title: An adolescent evaluated for chronic fatigue: does she have a sleep disorder?
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.
authors.affiliation: Division of Adolescent Medicine, Steven and Alexandra Cohen Children's Medical Center of New York, North Shore-Long Island Jewish Health System, Hofstra-North Shore LIJ School of Medicine, Hempstead, New York, USA. Mgonzalez52@NSHS.edu
authors.forename: Marisol
authors.initials: M
authors.lastname: Gonzalez
authors.forename: Martin
authors.initials: M
authors.lastname: Fisher
mesh_terms: D000293:Adolescent; D003937:Diagnosis, Differential; D005221:Fatigue / Q000175:diagnosis; D005260:Female; D006801:Humans; D012148:Restless Legs Syndrome / Q000175:diagnosis*