Mania and Recovery from Chronic Fatigue Syndrome
Journal of the Royal Society of MedicinePublished 1 January 1991Open access
Michael Sharpe, Bankole A. Johnson, Jacinta McCann
Citations235
SJR quartileQ1
SJR score1.71
SNIP1.79
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TL;DR
A patient with sarcoidosis limited to the stomach and complicated by pernicious anaemia who was treated conservatively with oral corticosteroids is presented, representing a highly unusual presentation of sarcoidsosis with isolated gastric involvement and concomitant pernitic anaemia.
Keywords
PsychologyMedicine
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An examination of the medical histories of the 28 patients indicated that psychiatric disorders more often preceded the chronic fatigue than followed it, and the rates of psychiatric illness in patients with the Chronic fatigue syndrome appeared high.
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In this prospective study, two thirds of cases of Chronic fatigue appeared to be caused by psychiatric disorders, and a thorough evaluation of the mental health of patients complaining of chronic fatigue could provide pharmacologic and psychotherapeutic approaches and avoid unnecessary and costly medical investigations and therapies.
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Simple rehabilitative strategies are proposed to help patients with the chronic fatigue syndrome, a model of an acute illness giving way to a chronic fatigue state in which symptoms are perpetuated by a cycle of inactivity, deterioration in exercise tolerance and further symptoms.
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