To the Editor.— Persons with self-inflicted ocular mutilation have an unusual form of psychotic behavior1 that, on occasion, may be associated with abnormal purine metabolism.2,3 We recently helped care for a 29-year-old woman who sustained self-inflicted facial trauma and in whom bilateral papilledema later developed. Her clinical course suggested the presence of an intracranial mass, but the results of her neurologic evaluation were unremarkable. Pathologic examination of her self-enucleated right eye showed that the papilledema was related to meningitis of the optic nerve from apparently self-introduced intraorbital foreign material.
Report of a Case.— A 29-year-old woman had a one-year history of compulsive self-mutilation, characterized mainly by bouts of punching herself in the face. Her behavior was not modified by major tranquilizers. She had been hospitalized twice for self-inflicted trauma, including a superficial laceration of her throat. During her last hospitalization, she sustained bilateral corneal abrasions, conjunctival lacerations, and
Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature
Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal
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