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PANDAS-OCD linked to streptococcal infection and scarlet fever
Poster Presentations / European Journal of Integrative Medicine 4S (2012) 124–201
PAEDIATRICS PP-081 PANDAS-OCD linked to streptococcal infection and scarlet fever De Rosa Claudia 1 , O’Reilly Ciara 1 , O’Brien Sarah 1 , Stalt Edward 2 1 Eolas
- Irish Homeopathic Research Institute, Midleton, Cork Cork, Republic of Ireland
2 Pediatrician,
Background: Homeopathic clinical observations suggested that the most recurrent aetiology in symptoms of children with obsessive–compulsive disorder (OCD) were recurrent streptococcus throat infections and scarlet fever. Aim: To evaluate the efficacy of homeopathic treatment in children with OCD. Method: Controlled, randomised, single-blind clinical trial, with no placebo control, which began in February 2010. The clinical trial met the criteria of homogeneity and used a sample size in accordance with the statistical criteria of reliability. The clinical study took place at Eolas (Ireland) and Vis Vitalis Education Intl Students Clinic in Savona (Italy). Only children with OCD where streptococcal infection and/or scarlet fever were a clear aetiology and medically diagnosed were included. Eightytwo young patients of 6–12 years of age were recruited over a period of 12 months (42 patients in Ireland, 40 in Italy). The group was split into two smaller groups of 21 in Ireland and 20 in Italy; two groups undertook homeopathic treatment and two groups were on antibiotic treatment (Augmentin). Conclusions: The study has shown that OCD symptoms have gradually disappeared over a period of 6 months in all of the patients using homeopathy; there was a relapse of streptococcal throat infection in 92% of our patients; and 8% of patients experienced relapse symptoms of scarlet fever and/or skin eruption without fever. Homeopathic treatment may be therapeutically superior to conventional antibiotic therapy but further study is needed. http://dx.doi.org/10.1016/j.eujim.2012.07.841 PP-082 An observational study of biotherapy for children affected by atopic dermatitis: preliminary results Trapani Gianfranco Società Medica Bioterapica Italiana (SMB Italia), Rome, Italy Aim: To evaluate the impact of biotherapeutic care on quality of life in families with children affected by atopic dermatitis. Method: The Dermatitis Family Impact Questionnaire (DFIQ) was administered to a group of families. This questionnaire evaluates how much biotherapies change standards of living in families: housekeeping, hobbies, tiredness and exhaustion in parents and carers, emotional strain and economic issues. Children affected by atopic eczema as scored by the SCORing Atopic Dermatitis (SCORAD) test – developed by European
157
Task Force on Atopic Dermatitis which defines grading of eczema – were recruited. A DFIQ form was given to parents to be filled in the first week after the first consultation but before treatment (T0) and at the end of treatment (T1). Patients under the age of 3 years whose eczema began before the age of 18 months were included, and observation was held in winter and spring. Thirty forms were given to 30 families. Biotherapies prescribed were symptomatic and terrain homeopathic medicines, oligoelements and gemmotherapy with embrioextracts. Topical therapy was given with Cardiospermum halicacabum-based ointment. Anti-acarus prophylaxis (mattress) and Dermasilk clothing were recommended according to ETFAD/EDAV guidelines. Results: The results so far assessed, on 10 DFIQ forms, are encouraging. In eight cases, scores indicate an improvement of family quality of life, while two cases show worsening. Families declaring aggravation refer to the economic issue too (the expense of drugs and clothes). This cost is reported also by four satisfied families. Thirty forms will be evaluated by the SCORAD test and by DFIQ at T0 and T1. http://dx.doi.org/10.1016/j.eujim.2012.07.842 MENTAL DISORDERS PP-083 Barriers of trust: transcultural experiences within a conventional mental health service Kiil Mona Anita, Salamonsen Anita University of Tromsø, Tromsø, Norway Background: Unofficial health services exist in many North Norwegian communities, consisting of traditional and religious healers and modern alternative practitioners which people actively use or would consider using when facing illness or crisis. The municipality of Nordreisa is commonly described as “the meeting of three tribes”– Sami, Kven and Norwegian – and has historically been considered a cultural melting pot. This diversity is also manifested in the use of traditional folk medicine and complementary and alternative medicine (CAM). Users of an outpatient clinic in Nordreisa find themselves between different traditional and religious practices/CAM, as well as conventional treatment offered by the clinic. This clinical setting is therefore well suited for exploratory studies. Aim: To describe and analyse how patients in a transcultural context experience their consultations with therapists at the conventional clinic. Methods: This exploratory project is an ethnographic fieldwork study. Qualitative in-depth interviews and participant observation were used to investigate patients’ experiences within this unexplored field of mental health care. In addition to patients using the clinic, therapists at the clinic, traditional healers, religious healers and modern alternative practitioners were recruited. Results: As users of traditional folk medicine and religious healing, the patients experience vulnerability in their encounter with the conventional mental health service. The patients express
