Authier, François-Jérôme, Sauvat, Stéphane, Champey, Julien et al. · Arthritis and rheumatism · 2003 · DOI
This study looked at patients with macrophagic myofasciitis (MMF), a rare inflammatory muscle condition, and found that some of them also developed symptoms very similar to chronic fatigue syndrome (ME/CFS). The researchers observed that these patients experienced persistent fatigue, muscle pain, and other symptoms characteristic of ME/CFS alongside their muscle inflammation.
This work highlights a potential subset of ME/CFS patients who may have an identifiable inflammatory muscle pathology (MMF) underlying their fatigue symptoms. Understanding these connections could help researchers identify biomarkers and potentially distinct disease mechanisms within the ME/CFS population, improving diagnostic and treatment approaches.
This study does not prove that MMF causes ME/CFS, nor does it establish how common this overlap is in the general ME/CFS population. The observational design without controls cannot determine whether the two conditions share a common mechanism or are coincidentally occurring in these patients.
About the PEM badge: “PEM required” means post-exertional malaise was an explicit required diagnostic criterion for participant inclusion in this study — not that PEM was studied, observed, or discussed. Studies using criteria that do not require PEM (e.g. Fukuda, Oxford) are tagged “PEM not required”. How the atlas works →
The first block is for the primary paper and is the citation you should use in research work. The atlas-snapshot line only applies if you are specifically referring to this atlas’s reading of the paper on the date shown.
Primary citation
Authier, François-Jérôme, Sauvat, Stéphane, Champey, Julien, Drogou, Irène, Coquet, Michèle, & Gherardi, Romain K (2003). Chronic fatigue syndrome in patients with macrophagic myofasciitis.. Arthritis and rheumatism. https://doi.org/10.1002/art.10740
BibTeX
@article{mecfsatlas-authier-2003-chronic-fatigue,
author = {Authier, François-Jérôme and Sauvat, Stéphane and Champey, Julien and Drogou, Irène and Coquet, Michèle and Gherardi, Romain K},
title = {Chronic fatigue syndrome in patients with macrophagic myofasciitis.},
journal = {Arthritis and rheumatism},
year = {2003},
doi = {10.1002/art.10740},
note = {PubMed: 12571868},
url = {https://www.mecfsatlas.com/evidence/authier-2003-chronic-fatigue},
}Atlas snapshot reference
ME/CFS Atlas. Generator v1 / Scanner v1.4 / policy v0.1. Accessed 2026-05-28. https://www.mecfsatlas.com/evidence/authier-2003-chronic-fatigue
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