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Cfs Criteria And


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"Chronic Fatigue Syndrome (CFS)

For VA purposes, the diagnosis of CFS requires: (1) the new

onset of debilitating fatigue severe enough to reduce daily

activity to less than 50 percent of the usual level for at

least 6 months, and (2) the exclusion, by history, physical

examinations, and laboratory tests, of all other clinical

conditions that may produce similar symptoms, and (3) 6 or

more of the following: (i) acute onset of the condition, (ii)

low grade fever, (iii) nonexudative pharyngitis, (iv)

palpable or tender cervical or axillary lymph nodes, (v)

generalized muscle aches or weakness, (vi) fatigue lasting 24

hours or longer after exercise, (vii) headaches (of a type,

severity or pattern that is different from headaches in the

pre-morbid state), (viii) migratory joint pains, (ix)

neuropsychologic symptoms, and (x) sleep disturbance. 38

C.F.R. § 4.88a (2006)."

Also "chronic multisymptom illnesses" GWVs

"The symptoms must be manifest to a degree of 10 percent or

more during the presumptive periods prescribed by the

Secretary or by December 31, 2011. By history, physical

examination and laboratory tests, the disability cannot be

attributed to any known clinical diagnosis. Objective

indications of chronic disability include both "signs" in the

medical sense of objective evidence perceptible to an

examining physician, and other, non-medical indicators that

are capable of independent verification. Disabilities that

have existed for 6 months or more and disabilities that

exhibit intermittent episodes of improvement and worsening

over a 6-month period will be considered chronic.

The signs and symptoms which may be manifestations of

undiagnosed illness or a chronic multisymptom illness

include, but are not limited to: (1) fatigue, (2) signs or

symptoms involving the skin, (3) headaches, (4) muscle pain,

(5) joint pain, (6) neurologic signs or symptoms, (7)

neuropsychological signs or symptoms, (8) signs or symptoms

involving the respiratory system (upper or lower), (9) sleep

disturbance, (10) gastrointestinal signs or symptoms, (11)

cardiovascular signs or symptoms, (12) abnormal weight loss,

or (13) menstrual disorders. 38 U.S.C.A. §§ 1117, 1118 (West

2002); 38 C.F.R. § 3.317 (2006)."

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