Does severe nutcracker phenomenon cause pediatric chronic fatigue?
Takahashi, Y.; Ohta, S.; Sano, A.; Kuroda, Y.; Kaji, Y.; Matsuki, M.; Matsuo, M.
Clinical Nephrology 53(3): 174-181
2000
ISSN/ISBN: 0301-0430 PMID: 10749295 Document Number: 517262
Background: In the past five years we experienced 9 fatigued disabled children who were intermittently or persistently absent from school. Patients: They had been suspected to be burdened with psychosomatic disorders, having orthostatic hypotension, postural tachycardia, or other autonomic dysfunction symptoms. Results: Investigating the cause of moderate orthostatic proteinuria in some of them, we found by chance severe typical nutcracker phenomenon (NC), which was present in all 9 children complaining of chronic fatigue. Conclusion: Their symptoms filled the criteria of chronic fatigue syndrome or idiopathic chronic fatigue (CFS/CF). An association between severe NC and autonomic dysfunction symptoms in children with CFS/CF has been presented.