BMJ rapid response:
Re:Will adopting the Canadian criteria improve the diagnosis of chronic fatigue syndrome?
Nasim Marie Jafry, author of The State of Me
Edinburgh
Dr Crawley suggests PEM [post-exertional malaise] *may* need incorporating into criteria for the diagnosis of CFS. It is not a question of may, it is a question of being essential.
PEM is the hallmark symptom of the neuroimmune illness ME and without including it we are going to get nowhere.
ME will continue to be misdiagnosed and overdiagnosed in those who have a less complex fatigue, the kind that responds to CBT and GET.
'I suspect the complexity of the use of the CCC is being rather overstated,' says Barbara Bright. I suspect Barbara is right.
Competing interests: None declared
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Published 20 July 2011
http://www.bmj.com/content/342/bmj.d3956.extract/reply#content-block
See also: Metabolic dysfunction causes Post-Exertional malaise in ME/CFS
See also: The main characteristic of ME is an abnormally delayed muscle recovery after doing trivial things, if you don't have that, you don't have ME
See also: Post-exercise acid exposure 50 times higher in ME/CFS patients vs healthy controls, with no reduction with repeat exercise
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