https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2023.1187163/full - https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2023.1187163/full or https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2023.1187163/full Front. Med., 02 June 2023
ME/CFS and Long COVID share similar symptoms and biological abnormalities: road map to the literature Some patients remain unwell for months after “recovering” from acute COVID-19. They develop persistent fatigue, cognitive problems, headaches, disrupted sleep, myalgias and arthralgias, post-exertional malaise, orthostatic intolerance and other symptoms that greatly interfere with their ability to function and that can leave some people housebound and disabled.
The illness (Long COVID) is similar to myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) as well as to persisting illnesses that can follow a wide variety of other infectious agents and following major traumatic injury. Together, these illnesses are projected to cost the U.S. trillions of dollars.
In this review, we first compare the symptoms of ME/CFS and Long COVID, noting the considerable similarities and the few differences.
We then compare in extensive detail the underlying pathophysiology of these two conditions, focusing on abnormalities of the central and autonomic nervous system, lungs, heart, vasculature, immune system, gut microbiome, energy metabolism and redox balance. This comparison highlights how strong the evidence is for each abnormality, in each illness, and helps to set priorities for future investigation.
The review provides a current road map to the extensive literature on the underlying biology of both illnesses.
DJ, Health stories SHOULD be about avoiding/limiting suffering...however in the present brutal reality "costs matter more than humans"...
In this review, we compare the symptoms of Long COVID and ME/CFS, noting considerable similarities and some differences. Early in the study of both illnesses, the lack of objective biomarkers led some to question whether the illnesses were “real”—whether people might be imagining or even fabricating their symptoms. In this review we summarize the emerging evidence that, in fact, there are many underlying biological abnormalities reported in both illnesses, documented by multiple laboratories. Moreover, we show that the two illnesses share many of these underlying abnormalities, just as they share many symptoms. That is, both illnesses are “real,” and both share similar biological abnormalities. Understanding the underlying biology of these illnesses is critically important, given the burden they are placing on all societies. The National Academy of Medicine and Centers for Disease Control and Prevention (CDC) estimate that, in the U.S., ME/CFS affects up to 2.5 million people and generates direct and indirect expenses of approximately $17–24 billion annually ( https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2023.1187163/full#B1 - 1 ). It also has been reported in many countries around the world. - Myalgic encephalomyelitis/CFS often, but not always, follows in the wake of an apparent “infectious-like” illness characterized by respiratory and gastrointestinal symptoms, fatigue, myalgias and other symptoms as well as fever and lymphadenopathy ( https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2023.1187163/full#B518 - 518 ). This “infectious-like” illness often is little different, initially, from the common, transient infectious illnesses that most people experience throughout life. It is not standard medical practice to test for the responsible infectious agent in people with common and transient infectious illnesses. Thus, typically no testing has been done to determine the cause of the initial “infectious-like” illness that then becomes a chronic illness in subsequent months and years. DJ, ME-CFS (etc) does not go away...lots of people suffer from it for decades...From that perspective realism may give Long CoViD patients an idea of what to expect.
"Graded excercise" etc. can help to "optimize capabilities"....full recovery however is not very likely. This realism may be hard to swallow-however it should be used to provide lots of L.C. patients both (mental) support and an income...
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