Stern, K · CDS review · 1993
This review article examines the signs and symptoms that people with chronic fatigue syndrome (ME/CFS) commonly experience. The study helps identify what doctors should look for when evaluating patients who may have this condition. Understanding these key features is important for recognizing ME/CFS and distinguishing it from other illnesses.
This review provides a foundational clinical overview of how ME/CFS presents, which is essential for healthcare providers and patients seeking to understand the disease manifestations. Accurate symptom recognition remains critical for timely diagnosis, as ME/CFS is frequently misdiagnosed or delayed in diagnosis. Published during the early recognition of this illness, this work contributed to establishing the clinical framework for identifying ME/CFS patients.
This review does not establish the underlying biological mechanisms causing ME/CFS symptoms, nor does it prove causation between any proposed risk factors and disease development. As a narrative review without original research data, it cannot validate the prevalence of specific symptoms or establish diagnostic criteria through controlled observation. The study reflects clinical knowledge available in 1993 and does not address whether symptom presentations vary by disease subtype or patient population.
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
Stern, K (1993). Chronic fatigue syndrome: signs and symptoms.. CDS review. https://pubmed.ncbi.nlm.nih.gov/8187200/
BibTeX
@article{mecfsatlas-stern-1993-chronic-fatigue,
author = {Stern, K},
title = {Chronic fatigue syndrome: signs and symptoms.},
journal = {CDS review},
year = {1993},
note = {PubMed: 8187200},
url = {https://www.mecfsatlas.com/evidence/stern-1993-chronic-fatigue},
}Atlas snapshot reference
ME/CFS Atlas. Generator v1 / Scanner v1.4 / policy v0.1. Accessed 2026-05-29. https://www.mecfsatlas.com/evidence/stern-1993-chronic-fatigue
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