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33-jähriger Patient mit stereotypen Erbrechensepisoden seit 11 Jahren

Stereotypical episodes of vomiting for 11 years in a 33-year-old patient

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Zusammenfassung

Ein 33-jähriger Mann wurde wegen heftigen Erbrechens stationär aufgenommen. Bereits seit 11 Jahren litt er unter wiederkehrenden stereotypen Erbrechensepisoden von 3–4 Tagen Dauer. Die Erbrechensepisoden traten 10- bis 15-mal pro Jahr auf. Zudem klagten auch der Bruder und die Mutter des Patienten über ähnliche Beschwerden. Ursächlich zeigte sich ein (familiäres) zyklisches Erbrechenssyndrom. Unter antiemetischer und sedierender Therapie konnte die akute Erbrechensepisode unterbrochen werden. Zudem wurde eine Prophylaxe mit Amitriptylin eingeleitet. Daraufhin war der Patient über 3 1/2 Jahre beschwerdefrei.

Abstract

A 33-year-old man was admitted because of severe vomiting. For the last 11 years, he had suffered recurrent stereotypical episodes of vomiting lasting 3–4 days. The episodes of vomiting occurred 10–15 times a year. Moreover his brother and his mother had similar symptoms. Thus, (familial) cyclic vomiting syndrome was diagnosed. With the help of antiemetic and sedative drugs, the acute vomiting episode was stopped. Prophylactic therapy with amitriptyline was started, which led to a symptom-free period of 3.5 years without a new episode of vomiting.

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  1. Klinik für Innere Medizin, St. Vincenz und Elisabeth-Hospital des Katholischen Klinikums Mainz, An der Goldgrube 11, 55131, Mainz, Deutschland

    K. Keller, J. Beule & W. Dippold

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  1. K. Keller
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  2. J. Beule
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  3. W. Dippold
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Correspondence to K. Keller.

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Keller, K., Beule, J. & Dippold, W. 33-jähriger Patient mit stereotypen Erbrechensepisoden seit 11 Jahren. Internist 53, 345–350 (2012). https://doi.org/10.1007/s00108-011-2962-9

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  • DOI: https://doi.org/10.1007/s00108-011-2962-9

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