[Mitigated presentation of the neuroleptic malignant syndrome].

In clinical practice it can be difficult to distinguish between catatonia and the neuroleptic malignant syndrome (NMS). A female patient with an intellectual disability was treated in hospital with the help of risperidon because of conduct disorders. A few months later readmission followed with an NMS, which was initially interpreted as catatonia because of its mitigated nature, and its appearance several days after the cessation of the antipsychotic medication.

[Vasculitis associated with Churg-Strauss syndrome].

A 52-year-old man was admitted to hospital with abdominal pain, erythema and mild eosinophilia. Medical history revealed fatigue and dyspnoea on exertion after returning from the Gambia a year previously, and allergic rhinitis with nasal polyps that were surgically excised. Before a cause of the abdominal symptoms was determined he developed mononeuropathy, severe eosinophilia and arthralgia in combination with positive anti-neutrophil cytoplasmic antibodies (ANCA) against myeloperoxidase, which lead to the diagnosis of 'Churg-Strauss syndrome'.