A 16-year-old Man with Cyclic Vomiting Syndrome Diagnosed by Intermittent Attack of Vomiting

نویسندگان

چکیده

16歳,男性.4カ月前より間欠的に激しい嘔吐を繰り返す一方で,発作間欠期には全くの無症状であった.その特徴的な臨床経過より周期性嘔吐症候群を鑑別疾患に考えた.発作時に血清ACTH(adrenocorticotropic hormone),ADH(antidiuretic hormone)値が高値を示すことから,周期性嘔吐症候群と診断し治療した.本疾患で成人診療科を受診することは比較的稀であると考えられていたが,認知度は上昇してきている.激しい嘔吐を繰り返す患者の鑑別疾患として,周期性嘔吐症候群を念頭に置くことは重要である.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Cyclic Vomiting Syndrome

Obscure gastrointestinal bleeding constitutes approximately fi ve percent of all gastrointestinal bleeding cases. Patients with this condition are often diffi cult to diagnose and frequently undergo extensive GI testing. This is no news item to all gastrointestinal specialists. The following cases highlight several different presentation scenarios, the long road to correct diagnosis, and some i...

متن کامل

Cyclic Vomiting Syndrome

Cyclic vomiting syndrome (CVS) is a chronic functional disorder characterized by episodes of severe nausea and vomiting that alternate with prolonged symptom-free intervals.1 Symptoms are often triggered by social stress; episodes can occur after the loss of a loved one, job-related stress, during exams, and even on vacations.2 The etiology of CVS is not known, but several theories have been pr...

متن کامل

A 14-year-old boy with vomiting.

A 14-year-old boy was transferred from an outside hospital for evaluation of vomiting. He had been well until he traveled to India 3 weeks earlier. Upon return, he developed abdominal pain and recurrent episodes of nonbilious, nonbloody emesis. The day of admission, he ate a slice of pizza and then experienced numerous episodes of vomiting every 15 to 30 minutes. There had been minimal diarrhea...

متن کامل

Cyclic vomiting syndrome in adults.

Cyclic vomiting syndrome (CVS) was initially described in children but can occur in all age groups. Cyclic vomiting syndrome is increasingly recognized in adults. However, the lack of awareness of CVS in adults has led to small numbers of diagnosed patients and a paucity of published data on the causes, diagnosis and management of CVS in adults. This article is a state-of-knowledge overview on ...

متن کامل

Cyclic vomiting syndrome treated successfully with fluoxetin.

Cyclic vomiting syndrome (CVS) is defined as severe vomiting attacks which initiate suddently, recur with certain intervals, may last for hours and days and generally limit themselves. During attacks, signs including nausea, abdominal pain, photophobia, fever, palor, dehydratation, excessive saliva secretion and social isolation may accompany vomiting. Patients are completely healthy during the...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

ژورنال

عنوان ژورنال: Nihon Naika Gakkai zasshi

سال: 2022

ISSN: ['1883-2083', '0021-5384']

DOI: https://doi.org/10.2169/naika.111.277