Hashimoto N
3rd Dept. Internal Medicine, Jikei Univ. School of Medicine.
Nihon Rinsho. 1992 Nov;50(11):2591-9.
This article reviewed Definition of CFS proposed by CDC 1988. There are several issues in Definition for CFS of CDC. It is presented that other chronic clinical conditions have been satisfactorily excluded, including preexisting psychiatric diseases in (2) of major criteria. However, fibromyalgia can not be excluded from the fifth symptom of minor criteria, myalgia, and also depression from the ninth symptom. It is practically difficult to define impairment of average daily activity below 50% of the patient's premorbid activity level for a period of at least 6 months, as shown in (1) of major criteria, and it is not adapted for a first visit patient. Definition for CFS of CDC has been discussed on EBV infection, but not written on postviral fatigue syndrome and myalgic encephalomyelitis. Especially whether epidemic type of CFS is present or not was not discussed. Diagnostic criteria of CFS is necessary for clinical practice.
本文回顾了美国疾病控制与预防中心（CDC）1988年提出的慢性疲劳综合征（CFS）定义。CDC的CFS定义存在几个问题。文中指出，其他慢性临床病症已被令人满意地排除，包括主要标准（2）中的既往精神疾病。然而，纤维肌痛不能从小标准的第五个症状肌痛中排除，抑郁症也不能从第九个症状中排除。如主要标准（1）所示，在至少6个月的时间内将平均日常活动能力损害定义为低于患者病前活动水平的50%在实际操作中很困难，并且它不适用于初诊患者。CDC的CFS定义已就EB病毒感染进行了讨论，但未提及病毒感染后疲劳综合征和肌痛性脑脊髓炎。特别是未讨论是否存在流行性CFS。CFS的诊断标准对临床实践很有必要。
