PEDIATRICS Vol. 89 No. 4 April 1992, pp. 804
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Chronic Fatigue Immune Dysfunction Syndrome: An Epidemic?

MUDR ALEScaron KMINEK 1 and MUDR IVO SIMUNEK 1

1 Department of Pediatrics, Charles University of Prague, Faculty of Medicine I, Ke Karlovu 2, 120 00 Praha 2, Czechoslovakia

To the Editor.—

We read with great interest the article "Chronic Fatigue in Adolescents" by Smith et al in the August 1991 issue.1 We appreciate the statement by the authors that "the CDC-recommended criteria for case definition of the chronic fatigue syndrome (CFS) were developed mainly from adult populations and may not be appropriate for children and adolescents."

We have studied children suffering from unexplained fatigue, mild fever, nonexudative pharyngitis, lymphadenopathia, etc, since 1987, ie, prior to publication of CDC-recommended criteria of CFS.2