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Secondary enuresis associated with chorea in a nigerian girl
1Department of Pediatrics, Aminu Kano Teaching Hospital/Bayero University Kano, Kano, Nigeria.
Insights
Enuresis, a common childhood disorder, can negatively impact psychosocial development, particularly in low-income families. This case highlights a link between Sydenham
Area of Science:
- Pediatric Neurology
- Neuropsychiatry
Background:
- Enuresis is a distressing psycho-social disorder often overlooked in children, especially those from low socio-economic backgrounds.
- Its pathophysiology is not fully understood but involves dopamine in the basal ganglia.
- A link exists between enuresis and pediatric autoimmune neuropsychiatric disorder associated with streptococci infection.
Observation:
- This report details an 11-year-old Nigerian girl diagnosed with Sydenham's chorea.
- The patient also presented with secondary enuresis.
Findings:
- The case suggests a potential association between Sydenham's chorea and secondary enuresis.
- This highlights a specific instance of autoimmune-related neuropsychiatric conditions manifesting with enuresis.
Implications:
- Further research is needed to explore the neurobiological mechanisms connecting Sydenham's chorea and enuresis.
- Recognizing this association may improve diagnosis and management of enuresis in children with similar conditions.
- This case underscores the importance of considering neuropsychiatric comorbidities in pediatric enuresis evaluations.
Abstract:
Enuresis is a distressing psycho-social disorder. It is often a neglected disorder, and its effect on the psychosocial development of a child is often overlooked, especially in those of low socio-economic status. Its exact pathophysiology is not completely understood, but it has been related to the effect of dopamine in the basal ganglia. However, its association with pediatric autoimmune neuropsychiatric disorder associated with streptococci infection is well-established. But, the case of an 11-year-old Nigerian girl diagnosed with Sydenham's chorea and had secondary enuresis is reported.
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