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== ME/CFS == Many diseases can cause similar symptoms ME/CFS: * infectious diseases (such as [[Epstein–Barr virus]], [[influenza]], HIV infection, tuberculosis, [[Lyme disease]]) * connective tissue diseases (such as Ehlers-Danlos Syndrome) * immunological diseases [such as Mast Cell Activation Syndrome (MCAS), primary immunodeficiency (PI), Common Variable Immunodeficiency (CVID)] * neurological conditions [such as Postural Orthostatic Tachycardia Syndrome (POTS), Orthostatic Intolerance, Cerebral spinal fluid leaks (CSF leaks), Craniocervical instability (CCI), vestibular migraines] * neuroendocrine diseases [such as [[Hashimoto's thyroiditis (hypothyroidism)]], [[Addison's disease]], adrenal insufficiency, [[Cushing's disease]]] * hematologic diseases (such as occult malignancy, lymphoma) * rheumatologic diseases (such as [[fibromyalgia]], polymyalgia rheumatica, [[Sjögren's syndrome]], giant-cell arteritis, [[polymyositis]], dermatomyositis) * psychiatric diseases (such as [[depression]], bipolar disorder, schizophrenia, delusional disorders, dementia, [[anorexia and eating disorders|anorexia/bulimia nervosa]]) * neuropsychologic diseases (such as [[obstructive sleep apnea]], [[Parkinson's disease|parkinsonism]], [[multiple sclerosis]]) * others (such as nasal obstruction from [[allergy|allergies]], [[sinusitis]], anatomic obstruction, autoimmune diseases such as [[systemic lupus erythematosus|lupus]] or [[rheumatoid arthritis]], some other chronic illness, alcohol or [[substance use disorder|substance abuse]], pharmacologic side effects, heavy metal exposure and toxicity, marked body weight fluctuation) However, if strict diagnostic criteria and diagnostic testing for other conditions is used, misdiagnosing a patient suffering from the conditions above with ME/CFS is unlikely.<ref name="ICC2011primer">{{citation | last1 = Carruthers | first1 = BM | author-link1 = Bruce Carruthers | last2 = van de Sande | first2 = MI | authorlink2 = Marjorie van de Sande | last3 = De Meirleir | first3 = KL | authorlink3 = Kenny de Meirleir | last4 = Klimas | first4 = NG | authorlink4 = Nancy Klimas | last5 = Broderick | first5 = G | author-link5 = Gordon Broderick | last6 = Mitchell | first6 = T | author-link6 = Terry Mitchell | last7 = Staines | first7 = D | author-link8 = A C Peter Powles | last8 = Powles | first8 = ACP | last9 = Speight | first9 = N | author-link9 = Nigel Speight | last10 = Vallings | first10 = R | author-link10 = Rosamund Vallings | last11 = Bateman | first11 = L | author-link11 = Lucinda Bateman | last12 = Bell | first12 = DS | author-link12 = David Bell | last13 = Carlo-Stella | first13 = N | author-link13 = Nicoletta Carlo-Stella | last14 = Chia | first14 = J | author-link14 = John Chia | last15 = Darragh | first15 = A | author-link15 = Austin Darragh | last16 = Gerken | first16 = A | author-link16 = Anne Gerken | last17 = Jo | first17 = D | author-link17 = Daehyun Jo | last18 = Lewis | first18 = DP | author-link18 = Donald Lewis | last19 = Light | first19 = AR | author-link19 = Alan Light | last20 = Light | first20 = KC | authorlink20 = Kathleen Light | last21 = Marshall-Gradisnik | first21 = S | authorlink21 = Sonya Marshall-Gradisnik | last22 = McLaren-Howard | first22 = J | authorlink22 = John McLaren-Howard | last23 = Mena | first23 = I | authorlink23 = Ismael Mena | last24 = Miwa | first24 = K | authorlink24 = Kunihisa Miwa | last25 = Murovska | first25 = M | authorlink25= Modra Murovska | last26 = Stevens | first26 = SR | authorlink26 = Staci Stevens | title = Myalgic encephalomyelitis: Adult & Paediatric: International Consensus Primer for Medical Practitioners | date = 2012| isbn = 978-0-9739335-3-6 | url = http://www.investinme.org/Documents/Guidelines/Myalgic%20Encephalomyelitis%20International%20Consensus%20Primer%20-2012-11-26.pdf}}</ref><ref name="canadianconsensus-CCC">{{Citation | last1 = Carruthers | first1 = Bruce M. | author-link1 = Bruce Carruthers | last2 = Jain | first2 = Anil Kumar | authorlink2 = Anil Kumar Jain | last3 = De Meirleir | first3 = Kenny L. | authorlink3 = Kenny De Meirleir | last4 = Peterson | first4 = Daniel L. | authorlink4 = Daniel Peterson | last5 = Klimas | first5 = Nancy G. | author-link5 = Nancy Klimas | last6 = Lerner | first6 = A. Martin | author-link6 = Martin Lerner | last7 =Bested | first7 = Alison C. | author-link8 = Pierre Flor-Henry | last8 = Flor-Henry | first8 = Pierre | last9 = Joshi | first9 = Pradip | author-link9 = Pradip Joshi | last10 = Powles | first10 = AC Peter | author-link10 = A C Peter Powles | last11 = Sherkey | first11 = Jeffrey A. | author-link11 = Jeffrey Sherkey | last12 = van de Sande | first12 = Marjorie I. | author-link12 = Marjorie van de Sande | title = Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: Clinical Working Case Definition, Diagnostic and Treatment Protocols| journal = Journal of Chronic Fatigue Syndrome | volume = 11 | issue = 2 | pages = 7-115 | date = 2003 | pmid = | doi = 10.1300/J092v11n01_02| url = http://www.investinme.org/Documents/PDFdocuments/CanadianDefinitionME-CFS.pdf}}</ref>
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