ASTHENIA AND SUPRARENALS

Hyperparathyroidism and Asthenia. A New Deal?

The profi le of primary hyperparathyroidism (PHPT) changed profoundly over the course of the twentieth century. The highly symptomatic forms reported in the 1960s have progressively been replaced by forms with few symptoms and in some cases totally asymptomatic forms. As of 1991, with the increasing frequency of these new forms, several consensus meetings designed to defi ne the criteria for es...

Da Costa's syndrome or neurocirculatory asthenia.

The syndrome variously called Da Costa's syndrome, effort syndrome, neurocirculatory asthenia, etc has been studied for more than 100 years by many distinguished physicians. Originally identified in men in wartime, it has been widely recognised as a common chronic condition in both sexes in civilian life. Although the symptoms may seem to appear after infections and various physical and psychol...

A patient with HIV infection, cough, asthenia, and fever.

[Asthenia in advanced cancer and the use of psychostimulants].

Asthenia is the most frequent symptom in patients with advanced cancer and is probably what most affects the quality of life of oncology patients since it interferes in their physical and social activity. Treatment in the majority of cases is symptomatic. There is growing interest in the use of psychostimulants for treating asthenia. Methylphenidate and modafinil are two psychostimulants that h...

PALLIATIVE CARE Depression, Anxiety, and Asthenia in Advanced Illness

Depression, anxiety, and asthenia are frequently experienced by those suffering with an advanced (life-limiting) illness. Many caregivers may feel that it is “normal for patients in this condition to be depressed or anxious,” and this misunderstanding may lead to missed opportunities to address a treatable condition. The role played by the yet more “normal” phenomenon of asthenia (ie, reduced e...