RESUMO
A 23-year-old woman with known tension-type headache and in treatment with oral contraceptives was hospitalized with headache, nausea and vomiting during two weeks. Prior to hospitalization the symptoms had been interpreted as migraine. Blood samples including D-dimer were normal. A computed tomography showed cerebral venous thrombosis (CVT), so the patient was treated with anticoagulation drugs and her symptoms remitted slowly. CVT is a dangerous condition, and the symptoms can have a fluctuating course which can mask the diagnosis. D-dimer cannot be used to exclude CVT, and attention should be paid to the risk factors.
Assuntos
Trombose do Seio Sagital/diagnóstico por imagem , Anticoagulantes/uso terapêutico , Diagnóstico Diferencial , Feminino , Humanos , Angiografia por Ressonância Magnética , Transtornos de Enxaqueca/diagnóstico , Trombose do Seio Sagital/diagnóstico , Trombose do Seio Sagital/tratamento farmacológico , Tomografia Computadorizada por Raios X , Adulto JovemRESUMO
Hyperhidrosis affects 2.8% of the population and has severe negative influence on life quality. The disease is represented in many specialties but can unfortunately be incorrectly treated or not treated at all. Primary hyperhidrosis is the most common form. Secondary hyperhidrosis is most often excluded by a few anamnestic data. Botulinum toxin and anticholinergics are adequate treatment options when aluminium chloride is insufficient. This article describes the disease from the physician's as well as the patient's perspective. Furthermore, examination procedures and treatment procedures are presented.
Assuntos
Hiperidrose , Toxinas Botulínicas Tipo A/administração & dosagem , Toxinas Botulínicas Tipo A/uso terapêutico , Antagonistas Colinérgicos/administração & dosagem , Antagonistas Colinérgicos/uso terapêutico , Humanos , Hiperidrose/diagnóstico , Hiperidrose/etiologia , Hiperidrose/psicologia , Hiperidrose/terapia , Neurotoxinas/administração & dosagem , Neurotoxinas/uso terapêutico , Qualidade de Vida , Sudorese/fisiologiaRESUMO
Hereditary angioedema is an inherited disease that causes periodic swelling attacks, which can be life threatening and have a major effect on a patient's life. Studies have shown that home therapy for angioedema reduces disease severity, leads to faster relief of symptoms, and improves quality of life. Most studies have been conducted in adults. We report a 13-year-old boy who quickly learned self-administration, which resulted in reduced frequency and severity of attacks. The aim of this report is to emphasize that children should be considered for self-administration training and that the process does not have to be long or complicated.
