ABSTRACT
BACKGROUND: Livedoid vasculitis is a chronic dermatological problem with an unclear etiology. Clinical findings are petechiae with painful ulcers in both lower extremities, which heal to become hyperpigmented and porcelain-white satellite lesions. There are only a few reported cases of livedoid vasculitis presenting in combination with peripheral neuropathy. CASE REPORT: We report the first case of a Korean patient presenting with mononeuritis multiplex combined with livedoid vasculitis, which was confirmed by electrophysiological and pathological studies. CONCLUSIONS: Our report supports the possible vaso-occlusive etiology of livedoid vasculitis in multifocal ischemic neuropathy.
Subject(s)
Humans , Lower Extremity , Mononeuropathies , Purpura , Ulcer , VasculitisABSTRACT
Spontaneous intracranial hypotension (SIH) is a rare cause of labyrinthine hydrops. The otologic symptoms of SIH include ear fullness, tinnitus, and hearing loss which can result from labyrinthine hydrops. We report a case of labyrinthine hydrops caused by SIH, confirmed by an audiometric impairment that occurred only when in an upright posture.
Subject(s)
Cochlear Aqueduct , Ear , Edema , Hearing Loss , Intracranial Hypotension , Posture , TinnitusABSTRACT
Neuroleptic malignant syndrome and serotonin syndrome share many common clinical features, and the term "Neurotoxic syndrome" can be used when a clear distinction cannot be made between the two. Here we present a case of 19-year-old man who experienced serotonin syndrome caused by sertraline intake, and consecutive neuroleptic malignant syndrome by risperidone. This case suggests that these two syndromes can be concomitantly induced in some patients who are susceptible to these drugs. Clinicians may have to pay close attention to this problem when prescribing drugs to patients who previously showed sensitivity to CNS-acting drugs.
Subject(s)
Humans , Young Adult , Antipsychotic Agents , Neuroleptic Malignant Syndrome , Risperidone , Serotonin Syndrome , SertralineABSTRACT
Neuroleptic malignant syndrome and serotonin syndrome share many common clinical features, and the term "Neurotoxic syndrome" can be used when a clear distinction cannot be made between the two. Here we present a case of 19-year-old man who experienced serotonin syndrome caused by sertraline intake, and consecutive neuroleptic malignant syndrome by risperidone. This case suggests that these two syndromes can be concomitantly induced in some patients who are susceptible to these drugs. Clinicians may have to pay close attention to this problem when prescribing drugs to patients who previously showed sensitivity to CNS-acting drugs.
Subject(s)
Humans , Young Adult , Antipsychotic Agents , Neuroleptic Malignant Syndrome , Risperidone , Serotonin Syndrome , SertralineABSTRACT
Cerebral venous thrombosis (CVT) is a multifactorial disease characterized by various clinical manifestations and predisposing factors. The association of CVT with hyperthyroidism has been suggested and the high plasma level of factor VIII in hyperthyroidism has been hypothesized to increase the risk of recurrent thromboembolism. We report a 30-year-old man who presented with headache. He was diagnosed with CVT and concomitant hyperthyroidism with increased factor VIII.
