{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,5,8]],"date-time":"2023-05-08T09:10:13Z","timestamp":1683537013738},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"637","license":[{"start":{"date-parts":[[1978,11,1]],"date-time":"1978-11-01T00:00:00Z","timestamp":278726400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1978,11,1]]},"abstract":"<jats:title>Summary<\/jats:title>\n               <jats:p>During the course of an obscure illness in a teenage girl it was eventually realized that the diagnosis was \u2018epidemic neuromyasthenia\u2019. The illness which occurred between February and September 1976 was characterized by fatigue, pallor, headache, nuchal pain, alterations in mentation, dizziness, nausea and vomiting, paraesthesiae, weakness and heaviness of limbs, and a prolonged relapsing course. Investigation brought to light fourteen patients with similar symptoms\u2014twelve female and two male. In view of the shortcomings of retrospective enquiries, especially those involving the assessment of notes made by other people, and the problem of trying to define a nonfatal illness with protean symptoms, many of a nonspecific nature, with few physical findings and negative laboratory studies, caution is necessary. Under these circumstances it is claimed on clinical epidemiological evidence that a diagnosis of \u2018epidemic neuromyasthenia\u2019 could be sustained confidently in three patients and probably in a fourth. Six patients were considered possible cases and four were rejected.<\/jats:p>","DOI":"10.1136\/pgmj.54.637.731","type":"journal-article","created":{"date-parts":[[2008,12,29]],"date-time":"2008-12-29T20:39:26Z","timestamp":1230583166000},"page":"731-735","source":"Crossref","is-referenced-by-count":2,"title":["\u2018Epidemic neuromyasthenia\u2019 in Southwest Ireland"],"prefix":"10.1093","volume":"54","author":[{"given":"J P","family":"Corridan","sequence":"first","affiliation":[{"name":"Department of Social and Preventive Medicine, University College , Cork"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1978,11,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1016\/0002-9343(59)90280-3","article-title":"The clinical syndrome variously called benign myalgic encephalomyelitis, Iceland disease and epidemic neuromyasthenia","volume":"26","author":"ACHESON, E.D.","year":"1959","unstructured":"ACHESON, E.D. (1959) The clinical syndrome variously called benign myalgic encephalomyelitis, Iceland disease and epidemic neuromyasthenia. American Journal of Medicine, 26, 569.","journal-title":"American Journal of Medicine"},{"key":"ref_2","first-page":"414","article-title":"Myalgic encephalomyelitis","volume":"69","author":"CORRIDAN, J.P.","year":"1976","unstructured":"CORRIDAN, J.P. (1976) Myalgic encephalomyelitis. Journal of the Irish Medical Association, 69, 414.","journal-title":"Journal of the Irish Medical Association"},{"key":"ref_3","first-page":"8","article-title":"Epidemiological concepts and methods. In: Viral Infections of Humans","author":"EVANS, A.S.","year":"1976","unstructured":"EVANS, A.S. (1976) Epidemiological concepts and methods. In: Viral Infections of Humans (Ed. by Evans, A.S.), p. 8. John Wiley, London."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1440","DOI":"10.1001\/jama.1972.03190370032007","article-title":"Epidemic neuroniyasthenia: syndrome or disease?","volume":"219","author":"GRAYBILL, J.A.; SILVA, J.; O'BRIEN, M.S.; REINARZ, J.A.","year":"1972","unstructured":"GRAYBILL, J.A., SILVA, J., O'BRIEN, M.S. & REINARZ, J.A. (1972) Epidemic neuroniyasthenia: syndrome or disease? Journal of the American Medical Association, 219, 1440.","journal-title":"Journal of the American Medical Association"},{"key":"ref_5","article-title":"Encephalitis resembling benign myalgic encephalomyelitis","volume":"969","author":"INNES, S.G.B.","year":"1970","unstructured":"INNES, S.G.B. (1970) Encephalitis resembling benign myalgic encephalomyelitis. Lancet, i, 969.","journal-title":"Lancet"},{"key":"ref_6","first-page":"44","author":"LOWE, C.K.; LWANGA, S.K.","year":"1978","unstructured":"LOWE, C.K. & LWANGA, S.K. (1978) Health Statistics, p. 44. Oxford Medical Publications.","journal-title":"Health Statistics"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1136\/bmj.1.5687.7","article-title":"Royal Free epidemic of 1955: a reconsideration","volume":"1","author":"MCEVEDY, C.P.; BEARD, A.W.","year":"1970","unstructured":"MCEVEDY, C.P. & BEARD, A.W. (1970) Royal Free epidemic of 1955: a reconsideration. British Medical Journal, 1, 7.","journal-title":"British Medical Journal"},{"key":"ref_8","first-page":"168","article-title":"Enteroviruses. In: Viral Infections of Humans","author":"MELNICK, J.L.","year":"1976","unstructured":"MELNICK, J.L. (1976a) Enteroviruses. In: Viral Infections of Humans (Ed. by Evans, A.S.), p. 168. John Wiley, London."},{"key":"ref_9","first-page":"167","article-title":"Enteroviruses. In: Viral Infections of Humans","author":"MELNICK, J.L.","year":"1976","unstructured":"MELNICK, J.L. (1976b) Enteroviruses. In: Viral Infections of Humans (Ed. by Evans, A.S.). p. 167. John Wiley, London."},{"key":"ref_10","first-page":"539","article-title":"Benign myalgic encephalomyelitis or epidemic neuromyasthenia","volume":"13","author":"RAMSAY, A.M.","year":"1976","unstructured":"RAMSAY, A.M. (1976) Benign myalgic encephalomyelitis or epidemic neuromyasthenia. Update, 13, 539.","journal-title":"Update"},{"key":"ref_11","article-title":"Alarming increase in viral meningitis","author":"R.E.P.O.R.T.","year":"1976","unstructured":"REPORT (1976) Alarming increase in viral meningitis. Irish Medical Times, Aug. 13.","journal-title":"Irish Medical Times"}],"container-title":["Postgraduate Medical Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/pmj\/article-pdf\/54\/637\/731\/50159604\/postgradmedj-54-731.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/pmj\/article-pdf\/54\/637\/731\/50159604\/postgradmedj-54-731.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,8]],"date-time":"2023-05-08T08:41:49Z","timestamp":1683535309000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/pmj\/article\/54\/637\/731\/7063777"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1978,11,1]]},"references-count":11,"journal-issue":{"issue":"637","published-online":{"date-parts":[[1978,11,1]]},"published-print":{"date-parts":[[1978,11,1]]}},"URL":"https:\/\/doi.org\/10.1136\/pgmj.54.637.731","relation":{},"ISSN":["0032-5473","1469-0756"],"issn-type":[{"value":"0032-5473","type":"print"},{"value":"1469-0756","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[1978,11]]},"published":{"date-parts":[[1978,11,1]]}}}