Chronic migraine patients receive small benefit from botulinum
BOTULINUM toxin A injections have only a small benefit for patients experiencing chronic migraine or daily headaches, a meta-analysis suggests.
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headache
The following articles have the tag headache
Migraine relief through riboflavin
RIBOFLAVIN may help patients requiring prophylaxis against migraine, new UK guidelines say.
Target CVD risk in migraine without aura
MIGRAINEURS without aura should join those who experience aura in being regularly checked for vascular risk factors, after more evidence shows a link between migraine and an increased risk of cardiovascular disease (CVD). A US case-control study involving 6102 migraineurs and 5243 patients without migraine, found those with self-reported migraines with and without aura had double the risk of myocardial infarction and a 50% greater risk of stroke than controls. They also had almost three times greater risk of claudication after five years, after adjusting for gender, age, disability, treatment and CVD risk factors. ...
Pollution’s new health legacy
HIGHER levels of air pollution increase the incidence of conditions such as headache and skin rashes, a new study shows. While the links between air pollution and cardiorespiratory morbidity and mortality are well known, French researchers have found GP visits for a number of other conditions increase with excess air pollution. Visits for headache, skin rashes and conjunctivitis increased by more than 3% for each 10 µg/m3 increase in small particulate matter. Significant associations were also found between nitrogen dioxide and ozone levels and more GP visits. “This is one more convincing argument for promoting measures ...
A scaly and pink rash
A teenager is embarrassed by an itchy rash. CASE PRESENTATION A 15-YEAR-OLD male presented with a moderately itchy rash on the trunk of three weeks’ duration. He experienced transient malaise, fever and headache several days before the rash appeared. On further questioning, an initial solitary scaly patch on the shoulder had appeared several days before the current rash. What is the likely diagnosis? Figure 1. An itchy rash on the trunk and proximal limbs (secondary eruption of PR). Figure 2. Individual patches and plaques with ...
Mastocytosis
An infant presents with a recurrent generalised rash. A NINE-MONTH-OLD boy presented with a history of a recurrent pruritic rash. His parents denied any initiating factors or associated symptoms, and his past medical history was insignificant. On examination, there were multiple brownish-red papules and plaques in a widespread symmetrical distribution sparing the face, palms and soles. A tense blister was present on the mid-back. Darier’s sign was present as indicated by the formation of a wheal and erythema after rubbing one of the lesions (pictured). There was no hepatosplenomegaly or bone tenderness. Lab tests showed ...
Patches herald pityriasis rosea
Important differentials must be considered in the diagnosis of a young man’s rash. PATIENT PRESENTATION A 33-year-old male flight attendant presented with a rash on his chest and back that had started three days before. About two weeks before this, he’d had “the flu” and had noticed a pink patch on his chest, but ignored it. He was otherwise well with no significant past history, no regular medications and no allergies. He had been taking aspirin and paracetamol off and on for his flu-like symptoms. He was single, homosexual and ...