Body dysmorphic disorder and psychosis: A case report and review of literature

2016 ◽  
Vol 33 (S1) ◽  
pp. S325-S325
Author(s):  
H. Maatallah ◽  
H. Ben Ammar ◽  
M. Said ◽  
A. Aissa
Keyword(s):  
Risk Factors ◽  
Case Report ◽  
Head Injury ◽  
Cosmetic Surgery ◽  
Body Dysmorphic Disorder ◽  
Professional Life ◽  
Review Of Literature ◽  
Good Relationship ◽  
Competing Interest ◽  
Relationship Of

IntroductionPatients with body dysmorphic disorder (BDD) are concerned about a slight or non-existent defect on their appearance, causing significant stress and interfering on their social and professional life.Despite its prevalence and psychosocial impact, this disorder remains unknown by many clinicians.Methods and objectiveThrough a review of literature and illustration in our case report we will define: the symptomatology of this pathology, psychopathological models of the disorder and the etiopathogenic assumptions associated with it, in terms of risk factors and neurobiological correlations.Case reportPatient 33 years old unmarried having been the victim of an AVP at the age of 25 years causing him a head injury above right eye for which he undergoes cosmetic surgery three times but the patient still not satisfied with installation of psychotic and delusional disorders requiring the use of antipsychotics.ConclusionThe complexity of body dysmorphic disorder should not discourage clinicians to confront this disease. The management requires more than putting under medical treatment associated to psychotherapy, we also need a good relationship of trust and maintain effective working alliance.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Perforating head injury with iron rod and its miraculous escape: Case report and review of literature

2018 ◽  
Vol 14 ◽  
pp. 11-19
Author(s):  
Batuk Diyora ◽  
Nitin Kotecha ◽  
Mazhar Mulla ◽  
Shailendra Dethe ◽  
Bhagyashree Bhende ◽  
...  
Keyword(s):  
Case Report ◽  
Head Injury ◽  
Review Of Literature

Causeless appearance discontentment in patients of plastic surgeons and cosmetologists: Risk factors and patterns of dynamics

2017 ◽  
Vol 41 (S1) ◽  
pp. s497-s497
Author(s):  
V. Medvedev ◽  
V. Frolova
Keyword(s):  
Risk Factors ◽  
Body Dysmorphic Disorder ◽  
Disease Risk ◽  
Maxillofacial Surgery ◽  
Social Activity ◽  
Obsessive Compulsive ◽  
Logistic Regression Method ◽  
Icd 10 ◽  
Competing Interest ◽  
Lineal Regression

IntroductionThough phenomenon of dysmorphic disorder has been studied extensively clinical dynamical characteristics of this disorder are still being investigated.Aim of this study was to evaluate patterns of dynamics and risk factors of body dysmorphic disorder in patients of plastic surgeons and cosmetologists.MethodsWe included adult patients of Maxillofacial Surgery and Cosmetology departments of Moscow State University of Medicine and Dentistry (from January 2010 to May 2016) with unconfirmed “facial deformity” diagnosed with dysmorphic disorder (F45.2 and F22.88 according to ICD-10). The study used clinical psychopathological method with follow-up period 1–3 years. Data from clinical psychopathological assessment were processed using correlation analysis and non-lineal regression analysis by means of logistic regression method.ResultsStudy sample consisted of 103 patients (78.6% female; mean age 33.4 ± 4.7 years). Statistically significant chronobiological (age, hormone fluctuations, genesial cycle) and psychosocial (financial changes, forced separation, bereavement, loss of job, reduction of social activity, conflict situation, sexual dysfunction, violation of law, diagnosing of somatic disease) risk factors for dysmorphia in different life periods have been established. Strong correlations were found between dysmorphic disorder heterogenic clinical picture (overvalued–33%, affective–24.3%, hypochondric–23.3%, obsessive-compulsive–10.7%, delusional–8.7%) and patterns of dynamics (phasic–41.7%, recurrent–33%, chronic–25.3%). Our data suggest that dysmorphia manifests in any age group and in 74.7% cases is not continuous.ConclusionOur findings allow to conduct focused diagnostic search, prophylactic psychotherapeutic interventions and early psychopharmacological treatment in individuals with identified risk factors for dysmorphic disorder.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Antipsychotics-induced leukopenia and neutropenia: A case report and review of literature

