Chronic Fatigue Affects Teens Too

Chronic Fatigue Syndrome has long been known as a condition affecting adults. According to a new report, it can be a serious condition amongst teens and adolescents as well.

A Dutch study published in Pediatrics reported that while chronic fatigue syndrome is not as common in teenagers as it is in adults, many cases go undiagnosed, especially by general practitioners. Dr. S.L. Nijhof, a physician at Wilhelmina Children’s Hospital at the University Medical Center in Utrecht co-authored the report.

Nijhof clarified the difference between chronic fatigue syndrome and the typically-tired teenager due to regular growing and busy schedules. “Fatigue is a common complaint among adolescents, with a good prognosis,” he said. “Chronic fatigue syndrome is much less common, but with serious consequences.”

Researchers collected data from 354 general practitioners in the Netherlands and information from pediatric hospitals for the report.

They found that about 1 in 900 teens developed chronic fatigue syndrome, which translated to a prevalence of 111 per 100,000 teens and an annual incidence of 12 per 100,000.

However, nearly 75% of the teens were not diagnosed by their general practitioner but rather by a pediatrician or alternative health-care provider according to the study.

Only half of the participating general practitioners, as opposed to 96% of consulted pediatricians, said they accepted chronic fatigue syndrome as a distinct diagnosis in teen patients. "We want to create awareness among [general practitioners] and support the idea that adolescents with severe fatigue should be referred to a pediatrician," Nijhof said. "Chronic fatigue is much less common [in teens], but with serious consequences." The research also showed that 90% of teens with chronic fatigue had noticeable school absences, missing at least 15% of the school year. Dr. Nancy Klimas, director of the Chronic Fatigue Center at the University of Miami Miller School of Medicine, who treats teens with the condition, agrees with the findings of the study. She said that parents need to be aware that the condition can affect teens and it often occurs when the adolescent returns to activities and school too quickly following a mononucleosis infection. Klimas said symptoms of chronic fatigue syndrome include pain in muscles and joints, a sore throat, and swollen lymph nodes. In addition, a teenager suffering from the condition may wake up exhausted after a night’s sleep and experience headaches and concentration or memory problems.
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