Steinberg, P, Pheley, A, Peterson, P K · The Journal of allergy and clinical immunology · 1996 · DOI
This study looked at how immediate allergic skin reactions (like those that happen within minutes of allergen exposure) might affect delayed allergic reactions (which develop over hours or days) in people with ME/CFS. Researchers were investigating whether the immune system's early response to allergens could influence its later response in this patient population. Understanding these connections may help explain why some ME/CFS patients experience unusual or prolonged allergic reactions.
ME/CFS patients often report atypical or exaggerated allergic responses, and understanding how different phases of immune reactions interact could illuminate underlying immune dysregulation in this condition. This research contributes to explaining why some patients experience complex or unusual allergy symptoms that don't fit standard allergic disease patterns.
This study does not establish that allergic reactions cause ME/CFS or that allergies are the primary driver of the disease. It also does not prove a causal relationship between immediate and delayed hypersensitivity—it only examines potential associations. The findings are preliminary and cannot be generalized beyond the specific population studied without larger confirmatory trials.
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
Steinberg, P, Pheley, A, & Peterson, P K (1996). Influence of immediate hypersensitivity skin reactions on delayed reactions in patients with chronic fatigue syndrome.. The Journal of allergy and clinical immunology. https://doi.org/10.1016/s0091-6749(96)80204-1
BibTeX
@article{mecfsatlas-steinberg-1996-influence-immediate,
author = {Steinberg, P and Pheley, A and Peterson, P K},
title = {Influence of immediate hypersensitivity skin reactions on delayed reactions in patients with chronic fatigue syndrome.},
journal = {The Journal of allergy and clinical immunology},
year = {1996},
doi = {10.1016/s0091-6749(96)80204-1},
note = {PubMed: 8977518},
url = {https://www.mecfsatlas.com/evidence/steinberg-1996-influence-immediate},
}Atlas snapshot reference
ME/CFS Atlas. Generator v1 / Scanner v1.4 / policy v0.1. Accessed 2026-05-30. https://www.mecfsatlas.com/evidence/steinberg-1996-influence-immediate
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