RESUMO
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.
Assuntos
Doenças da Túnica Conjuntiva/diagnóstico , Doenças Palpebrais/diagnóstico , Transtornos Autoinduzidos/diagnóstico , Adolescente , Adulto , Criança , Diagnóstico Diferencial , Transtornos Autoinduzidos/psicologia , Feminino , Humanos , Masculino , Comportamento Autodestrutivo/diagnóstico , Comportamento Autodestrutivo/psicologiaRESUMO
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.
Assuntos
Encefalopatias/diagnóstico , Helmintíase do Sistema Nervoso Central/diagnóstico , Equinococose/diagnóstico , Edema/diagnóstico , Doenças Palpebrais/diagnóstico , Albendazol/uso terapêutico , Encefalopatias/complicações , Encefalopatias/tratamento farmacológico , Encefalopatias/patologia , Helmintíase do Sistema Nervoso Central/complicações , Helmintíase do Sistema Nervoso Central/tratamento farmacológico , Helmintíase do Sistema Nervoso Central/patologia , Criança , Cistos/complicações , Cistos/diagnóstico , Cistos/tratamento farmacológico , Cistos/cirurgia , Equinococose/complicações , Equinococose/tratamento farmacológico , Equinococose/cirurgia , Edema/tratamento farmacológico , Edema/patologia , Edema/cirurgia , Doenças Palpebrais/tratamento farmacológico , Doenças Palpebrais/patologia , Doenças Palpebrais/cirurgia , Humanos , MasculinoRESUMO
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.