2016 ◽  
Vol 33 (S1) ◽  
pp. S546-S546 ◽  
Author(s):  
H. Maatallah ◽  
H. Ben Ammar ◽  
M. Said ◽  
A. Aissa
Keyword(s):  
Case Report ◽  
Side Effects ◽  
Atypical Antipsychotics ◽  
Antipsychotic Drugs ◽  
Psychotic Symptoms ◽  
Review Of Literature ◽  
Blood Cell Count ◽  
Life Threatening ◽  
Dsm Iv ◽  
Competing Interest

IntroductionAntipsychotic drugs effectively control psychotic symptoms, but may cause important side effects, significantly increasing morbidity and mortality. Hematologic abnormalities are frequent and may be life-threatening in some patients. Many prospective investigations confirmed neutropenia as a frequent occurrence with virtually all atypical antipsychotics.Objective and methodsDefine epidemiological, clinical and therapeutic characteristics of antipsychotics – induced leukopenia and neutropenia through a case report and a review of literature.Case reportPatient 28 years old native of Tunis, with family history: brother who suffer of undifferentiated schizophrenia. Since the age of 16 years he has been followed for disorganized schizophrenia (DSM IV). He was initially put under Haldol Decanoate (2 months), fluphenazine (2 months), amisulpride (3 months), sulpride (2 months), olanzapine (3 months), Rispreridone (1 month), aripiprazole (5 months) leukopenia/neutropenia is occurring during treatment with each molecule and which promptly resolved after discontinuation. Reduced white blood cell count has also been reported after addition of lithium. Actually an ECT is proposed for this patient.ConclusionThis case report shows the importance of hematological monitoring during the course of typical or atypical treatment.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Left mixed laryngocele in absence of risk factors: A case report and review of literature

2020 ◽  
Vol 60 ◽  
pp. 356-359
Author(s):  
Antonella Bisogno ◽  
Matteo Cavaliere ◽  
Alfonso Scarpa ◽  
Rossella Cuofano ◽  
Donato Troisi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Case Report ◽  
Review Of Literature

Psychosis and Creativity. Genetic and Structural Relation Between Them

2017 ◽  
Vol 41 (S1) ◽  
pp. s801-s801
Author(s):  
A. Alonso Sánchez ◽  
H. De la Red Gallego ◽  
A. Álvarez Astorga ◽  
M. Gómez García ◽  
N. De Uribe Viloria ◽  
...  
Keyword(s):  
Risk Factors ◽  
Case Report ◽  
Latent Inhibition ◽  
Association Studies ◽  
Genome Wide Association ◽  
Genome Wide Association Studies ◽  
Actual Knowledge ◽  
The Public ◽  
Genome Wide ◽  
Competing Interest

IntroductionMadness and creativity are thought to be related from ancient ages. Nowadays, thanks to new scientific developments and researches we are able to identify common genetic and brain patterns between creativity and psychosis.ObjectivesTaking the inspiration of a psychotic patient with some shocking drawings, we want to get deep into the actual knowledge about the relation between creativity and psychosis.MethodsCase report and bibliographic review.ResultsA 19-year-old man was brought to the hospital after having been found making strange rituals in the public way. In the anamnese he showed to have experienced mystic delusions and hallucinations. He made some particularly creative drawings.We made a review which showed that this patients may have a diminished latent inhibition, which could make them experiencing usual live irrelevant stimuli as something very exciting and creative at the same time. Genome wide association studies show also that people having creative jobs and psychotic patients share some genes, which could be linked to this abnormal latent inhibition.ConclusionsLatent inhibition abnormalities could be related with psychosis and creativity. There are differences within the course of people having this oversensibility, which could be explained due to the presence of protective and risk factors.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Reversible Peripheral Third Nerve Palsy Following Avulsion of the sphenoid Wing Due to Blunt Head Injury: A Case Report and Review of Literature

