Severe Thrombocytosis in Chronic Liver Disease Secondary to Iron Deficiency Anemia: A Case Report

Thrombocytopenia is the commonest haematological abnormality seen in chronic liver disease. Thrombocytosis is of two types: Primary and secondary. In secondary form of thrombocytosis usually there is mild to moderate elevation of platelet count. Here, we present a case of 60 year old patient, a known case of chronic liver disease who presented with severe thrombocytosis secondary to iron deficiencyanaemia. Thrombocytosis normalized with treatment of iron deficiency anaemia with parenteral iron

Thyrotoxic Periodic Paralysis as a Presentation of Thyrotoxicosis: A Case Report

Thyrotoxic periodic paralysis (TPP) is a rare but potentially serious complication of hyperthyroidism characterized by muscular weakness and hypokalemia in a patient with thyrotoxicosis. It is predominantly seen in Asian males.The etiology of thyrotoxicosis in most of the cases of TPP is Graves’ disease. We present a case of a 19-year-old male who presented in emergency with paraparesis. Investigations revealed hypokalemia and thyrotoxicosis related to toxic nodular goitre. Diagnosis of thyrotoxic periodic paralysis was made and patient was treated with potassium replacement, propranolol and antithyroid treatment

Hypokalemic Quadriparesis Associated with Dengue: A Case Series

Dengue is an important viral cause of febrile illness in tropical and subtropical regions. Manifestations may range from an asymptomatic infection to life threatening hemorrhagic fever and shock syndrome. Neurological presentations of this disease are rare. Here, we are presenting a case series of three confirmedcases of dengue fever with hypokalemic paralysis presenting as acute pure motor reversible quadriparesis. A clinician should keep dengue virus associated hypokalemic paralysis in mind while dealing with a case of fever with quadriparesis

A review of Mukta : An Ancient drug in Rasa Shastra

Rasa Shastra or preferably called as the ancient Indian Alchemy, deals with the preparation of medicines that has helped mankind since thousands of years. Rasa which means Mercury has been the chief area of interest for the Ancient Alchemists of Rasa Shastra. Along with safe use of Mercurial preparations as medicines since many years, Rasa Shastra also deals with preparation of other herbomineral compounds using varied drugs of plant as well as animal origin. One of the drug, that has been used widely in Rasa Shastra is Mukta or Pearl. There are several categories or groups of drugs (Varga) used in Rasa Shastra viz. Maharasas, Uparasas etc. whereas Mukta is classified under Ratna (precious gems) Varga. Mukta is a shining off white coloured hard spherical object found in sea shells. Due to its lucrative appearance it is widely used in jewelry, cosmetics, as well as in clothing. It is formed by deposition of several concentric layers of calcium carbonate and conchiolin around central nucleus. According to Rasa Shastra classics, Mukta has Madhura, Sheeta and Laghu properties. And so is widely used as a potent Pitta Shamaka. Its purification and Pishti processes are also mentioned in Rasa Shastra classics which makes pearl more potent to cure diseases. Mukta is also widely used in conditions like Amlapitta, Jwara, Daha etc

A Review on Pishti Kalpana

Rasa Shastra deals with the preparation of variety of medicaments and formulations that include Bhasmas, Kharaliya Rasayanas, Kupipakwa Rasayanas, etc. These sections of formulations also depend upon the different types of raw materials that are to be used in it as chief ingredients. Rasa Shastra has a vast and varied history of preparing these medicines and its safer use since thousands of years. Pishti is one such section of formulations that is chiefly used when the raw materials cannot tolerate heat but at the same time are very effective without heat treatment. In Rasa Shastra, mainly the drugs of animal origin or precious gems are subjected to levigation or trituration in a particular media to form a particular Pishti. The word Pishti literally means that which is finely triturated and made into a very fine powder similar to flour. Mukta Pishti, Prawal Pishti being some of the important examples

Balanced double aortic arch with tetralogy of Fallot

AbstractWe present a rare case of balanced double aortic arch in a 19year old cyanotic boy, a known case of tetralogy of Fallot. This was suspected on chest X-ray and confirmed on further imaging by cardiac catheterization and computed tomography. We discuss the clinical and surgical implications of this condition

Topical therapy with clobetasol propionate 0.025% for various dermatological conditions

Topical corticosteroids (TC) are the most commonly prescribed medications for the treatment of several dermatoses. Owing to their potent effect of relieving symptoms, these drugs are indicated for the use of inflammatory and pruritic presentations of dermatologic conditions. Clobetasol propionate (CP) is the most common TC used to treat itching, redness, and swelling caused by some skin conditions. It possesses anti-inflammatory, antipruritic, and vasoconstrictive properties. To exert its effect, CP binds to cytoplasmic glucocorticoid receptors and subsequently activates glucocorticoid receptor-mediated gene expression, thus resulting in the synthesis of certain anti-inflammatory proteins, while inhibiting the synthesis of certain inflammatory mediators. This case series discusses the efficacy, safety, and clinical experience of using CP 0.025% cream for the treatment of different dermatologic conditions