European Child & Adolescent Psychiatry

, Volume 3, Issue 2, pp 97–100

Chronic fatigue syndrome or affective disorder? Implications of the diagnosis on management

  • Joanna Giannopoulou
  • Sarah Marriott
Article

Abstract

This paper reports a case of a 13 1/2 year old boy with a bipolar affective disorder, who was assumed to be suffering from a post-viral fatigue syndrome. The diagnostic problems in differenting the postviral fatigue syndrome from affective disorders in children/adolescents are discussed. The consequences of misdiagnosis in young people, bearing in mind the developmental tasks that they face, are considered.

Résumé

Cet article décrit le cas d'un garcon, âgé 13 1/2 ans avec un trouble affectif bipolaire. Sa maladie, précédée par une épisode de symptômes viraux, était diagnostiquée erronément comme syndrôme de fatigue post-viral. Les problèmes du diagnostic-differentiel de la distinction entre syndrômes de fatigues et maladies affectives dans la jeunesse/ad-olescence, sont mis au lumière. Les conséquences d'un faux diagnostic dans la jeunesse, peuvent être graves, tenant compte des tâches développementales de cet âge.

Zusammenfassung

Es wird ein 13 1/2 Jahre alter Junge mit einer “bipolaren”, manisch-depressiven Krankheit beschrieben, die kurz nach viralen Symptomen begann und deswegen als postvirales Ermüdungssyndrom betrachtet wurde. Die differential-diagnostischen Schwierigkeiten der Unterscheidung zwischen affektiven Krankheiten und postviralem Ermüdungssyndrom im Jugendalter werden beleuchtet. Die Konsequenzen einer falschen Diagnose bei Jugendlichen angesichts der Entwicklungsaufgaben dieses Alters werden erörtert.

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Copyright information

© Hogrefe & Huber Publishers 1994

Authors and Affiliations

  • Joanna Giannopoulou
    • 1
  • Sarah Marriott
    • 2
  1. 1.Children's DepartmentThe Maudsley HospitalDenmark Hill, LondonUK
  2. 2.District Services CentreThe Maudsley HospitalLondonUK

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