+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Postural hallucinations? An unusual presentation of anaemia



Postural hallucinations? An unusual presentation of anaemia



Archives of Disease in Childhood 90(11): 1192-1193



The case of a 14 year old girl is reported, referred to Child Psychiatry with tearfulness and possible auditory hallucinations. Closer questioning revealed a history of low energy, sleeping excessively without refreshment, exertional dyspnoea, and poor growth. Psychologically, there was no evidence of low mood or negative cognitions despite the inexplicable tearfulness. Detailed enquiry revealed the "hallucinations" to be "whooshing" noises in her ears precipitated by standing. She was found to have a haemoglobin level of 55 g/l, attributed to a combination of poor diet and menorrhagia.Periodic, anaemic, cerebral hypoxia could be proposed to be the root of most, if not all, of the symptoms, illustrating the importance of marrying physical and psychological history taking with suitable investigations for an eminently treatable condition.

(PDF emailed within 0-6 h: $19.90)

Accession: 012434119

Download citation: RISBibTeXText

PMID: 16243877

DOI: 10.1136/adc.2005.075994


Related references

Auditory hallucinations in a 15-year-old boy: an unusual presentation of hypothyroidism. Bmj Case Reports 2009, 2009

An unusual presentation of anaemia: a report of three cases. Journal of Paediatrics and Child Health 44(12): 751-753, 2009

Iron deficiency anaemia: an unusual presentation of lymphangioma. British Journal of Haematology 150(6): 645, 2010

Subacute anaemia: An unusual presentation of giant melanoma. Annales de Dermatologie et de Venereologie 137(10): 650-651, 2011

An unusual presentation of aplastic anaemia: compartment syndrome. Journal of Surgical Case Reports 2014(2), 2014

Postural restless legs syndrome An unusual presentation of autonomic failure. Neurology 50(4 SUPPL 4): A276, April, 1998

Autoimmune haemolytic anaemia: an unusual presentation of HIV seroconversion disease. Aids 24(12): 1968-1970, 2011

Bilateral retinal haemorrhages: an unusual presentation of pernicious anaemia. British Journal of Haematology 112(4): 831, 2001

Unusual presentation of sickle cell anaemia--paraplegia in a fifty year old man. Indian Journal of Pathology and Microbiology 48(1): 23-25, 2006

Orgasmic dural tear: an unusual delayed presentation of postural headache following lumbar discectomy. Bmj Case Reports 2014, 2015

An unusual presentation of postural headache caused by Cryptococcus neoformans meningitis in an elderly person. International Journal Of Gerontology: 3, 128-132, 2008

Hypoproteinaemia, oedema, and anaemia: an unusual presentation of cystic fibrosis in dizygotic twins. Archives of Disease in Childhood 55(10): 812-814, 1980

Microcephalus, medulloblastoma and excessive toxicity from chemotherapy: An unusual presentation of Fanconi anaemia. Acta Paediatrica 90(5): 580-583, 2001

Autoimmune haemolytic anaemia, immune thrombocytopenia, and leucopenia. An unusual presentation of Hodgkin's disease. West Indian Medical Journal 46(3): 95-96, 1997