First report of mirtazapine-induced arthralgia

2001 ◽  
Vol 16 (8) ◽  
pp. 503-505 ◽  
Author(s):  
P. Jolliet ◽  
G. Veyrac ◽  
M. Bourin
Keyword(s):  
Adverse Effect ◽  
Clinical Picture ◽  
Similar Case ◽  
Descriptive Analysis ◽  
Antidepressant Drug ◽  
Antidepressant Therapy ◽  
International Literature ◽  
Review Of The Literature ◽  
Chemical Structures ◽  
Tetracyclic Antidepressant

SummaryObjective.The aim of our work is to describe the first two cases of arthralgia associated with the antidepressant drug mirtazapine.Method.Descriptive analysis of two iatrogenic cases. The review of the literature was achieved by the traditional electronic methods. The French database of iatrogenic cases was consulted.Results.A 53-year-old man presented with gonalgia after some weeks of mirtazapine treatment. The intensity of the arthralgia was correlated with the dosage and the adverse effect rapidly disappeared after the antidepressant therapy was stopped. A 38-year-old woman received mirtazapine for 3 months and complained of arthralgia and myalgia. This clinical picture was suspended as the drug was stopped and a positive reintroduction was observed. No other cause was found in these two patients.Discussion.No similar case has been reported in the international literature, but several observations of arthralgia with mianserin are mentioned. As mirtazapine is the 6-aza derivative of the tetracyclic antidepressant mianserin, the similarities of their chemical structures begs the responsibility of mirtazapine for arthralgia.

Intramedullary Teratoma: Case Report and Review of the Literature

1996 ◽  
Vol 82 (6) ◽  
pp. 616-620 ◽  
Author(s):  
Riccardo Caruso ◽  
Mariano Antonelli ◽  
Luigi Cervoni ◽  
Maurizio Salvati
Keyword(s):  
Case Report ◽  
Surgical Removal ◽  
International Literature ◽  
Review Of The Literature ◽  
Personal Case

Aims and Background Intramedullary teratoma is an extremely exceptional tumor (5 cases), although a careful review of international literature has shown it to be more frequent (32 cases) than believed. Methods The authors present a personal case with some unusual aspects. Results Our case is unusual not only because it was diagnosed by MRI (only one case has been reported in the literature) but also because surgical removal of the tumor was apparently total (only 4 other cases have been described), with a long follow-up period (4.5 years) and excellent results, in clinical and neuroradiologic terms.

scholarly journals The role of laparoscopy in diagnosis of patients with chronic abdominal pain

2016 ◽  
Vol 4 (1) ◽  
pp. 326 ◽  
Author(s):  
Pradeep Saxena
Keyword(s):  
Abdominal Pain ◽  
Clinical Picture ◽  
Descriptive Analysis ◽  
Abdominal Tuberculosis ◽  
Chronic Abdominal Pain ◽  
Diagnostic Dilemma ◽  
Chronic Appendicitis ◽  
Fluid Analysis ◽  
Conclusive Diagnosis

Background: Chronic abdominal pain still remains one of the leading clinical problems presenting to physicians. Reaching a definitive diagnosis and prompt management is usually delayed because invasive investigations are frequently required to come to a conclusive diagnosis. The aim was to study the varied clinical picture of chronic abdominal pain and evaluate the role of laparoscopy in reaching a conclusive diagnosis in these patients.Methods: A prospective and retrospective study of 142 patients of chronic abdominal pain who underwent diagnostic laparoscopy in our surgery department from June, 2006 to December, 2015 was done. A descriptive analysis of data collected from case records of these patients was done to study the varied clinical picture, laboratory reports, radiological findings, laparoscopic findings and histological reports. The usefulness of laparoscopy to confirm the diagnosis and in clinical management of these patients of chronic abdominal pain was evaluated.Results:Laparoscopy was performed in 142 patients of chronic abdominal pain with unsettled diagnosis. A conclusive diagnosis could be made in 136 of these patients. The common causes of chronic abdominal pain were abdominal tuberculosis, adhesions, bands, small intestinal strictures, chronic appendicitis, abdominal malignancy and various gynecological diseases. Gynecological problems causing chronic abdominal pain were pelvic inflammatory disease, ovarian cyst, tubo-ovarian mass, hydrosalpinx, fibroid uterus, bulky uterus, endometriosis. Thus laparoscopy provided positive diagnosis of in 136 (95.77%) patients based on laparoscopic findings, histological reports, ascitic fluid analysis and cytology.Conclusions:In patients suspected to have abdominal pathology early laparoscopy may be useful to establish a conclusive diagnosis with acceptably low morbidity (<5 %). An early resort to laparoscopy can resolve the diagnostic dilemma and early treatment can be instituted.

scholarly journals Celiac Disease Diagnosed in an Older Adult Patient with a Complex Neuropsychiatric Involvement: A Case Report and Review of the Literature

2020 ◽  
Vol 10 (7) ◽  
pp. 426
Author(s):  
Emma Falato ◽  
Fioravante Capone ◽  
Federico Ranieri ◽  
Lucia Florio ◽  
Marzia Corbetto ◽  
...  
Keyword(s):  
Celiac Disease ◽  
Case Report ◽  
Older Adult ◽  
Clinical Picture ◽  
Neurological Involvement ◽  
Extraintestinal Manifestations ◽  
Review Of The Literature ◽  
History Of ◽  
Delusional Jealousy

We present a case of celiac disease (CD) diagnosis in a 75-year-old woman with a long-term history of chronic delusional jealousy and a complex neurological involvement. The case describes a very unusual clinical picture, provides some clinical clues, and highlights the importance of being aware of CD extraintestinal manifestations in order to get a timely diagnosis.

