Ugeskrift for laeger
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Ugeskrift for laeger · Jun 2012
Case Reports[Brachioradial pruritus effectively treated with gabapentin].
Brachioradial pruritus is a characteristic clinical condition with a deep intense itching, tingling or burning sensation localized to the dorsolateral part of the upper extremities. The symptoms occur primarily in the late summer in fair skin type people who are extensively sun-exposed. The condition is difficult to treat and does not respond to topical steroids and antihistamines. We describe a 57-year-old woman with longstanding brachioradial itching due to cervical radiculopathy and sun exposure, which was successfully treated with gabapentin.
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Ugeskrift for laeger · Jun 2012
[Idiopathic intracranial hypertension is a serious condition in rapid growth].
Idiopathic intracranial hypertension (IIH) is a disease of unknown aetiology. IIH typically affects young obese females. The majority of the cases are complicated by papilloedema, visual loss and significant headache. ⋯ Medical therapy is currently solely based on clinical experience. Malignant cases with rapid visual deterioration may require immediate surgical treatment in order to prevent irreversible visual loss. Early identification is essential, and increased awareness of IIH is important.
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Ugeskrift for laeger · Jun 2012
[Limited effect of gonadotrophin-releasing hormone analogues for patients with endometriosis].
A Cochrane review concluded that gonadotrophin-releasing hormone analogues (GnRHas) are more effective at relieving endometriosis-associated pain than no treatment/placebo, while there was not found any difference in pain relief between GnRHas and danazol or between GnRHas and intrauterine levonorgestrel. A high frequency of hypoestrogenic side effects was found for GnRHas, since none of the studies included add-back therapy. This review confirmed that GnRHas can be used for endometriosis therapy, but first choice of medical treatment should be oral contraceptives or intrauterine levonorgestrel.
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Ugeskrift for laeger · Jun 2012
Case Reports[Plastic bronchitis in a ten year-old boy with Fontan circulation].
Plastic bronchitis is a rare complication in children with inflammatory lung disease and postoperatively after Fontan operation for congenital heart disease. Plastic bronchitis is characterised by expectoration of large bronchial casts, which can cause fatal airway obstruction. We describe a case of a ten year-old boy with transposition vasorum and hypoplastic right ventricle who underwent a Fontan operation at the age of three. Seven years postoperatively he developed plastic bronchitis which was treated with mucolytics, inhaled corticosteroids, β2-agonist, hypertonic NaCl, and chest physiotherapy, resulting in partial recovery.
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Ugeskrift for laeger · Jun 2012
Case Reports[Treatment of metformin-associated lactate acidosis by haemodialysis].
Metformin-associated lactate acidosis is rare but serious and characterized by metabolic acidosis and elevated lactate. We describe a single-institution experience of four cases in one year. ⋯ Two of the patients had normal kidney function previous to hospitalization. Treatment includes fluid replacement, IV sodium bicarbonate and haemodialysis.