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A 27-year-old member asked:

What are the main differences between chronic fatigue syndrome and polymyalgia rhumatica?

2 doctor answers5 doctors weighed in
Dr. Chad Boomershine
Rheumatology 19 years experience
Shoulder & hip pain: Polymyalgia rheumatica is characterized by hip and shoulder pain/stiffness associated with high inflammatory markers in the blood (sedimentation rate and c-reactive protein). It only occurs in people 50 and older and resolves with steroid treatment within a day or 2. Fibromyalgia is all-over pain that can occur at any age and is not inflammatory. It does not respond to steroids.
Dr. John Goldman
Rheumatology 55 years experience
Big differences: Polymyalgia rheumatica is a systemic inflammatory disease with association of inflammation in muscle, joints, and even blood vessels in some people. Chronic fatigue is not inflammatory and the exact mechanism is not clear but in some settings may be related to an earlier infections especially viral but sometime it is psychological.

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A 24-year-old member asked:

What are the main symptoms of chronic fatigue syndrome that people have?

2 doctor answers4 doctors weighed in
Dr. PHILIP WALLER
Rheumatology 33 years experience
FATIGUE # 1: Not to sound condescending but disabling fatigue certainly is the main symptom. Low grade fevers, muscle and joint pain are also extremely common. Some patients will descibe sore throats and possibly swollen lymph nodes. Flu like complaints are also common.

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Last updated Jan 17, 2021
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