May 2012

Vol. 24. No. 2


Does alexithymia differ in combat veterans of different eras with posttraumatic stress disorder?

Roy R. Reeves, DO, PhD | Roy H. Hart, MD* | Randy S. Burke, PhD | Amee J. Epler, PhD | Judith A. Lyons, PhD

TO THE EDITOR: Alexithymia, difficulty in recognizing and expressing feelings and emotions, occurs in many individuals with posttraumatic stress disorder (PTSD).1 A meta-analysis of 12 studies examining alexithymia in 1,095 individuals with PTSD and 460 controls had a mean effect size of 0.80 when PTSD patients were compared with control samples, with higher mean effect size for males with combat-related PTSD.2 We investigated differences in alexithymia among combat veterans of different eras with and without PTSD…


Case report of anticonvulsant hypersensitivity syndrome complicated by a concomitant atypical pneumonia

Roza Chaireti, MD | Katarzyna Nordström, MD

TO THE EDITOR: The following case-report illustrates overlapping symptoms of anticonvulsant hypersensitivity syndrome (AHS) and atypical infections, which might delay diagnosis of AHS. A 23-year-old, healthy, white female presented to the emergency department (ED) of the University Hospital of Linköping, in Sweden, with a 1-week history of fever, rigidity, malaise, and abdominal pain. The patient started taking lamotrigine, 25 mg/d, 1 week earlier to treat depression. She did not take any other medications. Physical examination noted a generalized pruritic cutaneous rash and a painful lymph node under the jaw. The abdomen palpation revealed diffuse tenderness. The lung auscultation revealed fine crepitations on the right lower side. Her temperature was 38.4°C. Laboratory findings included: C-reactive protein (CRP) 141 mg/L (normal range, <10 mg/L), thrombocyte count 99×103/μL (normal range, 160 to 390×103/μL), mild transaminase elevation, and normal leukocyte count…