PM&R
Volume 2, Issue 5 , Pages 384-392, May 2010

Fatigue in Systemic Lupus Erythematosus and Rheumatoid Arthritis

  • Rosalind Ramsey-Goldman, MD, DrPH

      Affiliations

    • Department of Medicine, 240 E. Huron, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611
    • Corresponding Author InformationAddress correspondence to: R.R.-G.
  • ,
  • Nan Rothrock, PhD

      Affiliations

    • Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL

Received 23 December 2009; accepted 21 March 2010.

Abstract

Two inflammatory autoimmune diseases, systemic lupus erythematosus and rheumatoid arthritis, are characterized by fatigue. Patient reports support the significant negative impact of the symptom on functioning and well-being. The prevalence, trajectory, mechanism, and correlates of fatigue in each disease are reviewed. Some disease-focused treatments have demonstrated a reduction in fatigue. However, until recently, clinical trials have not routinely assessed fatigue. Analyses and interpretation of data have been hindered by variability in the reliability and validity of fatigue measures. Empirically based fatigue treatment guidelines are needed in both conditions.

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  •  Disclosure: nothing to disclose
  •  Disclosure: 8B, NIH and NINDS

 Disclosure Key can be found on the Table of Contents and at www.pmrjournal.org

PII: S1934-1482(10)00294-7

doi:10.1016/j.pmrj.2010.03.026

PM&R
Volume 2, Issue 5 , Pages 384-392, May 2010