Peter Rowe

Source: Dr. Peter Rowe's website

Peter C. Rowe, MD, is the director of the John Hopkins Children's Center Chronic Fatigue Clinic in Baltimore, Maryland, USA, and a professor of Pediatrics at John Hopkins University School of Medicine, Baltimore, Maryland, USA.

As a leader in the field of pediatric myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), Dr Rowe is invited as a frequent guest at ME/CFS conferences and served as one of the experts on the "Committee on the Diagnostic Criteria for Myalgic Encephalomyelitis/Chronic Fatigue Syndrome" that was convened for the 2015 Institute of Medicine report., and serves on the Solve ME/CFS Initiative Research Advisory Council.

He lists his fields of expertise as: Adolescent Medicine, Chronic Fatigue Syndrome, Fibromyalgia, General Pediatrics, Orthostatic Intolerance, Pediatrics and his research interests as: Chronic Fatigue Syndrome; Fibromyalgia; Elhers-Danlos Syndrome; Orthostatic intolerance syndromes; Gulf War Illness; and Pelvic congestion syndrome.

Awards

• 2014, Research Award, awarded by International Association for Chronic Fatigue Syndrome/Myalgic Encephalomyelitis.

Clinic Location

Johns Hopkins Pediatrics

Appointment Phone: 410-955-9229

200 N. Wolfe Street

Rubenstein Child Health Building

Baltimore, MD 21287

For information on requesting an appointment.

Notable studies

• Rowe, PC; Fontaine, KR; Lauver, M; Jasion, SE; Marden, CL; Moni, M; Thompson, CB; Violand, RL (July 18, 2016), "Neuromuscular Strain Increases Symptom Intensity in Chronic Fatigue Syndrome", PLOS One, doi:10.1371/journal.pone.0159386, PMID 27428358

• Rowe, Peter C; Marden, Colleen L; Jasion, Samantha E; Cranston, Erica M; Flaherty, Marissa A; Kelly, Kevin J (June 3, 2016), "Cow's milk protein intolerance in adolescents and young adults with chronic fatigue syndrome", Acta Paediatrica, 105 (9): e412–e418, doi:10.1111/apa.13476, PMID 27177188

• Ross, A. J.; Medow, M. S.; Rowe, P. C.; Stewart, J. M. (2013), "What is brain fog? An evaluation of the symptom in postural tachycardia syndrome.", Clinical Autonomic Research : Official Journal of the Clinical Autonomic Research Society, 23 (6): 305–311, doi:10.1007/s10286-013-0212-z

Medscape Continuing Medicine Education

• 2013, A Case-Based Approach to Chronic Fatigue Syndrome was a Medscape Continuing Medicine Education program co-authored by Dr Lisa Corbin, Dr Anthony Komaroff, Dr Benjamin Natelson, and Dr Peter Rowe.

Webinars

• Mar 17, 2017, " A Clinical Approach to ME/CFS in Adolescent and Young Adults: A Practical Primer"
• Jul 16, 2015, "Inducing Post-Exertional Malaise in ME/CFS: A Look at the Research Evidence"

Part 1 - Written questions and answers to Dr. Rowe's webinar

Part 2 - Written questions and answers to Dr. Rowe's webinar

Part 3 - Written questions and answers to Dr. Rowe's webinar

Part 4 - Written questions and answers to Dr. Rowe's webinar

• Oct 23, 2014, "Neuromuscular Strain in ME/CFS"
• September 2010, "Mangaging Orthostatic Intolerance"

Talks and Interviews

• 2016, 12th International IACFS/ME Biennial Clinical and Research Conference, Emerging Science and Clinical Care, Diagnosing and Treating Orthostatic Intolerance
• 2000 Documentary, I Remember Me, directed by Kim A. Snyder

chronic fatigue (CF) - Persistent and abnormal fatigue is a symptom, not an illness. It may be caused by depression, multiple sclerosis, fibromyalgia, chronic fatigue syndrome or many other illnesses. The term "chronic fatigue" should never be confused with the disease chronic fatigue syndrome.

myalgic encephalomyelitis (M.E.) - A disease often marked by neurological symptoms, but fatigue is sometimes a symptom as well. Some diagnostic criteria distinguish it from chronic fatigue syndrome, while other diagnostic criteria consider it to be a synonym for chronic fatigue syndrome. A defining characteristic of ME is post-exertional malaise (PEM), or post-exertional neuroimmune exhaustion (PENE), which is a notable exacerbation of symptoms brought on by small exertions. PEM can last for days or weeks. Symptoms can include cognitive impairments, muscle pain (myalgia), trouble remaining upright (orthostatic intolerance), sleep abnormalities, and gastro-intestinal impairments, among others. An estimated 25% of those suffering from ME are housebound or bedbound. The World Health Organization (WHO) classifies ME as a neurological disease.

orthostatic intolerance (OI) - The development of symptoms when standing upright, where symptoms are relieved upon reclining. Patients with orthostatic intolerance have trouble remaining upright for more than a few seconds or a few minutes, depending upon severity. In severe orthostatic intolerance, patients may not be able to sit upright in bed. Orthostatic intolerance is often a sign of dysautonomia. There are different types of orthostatic intolerance, including postural orthostatic tachycardia syndrome (POTS).

muscle strain An injury involving a stretched or torn muscle or tendon (tendons are fibrous cords of tissue that connect muscle to bone).

tachycardia An unusually rapid heart beat. Can be caused by exercise or illness. A symptom of postural orthostatic tachycardia syndrome (POTS). (Learn more: www.heart.org)