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Related Experiment Videos

Roentgenographic changes during long-term diphenylhydantoin therapy

E S McCrea, C V Rao, J N Diaconis

    Southern Medical Journal
    |March 1, 1980
    PubMed
    Summary

    Long-term use of diphenylhydantoin (Dilantin), an anticonvulsant, can cause unrecognized roentgenographic changes. These radiographic findings may help physicians identify diphenylhydantoin-induced diseases.

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    Area of Science:

    • Radiology
    • Pharmacology
    • Neurology

    Background:

    • Diphenylhydantoin (Dilantin) is a widely used and effective anticonvulsant medication.
    • Clinical complications associated with long-term diphenylhydantoin use are recognized but can be numerous.
    • Subtle, clinically non-apparent adverse effects may occur.

    Purpose of the Study:

    • To document and describe the roentgenographic changes associated with long-term diphenylhydantoin (Dilantin) therapy.
    • To highlight radiographic findings that may indicate diphenylhydantoin-induced disease.
    • To increase physician awareness of potential radiographic manifestations of Dilantin toxicity.

    Main Methods:

    • Review of radiographic findings in patients with a history of long-term diphenylhydantoin use.

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  • Correlation of roentgenographic changes with clinical presentation and duration of therapy.
  • Analysis of specific radiological patterns indicative of diphenylhydantoin-related complications.
  • Main Results:

    • Identification of specific, often subtle, roentgenographic abnormalities in patients on long-term diphenylhydantoin.
    • Demonstration of radiological changes not always apparent through routine clinical examination.
    • Association of certain radiographic findings with diphenylhydantoin-induced pathology.

    Conclusions:

    • Roentgenographic examination can reveal significant changes in patients using diphenylhydantoin long-term.
    • These radiological findings serve as crucial indicators for diagnosing diphenylhydantoin-induced diseases.
    • Awareness of these radiographic signs is essential for timely clinical recognition and management.