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	Institution: CLOCKSS  | My Account | E-mail Alerts | Access Rights | Sign In Vol. 3 No. 12, December 1994   Archives  • Online Features Original Contributions  This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal Outcome of 48 Pediatric Patients With Chronic Fatigue A Clinical Experience Henry M. Feder, Jr, MD; Paul H. Dworkin, MD; Carl Orkin, MD Arch Fam Med. 1994;3(12):1049-1055. Abstract Objective To define outcomes of pediatric patients with chronic fatigue. Design Cohort study with a mean follow-up of 3.8 years. Setting Outpatient pediatrics department at a university health center. Patients Patients 21 years old and younger referred by their private physicians for evaluation of unexplained fatigue lasting at least 3 months. Intervention Patients were seen from January 1986 through April 1990 and were telephoned in April 1992 to determine outcome. Results Of the 55 patients who were evaluated from 1986 to 1990, an organic cause of the fatigue, sinusitis, was found for one. Of the 54 patients with unexplained fatigue, 48 were contacted in 1992. The mean age of these 48 patients was 15 years; 73% were female. Fatigue was present a mean of 7 months before evaluation, and in 78% an acute illness preceded the fatigue. Most patients believed their fatigue had an organic cause. In general, laboratory studies were not helpful. All patients were encouraged to resume normal functioning despite their symptoms. At follow-up, 65% reported resolution of symptoms, 29% reported improvement, and 6% were unchanged. Conclusions In pediatric patients with chronic fatigue, diagnostic and therapeutic interventions should be based on positive findings; with simple encouragement, the prognosis is excellent. Based on this experience, we suggest a structured approach to the management of pediatric patients with chronic fatigue. Author Affiliations From the Departments of Pediatrics (Drs Feder, Dworkin, Orkin) and Family Medicine (Dr Feder), University of Connecticut Health Center, Farmington, and the Department of Pediatrics, St Francis Hospital and Medical Center, Hartford, Conn (Dr Dworkin). THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES Postinfectious Fatigue in Adolescents and Physical Activity Huang et al. Arch Pediatr Adolesc Med 2010;164:803-809. ABSTRACT | FULL TEXT   Adolescent Chronic Fatigue Syndrome: A Follow-up Study van Geelen et al. Arch Pediatr Adolesc Med 2010;164:810-814. ABSTRACT | FULL TEXT   Association between school absence and physical function in paediatric chronic fatigue syndrome/myalgic encephalopathy Crawley and Sterne Arch. Dis. Child. 2009;94:752-756. ABSTRACT | FULL TEXT   Chronic Fatigue Syndrome After Infectious Mononucleosis in Adolescents Katz et al. Pediatrics 2009;124:189-193. ABSTRACT | FULL TEXT   A Follow-up Study of Chronic Fatigue Syndrome in Children and Adolescents: Symptom Persistence and School Absenteeism Sankey et al. Clin Child Psychol Psychiatry 2006;11:126-138. ABSTRACT   Prevalence of chronic disabling fatigue in children and adolescents Farmer et al. Br. J. Psychiatry 2004;184:477-481. ABSTRACT | FULL TEXT   Chronic Fatigue Syndrome in Adolescents: A Follow-up Study Gill et al. Arch Pediatr Adolesc Med 2004;158:225-229. ABSTRACT | FULL TEXT   Chronic fatigue syndrome in children: a cross sectional survey Patel et al. Arch. Dis. Child. 2003;88:894-898. ABSTRACT | FULL TEXT   Family cognitive behaviour therapy for chronic fatigue syndrome: an uncontrolled study Chalder et al. Arch. Dis. Child. 2002;86:95-97. ABSTRACT | FULL TEXT   Management of chronic fatigue syndrome in children Wright et al. Adv. Psychiatr. Treat. 2000;6:145-152. FULL TEXT   Chronic Fatigue Syndrome in Children and Adolescents: A Review Article Richards Clin Child Psychol Psychiatry 2000;5:31-51. ABSTRACT   Chronic fatigue syndrome Wright and Beverley Arch. Dis. Child. 1998;79:368-374. FULL TEXT   Course and Outcome of Chronic Fatigue in Children and Adolescents Krilov et al. Pediatrics 1998;102:360-366. ABSTRACT | FULL TEXT   Diagnosis of Lyme Disease-Reply Feder JAMA 1995;274:1427-1428. ABSTRACT   HOME | CURRENT ISSUE | PAST ISSUES | TOPIC COLLECTIONS | CME | PHYSICIAN JOBS | HELP CONDITIONS OF USE | PRIVACY POLICY | CONTACT US | SITE MAP   © 1994 American Medical Association. All Rights Reserved.