Peter Rowe

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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. [1]

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,[2] and serves on the Solve ME/CFS Initiative Research Advisory Council.[3]

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.[4]


Clinic Location[edit]

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.

2017 Pediatric Primer[edit]

Dr. Rowe was one of the authors of the 2017 Pediatric Primer published in Frontiers in Pediatrics.

  • Myalgic Encephalomyelitis/Chronic Fatigue Syndrome Diagnosis and Management in Young People: A Primer (OPEN ACCESS/FULL TEXT). Authors: Peter C. Rowe, Rosemary A. Underhill, Kenneth J. Friedman, Alan Gurwitt, Marvin S. Medow, Malcolm S. Schwartz, Nigel Speight, Julian M. Stewart, Rosamund Vallings and Katherine S. Rowe
    Abstract: Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a complex disease that affects children and adolescents as well as adults. The etiology has not been established. While many pediatricians and other health-care providers are aware of ME/CFS, they often lack essential knowledge that is necessary for diagnosis and treatment. Many young patients experience symptoms for years before receiving a diagnosis. This primer, written by the International Writing Group for Pediatric ME/CFS, provides information necessary to understand, diagnose, and manage the symptoms of ME/CFS in children and adolescents. ME/CFS is characterized by overwhelming fatigue with a substantial loss of physical and mental stamina. Cardinal features are malaise and a worsening of symptoms following minimal physical or mental exertion. These post-exertional symptoms can persist for hours, days, or weeks and are not relieved by rest or sleep. Other symptoms include cognitive problems, unrefreshing or disturbed sleep, generalized or localized pain, lightheadedness, and additional symptoms in multiple organ systems. While some young patients can attend school, on a full or part-time basis, many others are wheelchair dependent, housebound, or bedbound. Prevalence estimates for pediatric ME/CFS vary from 0.1 to 0.5%. Because there is no diagnostic test for ME/CFS, diagnosis is purely clinical, based on the history and the exclusion of other fatiguing illnesses by physical examination and medical testing. Co-existing medical conditions including orthostatic intolerance (OI) are common. Successful management is based on determining the optimum balance of rest and activity to help prevent post-exertional symptom worsening. Medications are helpful to treat pain, insomnia, OI and other symptoms. The published literature on ME/CFS and specifically that describing the diagnosis and management of pediatric ME/CFS is very limited. Where published studies are lacking, recommendations are based on the clinical observations and practices of the authors.[6]

Notable studies[edit]

Medscape Continuing Medicine Education[edit]


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

Talks and Interviews[edit]

See also[edit]


  6. Rowe, Peter C.; Underhill, Rosemary A.; Friedman, Kenneth J.; Gurwitt, Alan; Medow, Marvin S.; Schwartz, Malcolm S.; Speight, Nigel; Stewart, Julian M.; Vallings, Rosamund; Rowe, Katherine S. (2017), "Myalgic Encephalomyelitis/Chronic Fatigue Syndrome Diagnosis and Management in Young People: A Primer", Frontiers in Pediatrics, 5 (121), doi:10.3389/fped.2017.00121 
  7. Rowe, Peter C.; Marden, Colleen L.; Heinlein, Scott; Edwards II, Charles C. (2018), "Improvement of severe myalgic encephalomyelitis/chronic fatigue syndrome symptoms following surgical treatment of cervical spinal stenosis", Journal of Translational Medicine, 16 (21), doi:10.1186/s12967-018-1397-7 
  8. Rowe, PC; Fontaine, KR; Lauver, M; Jasion, SE; Marden, CL; Moni, M; Thompson, CB; Violand, RL (18 July 2016), "Neuromuscular Strain Increases Symptom Intensity in Chronic Fatigue Syndrome", PLOS One, PMID 27428358, doi:10.1371/journal.pone.0159386 
  9. Rowe, Peter C; Marden, Colleen L; Jasion, Samantha E; Cranston, Erica M; Flaherty, Marissa A; Kelly, Kevin J (3 June 2016), "Cow's milk protein intolerance in adolescents and young adults with chronic fatigue syndrome", Acta Paediatrica, 105 (9): e412–e418, PMID 27177188, doi:10.1111/apa.13476 
  10. Rowe, PC; Marden, CL; Flaherty, MA; Jasion, SE; Cranston, EM; Johns, AS; Fan, J; Fontaine, KR; Violand, RL (2014), "Impaired range of motion of limbs and spine in chronic fatigue syndrome", J Pediatr, 165 (2): 360-6, doi:10.1016/j.jpeds.2014.04.051 
  11. Sulheim, D; Fagermoen, E; Winger, A; Andersen, AM; Godang, K; Müller, F; Rowe, PC; Saul, JP; Skovlund, E; Øie, MG; Wyller, VB (2014), "Disease mechanisms and clonidine treatment in adolescent chronic fatigue syndrome: a combined cross-sectional and randomized clinical trial", JAMA Pediatrics, 168 (4): 351-60, PMID 24493300, doi:10.1001/jamapediatrics.2013.4647 
  12. Rowe, P. C.; Fontaine, K. R.; Violand, R. L. (2013), "Neuromuscular strain as a contributor to cognitive and other symptoms in chronic fatigue syndrome: hypothesis and conceptual model", Frontiers in Physiology, 4 (115), doi:10.3389/fphys.2013.00115 
  13. 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 
  14. Kuo, DZ; Cheng, TL; Rowe, PC (2007), "Successful use of a primary care practice-specialty collaboration in the care of an adolescent with chronic fatigue syndrome", Pediatrics, 120 (6): e1536-9, PMID 18055669, doi:10.1542/peds.2007-0493 
  15. Razumovsky, AY; DeBusk, K; Calkins, H; Snader, S; Lucas, KE; Vyas, P; Hanley, DF; Rowe, PC (2003), "Cerebral and systemic hemodynamics changes during upright tilt in chronic fatigue syndrome", J Neuroimaging, 13 (1): 57-67, PMID 12593133 
  16. Rowe, PC; Barron, DF; Calkins, H; Maumenee, IH; Tong, PY; Geraghty, MT (1999), "Orthostatic intolerance and chronic fatigue syndrome associated with Ehlers-Danlos syndrome", J Pediatr, 135 (4): 494-9, PMID 10518084 
  17. Rowe, PC; Calkins, H (1998), "Neurally mediated hypotension and chronic fatigue syndrome", Am J Med, 105 (3A): 15S-21S, PMID 9790477 
  18. Yataco, A; Talo, H; Rowe, P; Kass, DA; Berger, RD; Calkins, H (1997), "Comparison of heart rate variability in patients with chronic fatigue syndrome and controls", Clinical Autonomic Research, 7 (6): 293-7, PMID 9430800 
  19. | last1 = Bou-Holaigah | first1 = I | authorlink1 = | last2 = Rowe | first3 = PC | authorlink3 = Peter Rowe | last3 = Kan | first3 = J | authorlink3 = | last4 = Calkins | first4 = H | authorlink4 = | title = The relationship between neurally mediated hypotension and the chronic fatigue syndrome | journal = JAMA | volume = 274 | issue = 12 | page = 961-7 | date = 1995 | doi = 10.1001/jama.1995.03530120053041 }}

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From MEpedia, a crowd-sourced encyclopedia of ME and CFS science and history