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MIGRAINE AND PERSONALITY IN RENAL PAPILLARY NECROSIS
Author(s) -
Ideström C.M.
Publication year - 1972
Publication title -
acta neurologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.967
H-Index - 95
eISSN - 1600-0404
pISSN - 0001-6314
DOI - 10.1111/j.1600-0404.1972.tb07565.x
Subject(s) - migraine , medicine , population , headaches , renal papillary necrosis , triptans , phenacetin , aspirin , anesthesia , gastroenterology , surgery , pathology , kidney , environmental health
This study deals primarily with the new type of renal papillary necrosis which appeared during the 1950's and which was explained by the excessive use of phenacetin‐containing analgesics. It was observed that many of the patients used the analgesic compound because of their migraine and/or tension headaches. The clinical analysis of 95 migraine patients has given the following results: 1. migraine patients abused or overconsumed phenacetin. 2. 6 migraine patients did not at all use analgesics and 8 patients took very small doses. None of them showed signs of diabetes or urinary tract obstruction. 3. The migraine headache is usually of a grave character and classified as classical migraine in 2/3 of the cases. 4. Psychasthenic personalities dominate. 5. Peptic ulcers, mainly duodenal ulcers, occur more frequently than in a ‘normal’ population and are much more common than in other migraine material. 6. Hyperthyroidism is much more common than in a ‘normal’ population. 7. Allergy, including asthma, is much more common than in a ‘normal’ population. 8. Nearly 1/4 of the migraine‐patients suffer from peripheral vascular disturbances (cold hands and feet).