Vorobyova, Yu D, Danilov, A B · Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova · 2021 · DOI
This article reviews how ME/CFS develops by looking at both genes and environmental factors that trigger the illness. The authors explain known genetic problems found in ME/CFS patients, what can start the disease, and how these factors combine to cause the symptoms people experience. They also describe a systematic approach to diagnosing and treating ME/CFS.
This article provides a structured framework for understanding how genetic susceptibility and environmental exposures interact to cause ME/CFS, which can help guide both clinical diagnosis and research into personalized treatment approaches. A systematic approach to diagnosis and treatment may improve consistency in how ME/CFS is recognized and managed across different healthcare settings.
This editorial does not present original research data and therefore does not establish new causal relationships or prove specific genetic-environmental mechanisms. The systematic approach described is a conceptual framework rather than validated in controlled trials, so its effectiveness compared to other diagnostic or treatment methods is not demonstrated.
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
Vorobyova, Yu D & Danilov, A B (2021). [Chronic fatigue syndrom: modern aspects of diagnosis and treatment].. Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova. https://doi.org/10.17116/jnevro2021121402113
BibTeX
@article{mecfsatlas-vorobyova-2021-chronic-fatigue,
author = {Vorobyova, Yu D and Danilov, A B},
title = {[Chronic fatigue syndrom: modern aspects of diagnosis and treatment].},
journal = {Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova},
year = {2021},
doi = {10.17116/jnevro2021121402113},
note = {PubMed: 34037364},
url = {https://www.mecfsatlas.com/evidence/vorobyova-2021-chronic-fatigue},
}Atlas snapshot reference
ME/CFS Atlas. Generator v1 / Scanner v1.4 / policy v0.1. Accessed 2026-05-26. https://www.mecfsatlas.com/evidence/vorobyova-2021-chronic-fatigue
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