著明な腹痛発作を伴った周期性ACTH-ADH分泌過剰症の検討 : 心身症的様相を呈した2症例をとおして

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Recently periodic ACTH-ADH discharge syndrome has drawn much attention as one of the diseases whose main complaint lies in vomiting in children. It was supposed that the number of the patients of this disease has been increased, for the cases which would have been diagnosed as cyclic vomiting are now diagnosed to have this disease through the detail clinical observations and laboratory data. However, few cases have been reported which complain of abdominal pain in addition to main symptoms such as periodic attack of vomiting and hypertension. We have recently experienced 2 cases complaining of severe abdominal pain together with vomiting attack. Both cases have been observed for a long period without any effective therapies. Their onset was the attack of vomiting and during the observation they began to complain of abdominal pain. Then, it was thought psychological factors might play important roles. They were recommended to come to our department. Precise examinations led to a diagnosis of periodic ACTH-ADH discharge syndrome. Then medical treatment was initiated by administration of the drugs. They claimed that they were much worried about the abdominal pain and vomiting even at the intermission of the attacks. This was thought to be a psychosomatic aspect of the patients due to the distrust in and a sense of insecurity to the treatment. Then, it was considered significant that pediatric physicians treat the underling periodic ACTH-ADH and that pediatric psychiatrists take part in the improvement of the psychological aspects which developed secondarily. Looking through these cases, it seemed noteworthy to treat the children with chronic diseases with much attention to their psychosomatic aspects.
日本心身医学会の論文
1994-06-01

著明な腹痛発作を伴った周期性ACTH-ADH分泌過剰症の検討 : 心身症的様相を呈した2症例をとおして

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