Self-inflicted gingival injury.
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Adolescent↗
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Results for “SELF MUTILATION”
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A complication of tongue piercing.
The trend of tongue piercing is becoming more popular. A patient with Ludwig's angina, secondary to recent tongue piercing, is presented. The management of the patients and the implications of tongue piercing are discussed.
Adult↗
Self-inflicted anterior scleritis.
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Adult↗
Bilateral self-enucleation of eyes.
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Eye Enucleation↗
Successful penile replantation following autoamputation: twice!
Report on a psychiatric patient who performed self-emasculation twice in an interval of 10 y. The penis was replanted microsurgically in both cases. At 1-y follow-up examinations he reported on restored erectile function. Under optimized therapy of his psychiatric disease, the patient appreciated the restored body image.
Adult↗
Self-injurious behavior in children and adolescents with spinal cord injuries.
STUDY DESIGN: A case report of self-injurious behavior in four children and adolescents with spinal cord injuries (SCI). OBJECTIVES: To report a relatively unusual complication of pediatric-onset SCI, focusing on the potential role that dysesthesia may play in self-injurious behavior. SETTING: A Spinal Cord Injury Program in a Children's Hospital in Chicago that serves children from midwestern and south-central United States of America. METHOD: Case reports and literature review. RESULTS: Case reports are presented of four children or adolescents with SCI who exhibited self-injurious behavior. Two of the subjects had symptoms consistent with dysesthesia. The self-injurious behavior in these two subjects and a very young child responded to treatment with anticonvulsants. The self-injurious behavior in the fourth patient was probably the result of poor technique of using his mouth to move his hands, which responded to conservative management including education, occupational therapy and gloves. CONCLUSION: Self-injurious behavior is a relatively unusual complication of pediatric onset SCI, and may be a manifestation of dysesthesia and be responsive to treatment with anticonvulsants.
Acetates↗
Rituals and compulsivity in Prader-Willi syndrome: profile and stability.
BACKGROUND: Prader-Willi syndrome (PWS) is characterized by an increased risk for obsessive-compulsive disorder. This study investigated the nature of compulsive-like behaviours in the PWS. METHOD: Parents of 50 individuals with PWS (aged 5-18 years) and 50 typically developing 4-year-old children completed the Childhood Routines Inventory. This instrument measures compulsive-like behaviours in normative childhood. RESULTS: Many childhood compulsive behaviours are prevalent among older children and adolescents with PWS. Group differences were observed in that the PWS group, independent of age, gender and cognitive dysfunctions, exhibited more intense compulsive behaviours related to insistence on sameness in many daily activities and social contexts. Findings also revealed an age-independent low-prevalent pattern of PWS compulsivity, probably related to other features in the PWS symptomatology. CONCLUSIONS: Compulsions of childhood do not subside with age in adolescents with PWS. The findings indicate that the differentiation between delayed childhood rituals and pathological manifestations of compulsive features is complex in PWS populations.
Adolescent↗
Life-threatening pica: liver abscess from perforating foreign body.
A case is presented of a patient with a psychiatric illness and pica who developed a pyogenic liver abscess due to perforation of the duodenum by a pen. This report emphasizes the importance of ultrasound and computed tomography in making a rapid diagnosis. The relative superiority of ultrasound was revealed because an anaesthetic was not required for scanning, and in addition to the liver abscess, the precise location of the perforating foreign body was demonstrated.
Adult↗
Clinical and therapeutic aspects of the Lesch-Nyhan syndrome in Japanese children.
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Allopurinol↗
[The effect of methylperon (Eunerpan) on aggressive and auto-aggressive behaviour in mentally retarded patients--a double blind study (author's transl)].
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Adolescent↗
[The suicide attempt. Psychiatric studies on 820 women].
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Adolescent↗
Development of obsessive-compulsive behaviour following cortisone treatment.
In this report, we will describe the first case of obsessive-compulsive behaviour following oral corticosteroid treatment in a 75-year old adult male patient with pulmonary disease, but without previous psychiatric symptoms or organic brain disorder. We will also discuss the clinical and pathophysiological considerations.
Adult↗
[Munchhausen patients in general hospitals--Clinical features and treatment approaches in C-L psychiatry settings].
Factitious disorders have been reported in 0.5 - 1 % of general hospital patients. It often takes several years until the disorder is detected. During this period, enormous health care cost can arise not least out of iatrogenic self-induced mutilations and related secondary somatic complications. Apart from surgeons and physicians, consultation-liaison (C-L) psychiatrists are particularly called on to diagnose factitious disorders at an early stage in order to avoid unnecessary diagnostic and therapeutic procedures, treatment dropout and doctor shopping. This article gives an overview of clinical features and treatment approaches in C-L psychiatry settings.
Adult↗
Shortening of rat teeth prevents autocannibalization of surgical flaps.
Self-biting in laboratory rats is an irritating problem that can impede progress and affect the credibility of experimental interventions. Autocannibalization frequently complicates the epigastric skin flap model that is often used to evaluate flaps. In one of the authors' studies, the autocannibalization rate of 55.6 percent in nine rats with unprotected skin flaps of the entire abdominal wall necessitated the application of previously reported plastic collars and protective vests to hinder self-biting. Because the use of these devices resulted in distress symptoms in nine of 11 rats with collars and flap congestion in five of five rats with vests, rat incisor teeth shortening was introduced as a stress-free method to prevent chewing. Careful teeth cutting obviated autocannibalization in 19 of 20 rats (p<0.01) during a 5-day follow-up. Rat incisor teeth shortening performed every 3 or 4 days is a simple, inexpensive, and reliable method to prevent autocannibalization in the rat, while maintaining the well-being of the animal.
Animals↗
Penile replantation after self-inflicted complete amputation: case report.
A case of penile replantation is reported in which a 37-year-old man suffered a self-inflicted complete penile amputation. Replantation was successfully performed; at 3 months after surgery, a urethrocystogram demonstrated the absence of urethral stricture. Although complete erection has yet to be obtained, no other functional impairments have been encountered at 7 months after replantation. Reconstruction of the venous system is considered to be one of the most important factors in achieving a successful penile replantation.
Adult↗
Autocannibalization of surviving and necrotic rat groin flaps.
Autocannibalization of the rat groin flap was studied one week after a long ischemic period. It was shown that nearly all necrotic flaps were autocannibalized, but surviving flaps were not. The result was similar, whether the epigastric nerve was cut or kept intact. Against this background, it is emphasized that autocannibalized flaps should not be excluded from experimental studies, as this may alter the results.
Abdominal Muscles↗
[Self-inflicted necroses (mastitis factitia) as an unusual course of non-puerperal mastitis].
The present paper reports of a long lasting necrotising mastitis which, regarding the psychiatric aspect of the patient as well, has to be interpreted as artefactual mastitis. The uncommon localisation, the unusual history and histology as well as the hardly accessible personality may be indicative of a self inflicted injury with subsequent inflammation. Additional to the local therapy, these patients need a psychological guidance, avoiding direct confrontation with the suspected pathogenesis.
Abscess↗