Obsessive Compulsive Disorder with Porn Addiction during the COVID-19 Pandemic

BACKGROUND: COVID-19 Pandemic is an unprecedented humanitarian crisis that has affected the mental health of individuals immensely. OCD was among the mental health conditions that emerged with the new norm that is associated with repeated hand wash, social distancing and testing to confirm COVID-19. Nissen et al. (2020) found that there was a significant positive correlation between total OCD severity scores and the occurrence of OCD aggressive and sexual symptoms. [6] The COVID-19 lockdown translated into physical isolation, driving individuals to waste time online with no definite purpose, spending longer, abnormal durations of time online when bored, leading to increased consumption of online pornography. Since March 2020, during the lockdown period, Pornhub has seen a worldwide increase in pornography use of 11.6% compared to the previous average days. [9] CASE DESCRIPTION: A 21-year-old adult unmarried male student came to the Psychiatry Department with complains of fear of getting COVID-19, repetitive, uncontrolled viewing of pornography, sadness and sleep disturbances for the past 1 year. With informed consent detailed history and psychological assessment was carried out and it was confirmed to be a case of Obsessive Compulsive Disorder with porn addiction during the COVID-19 pandemic. CONCLUSION: OCD and Porn Addiction have emerged as major concern in COVID-19 pandemic related mental health disorders and youngsters should be screened for these conditions and appropriate treatment strategies should be devised in community care

Primary Hypertrophic Osteoarthropathy: A case series

Skeletal dysplasia encompasses a spectrum of over 400 rare inheritable skeletal abnormalities typically manifested early in childhood. Hypertrophic Osteoarthropathy is a clinical syndrome marked by abnormal skin and osseous tissue proliferation at the distal extremities. It is characterized by unique clinical features such as digital clubbing, periostosis of tubular bones, and synovial effusions. We report three cases of HPOA for further understanding and insight into this infrequent cause of clubbing. Case 1 involved a 25-year-old male presenting with joint pain, primarily in wrists and knees, accompanied by progressive swelling in both lower limbs for the past 3 years. Case 2 featured a 31-year-old man born out of a second-degree consanguineous marriage, reporting pain in wrist, knee, and ankle joints bilaterally for 2 years, with a history of clubbing since birth. Case 3 featured a 19-year-old male with multiple joint pains and a family history. Genetic sequencing was performed for two cases, revealing mutations in the SLCO2A1 gene associated with impaired prostaglandin E2 (PGE2) degradation, leading to elevated PGE2 levels. While primary Hypertrophic Osteoarthropathy is an uncommon cause of clubbing, the diagnosis is often challenging. Genetic sequencing played a pivotal role in confirming the diagnosis in these cases, highlighting its importance in understanding and managing this condition. These case reports contribute to the limited literature on HPOA, particularly in the context of genetic testing, which is not routinely conducted in India