Marshall, G S · The Journal of pediatrics · 1999 · DOI
This 1999 workshop report brought together experts to discuss what was known about ME/CFS in teenagers. The report summarized information about how common the illness is, how it develops over time, and what might cause it in young people. It served as an important step in recognizing that ME/CFS affects adolescents and that they needed specialized attention.
This early workshop report helped establish that ME/CFS is a significant health problem affecting teenagers, not just adults. It brought medical attention to an often-overlooked patient population and laid groundwork for future research into how ME/CFS develops and progresses in young people.
As a workshop summary rather than original research, this report does not present new experimental data or prove specific causes of ME/CFS. It reflects the state of knowledge in 1999 and therefore does not include findings from later biological and clinical research. The conclusions represent expert consensus at that time, not evidence from controlled studies.
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
Marshall, G S (1999). Report of a workshop on the epidemiology, natural history, and pathogenesis of chronic fatigue syndrome in adolescents.. The Journal of pediatrics. https://doi.org/10.1016/s0022-3476(99)70195-2
BibTeX
@article{mecfsatlas-marshall-1999-report-workshop,
author = {Marshall, G S},
title = {Report of a workshop on the epidemiology, natural history, and pathogenesis of chronic fatigue syndrome in adolescents.},
journal = {The Journal of pediatrics},
year = {1999},
doi = {10.1016/s0022-3476(99)70195-2},
note = {PubMed: 10190912},
url = {https://www.mecfsatlas.com/evidence/marshall-1999-report-workshop},
}Atlas snapshot reference
ME/CFS Atlas. Generator v1 / Scanner v1.4 / policy v0.1. Accessed 2026-05-28. https://www.mecfsatlas.com/evidence/marshall-1999-report-workshop
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