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Neurology Today: Are ME/CFS and Long Covid part of the same disorder?, Neurology Today, by Gina Shaw, 18 April 2024
We're seeing an increasing number of studies suggesting that there is a large overlap between CFS and long covid. Historically we were able to observe CFS occuring in patients who suffered from glandular fever which is another moderately severe viral infection. I had glandular fever back when I was 18 and the actual virus felt awful but I fortunately did not experience many long term symptoms; although my partner at the time (who I'm now married to) said she noticed I was low energy for a fair few months afterwards.
I'm extremely curious about further research on the relationship between the two diseases. Potentially the increased interest/research from the relatively large number of people who have experienced long covid could lead to a breakthrough which helps people suffering from other fatigue disorders.
I think one of the first things you’ll be interested to hear is modern definitions of ME/CFS don’t note fatigue as the most disabling symptom but a disease process called post-exertional malaise, wherein a person’s entire disease can worsen (sometimes permanently) based on the amount of energy they use.
It’s really fascinating, A recent study by Wust et al. found muscle clotting and abnormalities following exertion in people with ME/CFS.
Also people with ME are the only known disease group to preform markeldy worse in specific markers on a 2 day CPET. Which would serve as a biomarker if it were not for the fact doing the test can worsen people’s disease permanently.
I highly recommend this summarising article on the issue: https://www.nationalgeographic.com/premium/article/long-covid-patients-exercise-bad-medicine
If you are genuinely curious, I’d invite you to join a community of Long Covid and ME/CFS patients and researchers online, and ask any questions you have.
https://s4me.info
Thanks for the link, might check it out later. To be honest this is more of a passing interest* since I have experienced both viruses and seemed to have some limited long term effects from glandular fever.
* as opposed to a passion