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Peter C Rowe, M.D.

Photo of Dr. Peter C Rowe, M.D.
  • Director, Children's Center Chronic Fatigue Clinic
  • Professor of Pediatrics


Adolescent Medicine, Chronic Fatigue Syndrome, Fibromyalgia, General Pediatrics, Orthostatic Intolerance, Pediatrics, Postural Orthostatic Tachycardia Syndrome (POTS) more

Research Interests

Chronic fatigue syndrome; Fibromyalgia; Elhers-Danlos Syndrome; Orthostatic intolerance syndromes; Gulf War illnesses; Pelvic congestion syndrome

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Johns Hopkins Pediatrics

Appointment Phone: 410-955-9229
200 N. Wolfe Street Rubenstein Child Health Building Baltimore, MD 21287 map
Phone: 410-955-9229 | Fax: 410-614-1178


Dr. Peter Rowe is a professor of pediatrics at the Johns Hopkins University School of Medicine. He is the inaugural Sunshine Natural Wellbeing Foundation Professor of Chronic Fatigue and Related Disorders and serves as the director of the chronic fatigue clinic at Johns Hopkins Children’s Center.

His areas of clinical expertise include chronic fatigue syndrome, fibromyalgia and orthostatic intolerance. Dr. Rowe was the first to describe the relationship between chronic fatigue syndrome (CFS) and treatable orthostatic intolerance syndromes, as well as the association between Ehlers-Danlos syndrome and CFS.

After receiving his undergraduate degree from the University of Toronto, Dr. Rowe earned his medical degree at McMaster University Medical School in Ontario. He completed his residency in pediatrics at Johns Hopkins and performed his fellowship with the Robert Wood Johnson General Pediatric Academic Development Program. He joined the Johns Hopkins faculty in 1991.

Dr. Rowe’s research focuses on chronic fatigue syndrome. He is interested in the association between circulatory abnormalities and fatigue in cancer survivors, fatiguing illnesses in Gulf War veterans, and fatigue in athletes.

In 2014, Dr. Rowe received the research award from the International Association for Chronic Fatigue Syndrome/Myalgic Encephalomyelitis (IACFS/ME) for his clinical and scientific work on chronic fatigue syndrome and related disorders. He is a member of the research advisory council for the CFIDS Association of America and a reviewer for a number of medical journals. He is also member of the American Pediatric Society, the Society for Pediatric Research, the Canadian Pediatric Society, the American Academy of Pediatrics and the Academic Pediatric Association. more


  • Director, Children's Center Chronic Fatigue Clinic
  • Sunshine Natural Wellbeing Foundation Professor
  • Professor of Pediatrics

Departments / Divisions

Centers & Institutes



  • MD, Columbia University College of Physicians and Surgeons (1981)


  • Johns Hopkins University School of Medicine (1987)

Board Certifications

  • American Board of Pediatrics / Pediatrics (1986)

Research & Publications

Research Summary

Dr. Rowe’s research focuses on chronic fatigue syndrome (CFS). He is interested in the association between circulatory abnormalities and fatigue in cancer survivors, fatiguing illnesses in Gulf War veterans, and fatigue in athletes.

He was the first to describe the relationship between CFS and treatable orthostatic intolerance syndromes, as well as the association between Ehlers-Danlos syndrome and CFS. This research has been funded by the National Institutes of Health, the U.S. Department of Defense, the CFIDS Association of America, and several smaller foundations, as well as by private philanthropy.

Selected Publications

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Rowe PC, Marden CL, Flaherty MA, Jasion SE, Cranston EM, Johns AS, Fan J, Fontaine KR, Violand RL. "Impaired range of motion of limbs and spine in chronic fatigue syndrome." J Pediatr. 2014 Aug;165(2):360-6. doi: 10.1016/j.jpeds.2014.04.051. Epub 2014 Jun 11.

Sulheim D, Fagermoen E, Winger A, Andersen AM, Godang K, Müller F, Rowe PC, Saul JP, Skovlund E, Øie MG, Wyller VB. "Disease mechanisms and clonidine treatment in adolescent chronic fatigue syndrome: a combined cross-sectional and randomized clinical trial." JAMA Pediatr. 2014 Apr;168(4):351-60. doi: 10.1001/jamapediatrics.2013.4647.

