PubMed · 14366129
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J FERROIR. 1954. Endocrinology.. https://pubmed.ncbi.nlm.nih.gov/14366129/
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Fatigue is a common presenting complaint in primary care offices. Nearly everyone experiences fatigue at one time or another, typically caused by overexertion or lack of sleep. Fatigue in the athlete is problematic as it may affect training and competitive performance. The possible causes of fatigue are widely varied, and the workup of fatigue can be very frustrating for the patient and physician alike. Making an accurate diagnosis is important to help the athlete return to effective training and maximal performance. Overtraining syndrome is a possible cause, but at this time remains a diagnosis of exclusion.
Cigarette smoking is associated with a number of adverse health effects, including well-established links to cardiopulmonary disease and several cancers. Some of the other important systemic diseases associated with smoking are the subjects of this article, such as diabetes mellitus and insulin resistance and thyroid diseases. Also reviewed here is the negative impact of smoking on male and female infertility, on selected dermatologic conditions, and on gastrointestinal diseases including peptic ulcer and inflammatory bowel diseases.