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British Journal of Sports Medicine 2005;39:e7; doi:10.1136/bjsm.2004.011809
Copyright © 2005 BMJ Publishing Group Ltd & British Association of Sport and Exercise Medicine.

CASE REPORT

Kleine-Levin syndrome: a unique cause of fatigue in an athlete

C M J Conklin1 and J E Taunton1

University of British Columbia, Vancouver, BC, Canada

Correspondence to:
Correspondence to:
Mr Conklin
Faculty of Medicine, University of British Columbia, 317–2194 Health Sciences Mall, Vancouver, BC V6T 1Z3, Canada; conklin{at}interchange.ubc.ca

ABSTRACT

Kleine-Levin syndrome (KLS) is a rare disorder characterised, most notably, by periodic episodes of hypersomnolence and hyperphagia. Associated features of the disorder include a lack of concentration, mood changes, and anxiety. Laboratory tests may show slight changes in the electroencephalogram. However, clinical presentation and laboratory tests are normal during asymptomatic intervals. KLS most often presents in adolescent males, with complete recovery by the 3rd to 4th decade of life. Possible precipitating factors include excessive workload, febrile illness, and respiratory infections. Presented is a classical case of KLS in an adolescent male athlete. The patient’s history, complete laboratory results, and symptoms are discussed. Possible treatments for this disorder are also mentioned, along with diagnostic criteria.

Keywords: behavioural symptoms; Klein-Levin syndrome; physical examination; treatment


 

Commentary

P McCrory2

University of Melbourne, Centre for Health, Exercise and Sports, Medicine, Melbourne, Victoria 3010, Australia; pmccrory{at}compuserve.com


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