ࡱ>    ܥhc e< pX  3@<>>>/mAsX133<q͐<D Infectious Diseases, Immune Disorders and Nutritional Deficiencies 4.88 [Removed and reserved] 4.88a Chronic fatigue syndrome 4.88b Schedule of ratingsinfectious diseases, immune disorders, and nutritional deficiencies 4.88c Ratings for inactive nonpulmonary tuberculosis initially entitled after August 19, 1968 4.89 Ratings for inactive nonpulmonary tuberculosis in effect on August 19, 1968 4.88 [Removed and reserved] 4.88a Chronic fatigue syndrome. (a) For VA purposes, the diagnosis of chronic fatigue syndrome requires: (1) New onset of debilitating fatigue severe enough to reduce daily activity to less than 50 percent of the usual level for at least six months; and (2) The exclusion, by history, physical examination, and laboratory tests, of all other clinical conditions that may produce similar symptoms; and (3) Six or more of the following: (i) Acute onset of the condition, (ii) Low grade fever, (iii) Nonexudative pharyngitis, (iv) Palpable or tender cervical or axillary lymph nodes, (v) Generalized muscle aches or weakness, (vi) Fatigue lasting 24 hours or longer after exercise, (vii) Headaches (of a type, severity, or pattern that is different from headaches in the pre-morbid state), (viii) Migratory joint pains, (ix) Neuropsychologic symptoms, (x) Sleep disturbance. (b) [Reserved] [59 FR 60902, Nov. 29, 1994, and 60 FR 37012, July 19, 1995] Supplement Highlights references: 11(1), 13(1). Next Section is 4.88b 4.88-page \\* arabic 4.88aChronic fatigue syndrome 4.88a-page \\* arabic (No. 23 6/25/98)  /=<< EG'(QRtu./?@   " # $ % 9 ; < l u]c]cuDU]cV]UV]]c]U]cU],EFGc,D'(QRtu1ip 8# 8# 8# $./>?@~$ % 9 : ; <  !$ 0 !@ # @ #  8# pK@Normala bc"A@"Default Paragraph Font @ Footer ! @ Header !Zorl < GWr!!DVeterans Benefits Administrat#C:\regs\38CFR\BOOKC\PART4\S4_88.DOC@LM401-39\\Vbacofs7\lm401-39HPPCL5MSLM401-39LM401-39@w,,@MSUDNIBM 4039 LaserPrinterd LM401-39@w,,@MSUDNIBM 4039 LaserPrinterd )@Times New Roman Symbol &ArialCG Times" V 04F04F $V 1Veterans Benefits Administrat Root Entry0#CXKJ<@1 F !K(Aq͐ @:iWordDocument%XKJ<@&$׊WindowsktopDESKTOP~<@,@:i:\CompObj1&$׊Windows