Abstract
Patients complaining of pain or fatigue in the absence of known physical diseases constitute a high percentage of those seeking general medical care. Depending upon the type of physician/specialist consulted, those individuals may receive disease labels that range from an implied psychological origin such as somatoform or psychosomatic disease, or to a presumed physical disease such as fibromyalgia. Although all these conditions are regularly associated with fatigue, we have provided a new label suggesting another disease category, "systemic exertion intolerance disease," which replaces the previous "chronic fatigue syndrome." All these conditions have common, overlapping features that usually consist of both fatigue and pain, and, in the absence of definitive objective confirmation, might be best classified under one heading such as somatic symptom disorder. Management of these disorders is challenging, but suggestions for proper identification and treatment are presented.
TY - JOUR
T1 - Somatic symptom disorders without known physical causes: one disease with many names?
A1 - Tavel,Morton E,
Y1 - 2015/05/30/
PY - 2015/04/06/received
PY - 2015/04/11/revised
PY - 2015/04/13/accepted
PY - 2015/6/3/entrez
PY - 2015/6/3/pubmed
PY - 2015/12/15/medline
KW - Chronic fatigue syndrome
KW - Depression
KW - Fibromyalgia
KW - Hyperventilation syndrome
KW - Panic attacks
KW - Psychosomatic disorders
KW - Somatic symptom disorder
KW - Somatoform disorder
KW - Systemic exertion intolerance disease
SP - 1054
EP - 8
JF - The American journal of medicine
JO - Am J Med
VL - 128
IS - 10
N2 - Patients complaining of pain or fatigue in the absence of known physical diseases constitute a high percentage of those seeking general medical care. Depending upon the type of physician/specialist consulted, those individuals may receive disease labels that range from an implied psychological origin such as somatoform or psychosomatic disease, or to a presumed physical disease such as fibromyalgia. Although all these conditions are regularly associated with fatigue, we have provided a new label suggesting another disease category, "systemic exertion intolerance disease," which replaces the previous "chronic fatigue syndrome." All these conditions have common, overlapping features that usually consist of both fatigue and pain, and, in the absence of definitive objective confirmation, might be best classified under one heading such as somatic symptom disorder. Management of these disorders is challenging, but suggestions for proper identification and treatment are presented.
SN - 1555-7162
UR - https://www.unboundmedicine.com/medline/citation/26031885/Somatic_symptom_disorders_without_known_physical_causes:_one_disease_with_many_names
DB - PRIME
DP - Unbound Medicine
ER -