Stress Fracture of the Lateral Cuneiform Bone

2013 ◽  
Vol 103 (4) ◽  
pp. 337-339 ◽  
Author(s):  
Tamara Vukic ◽  
Alan Ivkovic ◽  
Sasa Jankovic
Keyword(s):  
Stress Fracture ◽  
Military Personnel ◽  
Similar Case ◽  
Stress Fractures ◽  
Overuse Injuries ◽  
Foot Pain ◽  
Review Of The Literature ◽  
Cuneiform Bone

Stress fractures are common overuse injuries of the bone that are most often seen in athletes and military personnel. These types of injuries seem to be commonly missed or delayed in diagnosis. Physicians should consider the possibility of such an injury while determining the diagnosis of a long-lasting foot pain. The aim of this paper was to report an isolated stress fracture of the lateral cuneiform bone. A review of the literature failed to find a similar case. (J Am Podiatr Med Assoc 103(4): 337–339, 2013)

scholarly journals Heart failure as an adverse effect of infliximab for Crohn's disease: A case report and review of the literature

2021 ◽  
Vol 9 (33) ◽  
pp. 10382-10391
Author(s):  
Thais Gagno Grillo ◽  
Luciana Rocha Almeida ◽  
Rodrigo Fedatto Beraldo ◽  
Mariana Barros Marcondes ◽  
Diego Aparecido Rios Queiróz ◽  
...  
Keyword(s):  
Heart Failure ◽  
Adverse Effect ◽  
Crohn’S Disease ◽  
Case Report ◽  
Crohn's Disease ◽  
Review Of The Literature

scholarly journals MANAGEMENT OF HIP DISLOCATION IN PATIENTS WITH ARTHROGRYPOSIS (REVIEW)

2014 ◽  
Vol 2 (2) ◽  
pp. 55-62 ◽  
Author(s):  
Sergei Fyodorovich Batkin ◽  
Olga Evgenievna Agranovich ◽  
Dmitry Borisovich Barsukov
Keyword(s):  
Conservative Treatment ◽  
Clinical Picture ◽  
Treatment Strategy ◽  
Conventional Treatment ◽  
Hip Dislocation ◽  
International Literature

Hip dislocation is common in patients with arthrogryposis and is observed in 13.5-58 % of cases. Currently, there is no conventional treatment strategy of this pathology. The review analyzes the data of the national and international literature on the etiopathogenesis, clinical picture and classifications, surgical and conservative treatment of this pathology.

scholarly journals Hyperammonemic Encephalopathy Associated with 5-Flurouracil Infusion in Head and Neck Cancer: Case Report and Review of the Literature

2021 ◽  
Author(s):  
Saikat Das ◽  
Aftab Ahmad ◽  
Pallav Prasun ◽  
Vipin Kharade ◽  
Manish Gupta
Keyword(s):  
Adverse Effect ◽  
Head And Neck Cancer ◽  
Case Report ◽  
Head And Neck ◽  
Neck Cancer ◽  
Clinical Presentation ◽  
Cancer Case ◽  
Review Of The Literature ◽  
Hyperammonemic Encephalopathy ◽  
Chemotherapy Agents

AbstractHyperammonemic encephalopathy is an uncommon, potentially lethal adverse effect of 5-fluorouracil (5-FU). Being one of the most common and versatile chemotherapy agents, it is important to understand this important side effect of 5FU. There is paucity of data in this subject. Here, we report a case of 5FU-induced encephalopathy in a patient on induction chemotherapy for head and neck cancer. In this case report, the clinical presentation, diagnosis, and management of 5FU-induced encephalopathy is reported.

scholarly journals PURE GONADAL DYSGENESIS: CLINICAL CASE AND REVIEW OF THE LITERATURE

2021 ◽  
Vol 9 (4) ◽  
pp. 641-644
Author(s):  
Rana Watfeh ◽  
◽  
Adam Benani ◽  
Maria Hijji ◽  
M. Youssfi ◽  
...  
Keyword(s):  
Hormone Replacement Therapy ◽  
Clinical Picture ◽  
Gonadal Dysgenesis ◽  
Clinical Case ◽  
Germ Line ◽  
Hormone Replacement ◽  
Egg Donation ◽  
Primary Amenorrhea ◽  
Review Of The Literature ◽  
Endocrine Secretion

XX or XY pure gonadal dysgenesis (PGD) is defined by premature destruction of the fetal gonads which reduce to an undifferentiated stroma with absence of germ line and endocrine secretion. The phenotype is unambiguously female with a clinical picture associating primary amenorrhea and impuberty. We present in this article a clinical case illustrating this pathology in a young patient who presents a primary amenorrhea. The diagnosis of pure XX gonadal dysgenesis was retained based on the clinical and para-clinical examinations. The patient was treated with hormone replacement therapy. The chances of fertility are almost absent in our context, and the only way out is egg donation.

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