PAEDIATRICS PP-081 PANDAS-OCD linked to streptococcal infection and scarlet fever De Rosa Claudia 1 , O’Reilly Ciara 1 , O’Brien Sarah 1 , Stalt Edward 2 1 Eolas
- Irish Homeopathic Research Institute, Midleton, Cork Cork, Republic of Ireland
2 Pediatrician,
Background: Homeopathic clinical observations suggested that the most recurrent aetiology in symptoms of children with obsessive–compulsive disorder (OCD) were recurrent streptococcus throat infections and scarlet fever. Aim: To evaluate the efficacy of homeopathic treatment in children with OCD. Method: Controlled, randomised, single-blind clinical trial, with no placebo control, which began in February 2010. The clinical trial met the criteria of homogeneity and used a sample size in accordance with the statistical criteria of reliability. The clinical study took place at Eolas (Ireland) and Vis Vitalis Education Intl Students Clinic in Savona (Italy). Only children with OCD where streptococcal infection and/or scarlet fever were a clear aetiology and medically diagnosed were included. Eightytwo young patients of 6–12 years of age were recruited over a period of 12 months (42 patients in Ireland, 40 in Italy). The group was split into two smaller groups of 21 in Ireland and 20 in Italy; two groups undertook homeopathic treatment and two groups were on antibiotic treatment (Augmentin). Conclusions: The study has shown that OCD symptoms have gradually disappeared over a period of 6 months in all of the patients using homeopathy; there was a relapse of streptococcal throat infection in 92% of our patients; and 8% of patients experienced relapse symptoms of scarlet fever and/or skin eruption without fever. Homeopathic treatment may be therapeutically superior to conventional antibiotic therapy but further study is needed. http://dx.doi.org/10.1016/j.eujim.2012.07.841 PP-082 An observational study of biotherapy for children affected by atopic dermatitis: preliminary results Trapani Gianfranco Società Medica Bioterapica Italiana (SMB Italia), Rome, Italy Aim: To evaluate the impact of biotherapeutic care on quality of life in families with children affected by atopic dermatitis. Method: The Dermatitis Family Impact Questionnaire (DFIQ) was administered to a group of families. This questionnaire evaluates how much biotherapies change standards of living in families: housekeeping, hobbies, tiredness and exhaustion in parents and carers, emotional strain and economic issues. Children affected by atopic eczema as scored by the SCORing Atopic Dermatitis (SCORAD) test – developed by European
157
Task Force on Atopic Dermatitis which defines grading of eczema – were recruited. A DFIQ form was given to parents to be filled in the first week after the first consultation but before treatment (T0) and at the end of treatment (T1). Patients under the age of 3 years whose eczema began before the age of 18 months were included, and observation was held in winter and spring. Thirty forms were given to 30 families. Biotherapies prescribed were symptomatic and terrain homeopathic medicines, oligoelements and gemmotherapy with embrioextracts. Topical therapy was given with Cardiospermum halicacabum-based ointment. Anti-acarus prophylaxis (mattress) and Dermasilk clothing were recommended according to ETFAD/EDAV guidelines. Results: The results so far assessed, on 10 DFIQ forms, are encouraging. In eight cases, scores indicate an improvement of family quality of life, while two cases show worsening. Families declaring aggravation refer to the economic issue too (the expense of drugs and clothes). This cost is reported also by four satisfied families. Thirty forms will be evaluated by the SCORAD test and by DFIQ at T0 and T1. http://dx.doi.org/10.1016/j.eujim.2012.07.842 MENTAL DISORDERS PP-083 Barriers of trust: transcultural experiences within a conventional mental health service Kiil Mona Anita, Salamonsen Anita University of Tromsø, Tromsø, Norway Background: Unofficial health services exist in many North Norwegian communities, consisting of traditional and religious healers and modern alternative practitioners which people actively use or would consider using when facing illness or crisis. The municipality of Nordreisa is commonly described as “the meeting of three tribes”– Sami, Kven and Norwegian – and has historically been considered a cultural melting pot. This diversity is also manifested in the use of traditional folk medicine and complementary and alternative medicine (CAM). Users of an outpatient clinic in Nordreisa find themselves between different traditional and religious practices/CAM, as well as conventional treatment offered by the clinic. This clinical setting is therefore well suited for exploratory studies. Aim: To describe and analyse how patients in a transcultural context experience their consultations with therapists at the conventional clinic. Methods: This exploratory project is an ethnographic fieldwork study. Qualitative in-depth interviews and participant observation were used to investigate patients’ experiences within this unexplored field of mental health care. In addition to patients using the clinic, therapists at the clinic, traditional healers, religious healers and modern alternative practitioners were recruited. Results: As users of traditional folk medicine and religious healing, the patients experience vulnerability in their encounter with the conventional mental health service. The patients express