By E. Van Hoof, Clin Psych, PhD, P. De Becker, PhD, K. De Meirleir, MD, PhD. Pediatric chronic fatigue syndrome (CFS) posits even more challenges for professional caregivers in comparison with adult CFS samples. Most children with CFS display a decrease in school attendance and a decrease in social activities. As several conditions such as school phobia, primary psychiatric disorders or family disturbance present the same characteristics, the diagnostic process appears more complex. Family disturbance, moreover, is often specified as child abuse, neglect or even Munchausen-by-proxy. As skepticism is frequently associated with a diagnosis of CFS, patients and parents mus fend for themselves, fighting allegations of child abuse and neglect. This case study illustrates what happens when such allegations are put forward.
By Dr David Bell presented at Chronic Fatigue Syndrome Advisory Committee (CFSAC) Presentations October 29-30, 2009
Source: Archives of Disease in Childhood, Oct 19, 2009 by Margaret May, Alan Emond, Esther Crawley October 22, 2009
ME/CFS exists in children under 12 and in children as young as 2 years old. There appears to be no difference in clinical symptoms between children under 12 and older children. The majority of children with ME/CFS in primary school would have had a diagnosis of ME/CFS using the stricter adult CDC criteria
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