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MAGICAL MEDICINE: HOW TO MAKE AN ILLNESS ... - Invest in ME

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1988<br />

156<br />

“Allergies are a common feature of patients with the chronic fatigue syndrome. Among the features of this syndrome is<br />

a high prevalence of allergy, an allergy that appears to be substantial” (Stephen E Straus et al: National Institutes<br />

for Allergy and Infectious Diseases. J Allergy Cl<strong>in</strong> Immunol 1988:81:791‐795).<br />

1988<br />

“We report patients (who) had a specific deficiency of IgG1 subclass. The f<strong>in</strong>d<strong>in</strong>g of IgG1 subclass deficiency <strong>in</strong> these<br />

patients is novel, as lone deficiency of this subclass is rare and affected patients appear to have common variable<br />

hypogammaglobul<strong>in</strong>aemia. Further scrut<strong>in</strong>y of cases (of <strong>ME</strong>/CFS) may reveal a range of subtle immunological<br />

abnormalities” (Robert Read, Gav<strong>in</strong> Spickett et al. Lancet, January 30 1988:241‐242).<br />

1989<br />

“Our <strong>in</strong>vestigations suggest that (<strong>ME</strong>)CFS is characterized by objective laboratory abnormalities. A more appropriate<br />

name for this syndrome would be chronic fatigue‐immune dysfunction syndrome (CFIDS), s<strong>in</strong>ce immune dysfunction<br />

appears to be the hallmark of the disease process” (Nancy Eby et al. In: Natural Killer Cells and Host Defense.<br />

Ed: Ades EW and Lopez C. 5 th International Natural Killer Cell Workshop. Pub: Karger, Basel, 1989:141‐<br />

145).<br />

1989<br />

“Many of the immunological and physical features of <strong>ME</strong>/CFS cannot be expla<strong>in</strong>ed by mental illness” (Stephen E<br />

Straus of the National Institutes for Allergy and Infectious Diseases, USA, “USA Today”, 13 th April, 1989:<br />

reported <strong>in</strong> CFIDS Chronicle, Spr<strong>in</strong>g 1989, pp77‐78).<br />

1989<br />

“(<strong>ME</strong>)CFS has been associated with abnormal T cell function. These patients have dim<strong>in</strong>ished phytohaemagglut<strong>in</strong><strong>in</strong>‐<br />

<strong>in</strong>duced lymphocyte transformation and decreased synthesis of <strong>in</strong>terleuk<strong>in</strong>. We studied the display of CD3, CD5, CD2,<br />

CD4, CD8 and Leu‐M3‐def<strong>in</strong>ed antigen <strong>in</strong> peripheral blood mononuclear cells <strong>in</strong> (<strong>ME</strong>)CFS who fulfilled the (1988<br />

Holmes et al) criteria. Patients had reduced expression of CD3. These data <strong>in</strong>dicate that <strong>in</strong> (<strong>ME</strong>)CFS, some patients<br />

have T lymphocytes (CD2‐ and CD5‐ positive cells) without immunoreactive CD3” (ML Subira et al. The Journal of<br />

Infectious Disease 1989:160:1:165‐166).<br />

1989<br />

“Disordered immunity may be central to the pathogenesis of (<strong>ME</strong>)CFS. Reduced IgG levels were common (56% of<br />

patients), with the levels of serum IgG3 and IgG1 subclasses particularly affected. The f<strong>in</strong>d<strong>in</strong>g of significantly<br />

<strong>in</strong>creased numbers of peripheral blood mononuclear cells that express Class‐II histocompatibility antigens (HLA‐DR)<br />

<strong>in</strong> our patients implies immunological activation of these cells. Once activated, these cells may cont<strong>in</strong>ue to produce<br />

cytok<strong>in</strong>es which may mediate the symptoms of (<strong>ME</strong>)CFS” (AR Lloyd et al. The Medical Journal of Australia<br />

1989:151:122‐124).<br />

1990<br />

“The subgroup of patients with immunological abnormalities may have a prolonged illness” (DO Ho‐Yen JRCGP<br />

1990:40:37‐39).

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