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Gulf War syndrome
Etiology:
1) unknown
2) associated with number of vaccines received (OR 1.8)
3) associated with knowing someone who believed they had the syndrome (odds ratio 3.9)
4) hypothesized agents
- Mycoplasma
Clinical manifestations:
1) fibromyalgia
2) chronic fatigue syndrome
3) dermatologic conditions
4) dyspepsia
5) PTSD [2]
Management:
1) treat PTSD
2) doxycycline of no benefit [3]
General
syndrome
References
- Journal Watch 21(20):165, 2001
Chalder et al, BMJ 323:473, 2001
- Eisen SA et al
Gulf War Veterans' Health: Medical Evaluation of a US Cohort
Annals of Internal Medicine 2005, 142:881
- Donta ST et al,
Benefits and Harms of Doxycycline Treatment for Gulf War
Veterans' Illnesses
Annals of Internal Medicine 2004, 141:85