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How common is chronic fatigue syndrome
Most paediatricians regularly see children with chronic fatigue syndrome although the epidemiology has not been well studied. In this issue Esther Crawley reviews what is currently known. There are various definitions—fatigue has to be chronic and disabling, last at least 3 months and be accompanied by 1–4 additional symptoms. Data from the Avon Longitudinal Study of Parents and Children at age 13 showed a prevalence of 2.4% (3 months) and 0.9% (6 months). Many sufferers never consult a doctor. Female gender, genetics and viruses are all risk factors. The role of exercise versus sedentary behaviour is poorly understood. Anxiety and depression are both risk factors and complications. Contrary to widely held assumptions there is no particular social class predominance although socio-economic and family factors are clearly relevant. In general the outcome in childhood is good with recognition of the condition, child and family engagement and appropriate multidisciplinary input. See page 171.
Bruising in children assessed for suspected physical abuse
Bruising is common in children and is the most common injury sustained by children who have been physically abused. Kemp and colleagues report the characteristics of bruising and mode of presentation of 519 children (age less than 6 years) referred for assessment of suspected …
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