In some cases veterans carry both diagnoses concurrently. However, the absence of substantial abnormalities on physical examination and laboratory testing is a striking feature of both conditions. Other clinical conditions are excluded by appropriate evaluation. Painful cervical or axillary lymph nodes. Unexplained generalized muscle weakness.
Muscles discomfort or myalgia.
Fatigue for 24 hrs after exercise that would have previously been tolerated. Generalized headache of a type not previously experienced. Migratory non-inflammatory arthralgia. Description of the main symptom complex as initially developing over a few hours to a few days. Palpable or tender cervical or axillary lymph nodes or Eight or more of the symptom criteria.