2017 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Mohammadmostafa Harifi ◽  
Amin Tavallayi ◽  
Mohamad Shirani ◽  
Abbas Amirjamshidi ◽  
Maysam Alimohamadi
Keyword(s):  
Case Report ◽  
Head Injury ◽  
Nerve Palsy ◽  
Review Of Literature ◽  
Third Nerve Palsy ◽  
Third Nerve

scholarly journals Acometimento neonatal do pênfigo vulgar: relato de caso

2020 ◽  
Vol 9 (2) ◽  
Author(s):  
Mariana das Neves Melo ◽  
Elisangela Pegas
Keyword(s):  
Risk Factors ◽  
Case Report ◽  
Fungal Infections ◽  
Pemphigus Vulgaris ◽  
Review Of Literature ◽  
Pregnancy Risk ◽  
Vertical Transfer ◽  
Autoimmune Blistering Disease ◽  
Blistering Disease ◽  
In Pregnancy

Os pênfigos são dermatoses bolhosas autoimunes, em que há a produção de autoanticorpos direcionados contra moléculas de adesão dos epitélios, levando à perda da coesão celular. As doenças bolhosas intraepidérmicas são compostas pelo grupo dos pênfigos: pênfigo foliáceo clássico, pênfigo foliáceo endêmico, pênfigo eritematoso, pênfigo vulgar, pênfigo vegetante, pênfigo herpetiforme (variante clínica dos pênfigos vulgar e foliáceo), pênfigo por IgA, pênfigo paraneoplásico e pênfigo induzido por medicamentos. Devido à transferência placentária dos anticorpos IgG, existem casos de recém-nascidos com diagnóstico de Pênfigo Neonatal. Este  artigo relata o caso de uma paciente recém-nascida de mãe com diagnóstico prévio de Pênfigo Vulgar com lesões exulceradas extensas na região perineal, couro cabeludo, cervical posterior e dorso, e também lesões bolhosas nos pés.Descritores: Pênfigo; Recém-Nascido; Dermatopatias; Doenças Autoimunes.ReferênciasSmolinski KN, Shah SS, Honig PJ, Yan AC. Neonatal cutaneous fungal infections. Curr Opin Pediatr. 2005;17(4):486-93.Zhao CY, Chiang YZ, Murrell DF. Neonatal autoimmune blistering disease: a systematic review. Pediatr Dermatol. 2016;33(4):367-74.Bellelli AG, Mantero NM, Rueda ML, Navacchia D, Cao G, Liloo L et al. Pénfigo vulgar de la infancia, a propósito de un caso [Childhood pemphigus vulgaris, a case report]. Arch Argent Pediatr. 2016;114(6):e457-60. Ali HS. Pemphigus vulgaris during pregnancy - a case report. J Pak Assoc Dermatol. 2011;21(4):301-3.Hanna S, Kim M, Murrell DF. Validation studies of outcome measures in pemphigus. Int J Womens Dermatol. 2016;2(4):128-39.Ibrahim SB, Yashodhara BM, Umakanth S, Kanagasabai S. Pemphigus vulgaris in a pregnant woman and her neonate. BMJ Case Rep. 2012;2012:bcr0220125850.Kodagali SS, Subbarao SD, Hiremagaloor R. Pemphigus vulgaris in a neonate and his mother. Indian Pediatr. 2014;51(4):316-17.Fainaru O, Mashiach R, Kupferminc M, Shenhav M, Pauzner D, Lessing JB. Pemphigus vulgaris in pregnancy: a case report and review of literature. Hum Reprod. 2000;15(5):1195-97.Abrams ML, Smidt A, Benjamin L, Chen M, Woodley D, Mancini AJ. Congenital epidermolysis bullosa acquisita: vertical transfer of maternal autoantibody from mother to infant. Arch Dermatol. 2011;147(3):337-41.Goldberg NS, DeFeo C, Kirshenbaum N. Pemphigus vulgaris and pregnancy: risk factors and recommendations. J Am Acad Dermatol. 1993;28(5 Pt 2):877-79.

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