A committe of the Institute of Medicine (IOM) in the USA proposed the new name systemic exertion intolerance disease (SEID) for chronic fatigue syndrome (CFS) in the report Beyond Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: Redefining an Illness released the 10th of February 2015. I think the IOM committee went too enthusiastic about a new name, and forgot all the problems the introduction of a new name will generate. If the WHO website ICD-10 tool is searched for the G93.3 code the following result appears: For example the following names turn up for G93.3: Akureyri’s disease Iceland disease Benign myalgic encephalomyelitis Neuromyasthenia … Fortsätt läsa Is the proposed name SEID useful?
Deterioration after mental or physical exertion is often referred as “post exertional malaise” (PEM). But the word malaise, is very far from what it is. In the Swedish medical dictionary malaise is defined as a vague diffuse sense of discomfort and tiredness. But the patients rather experience a crash with an increase of most of the symptoms. To be clear that the entire symptom complex deteriorates, it would be better to replace the word “malaise” with “relapse”. Relapse also better describes that it takes some days to recover. Post exertional malaise could be interpreted like a few minutes of feeling … Fortsätt läsa Suggestion to replace PEM by PAR