this post was submitted on 17 Oct 2024
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[–] [email protected] 57 points 22 hours ago* (last edited 22 hours ago) (13 children)

Lifelong disease usually triggered by viral infections. Very functionally disabling.

Known immune abnormalities which seem to affect the brain and mitochondria. I think @[email protected] is specialised in it.

Also “chronic fatigue syndrome” was the name back when it was classified as psychological. Now that it’s classified as neuroimmune the name has been changed to Myalgic Encephalomyelitsis (ME) (Or ME/CFS).

As usual though for a medium quality source like ScienceAlert, the article is written by someone who has no specialisation in Long COVID/ME, or even medicine. So there’s a bit of oversimplification and overstating findings from one study in that article. Very few researchers think it’s a brain injury. Most think the immune system has been compromised (with some deficiencies and abnormalities) and it’s affecting the brain in unknown ways (hence the abnormalities found. It’s weird though because the immune system problems seem to cause some immunodeficiencies but also autoimmune reactions. They’ll need to be quite a bit more studies before we get a clear picture.

[–] Varyk 10 points 21 hours ago (11 children)

wow, thank you so much for the detailed answer, I'm fascinated chronic fatigue syndrome turned out to be a neuroimmune disorder.

is ME genetic or do you just get unlucky as far as we know so far?

[–] [email protected] 7 points 19 hours ago (8 children)

Seems like it generally just gets triggered by a viral infection, but obviously it's hard to find conclusive evidence for that as people get viral infections all the time and usually recover fine. In a way COVID was a useful 'experiment' where we got a lot of cases of people getting long COVID right after a confirmed infection (because everyone was getting tested, which you typically wouldn't do for your average viral infection).

[–] [email protected] 5 points 19 hours ago (1 children)

Yeah. Atleast 50% report an onset right after a viral infection. And it’s not impossible to assume the other 50% were caused by viral infections too but the patient didn’t make the connection. Obviously we don’t really know yet.

[–] [email protected] 1 points 19 hours ago

Yeah, would be hard to prove unless people started routinely testing themselves for a broad array of viruses every time they fall ill.

But hopefully with the influx of long COVID patients more research will be done, and people with CFS, fibromyalgia and similar diseases will at least be believed, because all of those are typically dismissed because you can't really see it.

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