Ross AJ, Medow MS, Rowe PC, Stewart JM. "What is brain fog? An evaluation of the symptom in postural tachycardia syndrome." Clin Auton Res. 2013 Dec;23(6):305-11. doi: 10.1007/s10286-013-0212-z. Epub 2013 Sep 3.

Rowe PC, Fontaine KR, Violand RL. "Neuromuscular strain as a contributor to cognitive and other symptoms in chronic fatigue syndrome: hypothesis and conceptual model." Front Physiol. 2013 May 16;4:115. doi: 10.3389/fphys.2013.00115. eCollection 2013.

Fortunato JE, Shaltout HA, Larkin MM, Rowe PC, Diz DI, Koch KL. "Fludrocortisone improves nausea in children with orthostatic intolerance (OI)." Clin Auton Res. 2011 Dec;21(6):419-23. doi: 10.1007/s10286-011-0130-x. Epub 2011 Jul 28."

Rowe PC, Lucas KE. Orthostatic intolerance in chronic fatigue syndrome. Am J Med 2007;120:e13.

Kuo DZ, Cheng TL, Rowe PC. Successful use of a primary care practice-subspecialty collaboration in the care of an adolescent with chronic fatigue syndrome. Pediatrics 2007;120:e1536-e1539.

Lucas KE, Rowe PC, Armenian HK. Latency and exposure-health associations in Gulf War Veterans with early fatigue onsets: a case-control study. Ann Epidemiol. 2007;17:799-806.
Terlou A, Ruble K, Stapert AF, Chang HC, Rowe PC, Schwartz CL. Orthostatic intolerance in survivors of childhood cancer. Eur J Cancer. 2007;43:2685-90.

Lucas KE, Armenian HK, Petersen GM, Rowe PC. Familial aggregation of fainting in a case-control study of neurally mediated hypotension patients who present with unexplained chronic fatigue. Europace. 2006;8:846-51.

Kim HS, Malhotra AD, Rowe PC, Lee JM, Venbrux AC. Embolotherapy for pelvic congestion syndrome: long-term results. J Vasc Interv Radiol 2006;17:289-97.

Lucas KE, Armenian H, DeBusk K, Calkins H, Rowe PC. Characterizing Gulf War illnesses: neurally mediated hypotension and postural tachycardia syndrome. Am J Med 2005;118:1421-27.

Sullivan SD, Hanauer J, Rowe PC, Barron DF, Darbari A, Oliva-Hemker M. Gastrointestinal symptoms associated with orthostatic intolerance. JPGN 2005;40:425-8.

Lucas KE, Rowe PC, Coresh J, Klag MJ, Meoni LA, Ford DE. Prospective association between hypotension and idiopathic chronic fatigue. J Hypertension 2004;22:691-5.

Razumovsky AY, DeBusk K, Calkins H, Snader S, Lucas KE, Vyas P, Hanley DF, Rowe PC. Cerebral and systemic hemodynamics changes during upright tilt in chronic fatigue syndrome. J Neuroimaging 2003;13:57-67.

Hoke TR, Donohue PK, Bawa PK, Mitchell RD, Pathak A, Rowe PC, Byrne BJ. Oxygen saturation as a screening test for critical heart disease. Pediatr Cardiol 2002;23:403-9.
Barron DF, Cohen BA, Geraghty MT, Violand R, Rowe PC. Joint hypermobility is more common in children with chronic fatigue syndrome than in healthy controls. J Pediatr 2002;141:421-5.

Rowe PC. Orthostatic intolerance and chronic fatigue syndrome: new light on an old problem. J Pediatr 2002;140:387-9.

Venbrux AC, Chang AH, Kim HS, Montague BJ, Hebert JB, Arepally A, Rowe PC, Barron DF, Lambert D, Robinson JC. Pelvic congestion syndrome (pelvic venous incompetence): impact of ovarian and internal iliac embolotherapy on menstrual cycle and chronic pelvic pain. J Vasc Interv Radiol 2002;13:171-8.

