在54岁的男性第一次发作后,皮肤发疹 (鱼皮肤) 发生后,皮肤发疹
Annina Bopp1, Sarah Albrecht1, Lars C Huber1
1Clinic of Internal Medicine, City Hospital Zurich Triemli, Zurich, Switzerland.
The American journal of case reports
|September 23, 2025
概括
一种罕见的皮疹,类似鱼皮肤,可表明发作. 这一发现有助于在没有其他症状的情况下诊断无法解释的意识丧失.
科学领域:
- 神经学 神经学
- 皮肤病学 皮肤病学
背景情况:
- 罕见的发现是后点,与发作有关.
- 这种皮疹通常被称为"鱼皮肤",呈现为精确的出血,在压力下不会变白.
研究的目的:
- 报告患有首次发作的患者出现后点的病例.
- 为了强调这种罕见的标志在不明原因失去意识的情况下的诊断效用.
主要方法:
- 一个54岁的男性的病例报告,他刚刚开始失去意识.
- 进行了临床检查,实验室测试,计算机断层扫描 (CT),磁共振成像 (MRI) 和脑电图 (EEG).
- 诊断是基于患者病史,病后状况,舌头咬伤和特征性皮质皮疹.
主要成果:
- 患者在目击意识丧失后出现了脸部,部和胸部的皮质皮疹.
- 没有发现神经系统缺陷,炎症或凝血障碍.
- 神经成像和EEG是不显著的,导致诊断的第一个发作.
结论:
- 脊柱 ("鱼皮") 是一种罕见但被认可的与发作相关的症状.
- 这种皮肤学发现可以成为诊断发作的宝贵线索,特别是当呈现异常或病史有限时.
相关概念视频
Epilepsy and Seizures: Overview
1.2K
Epilepsy is a chronic neurological disease marked by recurrent, unpredictable seizures. These seizures are caused by abnormal electrical discharges in the brain, leading to behavior, sensation, or consciousness alterations. They can also cause transient impairment of awareness, interfering with daily activities.
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
1.2K
Seizures: Classification
1.4K
Epilepsy is primarily characterized by unpredictable seizures, either provoked by an identifiable factor, such as injury or illness, or unprovoked, occurring spontaneously without apparent cause.
Seizures are typically classified into two main categories: focal and generalized seizures.
Focal Seizures
Focal seizures originate from specific regions of the brain. These seizures are further sub-classified into two types:
Seizures are typically classified into two main categories: focal and generalized seizures.
Focal Seizures
Focal seizures originate from specific regions of the brain. These seizures are further sub-classified into two types:
1.4K
Endocarditis II: Clinical Features of Infective Endocarditis
425
Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
425
Electroconvulsive Therapy
916
Electroconvulsive therapy (ECT), or shock therapy, remains a critical biomedical intervention for severe, treatment-resistant depression. While its origins can be traced back to Hippocrates' observations that malaria-induced convulsions alleviated mental illness, modern ECT has evolved significantly from its earlier, more primitive applications. First introduced in 1938 by Ugo Cerletti and his colleagues, ECT involves inducing controlled seizures using electrical currents. In its early...
916
Antiepileptic Drugs: Potassium Channel Activators
635
Ezocgabine or retigabine, an antiepileptic drug of remarkable efficacy, has revolutionized the management of seizures. It is a potassium channel activator, explicitly targeting the family of Q subtype potassium channels. It enhances the transmembrane potassium currents, regulating neuronal excitability. This action stabilizes the resting membrane potential, a pivotal factor in mitigating the hyperexcitability that characterizes epilepsy.
Ezogabine has gained approval as an adjunctive treatment...
Ezogabine has gained approval as an adjunctive treatment...
635


