Spasmodic (spastic) dysphonia (SD) is considered by some to be a neurologic syndrome and by others a symptom complex of multiple etiologies, neurologic and psychogenic. A case of a 26-year-old female psychiatric nurse with psychogenic SD (PSD) is presented. The dysphonia was alleviated within one session of voice therapy. Psychogenic etiology was established by the author, based on three diagno...

Psychogenic erectile dysfunction (ED) has been defined as the persistent inability to attain and maintain an erection sufficient to permit sexual performance. It shows a high incidence and prevalence among men, with a significant impact on the quality of life. Few neuroimaging studies have investigated the cerebral basis of erectile dysfunctions observing the role played by prefrontal, cingulat...

Henoch-Schönlein Purpura (HSP) is the most commonly vasculitic disease observed during childhood. It is characterized clinically by a generalized palpable purpura, arthritis, arthralgia, nephritis and gastrointestinal symptoms (abdominal pain, GI bleeding). HSP was first recognized in 1801 by the physician Heberden and next in 1808 by the dermatologist Willan. However, the illness was named by ...

Purpura fulminans is a rare complication of septic shock, often associated with Streptococcus pneumoniae. Patients with anatomic or functional asplenia are at increased risk for infection because of impairment of their ability to defend against encapsulated pathogens. We report the case of a previously healthy, unimmunized 33-year-old female with functional asplenia who presented in septic shoc...

Progressive pigmentary purpura or Schamberg's disease. Pigmented purpuric lichenoid dermatitis of Gougerot and Blum red/brown papules and plaques in men which responds to psoralen combined with ultraviolet A (PUVA) treatment. Purpura annularis telangiectodes rare, with a preponderance in young females and manifests as annular erythematous plaques and patches. Eczematoid-like purpura of Doucas a...

Five patients with purpura hyperglobulinaemia are reviewed. One patient developed ulcerative colitis; female members of this patient's family suffered from rheumatoid arthritis. The family showed immunoglobulin abnormalities. Although the clinical picture of purpura hyperglobulinaemia and Henoch-Schonlein purpura can show some common features, the former may well be separated as a 'disturbed-to...

One of the postulated factors responsible for psychogenic epileptic seizures is somatisation. The purpose of this study was to analyse differences in the levels of somatisation manifested in the Minnesota Multiphasic Personality Inventory (MMPI) somatisation scales. Subjects were divided into three groups on the basis of a neurological examination and long-term video-monitoring. Group One (N=66...

OBJECTIVE A significant amount of evidence indicates that some antidepressants have an analgesic effect. We wished to determine whether this analgesic effect could be demonstrated in studies that had used antidepressants for the treatment of pain in patients diagnosed with psychogenic pain or somatoform pain disorder. Meta-analysis was used for this purpose. METHODS All randomized, placebo-co...

Resolution of psychogenic dysphonia is often quick and effortless for client and therapist alike. In such instances, the therapeutic interventions are simple and straightforward, insights are reached without difficulty, and once normal voice has been established, resumption of dysphonia or other psychosomatic symptoms rarely occurs. Sometimes, however, psychogenic dysphonia is extremely difficu...

Hematologic abnormali"es are generally present among systemic lupus erythematosus pa"ents. Idiopathic thrombocytopenic purpura can be the first manifesta"on of SLE, followed by other symptoms and signs of disease appearing several years later. Although bleeding due to immune thrombocytopenic purpura is usually mild and occurs in mucocutaneous surfaces, but it may be severe and represent in u...