Comorbidity of chronic fatigue syndrome, postural tachycardia syndrome, and narcolepsy with 5,10-methylenetetrahydrofolate reductase (MTHFR) mutation in an adolescent: a case report.
Liao, Ying, Qi, Jian-Guang, Yan, Hui et al.·Chinese medical journal·2021
This case report describes one adolescent patient who had three conditions at the same time: ME/CFS (chronic fatigue syndrome), postural tachycardia syndrome (a condition where heart rate increases abnormally when standing), and narcolepsy (excessive daytime sleepiness). The doctors discovered this patient had a genetic variation in the MTHFR gene, which is involved in processing folate and other important molecules in the body. The authors suggest this genetic variation might help explain why this patient developed all three conditions together.