Clinical features of scrupulosity: Associated symptoms and comorbidity

2020 ◽  
Vol 77 (1) ◽  
pp. 173-188
Author(s):  
Jedidiah Siev ◽  
Jessica Rasmussen ◽  
Alexandra D. W. Sullivan ◽  
Sabine Wilhelm
2012 ◽  
Vol 39 (4) ◽  
pp. 849-855 ◽  
Author(s):  
ANTONIO MARCHESONI ◽  
FABIOLA ATZENI ◽  
ANTONIO SPADARO ◽  
ENNIO LUBRANO ◽  
GIUSEPPE PROVENZANO ◽  
...  

Objective.To identify the clinical features that can help to distinguish between psoriatic arthritis (PsA) and fibromyalgia (FM).Methods.Our cross-sectional study was carried out in 10 Italian rheumatology centers between January and September 2009, and enrolled all consecutive patients with PsA and FM who agreed to participate. Standard clinical and laboratory data for PsA and FM were collected from all patients. Records were made of somatic symptoms, response to nonsteroidal antiinflammatory drugs (NSAID), self-evaluated pain, general health, disability, and responses to the Fibromyalgia Impact Questionnaire. Data were statistically analyzed by univariate and multivariate analyses, and receiver-operating characteristic curves. The analysis concentrated on the clinical features shared by the 2 conditions.Results.Two hundred sixty-six patients with PsA (mean age 51.7 yrs; disease duration 10.2 yrs) and 120 patients with FM (mean age 50.2 yrs; disease duration 5.6 yrs) were evaluated. Univariate analysis showed that patients with FM had higher mean tender point and enthesitis scores, more somatic symptoms, and responded less to NSAID. Multivariate analysis showed that the presence of ≥ 6 FM-associated symptoms and ≥ 8 tender points was the best predictor of FM.Conclusion.The shared clinical features of PsA and FM that had the greatest discriminating power for FM were the number of FM-associated symptoms and tender point count.


Cephalalgia ◽  
2015 ◽  
Vol 36 (6) ◽  
pp. 510-517 ◽  
Author(s):  
V Tarasco ◽  
G Grasso ◽  
A Versace ◽  
E Castagno ◽  
F Ricceri ◽  
...  

Aim The aim of this article is to analyze the epidemiological and clinical features of migraine in a pediatric headache center. Methods A retrospective study was performed over six years. Hospital record databases were screened for the diagnosis of migraine with aura (MA) or without aura (MO), based on the ICHD-II criteria. Statistical analysis: Fisher’s test or Mann-Whitney U test, significance at p < 0.05. Results Migraine was diagnosed in 495 children (29.7% MA, 70.3% MO). The majority of diagnoses were made between ages 9 and 14 years. After stratification for age into five groups, we observed an increase of diagnoses in females, with a peak after the age of 15 years, and an increase of MA. In both groups, the attacks were usually severe, infrequent (<1–3/month) lasting <2 hours, and associated with nausea/vomiting, photophobia, phonophobia (more frequent in MO). Osmophobia was reported in 24.7% of the patients with MO. Dizziness was more frequent in patients with MA. Visual auras were the most common occurrence (87.1%). Confusional state was observed in 10.88% of the patients. A positive family history of headache was observed in >88% of the patients. Conclusion We describe the characteristics of pediatric migraine based on the ICHD-II criteria, showing a likely significant loss of diagnoses using the ICHD-III beta. The incidence of migraine increases with age. MO occurs more commonly and shows more frequent attacks and a higher prevalence of associated symptoms, in particular osmophobia. Although males are prevalent in the entire sample, the proportion of females is higher among patients with MA in all of the age groups. Phenotype and sexual prevalence of migraine acquire adult characteristics and become more frequent in females from the onset of puberty.


2021 ◽  
Vol 9 (9) ◽  
pp. 2196-2200
Author(s):  
Krishnapriya N ◽  
Kavitha B K

Leucorrhoea is one of the most common and burning problems faced by women all around the globe. It may be physiological but when turning into a pathological condition, produce associated symptoms like itching vulva, backache, and anxiety to female suffering from the entity. Various factors like fungal, parasite, bacterial, and sex- ually transmitted diseases are responsible for the causation of this disease. In Ayurveda, it is termed as Sweta pra- dara. It can be a symptom of many diseases as well as an independent entity. No description of Sweta Pradara has been described by scholars of Brihatrayee. For abnormal white vaginal discharges, the word Sweta Pradara has been described in texts during and after the medieval period. The present study has been designed to substantiate the aetiology, pathogenesis, clinical features and treatment of sweta pradara so that alternative better forms of therapy can be made available in those suffering from Sweta pradara. Keywords: Sweta Pradara, Leucorrhoea, Yonivyapad.


2001 ◽  
Vol 120 (5) ◽  
pp. A563-A564
Author(s):  
M ISMAIL ◽  
I DABOUL ◽  
B WATERS ◽  
J FLECKENSTEIN ◽  
S VERA ◽  
...  

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