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New development in ME – M yalgic Encephalomyelitis in Norway. Marianne Bjærum Christine Normann. What is ME?. Temporary unknown cause Officially called “Chronic Fatigue Syndrome” F irst classified into the International Classification of Diseases in 1969
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New development in ME – Myalgic Encephalomyelitisin Norway Marianne Bjærum Christine Normann
What is ME? • Temporary unknown cause • Officially called “Chronic Fatigue Syndrome” • First classified into the International Classification of Diseases in 1969 • In Norway alone it is estimated that 15.000 people have ME – predominantly women • No test exist, therefore excluding other diseases is important for diagnosis
Symptoms • Impaired memory and cognitive complaints • Sore throat • Tender cervical or axillary lymph nodes • Muscle pain • Multi-joint pain • New headaches • Un-refreshing sleep • Post-exertional malaise lasting more than 24 hours
New research • A study published in 2009 in “Science” reported an association between ME and a retrovirus • In September 2011, the authors published a "Partial Retraction" of their 2009 findings
New research • October 2011, A Study at Haukeland University hospital, Bergen, Norway • Cancer treatment improved patients CFS conditions • Randomised, double-blind study, 30 patients • 2 out of 3 patients with improved condition
Rituximab • Achimeric monoclonal antibody that attacks the B-lymphocytes • Used in the treatment of many lymphomas, leukemias and some autoimmune disorders • Destroys both normal and malignant B-ly that have CD20 on their surfaces • Therefore used to treat diseases which are characterized by having too many B-ly, overactive B-ly or dysfunctional B-ly
Theories • Autoimmune disease • Abig subgroup of these patients have a autoimmune disease maintaining itself by a autoantibody. • The B-lymphocytes act as a reservoir for a virus with a big impact on this disease.
Newly released • Research article: Benefit from B-Lymphocyte Depletion Using the Anti-CD20 Antibody Rituximab in Chronic Fatigue Syndrome. A Double-Blind and Placebo-Controlled Study • New book released in October in Norway – historically, politically, national and international, and how to live with ME
Resources • http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0026358 • http://www.me-foreningen.no/ • http://en.wikipedia.org/wiki/Chronic_fatigue_syndrome • http://www.cfids.org/community/pcpep/curriculum.asp