Ciprofloxacin induced fixed drug eruption

Fixed drug eruption (FDE) is a clinical entity occurring in the same site or sites each time the drug is administered. Acute lesions appear as sharply marginated erythematous plaques, which are usually found on lips, genitalia, abdomen, and legs. The eruptions usually occur within hours of administration of the offending agent and resolves spontaneously without scarring after few weeks of onset. Most common drugs causing FDE are sulfonamides, tetracyclines, salicylates, barbiturates, doxycycline, fluconazole, clarithromycin, etc. Ciprofloxacin, a widely used fluoroquinolone antimicrobial, induces cutaneous adverse drug reactions (ADRs) in about 1-2% of treated patients. Urticaria, angioedema, maculopapular exanthems, and photosensitivity are the most frequently documented cutaneous adverse reactions. In this case report, the patient soon after taking ciprofloxacin tablets, developed itching in the lips, palms and in scrotal region. On continuing the treatment, the next day he developed fluid filled lesions over palm, knuckle, and hyperpigmentation. He gives a history of severe itching and rashes in scrotal region. He gives a history of similar complaints in the previous month after taking ciprofloxacin medication. There was no history of intake of any other medication. On examination, bullous lesions and pustules in finger webs, hyperpigmentation on knuckles, and scrotal erosions were seen. In the present case report, the patient presented with FDE immediately after oral administration of ciprofloxacin and got completely cured after stopping the drug and taking adequate treatment. According to the Naranjo’s ADR probability scale (score=8), this ADR is categorized as a “probable” reaction to the drug

Metasone furoate induced acneiform eruption

Acne is the chronic inflammatory disease of the pilosebaceous unit, characterized by the formation of comedones, erythematous papules and pustules. Steroid induced acne is an acneiform eruption characterized by sudden onset of follicular papules and pustules shortly after starting topical or oral corticosteroid. Here, we report a case of a 25-year-old female patient who presented herself to the Dermatology out-patient department with the complaints of acne all over the face after the application of mometasone furoate ointment

An epidemiological study to assess bone mineral density and its association with contributing factors among premenopausal and postmenopausal women in selected villages of District Shimla, Himachal Pradesh, India

Background: Development of peak bone mass and premenopausal bone loss is determined by the menstrual status of women. Decline in bone mass with age becomes accelerated during menopause. Menopausal bone loss refers to the accelerated bone loss that occurs during the BM) of premenopausal and post-menopausal women, to identify the contributing factors associated with BMD among pre and post-menopausal women, to compare the level of BMD and the contributing factors of pre-menopausal women with post-menopausal women.Methods: It was quantative research approach and epidemiological analytic research design was used. Total enumeration technique was adopted in this study.Results: Analysis of data was done in accordance with the objectives of the study. Findings show that among premenopausal women 45.10% of the women had osteopenia and 8.20% of the women had osteoporosis, among postmenopausal women 50.00% of the women had oestriopenic and 41.2% of the women had osteoporosis. The analysis shows that factors such as BMI, Health status, life style, age, economic status and dietary patter plays important role to accelerate the level of T-score more than -1 in both group either premenopausal women or post-menopausal women. It shows the significance at the level of p<0.001.Conclusions: The study was completed in July 2016, concludes that there are many factors that can lead to have risk of osteoporosis related fracture. As age is increased the risk is also increased to get the fracture. Every woman can go for screening of BMD test to control the risk of fracture

Culture, Habitat and Ethno-Medicinal practices by Bhotia Tribe people of Dharchula Region of Pithoragarh District in Kumaun Himalaya, Uttarakhand

