Anorexia Nervosa

1982 ◽  
Vol 4 (4) ◽  
pp. 123-129
Author(s):  
Hans Steiner

Anorexia nervosa is a complex, chronic, remittent disorder of mostly adolescent women. It presents with multiple psychiatric and medical symptoms which are difficult to diagnose and treat, especially in the long run. Its differential diagnosis is complex and treatment requires dedicated effort and several specialists working cooperatively. Its etiology is still unclear, although there are several promising leads. Treatment is largely empirical and nonspecific at this point. Early identification and aggressive treatment are the only hope for preventing chronicity. Its relatively high mortality attests to the fact that it is not a benign disorder.

2021 ◽  
pp. 014556132110141
Author(s):  
Marios Stavrakas ◽  
Ioannis Koskinas ◽  
Jannis Constantinidis ◽  
Petros D Karkos

Mucormycosis is a type of fungal infection more prevalent among immunosuppressed patients, requires prompt identification and surgical treatment, as it can is associated with local and distant spread. This case is aiming to highlight the importance of early identification of subtle symptoms in immunocompromised patients. The clinician should be aware of fungal sinusitis, consider it in the differential diagnosis, and seek for an ear, nose, and throat opinion.


2001 ◽  
Vol 35 (2) ◽  
pp. 246-248 ◽  
Author(s):  
Rosalie Hill ◽  
Christopher Haslett ◽  
Shailesh Kumar

Objective: To demonstrate a case of anorexia nervosa in the elderly and to highlight the need for broadening of current diagnostic criteria. Clinical picture: First onset of anorexia nervosa in a 72-year-old woman following bereavement of her husband. Treatment: Nine treatments of electroconvulsive therapy. Outcome: Treatment resulted in remission of the depressive symptoms and improvement of eating behaviour. Conclusions: Anorexia nervosa does occur in the elderly and can be difficult to detect. Where comorbid depression exists it requires aggressive treatment.


Author(s):  
Gholamreza Bahoush ◽  
Maryam Vafapour

Veno-occlusive disease (VOD) is one of the complications of hematopoietic stem cell transplantation that can also be caused by high-dose chemotherapy. This complication can lead to high mortality following bone marrow transplantation. It is more common after allogeneic stem cell transplantation, and is rare after autologous stem cell transplantation. While mild cases of VOD may reduce over a period of a few weeks, very severe cases can cause multi-organ damage, which has a high mortality. is therefore required with early diagnosis and treatment of this complication. In this paper, we present a sever VOD case after autologous stem cell transplantation, that was treated successfully with Defibrotide. The patient was a 14-month-old girl who has neuroblastoma with bone metastasis. VOD should be considered in the differential diagnosis of haematopoietic stem cell transplantation recipients who present with unexplained liver injuries, ascites and/or multi organ failure. Recipients of haematopoeitic stem cell transplantation who present with unexplained liver injuries, ascites and/or multi organ failure should have VOD considered in their differential diagnosis. If there is severe VOD diagnosed, then Defibrotide could be an option for treatment.


Posterior scleritis is a painful inflammatory disease that affects the sclera behind the ora serrata. Although it can be seen at any age, it is mostly seen over the age of 40 and mostly affects women. It is usually unilateral. The most common symptoms are periocular pain and loss of vision. It is often idiopathic but it may be associated with systemic diseases such as rheumatologic and autoimmune illnesses. Because of its variable clinical features, the differential diagnosis should be done with orbital or intraocular inflammation and ocular tumors. B-mode ultrasonography (USG), computed tomography, and magnetic resonance imaging are helpful in diagnosis. Posterior scleritis should be kept in mind in all inflammatory and painful ocular disorders without a significant etiology. With the correct diagnosis, appropriate and aggressive treatment, it is possible to recover and protect vision.


2009 ◽  
Vol 4 (3) ◽  
pp. 266-269 ◽  
Author(s):  
Arjun V. Pendharkar ◽  
Raphael Guzman ◽  
Robert Dodd ◽  
David Cornfield ◽  
Michael S. B. Edwards

The authors describe the case of a 13-year-old boy who presented with an intraventricular hemorrhage caused by a left trigonal arteriovenous malformation. After an initial recovery, the patient experienced complete right-sided paresis on posthemorrhage Day 6. Severe cerebral vasospasm was found on MR angiography and confirmed on conventional cerebral angiography. Intraarterial nicardipine injection and balloon angioplasty were successfully performed with improved vasospasm and subsequent neurological recovery. Cerebral vasospasm should be considered in the differential diagnosis for neurological deterioration following an arteriovenous malformation hemorrhage, and aggressive treatment can be administered to prevent ischemia and further neurological deficits.


2015 ◽  
Vol 8 ◽  
Author(s):  
Andrew Kiselica ◽  
Renee Brown Hangartner ◽  
Adam B. Lewin

AbstractResearch on the relationship between military service and eating pathology has yielded mixed findings. Among those of military backgrounds, anorexia nervosa typically presents with co-occurring disorders that complicate diagnosis and treatment. The purpose of this paper is to present a case report of a retired Navy midshipman. The patient sought treatment for obsessive compulsive disorder (OCD), but his assessment revealed the primary pathology to be anorexia nervosa. This case illustrates ways in which military life may contribute to eating pathology and the complex overlap and differential diagnosis of anorexia nervosa and OCD.


2016 ◽  
Vol 32 (4) ◽  
pp. 486-489
Author(s):  
Adam C. Nadelson ◽  
Victor D. Babatunde ◽  
Eric U. Yee ◽  
Vilas R. Patwardhan

2012 ◽  
Vol 87 (5) ◽  
pp. 791-792 ◽  
Author(s):  
Ana Maria Calistru ◽  
Carmen Lisboa ◽  
Herberto Bettencourt ◽  
Filomena Azevedo

Riga-Fede disease is a rare, benign disorder characterized by reactive ulceration of the oral mucosa associated with repetitive dental traumatism. It was first described in children with neurologic disorders and is very rare in adults. This case report describes the occurrence of a large ulcer of the tongue, resembling squamous cell carcinoma, in an adult with hemiparesis. The lesion cleared after neurologic recovery. This case highlights the importance of considering this disorder in the differential diagnosis of oral mucosal ulcerations.


2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Magdelene Amoateng ◽  
Pius Osei-Bagyina ◽  
Reba Varughese ◽  
Achsah Mathew ◽  
Ishan Malhotra

Klebsiella pneumoniae liver abscess (KPLA) is an emerging syndrome with the initial cases described in Taiwan in the 1980s. There is high mortality with this condition, and immediate aggressive treatment is necessary. Diabetes mellitus (D.M.) is the single most important risk factor for developing KPLA. Here, we describe a rare case of recurrent cryptogenic Klebsiella pneumoniae pyogenic liver abscess (KPLA) in a young man with poorly controlled type 1 D.M.


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