiovascular abnormalities [12-14]. The underlying pathophysiology produces measurable abnormalities in physical and cognitive function and provides a basis for understanding the symptomology. Thus, the development of International Consensus Criteria that incorporate current knowledge should advance the understanding of ME by health practitioners, and benefit both the physician and patient in the clinical setting as well as clinical researchers.

............and more........

Using “fatigue” as a name of a disease gives it exclusive emphasis and has been the most confusing and misused criterion.

No other fatiguing disease has “chronic fatigue” attached to its name – e.g. cancer/chronic fatigue, multiple sclerosis/chronic fatigue – except ME/CFS. Fatigue in other conditions is usually proportional to effort or duration with a quick recovery, and will recur to the same extent with the same effort or duration that same or next day.

The pathological low threshold of fatigability of ME described in the following criteria often occurs with minimal physical or mental exertion, and with reduced ability to undertake the same activity within the same or several days.

The International Consensus Criteria (Table 1) identify the unique and distinctive characteristic patterns of symptom clusters of ME.


  1. I am really impressed with this great Blog. For those that suffer from some form of pain associated with Chronic fatigue Syndrome, getting relief from that is important. A person can’t get sufficient rest when they are in pain. People have been known to have earaches, joint pain, abdominal pain, chest pain, and more with such a diagnosis.

  2. I agree with what the post says about fatigue being seen as the main symptom, and sometimes the only one. I have lost count of the amount of times I have been asked "So are you just really tired all the time?" I have ran out of patience and now just give them a list of symptoms, whether they read it or not is up to them, but hopefully a few will have and would have learnt something. There is so much more to the illness than just fatigue!

    Hoff x