tailieunhanh - Báo cáo y học: "ADHD presenting as recurrent epistaxis: a case report"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: ADHD presenting as recurrent epistaxis: a case report. | Rather et al. Child and Adolescent Psychiatry and Mental Health 2011 5 13 http content 5 1 13 CHILD ADOLESCENT PSYCHIATRY MENTAL HEALTH CASE REPORT Open Access ADHD presenting as recurrent epistaxis a case report 1 12 3 1 1 Yasir H Rather Ajaz A Sheikh Aalia R Sufi Ateeq A Qureshi Zaid A Wani and Tasneem S Shaukat Abstract Epistaxis is an important otorhinolaryngological emergency which usually has an apparent etiology frequently local trauma in children. Here we present a case report wherein the epistaxis was recalcitrant and proved to have a psychiatric disorder as an underlying basis. The child was diagnosed with Attention Deficit Hyperactivity Disorder hyperactive type which led to trauma to nasal mucosa due to frequent and uncontrolled nose picking. Treatment with atomoxetine controlled the patient s symptoms and led to a remission of epistaxis. Background Introduction Children commonly present with nosebleed and these episodes are rarely life threatening. The majority of nosebleeds are mild spontaneous and self-limited. However some children suffer from repeated nosebleeds or to use its clinical name recurrent idiopathic epistaxis . These nosebleeds often cause significant parental concerns and remain a challenging problem to patients and physicians alike 1 2 . Initiating factors include local inflammation mucosal drying and local trauma including nose picking . Most of the studies have emphasized the fact that there are no apparent causes in habitual nose bleeders. However there may be some underappreciated factors that place many children at risk for injury 3 . One of these factors may be the presence of attention-deficit hyperactivity disorder ADHD which is now believed to be the most common neurobehavioral disorder in children 4 . The purpose of this case report is to describe the case of the child with a diagnosis of ADHD who suffered severe recurrent epistaxis and to highlight the possible importance of this co-morbidity and its treatment