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Epidemic myalgic encephalomyelitis
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== Symptoms == Reported symptoms could vary considerably from outbreak to outbreak. Common symptoms included: * [[muscle fatigability|muscle fatigability]] * [[muscle weakness]] / [[paresis]]<ref name="Jackson1957">{{Cite journal| url = http://journals.co.za/content/m_samj/31/21/AJA20785135_45533 | title = A disease resembling poliomyelitis; report of an outbreak in Johannesburg | last = Jackson | first = B | date = May 1957|journal=South African Medical Journal|volume=31 | pages = 514-517|via=}}</ref><ref name="Hill1959">{{Cite journal| url = https://www.ncbi.nlm.nih.gov/pubmed/13642847 | title = Epidemic myalgic encephalomyelopathy: the Durban outbreak | last = Hill | first = RC | date = April 4, 1959|journal=The Lancet|volume=1 | pages = 689-693|via=}}</ref> (10-80%<ref name="Acheson, 1959" /> of cases), commonly occurring in the legs<ref name="Sigurdsson1956" /><ref name="Pellew1951">{{Cite journal | first =R.A. | last = Pellew|url = http://www.cabdirect.org/abstracts/19522700678.html;jsessionid=AA4534CA199AC800732B3877608F5CE0 | title = A Clinical Description of a Disease resembling Poliomyelitis, seen in Adelaide, 1949-1951|journal =Medical Journal of Australia | date =June 30, 1951|volume =1 |issue =26 | pages =944-6}}</ref> * [[ataxia]] * [[myalgia]]<ref name="Sigurdsson1956" /><ref name="Jackson1957" /> and [[neuralgia]] * severe [[headache]]<ref name="Pellew1951" /><ref name="Jackson1957" /><ref name="Hill1959" /> * stiffness of the neck and spine<ref name="Sigurdsson1956" /><ref name="Pellew1951" /><ref name="Jackson1957" /><ref name="Hill1959" /> * [[Swollen lymph nodes|tender lymph nodes]], spleen and/or liver * [[Cognitive dysfunction|cognitive symptoms]] including [[Memory problems|impaired memory]]<ref name="Sigurdsson1956" /> and concentration<ref name="Hill1959" /> * [[Sleep dysfunction|sleep disturbances]]<ref name="Hill1959" /> * sensory symptoms including sensitivity to [[Photophobia|light]] and sound, [[paresthesia|paraesthesiae]],<ref name="Sigurdsson1956" /><ref name="Jackson1957" /><ref name="Hill1959" /> [[hyperaesthesiae|hyperaesthesia]] * [[Dysautonomia|autonomic symptoms]] such as tachychardia, coldness of the extremities, sweating * [[post-exertional malaise]], worsening of symptoms with exertion<ref name="Sigurdsson1956" /><ref name="Shelokov, 1957" /><ref name="Hill1959" /><ref name="Albrecht1964">{{Cite journal | last = Albrecht | first = Robert | date = March 21, 1964 | title = Epidemic Neuromyasthenia Outbreak in a Convent in New York State | url =https://www.ncbi.nlm.nih.gov/pubmed/14100144|journal=Journal of the American Medical Association|volume=187 | pages = 904-907|via=}}</ref><ref name="Poskanzer, 1957" /> ("fatigue on walking short distances and on the least exertion was prominent"<ref name="Parish1978" />)
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