Peter Rowe



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.

2017 Pediatric Primer
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.

Notable studies

 * 2018, Improvement of severe myalgic encephalomyelitis/chronic fatigue syndrome symptoms following surgical treatment of cervical spinal stenosis
 * 2016, Neuromuscular Strain Increases Symptom Intensity in Chronic Fatigue Syndrome
 * 2016, Cow's milk protein intolerance in adolescents and young adults with chronic fatigue syndrome ABSTRACT
 * 2013, What is brain fog? An evaluation of the symptom in postural tachycardia syndrome

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