RESUMEN
Pathomimia is an unconscious falsification of physical manifestations. The eyelids and ocular surface are almost always affected because of the easy accessibility to these structures for the purpose of attracting attention from one's entourage as well as the medical community. We report four cases of lid and conjunctival pathomimia. The diagnosis was made after a long follow-up and numerous ancillary tests.
Asunto(s)
Enfermedades de la Conjuntiva/diagnóstico , Enfermedades de los Párpados/diagnóstico , Trastornos Fingidos/diagnóstico , Adolescente , Adulto , Niño , Diagnóstico Diferencial , Trastornos Fingidos/psicología , Femenino , Humanos , Masculino , Conducta Autodestructiva/diagnóstico , Conducta Autodestructiva/psicologíaRESUMEN
We report a case of a hydatid cyst of the eyelid in a 12-year-old boy associated with cerebral involvement. The patient was initially treated by neurosurgeons for brain cysts. The course after an interval of two months was marked by regression of the palpebral cyst on albendazole.
Asunto(s)
Encefalopatías/diagnóstico , Helmintiasis del Sistema Nervioso Central/diagnóstico , Equinococosis/diagnóstico , Edema/diagnóstico , Enfermedades de los Párpados/diagnóstico , Albendazol/uso terapéutico , Encefalopatías/complicaciones , Encefalopatías/tratamiento farmacológico , Encefalopatías/patología , Helmintiasis del Sistema Nervioso Central/complicaciones , Helmintiasis del Sistema Nervioso Central/tratamiento farmacológico , Helmintiasis del Sistema Nervioso Central/patología , Niño , Quistes/complicaciones , Quistes/diagnóstico , Quistes/tratamiento farmacológico , Quistes/cirugía , Equinococosis/complicaciones , Equinococosis/tratamiento farmacológico , Equinococosis/cirugía , Edema/tratamiento farmacológico , Edema/patología , Edema/cirugía , Enfermedades de los Párpados/tratamiento farmacológico , Enfermedades de los Párpados/patología , Enfermedades de los Párpados/cirugía , Humanos , MasculinoRESUMEN
We report the case of a 21-year-old male patient admitted emergently with progressive bilateral severe visual loss for 1 month. Posterior segment examination revealed bilateral stellate neuroretinitis. Infectious serologies were negative, and brain CT was normal. Physical examination was remarkable for malignant hypertension of 220/150 mmHg. Diagnostic work-up revealed a pheochromocytoma documented by histopathological exam upon adrenalectomy. The disc edema and macular exudates resolved once the hypertension was controlled.