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===Malaise and fatigue=== The World Health Organization has stated that ME and CFS can only be classed as a neurological disorder and ''cannot'' be classified under the following "malaise and fatigue" diagnosis (in the General signs, symptoms and abnormal findings), or as [[neurasthenia]] or Fatigue syndrome in the [[:Category:Mental disorders |mental and behavioral disorders category]]: '''R53.83 Malaise and fatigue''' categorizies "lethargy" and "tiredness" which are regarded as "Signs, symptoms and abnormal findings" rather than a specific disease. '''F48.0 Neurasthenia''' This is classed as a neurotic (anxiety) disorder, within the [[:Category:Mental disorders |mental disorders]] section of the ICD-10; it is describes this as "increased fatigue" which may be after mental effort, or emphasizing "feelings of bodily or physical weakness and exhaustion after only minimal effort", with an inability to relax and "a feeling of muscular aches and pains". In the ICD-10 this excludes burn-out (Z73.0), malaise and fatigue (R53) and postviral fatigue syndrome (G93.3).<ref name="NeurastheniaICD10">{{Cite web|url=https://icd.who.int/browse10/2016/en#/F48.0 | title = F48.0 Neurasthenia - ICD-10 Version:2016 | last =World Health Organization | first= | authorlink = World Health Organization|website=World Health Organization|archive-url=|archive-date=|url-status=|access-date=2019-04-13}}</ref><ref name="gibson2012" /><br> Chronic fatigue with no known cause which does not meet the criteria for [[chronic fatigue syndrome]] is referred to as either [[idiopathic chronic fatigue]] or a [[medically unexplained symptoms|medically unexplained symptom]] in medical literature.
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