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A systematic review found five RCTs to have assessed the effects of immunoglobulin treatment for ME/CFS; [42] of these, two RCTs showed an overall beneficial effect and two RCTs showed some positive results, although in one of the studies this was for physiological effects only. The largest of the RCTs found no effect for the treatment.
Graded exercise therapy (GET) is a programme of physical activity that starts very slowly and gradually increases over time, intended as a treatment for myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). Most public health bodies, including the CDC and NICE, consider it ineffective, and its safety is disputed.
The 2021 UK NICE guideline requires all of the following symptoms: Debilitating fatigue; Post-exertional malaise; Unrefreshing and/or disturbed sleep; Cognitive difficulties; Additionally, the symptoms must be present for at least 6 weeks in adults and 4 weeks in children, and not explained by another condition. [18]
[2]: 12, 57, 95 [31] [32] The fatigue experienced in ME/CFS is of a longer duration and greater severity than in other conditions characterized by fatigue. [ 10 ] : 5–6 The hallmark feature of ME/CFS is a worsening of symptoms after exertion, known as post-exertional malaise or post-exertional symptom exacerbation . [ 6 ]
Post-exertional malaise; Other names: Post-exertional symptom exacerbation (PESE) Postexertional malaise (PEM) Post-exertional neuroimmune exhaustion (PENE) Chart of physical, cognitive, and emotional activities that may trigger PEM: Symptoms: Worsening of symptoms after ordinary activity: Causes: Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
Post-acute infection syndromes (PAISs) or post-infectious syndromes are medical conditions characterized by symptoms attributed to a prior infection.While it is commonly assumed that people either recover or die from infections, long-term symptoms—or sequelae—are a possible outcome as well. [1]
Influenza-like illness is a nonspecific respiratory illness characterized by fever, fatigue, cough, and other symptoms that stop within a few days. Most cases of ILI are caused not by influenza but by other viruses (e.g., rhinoviruses , coronaviruses , human respiratory syncytial virus , adenoviruses , and human parainfluenza viruses ).
Fatigue is a state of tiredness (which is not sleepiness), exhaustion [1] or loss of energy. [2] [3]Fatigue (in the medical sense) is sometimes associated with medical conditions including autoimmune disease, organ failure, chronic pain conditions, mood disorders, heart disease, infectious diseases, and post-infectious-disease states. [4]