【正】Dear Sir,We hereby report two cases of methanol optic neuropathy with relapsed vision disturbance.Methanol intoxication appears after accidental or suicidal oral ingestion of industrial solvents or cleaning and ...【正】Dear Sir,We hereby report two cases of methanol optic neuropathy with relapsed vision disturbance.Methanol intoxication appears after accidental or suicidal oral ingestion of industrial solvents or cleaning and antifreeze liquids or occasionally is due to fraudulent adulteration of wine or other alcoholic beverages.Its ingestion can cause severe visual disturbances and the outcomes of visual disturbances vary diffusively.Some completely or partially recovered,and some suffered展开更多
Cases report Case 1: A 50-year-old man was injuried by iron filings on his left eye. He was admitted to our hospital on Feb. 3, 1987. On examination, his visual acuity was 20/15 OD and 20/500 OS. Left eye: The cornea ...Cases report Case 1: A 50-year-old man was injuried by iron filings on his left eye. He was admitted to our hospital on Feb. 3, 1987. On examination, his visual acuity was 20/15 OD and 20/500 OS. Left eye: The cornea was clear, the anterior chamber depth was 3 CT, tyndall(-). Iris pattern is clear, pupil was 3.5×3.5mm. Dilated pupil examination: There were scattered brown-yellow ironrust under anterior capsule and the lens cortex had become totally opaque. Nuclear, posterior capsule and fundus can't be ...展开更多
Hiccups are common, usually mild with no obvious cause and often resolve spontaneously. They are classified as transient, persistent and intractable depending on the duration. Drug induced hiccups have been reported i...Hiccups are common, usually mild with no obvious cause and often resolve spontaneously. They are classified as transient, persistent and intractable depending on the duration. Drug induced hiccups have been reported in medical literature but not common and corticosteroids are often cited. This report involved 2 male patients who developed persistent hiccups following use of oral dexamethasone for inflammatory conditions. The hiccups were severe and intolerable and could not stop despite use of metoclopramide and chlorpromazine. The hiccups only stopped following discontinuation of the dexamethasone. It should be noted that low dose of dexamethasone was used. Management of dexamethasone induced hiccups involves discontinuation of the drug, steroid rotation if the patient is steroid dependent and use of metoclopramide and chlorpromazine. Clinicians should be aware of this known but rare adverse effect of dexamethasone as it could be severe, distressful and negatively impart patients care. There is a need for a high index of suspicion whenever a patient develops hiccups while taking dexamethasone.展开更多
基金Supported by Natural Science Foundation of Guangdong ProvinceChina(S2012010008439)
文摘【正】Dear Sir,We hereby report two cases of methanol optic neuropathy with relapsed vision disturbance.Methanol intoxication appears after accidental or suicidal oral ingestion of industrial solvents or cleaning and antifreeze liquids or occasionally is due to fraudulent adulteration of wine or other alcoholic beverages.Its ingestion can cause severe visual disturbances and the outcomes of visual disturbances vary diffusively.Some completely or partially recovered,and some suffered
文摘Cases report Case 1: A 50-year-old man was injuried by iron filings on his left eye. He was admitted to our hospital on Feb. 3, 1987. On examination, his visual acuity was 20/15 OD and 20/500 OS. Left eye: The cornea was clear, the anterior chamber depth was 3 CT, tyndall(-). Iris pattern is clear, pupil was 3.5×3.5mm. Dilated pupil examination: There were scattered brown-yellow ironrust under anterior capsule and the lens cortex had become totally opaque. Nuclear, posterior capsule and fundus can't be ...
文摘Hiccups are common, usually mild with no obvious cause and often resolve spontaneously. They are classified as transient, persistent and intractable depending on the duration. Drug induced hiccups have been reported in medical literature but not common and corticosteroids are often cited. This report involved 2 male patients who developed persistent hiccups following use of oral dexamethasone for inflammatory conditions. The hiccups were severe and intolerable and could not stop despite use of metoclopramide and chlorpromazine. The hiccups only stopped following discontinuation of the dexamethasone. It should be noted that low dose of dexamethasone was used. Management of dexamethasone induced hiccups involves discontinuation of the drug, steroid rotation if the patient is steroid dependent and use of metoclopramide and chlorpromazine. Clinicians should be aware of this known but rare adverse effect of dexamethasone as it could be severe, distressful and negatively impart patients care. There is a need for a high index of suspicion whenever a patient develops hiccups while taking dexamethasone.
