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===Suicidal events===
 
'''Completed'''
_NOTOC _
suicide-A self-injurious behavior that resulted in fatality and
{{CMG}};{{AE}}{{Vbe}}
was associated with at least some intent to die as a
 
result of the act.
==Causes==
1) After a long argument with his girlfriend, which resulted in the
[[Hypogammaglobulinemia]] is caused by:
end of their relationship, the patient collected a rope and rode his
 
bike to an isolated area where he fatally hanged himself. A suicide
Immunodeficiency secondary to:
note was later found. 2) After four documented attempts at suicide,
*[[Uremia]]
the patient stole his uncle’s gun and shot himself and was fatally
*Protein losing enteropathy
injured.
*[[Nephrotic syndrome]]
'''Suicide attempt''' A potentially self-injurious behavior, associated with
*Malnutrition
at least some intent to die, as a result of the act.
*Cirrhosis
Evidence that the individual intended to kill him/
*Hemodialysis
herself, at least to some degree, can be explicit or
* Intestinal lymphangiectasia
inferred from the behavior or circumstance. A suicide
 
attempt may or may not result in actual injury.
* Protein-losing gastroenteropathy
1) After a fight with her friends at school, in which they discontinued
*[[Nephrotic syndrome]]
speaking with her, the patient ingested approximately 16 aspirin
*[[Thymoma]] <ref name="pmid29881497">{{cite journal |vauthors=Aouadi S, Ghrairi N, Braham E, Kaabi M, Maâlej S, Elgharbi LD |title=[Acquired hypogammaglobulinemia associated with thymoma: Good syndrome] |language=French |journal=Pan Afr Med J |volume=28 |issue= |pages=253 |date=2017 |pmid=29881497 |pmc=5989270 |doi=10.11604/pamj.2017.28.253.11352 |url=}}</ref>
and eight other pills of different types on the school
* Medications :
grounds. She said that she deserved to die, which was why she
** Gold
swallowed the pills. 2) The patient used a razor blade to lacerate
**D-Penicillamine
his wrists, his antecubital fossae, and his back bilaterally. He told
**Sulfasalazin
his therapist that the “the main objective was to stop feeling like
**Anticonvulsants
that,” and he knew that he could die but didn’t care. According to
**Glucocorticoids
the patient, he also ingested a bottle of rubbing alcohol because
**Methotrexate
in his health class he heard “that the medulla will get more suppressed
**Calcineurin inhibitors
that way,” thereby increasing the chances that he would
** Rituximab<ref name="pmid29755528">{{cite journal |vauthors=Shoukat BA, Ali O, Kumar D, Bilal Gilani M, Zahid A, Aslam Joiya S, Anwar Malik M |title=Hypogammaglobulinemia Observed One Year after Rituximab Treatment for Idiopathic Thrombocytopenic Purpura |journal=Case Rep Med |volume=2018 |issue= |pages=2096186 |date=2018 |pmid=29755528 |pmc=5884289 |doi=10.1155/2018/2096186 |url=}}</ref><ref name="pmid29752554">{{cite journal |vauthors=Farhat L, Dara J, Duberstein S, De A |title=Secondary Hypogammaglobulinemia After Rituximab for Neuromyelitis Optica: A Case Report |journal=Drug Saf Case Rep |volume=5 |issue=1 |pages=22 |date=May 2018 |pmid=29752554 |pmc=5948191 |doi=10.1007/s40800-018-0087-y |url=}}</ref><ref name="pmid29627491">{{cite journal |vauthors=Thorlacius H, Jerkeman A, Marginean FE, Toth E |title=Colorectal malakoplakia in a patient with hypogammaglobulinemia |journal=Gastrointest. Endosc. |volume= |issue= |pages= |date=April 2018 |pmid=29627491 |doi=10.1016/j.gie.2018.04.001 |url=}}</ref>
be “successful” and die.
 
'''Preparatory acts
* Environmental hazards:
toward
** Ionizing radiation
imminent'''
**Toxins
suicidal
 
behavior
*Infections
The individual takes steps to injure him- or herself,
** Viral(Herpes, Measles)
but is stopped by self or others from starting the
**Bacterial(Mycobacterial)
self-injurious act before the potential for harm has
**Parasitic(Malaria, helminthic infections)
begun.
1) The patient had run away from home overnight because his father
had gone to school and retrieved a recent “bad” report card.
He was fearful of his father’s reaction. Upon his return home, a 5-
to 6-hour argument with his parents ensued, and he took a vegetable
(broad, sharp) knife and went to his room. He reported putting
the knife to his wrist but never puncturing the skin. 2) The patient
stated that he “couldn’t stand being depressed anymore”
and “wanted to die.” He decided to hang himself. He tied a telephone
cord to the door knob and placed the cord loosely around
his neck. Then, he stopped himself and did not follow through
with the attempt.
'''Suicidal ideation''' Passive thoughts about wanting to be dead or active
thoughts about killing oneself, not accompanied by preparatory behavior
by preparatory behavior.a
1) Active: The patient reported to the doctor that he was thinking
about hanging himself in the closet. He was taken to the hospital
and admitted. 2) Passive: The patient reported ideas about wanting
to be dead but denied acting on these feelings.

Latest revision as of 14:23, 3 August 2018


_NOTOC _ Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Vindhya BellamKonda, M.B.B.S [2]

Causes

Hypogammaglobulinemia is caused by:

Immunodeficiency secondary to:

  • Protein-losing gastroenteropathy
  • Nephrotic syndrome
  • Thymoma [1]
  • Medications :
    • Gold
    • D-Penicillamine
    • Sulfasalazin
    • Anticonvulsants
    • Glucocorticoids
    • Methotrexate
    • Calcineurin inhibitors
    • Rituximab[2][3][4]
  • Environmental hazards:
    • Ionizing radiation
    • Toxins
  • Infections
    • Viral(Herpes, Measles)
    • Bacterial(Mycobacterial)
    • Parasitic(Malaria, helminthic infections)
  1. ↑ Aouadi S, Ghrairi N, Braham E, Kaabi M, Maâlej S, Elgharbi LD (2017). "[Acquired hypogammaglobulinemia associated with thymoma: Good syndrome]". Pan Afr Med J (in French). 28: 253. doi:10.11604/pamj.2017.28.253.11352. PMC 5989270. PMID 29881497.
  2. ↑ Shoukat BA, Ali O, Kumar D, Bilal Gilani M, Zahid A, Aslam Joiya S, Anwar Malik M (2018). "Hypogammaglobulinemia Observed One Year after Rituximab Treatment for Idiopathic Thrombocytopenic Purpura". Case Rep Med. 2018: 2096186. doi:10.1155/2018/2096186. PMC 5884289. PMID 29755528.
  3. ↑ Farhat L, Dara J, Duberstein S, De A (May 2018). "Secondary Hypogammaglobulinemia After Rituximab for Neuromyelitis Optica: A Case Report". Drug Saf Case Rep. 5 (1): 22. doi:10.1007/s40800-018-0087-y. PMC 5948191. PMID 29752554.
  4. ↑ Thorlacius H, Jerkeman A, Marginean FE, Toth E (April 2018). "Colorectal malakoplakia in a patient with hypogammaglobulinemia". Gastrointest. Endosc. doi:10.1016/j.gie.2018.04.001. PMID 29627491.
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