SequenceME genetic study - from Oxford Nanopore Technologies, the University of Edinburgh and Action for ME

How confident we are that ME/CFS has a strictly infectious origin ?

We aren't. Moreover the crucial importance of genetics in diseases of infectious origin is known by every medical student. Reiter's syndrome is the paradigm - very strongly predisposed to by HLA-B27. Then there is mannose binding protein deficiency and staph problems, HLA-DQ and post-influenza narcolepsy, lysosomal gene defects and chronic granulomatous disease and no doubt rheumatic fever and post-streptococal glomerulonephritis have genetic predispositions...
 
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