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Eosinophilia–myalgia syndrome
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==Signs and symptoms== The initial, acute phase of EMS, which last for three to six months, presents as [[dyspnea|trouble with breathing]] and muscle problems, including soreness and spasm, but which may also be intense. Muscle weakness is not a feature of this phase, but some people experience muscle stiffness. Additional features can include cough, fever, fatigue, joint pain, edema, and numbness or tingling, usually in the [[limb (anatomy)|limbs]], hands and feet.<ref name = NORD>{{cite web |title=Rare Disease Database: Eosinophilia-Myalgia Syndrome |url=https://rarediseases.org/rare-diseases/eosinophilia-myalgia-syndrome/ |website=National Organization for Rare Disorders |publisher=[[National Organization for Rare Disorders|NORD]] |access-date=3 December 2019 |archive-url=https://web.archive.org/web/20191203204048/https://rarediseases.org/rare-diseases/eosinophilia-myalgia-syndrome/ |archive-date=3 December 2019 |url-status=dead }}</ref> The chronic phase follows the acute phase. [[Eosinophilic fasciitis]] may develop, primarily in the limbs. [[central nervous system|CNS]] signs may appear, including numbness, [[hyperesthesia|increased sensation]], muscle weakness, and sometimes cardiac or digestive dysfunction. Fatigue is present to some degree, while the muscle pain (which may be extremely intense) and dyspnea continue in this phase.<ref name = NORD/>
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