For whomever asked about one side of the face commonly being different in Lyme Disease, you are correct. The right side of my face has not only slid downwards, it is also shrinking compared to the left, and I know many others with this problem. It often results from Bell's Palsy, which can be a red flag for Lyme, but not always. In my case, it's due to the brain damage.
I must be the exception that proves the rule here. I looked very young before the illness, but now look much older. I look so different that people who have not seen me for awhile have walked right past me, or even worse, have said: "Oh my God, what happened to you?!"
I once had a very old lady come up to me in the grocery store and ask me if I needed help because I looked very sick to her.That was embarrassing!
My hair started both falling out and turning gray overnight when I got this, even though I was only 34 at the time. I gained 50 lbs. in the first two months, while eating less. I colored my hair, but stopped 6 yrs. ago because the my body could not longer tolerate the toxicity of the dye and too much hair was falling out. I have a lot more hair now, but having gray hair in a part of the country where most women dye their hair until they are 80 automatically makes me look older by comparison. One friend said I look younger with my gray hair, but that is because it is now shoulder length instead of waist length like before.
I have all kinds of illnesses that really old people get. My varicose veins look worse than my 85 yr. old MIL, for example. Research shows the body of the average Fibromyalgia patient is 25 yrs. older than her chronological age. Have you all stumbled upon a significant difference between FMS and CFS here?
I can't speak to neurasthenia, since I never learned much about it in school. Even back when I was in college, in the age of the dinosaurs, neurasthenia was considered an old-fashioned, and inaccurately vague diagnosis. I can tell you that schizophrenics typically have dramatically slowed aging, starting at the age they became ill and often end up looking younger than their children when they get really old. This is thought to be due to lack of stress; when you are out of touch with reality, you don't worry about all the stuff the rest of us do. Of course, that does not apply to CFS, since most of us worry just like everyone else, and those of us with Lyme often have a rumination problem, where we can't stop worrying things over and over in our minds.
klutzo