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Flare-up
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A '''flare-up''' or '''flare''' or '''symptoms flare''' in [[myalgic encephalomyelitis]]/[[chronic fatigue syndrome]] is a temporary increase in symptoms, alternatively known as experiencing [[post-exertional malaise]].<ref name="ng206"/><ref name="ICC2011primer" /> Some people use [[crash|"crash"]] or "collapse" to refer to a flare.<ref name="CDCsymptoms">{{Cite web | url = https://www.cdc.gov/me-cfs/symptoms-diagnosis/symptoms.html | title = Symptoms {{!}} Myalgic Encephalomyelitis/Chronic Fatigue Syndrome|website=[[Centers for Disease Control and Prevention]] | date = Jan 27, 2021|access-date = 2021-02-25}}</ref> ==NHS definition== {{Quote box|quote=A worsening of symptoms, more than would be accounted for by normal day-to-day variation, that affects the person's ability to perform their usual activities. Flare‑ups may occur spontaneously or be triggered by another illness, [[overexertion]] or other triggers. Flare‑ups usually occur as part of post-exertional malaise but it is possible for other symptoms, such as [[pain]], to flare-up without [[post-exertional malaise]]. The worsening of symptoms is transient and flare‑ups typically resolve after a few days, either spontaneously or in response to temporary changes in [[energy management]] or a change in treatment. A [[relapse]] lasts longer than a flare‑up.<ref name="ng206" /> | author=ME/CFS:diagnosis and management. NICE guideline (2021). | title = Flare-up}} The UK's [[National Health Service]] definition of a flare-up can be found within the 2021 [[NICE guidelines]].<ref name="ng206">{{Cite web | url = https://www.nice.org.uk/guidance/ng206/chapter/recommendations#terms-used-in-this-guideline | 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> ==International Consensus Criteria == Symptoms flare is not a term defined in the ICC.<ref name="ICC2011primer">{{citation | last1 = Carruthers | first1 = BM | authorlink1 = 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 | authorlink5 = Gordon Broderick | last6 = Mitchell | first6 = T | authorlink6 = Terry Mitchell | last7 = Staines | first7 = D | author-link8 = Donald Staines | last8 = Powles | first8 = ACP | author-link8 = A C Peter Powles | last9 = Speight | first9 = N | author-link9 = Nigel Speight | last10 = Vallings | first10 = R | authorlink10 = Rosamund Vallings | last11 = Bateman | first11 = L | authorlink11 = Lucinda Bateman | last12 = Bell | first12 = DS | authorlink12 = David Bell | last13 = Carlo-Stella | first13 = N | authorlink13 = Nicoletta Carlo-Stella | last14 = Chia | first14 = J | authorlink14 = John Chia | last15 = Darragh | first15 = A | authorlink15 = Austin Darragh | last16 = Gerken | first16 = A | authorlink16 = Anne Gerken | last17 = Jo | first17 = D | authorlink17 = Daehyun Jo | last18 = Lewis | first18 = DP | authorlink18 = Donald Lewis | last19 = Light | first19 = AR | authorlink19 = 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> ==Impact == ==Notable studies == ==See also == *[[Post-exertional malaise]] *[[Crash]] *[[:Category:ME/CFS terminology|ME/CFS terminology (category)]] *[[Myalgic encephalomyelitis]] *[[Chronic fatigue syndrome]] *[[List of abnormal findings in chronic fatigue syndrome and myalgic encephalomyelitis]] *[[Disability]] ==Learn more== ==References == {{Reflist}} [[Category:ME/CFS terminology]]
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