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Garg, A.
- Coarctation of Abdominal Aorta with Renal Artery Stenosis
Authors
1 B.J. Medical College, Civil Hospital, Ahmedabad., IN
Source
The Indian Practitioner, Vol 67, No 11 (2014), Pagination: 705-706Abstract
Coarctation of the aorta is a congenital anomaly in which the aorta narrows in the area commonly where the ductus arteriosus inserts. Coarctation of the aorta (CoA) is a relatively common defect accounts for 5-8% of all congenital heart defects. Classic coarctation of the aorta is located in the thoracic aorta distal to the origin of the left subclavian artery. However, rarely a coarcted segment is present in the lower thoracic or abdominal aorta. In such instances, the coarcted segment may be long and fusiform with irregular lumen. Many consider these to be inflammatory or autoimmune in origin, and they may be variants of Takayasu arteritis. Our patient was relatively asymptomatic until she presented with exertional dyspnoea and fatigue in her 2nd decade of life. We have diagnosed her as a case of coarctation of abdominal aorta&both renal arteries stenosis after complete work up.Keywords
Aortic Coarctation, Congenital Malformation, Abdominal Coarctation, Renal Artery Stenosis- Contact Dermatitis to PPD in Henna - An Interesting Presentation
Authors
1 Dept of Dermatology, Venereology and Leprosy, R.N.T. Medical College, Udaipur, Rajasthan, IN
2 Dept of Dermatology, Venereology and Leprosy, G. R. Medical College, Gwalior, M. P., IN
Source
The Indian Practitioner, Vol 67, No 3 (2014), Pagination: 171-172Abstract
No Abstract.- A Retrospective Study about Relapse among MDT Treated Leprosy Patient
Authors
1 Dept. of Dermatology, Venereology and Leprosy, RNT Medical College, Udaipur-313001, Rajasthan, IN
2 Dept. of Dermatology, Venereology and Leprosy, G R Medical College, Gwalior, MP, IN
Source
The Indian Practitioner, Vol 68, No 3 (2015), Pagination: 24-28Abstract
Background: New skin or nerve lesions may develop despite the fixed duration of multi drug therapy (MDT), in multibacillary (MB) and paucibacillary (PB) leprosy. The lesions could be due to reaction, relapse or reinfection. The index study was conducted to know the percentage of relapse in leprosy at a tertiary care hospital in Southern Rajasthan, India.
Material and Methods: The study was conducted on 29 (4 PB and 25 MB) cases, who had completed WHO guided fixed duration MDT regimens and were under regular surveillance for more than one year. Besides the relapse criteria laid by Beck-Bleumink, we performed slit skin smear (BI) and skin biopsy. Study spanned from January 2005 to December 2006.
Observations: Two MB cases (8%) evidenced features of clinical as well as bacteriological relapse, but none of the PB cases relapsed. The overall relapse rate was 6.9%. Relapsed patients reported after 1 and 5 years of release from treatment (RFT) and their newer clinical and bacteriological status was also lepromatous leprosy (LL) with BI 4+.
Conclusions: MDT is quite effective for treatment of leprosy, however, possibility of relapse is still there. Relapse rate showed wide variation in different studies.