Acta Paediatrica 3.
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Gegesi Kiss, L. Liebermann : Personality Disorders and a temporary tutor. Admission to the Institute for Defective Children of the oligophrenic brother, meaning the greatest burden for the patient, was endeavoured but the mother did not consent.
Inthe patient came again to the child guidance centre. Pain over the heart, palpitation, fainting, nausea did not recur, but she complained of headaches.
Ophthalmological, neurological and cardiological examinations, apart from the above mentioned systolic murmur, were again negative. According to our opinion, the cause of the headaches was that, although the patient now went to school more or less regularly, her situation in the family became worse, the oligophrenic brother having in the meantime grown much stronger, more aggressive and caused more and more trouble.
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The patient finished school in and our social case worker found an employment for her in a foodstuff factory. There she worked most efficiently, was free of complaints, her colleagues diabetes and heart palpitations and helped her in every respect. In the following years, although she was passed child âge, her relation to the child guidance centre has been maintained, she comes to talk, to seek help in some of her practical problems.
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So, for instance, a summer camping was arranged for her, etc. Pain over the heart, palpitations, fainting did not reappear.
Inshe came again with the complaint of severe headaches. This, however, could not be traced back to the effect of a primary psychological environmental damage, but to sinusitis.
She was admitted to and cured in a municipal hospital.
The situation of the patient has finally been solved when at last in the mother consented to give the oligophrenic brother into a suitable institution, the boy having become unbearably aggressive. This was arranged by the child guidance centre, eliminating the last environmental damage. The patient, who has grown into an independent adult, is still followed up from time to time.
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She works at a suitable place. Ever since the environmental traumata had ceased, not only her organic symptoms have disappeared but also the personality disturbances have been solved.
- Acta Paediatrica 3. () | Arcanum Digitális Tudománytár
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Help is needed if some problems or troubles arise in her individual life. The diagnostic difficulty and interest of the present case is that on the basis of classical paediatric investigations we would have easily been mislead, since the 13 years old patient with complaints of palpitation diabetes and heart palpitations pain over the heart, had had rheumatic fever 3 years previously, and at admission a mitral insufficiency could be demonstrated.
By not taking utmost care when establishing the diagnosis, the complaints could have been taken for symptoms of the past rheumatic carditis. Fortunately, on the basis of our large experience with Acta paediat.