Patterns of Anemia in Geriatric Age Group

Background: Anemia is a common concern in geriatric age group (more than 60 years of age)and can have significantly more severe complications than anemia in younger adults. WHO criteria determine anemia when the hemoglobin level is < 13 g/dl in male and < 12 g/dl in female. Aim: To study the proportion and morphological patterns of anemia in geriatric patients. Material and Methods: A hospital based study of patients of geriatric age group who have attended geriatric clinic and clinical OPD from November 2010 to April 2012 were studied.Detailed laboratory studies of diagnostic tests were done. Results: Out of 654 cases, 448 were found to be anemic amounting to 68.5 percentages. Proportion of anemia in males was 67.6%and in females it was 69.8 %. All the patterns of anemia based on peripheral smear were evident. Normocytic anemia was the commonest pattern constituting 79.4%. Conclusion: Con-firming the proportion and patterns of anemia is critical to direct the investigation for profiling the etiology since it is well known that the treatment of anemia goes a long way in improving the overall outcome and quality of life

Bilateral congenital cystic adenomatoid malformation, stocker type III with associated findings and review of literature

Congenital cystic adenomatoid malformation (CCAM) of the lung, Stocker&#x2032;s type III is a rare anomaly characterized by replacement of normal pulmonary tissue with cysts of variable size and distribution. We report here a 16-week stillborn fetus with Stocker&#x2032;s type III bilateral CCAM involving the entire lungs. The additional associated malformations included collapsed nasal bridge, low set ears, malformed ears, absence of neck folds, absence of nipples and areolas, tracheal stenosis, fetal hydrops and small heart. The pathogenesis, radiological findings, pathological findings and prognosis of CCAM are discussed along with review of literature

Sequence of oral manifestations in rhino-maxillary mucormycosis

Mucormycosis, caused by saprophytic fungi of the order Mucorales of the class Zygomycetes, is a rare opportunistic fungal infection, which has a rapidly progressive and fulminant course with fatal outcome. These fungi are ubiquitous, found in soil, bread molds, decaying fruits and vegetables. The most common form of mucormycosis is rhinocerebral and is usually seen in uncontrolled diabetes mellitus or in immunocompromised patients. This fungus invades the arteries, leading to thrombosis that subsequently causes necrosis of hard and soft tissues. We report a case of palatal perforation by rhino-maxillary mucormycosis in an immunocompromised patient. The aim of this article is to draw attention to the clinical presentation and pathogenesis of mucormycosis and to emphasize the need for high degree of suspicion in its diagnosis and management