Intended for healthcare professionals


Patients with a self diagnosis of myalgic encephalomyelitis

BMJ 1995; 311 doi: (Published 29 July 1995) Cite this as: BMJ 1995;311:329
  1. S J Hurel,
  2. B Abuiasha,
  3. P H Baylis,
  4. P E Harris
  1. Honorary senior registrar Registrar Professor of experimental medicine Royal Victoria Infirmary, Newcastle upon Tyne NE1 4LP
  2. Senior lecturer in endocrinology King's College Medical and Dental School, London SE5 9PJ

    EDITOR,--Myalgic encephalomyelitis is most commonly related to an underlying psychological or psychiatric disturbance.1 2 Shonagh Scott and colleagues report that when general practitioners deal with symptoms consistent with those of myalgic encephalomyelitis their attitude is likely to be influenced by the patient's perception, expectations, and social class.3 It is not uncommon for patients to diagnose myalgic encephalomyelitis themselves before they seek a consultation; this can lead to disruption of the doctor-patient relationship, unsatisfactory consultations, and possibly failure to diagnose any underlying pathological process. We …

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