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Erectile dysfunction in dermatology and venereology: From aetiopathogenic mechanisms to practical considerations for dermato-venereologists.
J Eur Acad Dermatol Venereol
March 2025
Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.
Erectile dysfunction (ED) is an often undiagnosed but significantly prevalent condition among male dermato-venereological patients, characterized by a complex pathophysiology and a substantial impact on quality of life. This review aimed to synthesize recent literature on the increased risk of ED in skin diseases, the underlying pathogenic mechanisms-including vasculogenic, endocrine, neurogenic, psychogenic and immunologic pathways-as well as the dermatologist's role in managing patients' sexual health. Inflammatory conditions (e.
View Article and Find Full Text PDFIdentifying Myoclonic Epilepsy Misdiagnosed as Psychogenic Nonepileptic Seizures: Challenges in Differential Diagnosis.
Cureus
June 2024
Psychiatry, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Psychogenic nonepileptic seizures (PNES) and epileptic seizures often present with similar clinical manifestations. This case report describes the diagnostic journey of a 24-year-old female initially diagnosed with PNES but later found to have myoclonic epilepsy upon comprehensive evaluation. The patient presented with recurrent episodes characterized by sudden loss of awareness, jerking movements, and urinary incontinence, often triggered by stressors.
View Article and Find Full Text PDFValue of catecholamine levels in the differential diagnosis of vasovagal syncope and psychogenic pseudosyncope in children.
Front Pediatr
May 2024
Department of Pediatrics, Hebei Medical University, Shijiazhuang, China.
Background And Purpose: Vasovagal syncope (VVS) and psychogenic pseudosyncope (PPS) can be difficult to distinguish, given their similar clinical presentations. This study was conducted to explore the clinical value of catecholamine levels in the differential diagnosis of VVS and PPS in children.
Methods: This retrospective case-control study was conducted with data from children with VVS and PPS who underwent head-up tilt tests (HUTTs) at the Children's Hospital of Hebei Province between March 2021 and March 2023.
Update on Overactive Bladder Therapeutic Options.
Am J Ther
July 2024
Department of Anesthesiology, Louisiana State University Health Sciences Center at Shreveport, Shreveport, LA.
Background: Millions of Americans are burdened by overactive bladder (OAB) syndrome and the psychogenic and economic hardships that accompany it. Several theories attempt to explain OAB as a neurogenic dysfunction, myogenic dysfunction, urothelial dysfunction, or decreased expression of a channel protein secondary to bladder outlet obstruction. Given that the etiology of OAB is a working theory, the management of OAB is also an evolving subject matter in medicine.
View Article and Find Full Text PDFHypothalamic-pituitary-adrenal axis activity in patients with primary polydipsia compared to healthy controls.
Clin Endocrinol (Oxf)
December 2023
Departments of Endocrinology, Diabetology and Metabolism, University Hospital Basel, Basel, Switzerland.
Objective: Primary polydipsia is characterized by excessive fluid intake which may suppress vasopressin levels. It is speculated that suppressed vasopressin levels lead to a dysregulated hypothalamic-pituitary-adrenal (HPA) axis as vasopressin co-modulates the HPA axis. However, data are contradictory.
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