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Somatic symptom disorders without known physical causes: one disease with many names?
Am J Med. 2015 Oct; 128(10):1054-8.AJ

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.

Authors+Show Affiliations

Indiana University School of Medicine, St. Vincent Hospital, Indianapolis. Electronic address: tavelmorton@gmail.com.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

26031885

Citation

Tavel, Morton E.. "Somatic Symptom Disorders Without Known Physical Causes: One Disease With Many Names?" The American Journal of Medicine, vol. 128, no. 10, 2015, pp. 1054-8.
Tavel ME. Somatic symptom disorders without known physical causes: one disease with many names? Am J Med. 2015;128(10):1054-8.
Tavel, M. E. (2015). Somatic symptom disorders without known physical causes: one disease with many names? The American Journal of Medicine, 128(10), 1054-8. https://doi.org/10.1016/j.amjmed.2015.04.041
Tavel ME. Somatic Symptom Disorders Without Known Physical Causes: One Disease With Many Names. Am J Med. 2015;128(10):1054-8. PubMed PMID: 26031885.
* Article titles in AMA citation format should be in sentence-case
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 -