Letters to the Editor

Chronic Abdominal Pain and Abdominal Epilepsy



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Am Fam Physician. 2000 Jan 1;61(1):50.

to the editor: I just finished reading the article “Chronic Abdominal Pain in Childhood: Diagnosis and Management”1 and would like to add one other rare and treatable condition to the list of specific disease states associated with abdominal pain. Many years ago, I had a patient who presented with recurrent abdominal pain. The young man underwent many complete blood counts and other tests, but no conclusions were reached as to a specific diagnosis. One night I was reading an article about abdominal epilepsy, and it could have been written with this young man in mind. All of the symptoms fit perfectly.

I ordered an electroencephalogram on the patient, and the results were positive for epilepsy. The patient was started on phenytoin (Dilantin) and did not have another attack as long as I was able to follow him. I knew that abdominal epilepsy was rare because our local neurologist called me and asked if he could see the patient. He had trained at Cleveland Clinic and had never seen such a case. Of course, I obliged. The family has since moved away, and I lost touch with them. I thought it would be wise to include this diagnosis as a “last resort” consideration.

REFERENCES

1. Lake AM. Chronic abdominal pain in childhood: diagnosis and management. Am Fam Physician. 1999;59:1823–30.

Send letters to Kenneth W. Lin, MD, MPH, Associate Deputy Editor for AFP Online, e-mail: afplet@aafp.org, or 11400 Tomahawk Creek Pkwy., Leawood, KS 66211-2680.

Please include your complete address, e-mail address, and telephone number. Letters should be fewer than 400 words and limited to six references, one table or figure, and three authors.

Letters submitted for publication in AFP must not be submitted to any other publication. Possible conflicts of interest must be disclosed at time of submission. Submission of a letter will be construed as granting the American Academy of Family Physicians permission to publish the letter in any of its publications in any form. The editors may edit letters to meet style and space requirements.



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