A survey in different areas of Dharchula region in Pithoragarh district of Uttarakhand was conducted in different seasons of the year to identify the non-conventional uses of plants. In India, there are about 68 million people belonging to 227 ethnic groups and comprising of 573 tribal communities. Out of which 4 tribes (Tharus, Buxas, Rajis and Bhotias) inhabit the Kumaun division of the state. The Bhotia tribe living in remote thick forest of the Dharchula region depends on nature for their basic needs of life. The 8 major Bhotia groups in the state are i.e. Johari, Juthora, Darmi, Chudans, Byansi, Marccha, Tolcha and Jad. The tribal population of Bhotia community is 8.13 % and inhabited in about 18.70 % of area of the country. The present study was carried out to document the precious indigenous traditional knowledge about the ethno-medicinal uses and properties of plants which are under Red Data List of IUCN. Ethno-medicinal information on 17 plant species belonging 15 families, used in various ailments by the inhabitants of the community was recorded. The attempt is also made to describe the habitat, customs and economical aspects of Bhotia tribes

Retinal Vasculitis: A Case Study

Purpose: To describe a case of idiopathic retinal vasculitis. Methods: Case report and literature review. Case: A healthy 25-year-old female presented with a one-week history of a large floater in her right eye. Patient’s subjective complaint of floaters, including the scotoma on VF and the FA findings were most consistent with retinal vasculitis displaying predominant venous involvement. However, findings for acute macular neuroretinopathy and multiple evanescent white dot syndrome (MEWDS) were present as well. Autoimmune and infectious disease panels were negative. Neuro consult and brain MRI showed nonspecific, non contributory findings. Several weeks later, following Medrol dose pack, patient reported significantly improved visual field and this was consistent with improved clinical and diagnostic findings. Conclusion: Although cases of retinal vasculitis have been linked to infectious, neoplastic, systemic and autoimmune diseases, idiopathic cases can present concurrently with other retinopathies

Serum alkaline phosphatase and high sensitivity C-reactive protein in type II diabetes mellitus: a risk of cardio vascular disease in South Indian population

Background: Diabetes mellitus (DM) is a clinical syndrome characterized by abnormal metabolism of carbohydrate, protein and fat resulting in hyperglycemia due to absolute or relative deficiency of insulin ending up in vascular complications leading to retinopathy, neuropathy and nephropathy. The aim of the study was to examine the relationship between alkaline phosphatase (ALP) and high sensitive C reactive protein (hsCRP), in type 2 diabetic patients. We assessed the association of ALP and hsCRP levels with CVD complication and determined its utility for CVD risk prediction in type 2 DM subjects with good and poor glycemic control. Further, we investigated correlation between serum ALP and hsCRP level with glycemic control (FBS, PP2BS, HbA1c) in subjects.Methods: A cross sectional study consists of 390 patients out of which 100 normal healthy control (Group I) , 120 patients having type 2 DM with good control (Group II), 170 patients with type 2 DM with poor control (Group III) were selected. Serum ALP, serum hsCRP, FBS, PP2BS, HbA1c, and other biochemical investigations including serum liver enzymes and lipid profile were measured.Results: In Study I Mean serum ALP(145.17±23.91) and hsCRP (2.53±0.76) concentration in group II patients when compared to group I serum ALP(142.17±16.48) and Hscrp (1.51±0.15) shows a significance of ALP (p<0.05) and Hscrp (p<0.001).Study II Mean serum ALP(145.17±23.91) and hsCRP (2.53±0.76) concentration in group II patients when compared to group III serum ALP (147.79±28.95) and Hscrp (3.848±0.47) group shows a significance of ALP (p<0.001) and Hscrp (p<0.05). Study III Mean serum ALP (147.79±28.95) and hsCRP (3.848± 0.47) concentration in group III patients when compared to group I serum ALP (142.17±16.48) and Hscrp (1.51±0.15) shows a high significance of both ALP and Hscrp (p<0.001). Further significant positive correlation was observed between ALP and hsCRP concentration as well as with HbA1c, FBS, and PP2BS.Conclusions: Inflammation along with the poor glycemic control in diabetes play a role in diabetic macrovascular complication like CVD. All these finding are showing a link between CVD, inflammation and glycemic control in patient with type 2 diabetes mellitus