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Overtraining syndrome
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==Chronic fatigue syndrome erroneously diagnosed == A large number of different sets of [[:Category:Definitions|diagnostic criteria]] exist for [[myalgic encephalomyelitis]] and [[chronic fatigue syndrome]], which can cause confusion in excluding many other conditions that are potential causes of [[chronic fatigue]] and other symptoms. Some clinicians also use the terms [[chronic fatigue syndrome]] to incorrectly refer to [[idiopathic chronic fatigue]], which is not a neurological disease but a term for any long-term unexplained fatigue. Medical tests are needed to diagnose [[ME/CFS]] - while no particular test can diagnose it, tests are needed to investigate other possible causes of the symptoms.<ref name="niceng206">{{Cite web|url=https://www.nice.org.uk/guidance/ng206| title = Myalgic Encephalomyelitis (or Encephalopathy)/Chronic Fatigue Syndrome:diagnosis and management. NICE guideline. | last=NICE Guideline Development Group | first = | authorlink = |publisher=[[National Institute for Health and Care Excellence]] | date = 2021-10-29}}</ref> A large UK study of 377 patients referred to a specialist ME/CFS treatment found many patients were wrongly diagnosed: {{quote frame|text=Half of all the referred patients to a specialist CFS clinic had alternative medical and psychiatric diagnoses... The commonest alternative medical diagnoses of those assessed were [[:Category:Sleep disorders|sleep disorders]] and the commonest alternative psychiatric diagnosis was [[depression|depressive illness]]. Altogether 184 of 377 (49%) patients had alternative diagnoses to CFS. | author = Devasahayam at al. (2012)<ref name="Devasahayam2012">{{Cite journal | last = Devasahayam | first = Anoop | author-link = | last2 = Lawn | first2 = Tara | authorlink2 = | last3 = Murphy | first3 = Maurice | authorlink3 = | last4 = White | first4 = Peter D | authorlink4 = | date = Jan 2012| title = Alternative Diagnoses to Chronic Fatigue Syndrome in Referrals to a Specialist Service: Service Evaluation Survey|url=https://journals.sagepub.com/doi/epub/10.1258/shorts.2011.011127|journal=JRSM Short Reports|volume=3|issue=1|pages=1β5|doi=10.1258/shorts.2011.011127|issn=2042-5333|pmc=PMC3269106|pmid=22299071|access-date=|quote=|via=}}|source=Alternative Diagnoses to Chronic Fatigue Syndrome in Referrals to a Specialist Service: Service Evaluation Survey</ref>}}
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