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ARTICLE Biochemical and Vascular Aspects of Pediatric Chronic Fatigue Syndrome Gwen Kennedy, PhD; Faisel Khan, PhD; Alexander Hill, PhD; Christine Underwood, MBBS; Jill J. F. Belch, MD Objective: To evaluate the biochemical and vascular as- Results: Children with CFS/ME had increased oxidative pects of pediatric chronic fatigue syndrome/myalgic en- stress compared with control individuals (isoprostanes: cephalomyelitis (CFS/ME). 252.30 vs 215.60 pg/mL,P = .007; vitamin C, mean [SD]: 0.84 [0.26] vs 1.15 [0.28] mg/dL,P .001; vitamin E, 8.72 [2.39] vs 10.94 [3.46] µg/mL, P = .01) and increased white blood Design: Cross-sectional clinical study. cell apoptosis (neutrophils: 53.7% vs 35.7%, P = .005; lym- phocytes: 40.1% vs 24.6%, P = .009). Arterial stiffness vari- Setting: Tayside, Scotland, United Kingdom. ables did not differ significantly between groups (mean aug- mentation index, −0.57% vs −0.47%, P = .09); however, the Participants: Twenty-five children with CFS/ME and derived variables significantly correlated with total (r = 0.543, 23 healthy children recruited from throughout the United P = .02) and low-density lipoprotein (r = 0.631,P = .004) cho- Kingdom. lesterol in patients with CFS/ME but not in controls. Interventions: Participants underwent a full clinical ex- Conclusions: Biomedical anomalies seen in adults with amination to establish
JAMA Pediatrics – American Medical Association
Published: Sep 1, 2010
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