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Naomi Schlesinger, MD
Veterans Affairs Medical Center Philadelphia, Pa

JAMA. 1997;278(5):383.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.

—In their study examining syndromes in Persian Gulf War veterans, Dr Haley and colleagues¹ describe a syndrome called "arthro-myo-neuropathy" (syndrome 3) in which patients have generalized joint and muscle pains, muscle exhaustion after exertion, and peripheral neuropathies. We have described a similar subgroup of patients² who may constitute a Persian Gulf War myalgia syndrome characterized by myalgia, arthralgia, rash, and bursitis; elevated creatine kinase levels, aldolase levels, or both; and no obvious underlying etiology. This group of patients initially was identified because of elevation of muscle enzymes. We wonder whether Haley and colleagues measured muscle enzymes in patients with syndrome 3 and whether these 22 patients had elevation of muscle enzyme levels. . . . [Full Text PDF of this Article]

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