An adolescent evaluated for chronic fatigue: does she have a sleep disorder?

An adolescent evaluated for chronic fatigue: does she have a sleep disorder? Adolesc Med State Art Rev. 2012 Aug;23(2):277-84 Authors: Gonzalez M, Fisher M Abstract A 13-year-old girl presented to our Division of Adolescent Medicine for evaluation of ongoing fatigue. She and her mother reported that 15 months earlier, when the patient was in the 7th grade, she started to be tired and "sleep all the time." They do not remember her being ill at that time; a test for mononucleosis was reportedly positive, but Epstein-Barr virus titers showed "old disease." She remained fatigued throughout 7th grade but attended school without falling asleep; however, she was too tired to do her work and had to attend summer school. The patient received home instruction in 8th grade and reported that on weekdays she slept from 1 AM to 11 AM with a nap from 4 to 8 PM and on weekends she slept from 3 AM to 1 PM without a nap. PMID: 23162932 [PubMed - indexed for MEDLINE]
Source: Adolescent Medicine: State of the Art Reviews - Category: Pediatrics Tags: Adolesc Med State Art Rev Source Type: research