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February 11, 1998

Chronic Fatigue Syndrome

Author Affiliations

Copyright 1998 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.1998

JAMA. 1998;279(6):431-433. doi:10-1001/pubs.JAMA-ISSN-0098-7484-279-6-jac81007

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.

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