1/18. Self-inflicted orodental injury in a child with leigh disease.leigh disease is an inherited progressive mitochondrial neurodegenerative disease that affects the neurological, respiratory and cardiovascular systems and is associated with retardation of the intellectual and physical development. This report describes the case of a 4-year-old boy with leigh disease who presented with self-inflicted traumatic injury to the teeth, alveolar bone, lips and tongue during repeated episodes of intense orofacial spasms. Conservative management of the injury included repositioning the fractured alveolar bone, splinting the traumatized teeth and planning for a mouthguard. However, after a second incident of severe self-induced injury to the teeth and alveolar bone, extraction of the anterior teeth became inevitable to protect the child from further self-mutilation and to allow healing of the injured tissues.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
2/18. arthritis as a manifestation of self-mutilation in childhood.Traumatic arthritis resulting from self-aggression is rarely encountered in children. Differentiation from child abuse and common causes of childhood arthritis is difficult and rests upon a high level of suspicion. We describe a 10-year-old girl with hand deformities associated with joint pain and swelling managed as juvenile rheumatoid arthritis for 3 years. Reevaluation revealed both physical and radiographic evidence of recurrent trauma. Psychiatric assessment confirmed the diagnosis of autoaggression leading to self-mutilation and psychosocial rehabilitation was essential in successful management.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
3/18. Treatment of self-inflicted oral trauma in a comatose patient: a case report.Trauma to oral soft tissues in comatose patients may be more widespread than reported, as no extensive study of this problem has been conducted. Various appliances for the prevention of self-inflicted injuries to oral tissues particularly in children and the physically and mentally challenged have been documented, but there is little information on their use in adult comatose patients.Because comatose patients lack cerebral control of the masticatory cycle, they can easily injure themselves. Although it is not uncommon for patients with a decreased level of consciousness and in need of intensive care to be restrained to prevent injury due to involuntary movement of the limbs, head and neck restraint is often difficult and may be dangerous to the patient. This case report presents a simple solution to the problem of self-inflicted trauma to oral tissues.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
4/18. A preventive approach to oral self-mutilation in lesch-nyhan syndrome: a case report.lesch-nyhan syndrome is a rare X-linked recessive disorder of purine metabolism, caused by complete absence of the enzyme hypoxanthine-guanine phosphoribosyl transferase. persons affected with this incurable disease are developmentally and physically delayed, and suffer from self-injurious behavior. The most typical feature results in partial or total destruction of perioral tissues. The purpose of this paper was to discuss a case of lesch-nyhan syndrome with self-mutilative behavior and lip injuries, including some suggestions of a preventive approach avoiding the extraction of teeth. A soft mouthguard fabricated to prevent the destruction of perioral soft tissues and combined psychiatric pharmacologic therapy proved to have satisfactory results.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
5/18. Factitious illness and the ENT surgeon.Factitious illness' is a recently classified group of diseases characterized by repeated purposeful simulation of physical or mental illness in order to obtain medical or psychiatric treatment. 'munchausen syndrome' is a classical example of this group. The case reported is a 26-year-old Caucasian male who presented with recurrent facial swelling between December 1978 and November 1987. His true condition eluded diagnosis for so long because he presented repeatedly with overt clinical signs which appeared severe enough to justify the symptoms claimed.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
6/18. dermatitis artefacta of the paraoral region.Factitial injuries constitute a group of lesions that relate only in the manner in which they are produced and have no particular physical appearance. The possibility of correctly diagnosing a factitial injury is difficult unless this unusual condition is considered in a differential diagnosis. In this article, a case report of factitial injury of the paraoral soft tissue in a 33-year-old white man is presented. A review of self-mutilation and of the psychological aspects of self-destructive behavior is also included.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
7/18. Ocular Munchausen's syndrome.patients with contrived histories and/or self-induced physical abnormalities (Munchausen's syndrome) are often successful in deceiving physicians. We recently cared for four patients with ocular Munchausen's syndrome. Self-induced ocular manifestations included voluntary nystagmus, subconjunctival hemorrhages, chronic orbital emphysema requiring exenteration, corneal alkali burns, erosions and ulcerations, and abscesses of the periorbital area. Correct diagnoses of ocular Munchausen's syndrome were made only after extensive medical and surgical investigations. Suggestions for evaluation and treatment will also be discussed.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
8/18. Self-induced subcutaneous air mimicking a gas-forming infection.We describe three cases of self-induced soft-tissue gas among inmates at a prison. This behavior was specifically designed to gain hospitalization and relied on the simulation of a necrotizing soft-tissue infection. Two cases were treated by surgical exploration only. The third case was treated non-surgically after the etiology was suspected. The possibility of self-induced injury or manufactured physical signs is high in the prison population, and the presence of isolated physical signs or symptoms should be cause for suspicion. The inmates in these cases used manufactured signs and professed symptoms to extract themselves successfully from a prison environment.- - - - - - - - - - ranking = 2keywords = physical (Clic here for more details about this article) |
9/18. 17/7 translocation trisomy: practical vindication of a model of sickness.A girl was seen by a psychiatrist for relentless rubbing of her eyes and difficult behaviour. A proper diagnosis of her sickness required an understanding of the cause of her physical stigmata, which disclosed a previously undescribed chromosome anomaly (partial trisomy 17p); her mental handicap and behavioural disorder, which were partly a function of parental despair; and the predicament of her father and other carrier relatives who were identified through this child. Explanation or alteration of each component of sickness was necessary to achieve beneficial change.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
10/18. Self-injury in the de lange syndrome.Self-injury, a common problem among retarded children is thought to be a behavioural manifestation of an organic disease and the usual treatment has been through drugs or physical restraint. Psychological treatment techniques were used to control such behaviour in a de lange syndrome patient. The treatment was effective in producing clinically significant control of self-injurious behaviour.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
| | Next -> |