Chronic Fatigue Syndrome (CFS)
*24242 PROGRAM OPERATIONS MANUAL SYSTEM
Disability (DI, Part 4)
24515.075 Evaluation of Specific Issues - Chronic Fatigue
Fatigue Syndrome (CFS), previously known as Chronic
Epstein-Barr Virus Syndrome, and also currently called Chronic
Fatigue and Immune Dysfunction Syndrome, is a systemic
disorder consisting of a complex of variable signs and
symptoms which may vary in duration and severity. The etiology
and pathology of the disorder have not been established.
Although there are no generally accepted criteria for the
diagnosis of cases of CFS, an operational concept is used by
the medical community. There is no specific treatment, and
manifestations of the syndrome are treated symptomatically.
is characterized by the presence of persistent unexplained
fatigue and by the chronicity of other symptoms. The most
prevalent symptoms include episodes of low-grade fever,
myalgias, headache, painful lymph nodes, and problems with
memory and concentration. These symptoms fluctuate in
frequency and severity and may be seen to continue over a
period of many months. Physical examination may be within
cases must be adjudicated on the basis of the totality of
evidence, including the clinical course from the onset of the
illness, symptoms, signs, and laboratory findings.
Consideration should be given to onset, duration, severity and
residual functional capacity following the sequential
listing code 688 in item 26 of the Form SSA-831-U3 and item 34
of Forms SSA-832-U3/833-U3 whenever the case involves an
allegation or diagnosis of CFS.