Margaret A.WinkerMD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Senior EditorIndividualAuthor
To the Editor.—Although Dr Komaroff1 concurred with the proffered diagnosis of CFS,
I believe another possible cause was overlooked.
Ms H, the woman presented, had a history of recurrent episodes of sinusitis
predating her current illness. That illness started with symptoms compatible
with acute sinusitis: fever, chills, myalgias, and sore throat. Her prolonged
course has been characterized by exhaustion, bodily pains, "swollen glands,"
sore throat, sleep disturbance, and headaches. Methylphenidate hydrochloride,
1 of her 3 medications, is taken daily to relieve nasal congestion.
Chester AC. Chronic Fatigue Syndrome. JAMA. 1998;279(6):431-433. doi:10-1001/pubs.JAMA-ISSN-0098-7484-279-6-jac81007