Kiener, S · Schweizerische Rundschau fur Medizin Praxis = Revue suisse de medecine Praxis · 1993
This is a case report from a Swiss medical practice describing a patient with chronic fatigue syndrome (CFS) and the psychological and social problems that came along with the condition. The doctor documented how CFS affected this patient's daily life, relationships, and mental health. This type of case study helps doctors recognize CFS in their own patients and understand the broader impact it has beyond just physical symptoms.
This early clinical case report helps illustrate that ME/CFS involves not only physical symptoms but also significant psychological and social consequences that physicians need to address in patient care. Documentation of such cases was important in the 1990s for establishing CFS as a legitimate medical condition worthy of clinical attention.
This single case report cannot establish prevalence rates, causation, or typical patterns across CFS populations. It does not prove whether the psychological problems were caused by CFS, existed before the illness, or are common to most CFS patients. Findings from one case cannot be generalized to all ME/CFS patients.
About the PEM badge: “PEM required” means post-exertional malaise was an explicit required diagnostic criterion for participant inclusion in this study — not that PEM was studied, observed, or discussed. Studies using criteria that do not require PEM (e.g. Fukuda, Oxford) are tagged “PEM not required”. How the atlas works →
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