Rowe PC, Calkins H, DeBusk K, McKenzie R, Anand R, Sharma G, Cuccherini BA, Soto N, Hohman P, Snader S, Lucas KE, Wolff M, Straus SE. Fludrocortisone acetate to treat neurally mediated hypotension in chronic fatigue syndrome: a randomized controlled trial. JAMA 2001;285:52-59.

King WJ, Schlieper AS, Birdi N, Capelli M, Korneluk Y, Rowe PC. The effect of Kawasaki disease on cognition and behavior. Arch Pediatr Adolesc Med 2000;154:463-8.

Rowe PC, Barron DF, Calkins H, Maumenee IH, Tong PY, Geraghty MT. Ehlers-Danlos syndrome. J Pediatr 1999;135:513.

Rowe PC, Barron DF, Calkins H, Maumenee IH, Tong PY, Geraghty MT. Orthostatic intolerance and chronic fatigue syndrome associated with Ehlers-Danlos syndrome. J Pediatr 1999;135:494-9.

Atiga WL, Rowe P, Calkins H. Management of vasovagal syncope. J Cardiovasc Electrophys 1999;10:874-86.

Rowe PC, Calkins H. Neurally mediated hypotension and chronic fatigue syndrome. Am J Med 1998;105:15S-21S.

Talo H, Yataco A, Rowe PC, Bou-Holaigah I, Kan J, Kass DA, Berger RA, Calkins H. Comparison of heart rate variability in patients with chronic fatigue syndrome and controls. Clin Autonomic Res 1997; 7:293-7.

Bou-Holaigah I, Calkins H, Flynn J, Tunin C, Chang H, Kan J, Rowe PC. Provocation of hypotension and pain during upright tilt table testing in adults with fibromyalgia. Clin Experimental Rheumatol 1997;15:239-46.

Klassen TP, Watters LK, Sutcliffe T, Rowe PC. The efficacy of nebulized budesonide in dexamethasone-treated outpatients with croup. Pediatrics 1996;97:463-6.

Kelly KJ, Lazenby AJ, Rowe PC, Yardley JH, Perman JA, Sampson HA. Eosinophilic esophagitis attributed to gastroesophageal reflux: improvement with an amino acid- based formula. Gastroenterology 1995;109:1503-12.

Bou-Holaigah I, Rowe PC, Kan J, Calkins H. The relationship between neurally mediated hypotension and the chronic fatigue syndrome. JAMA 1995;274;961-7.

Rowe PC, Bou-Holaigah I, Kan JS, Calkins HG. Is neurally mediated hypotension an unrecognized cause of chronic fatigue? Lancet 1995;345:623-4.

Klassen TP, Feldman ME, Watters LK, Sutcliffe T, Rowe PC. Nebulized budesonide for children with mild-to-moderate croup. N Engl J Med 1994;331:285-9.

Rowe PC, ed. The Harriet Lane Handbook, 11th ed. Chicago: Year Book Medical Publishers, Inc., 1987.

Activities & Honors


  • Alexander J. Schaffer Award, awarded annually to one physician for house staff teaching contributions, Harriet Lane House Staff, Johns Hopkins Hospital, 2005
  • Research Award, International Association for Chronic Fatigue Syndrome/Myalgic Encephalomyelitis, 2014
  • Kamsler Award, 1984


  • Academic Pediatric Association, 1985
  • American Academy of Pediatrics, 1987
  • Canadian Pediatric Society, 1987
  • Society for Pediatric Research, 1996
  • American Autonomic Society, 1996 - 2000
  • American Pediatric Society, 2010

Professional Activities

  • Member, Research Advisory Council, CFIDS Association of America, 2013
  • Chair, NIH Center for Scientific Review Special Emphasis Panel on Myalgic Encephalomyelitis/Chronic Fatigue Syndrome, 2013

Patient Ratings & Comments

The Patient Rating score is an average of all responses to physician related questions on the national CG-CAHPS Medical Practice patient experience survey through Press Ganey. Responses are measured on a scale of 1 to 5, with 5 being the best score. Comments are also gathered from our CG-CAHPS Medical Practice Survey through Press Ganey and displayed in their entirety. Patients are de-identified for confidentiality and patient privacy.

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