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Biomedical subjects

R Pandey

Publications and source records attributed to R Pandey.

173 records · Page 10Linked to original sources
PubMedDate not supplied

Differential diagnosis of fine needle aspiration smears of thyroid nodules. Cytologic features and AgNORs.

OBJECTIVE: To determine the value of cytomorphologic features and argyrophilic nucleolar organizer regions in fine needle aspiration smears of thyroid nodules. STUDY DESIGN: Cytomorphologic features were analyzed for frequency and predictive value in smears of 60 histologically confirmed cases of thyroid nodules, comprising 16 cases of papillary carcinoma, 19 of follicular adenoma, 5 of follicular carcinoma, 3 or medullary carcinoma and 17 of adenomatous goiter. The smears were also stained for AgNORs to compare AgNOR counts in these lesions. RESULTS: Intact follicles and abundant background colloid were useful for the diagnosis of adenomatous goiter; metaplastic cells, nuclear grooves and multinucleate giant cells predicted the diagnosis of papillary carcinoma; and acinar formations were important in the diagnosis of follicular adenoma and follicular carcinoma. AgNOR counts showed major overlaps among the various groups, although the mean counts in neoplastic lesions were slightly higher than those in adenomatous goiter CONCLUSION: AgNOR counts failed to have any significant diagnostic utility, and the fine needle aspiration cytology diagnosis of thyroid nodules must still be based on a combination of cytologic features.

Antigens, Nuclear↗
PubMedDate not supplied

Clinical profile and prognosis of Addison's disease in India.

BACKGROUND: The clinical presentation of primary adrenocortical insufficiency (Addison's disease) in India may differ from that in developed countries. We therefore studied the clinical profile and prognosis of Addison's disease, with special reference to patients with tuberculous infection. We also evaluated the utility of various clinical parameters in differentiating tuberculous from idiopathic Addison's disease. METHODS: In a retrospective and prospective study, 45 consecutive patients of Addison's disease (20 patients with tuberculous aetiology) were studied for their clinical features, autoantibody profile (adrenal cytoplasmic, thyroid microsomal and gastric parietal cell antibodies) and prognosis. RESULTS: A tuberculous aetiology was present in 47% of the patients and of these, 85% had enlargement of one or both adrenal glands. While patients with tuberculous Addison's disease had a higher prevalence of extra-adrenal tuberculosis (55% v. 9%, p = 0.001), a lower frequency of adrenal cytoplasmic antibodies (17% v. 50%, p = 0.03) and parietal cell or thyroid microsomal antibodies (11% v. 55%, p = 0.004), a considerable overlap was observed. Despite adverse circumstances, during a mean follow up of 3.3 years, only 2 (5%) patients died, neither of whom had tuberculous involvement. Five (13%) patients suffered from one or more episodes of Addisonian crises, though none of these resulted in mortality. CONCLUSION: Tuberculosis remains an important cause of Addison's disease in India. The presence of extra-adrenal tuberculosis, or lack of adrenal cytoplasmic antibodies, does not, with certainty, differentiate between a tuberculous and idiopathic aetiology. The prognosis of Addison's disease was good despite unfavourable circumstances.

Addison Disease↗
PubMedDate not supplied

Occult hepatitis B virus infection as a cause of cirrhosis of liver in a region with intermediate endemicity.

BACKGROUND: Serological tests may fail to identify hepatitis B virus (HBV) infection as a cause of liver cirrhosis in a proportion of patients. The frequency of such occult infection in regions with intermediate HBV endemicity is not known. Such cases may be diagnosed by incremental testing for IgG anti-HBc, serum HBV DNA, and HBV DNA in liver tissue. METHODS: We tested sera of 111 patients with cirrhosis, including 39 with history of significant alcohol ingestion, for HBsAg, anti-HBc and serum HBV DNA. In addition, in a subset of 14 patients, HBV DNA was looked for in liver tissue. RESULTS: On HBsAg and anti-HBc testing, 66 patients had HBV infection. Serum HBV DNA testing identified HBV infection in 13 additional cases. Of 18 patients labeled as 'cryptogenic' on serological testing, HBV DNA was detected in the serum in 7 patients. Of 14 patients in whom paired liver tissue and serum specimens were tested, 4 additional patients with HBV infection were detected after liver biopsy analysis. CONCLUSIONS: Serological tests for HBsAg and anti-HBc antibody are insensitive in identifying HBV infection in patients with liver cirrhosis. HBV DNA testing in serum and liver can help in establishing HBV infection as etiology, either alone or in addition to another cause.

Adult↗
PubMedDate not supplied

Effect of some essential oils on microorganisms.

The essential oils tested viz., Cardiaca Oil, Mentha Oil, Artemisia Oil and Geranium Oil against pathogenic bacterial and fungal strains. Significant activity of all oils was found against all microorganisms. All the four oils showed a higher inhibition against all the microorganisms, except S. epidermidis at different level of concentrations used (1000 ppm and 500 ppm). It is clearly indicated that inhibition activity increased approximately 1 to 2 folds at 1000 ppm concentration as compared to 500 ppm. S. epidermidis has shown resistant towards all the oils at both the concentration while M. smegmatis and S. mutans have shown higher inhibition as compared to S. epidermidis.

Aspergillus niger↗
PubMedDate not supplied

A comparison of four methods for detecting rotavirus in faeces of bovine calves.

The purpose of the study was to compare the efficacy of four techniques to detect rotavirus in faeces from bovine calves with diarrhoea. The techniques used were an agar gel precipitation test (AGPT), discontinuous counter-immunoelectrophoresis (DCIE), an enzyme-linked immunosorbent assay (ELISA) and polyacrylamide gel electrophoresis with silver staining (PAGE-SS). Faecal samples, 20 each from cow and buffalo calves with diarrhoea from the government cattle farms and the farm of the Agricultural University of Haryana state, India, were tested. PAGE-SS and ELISA were found to be similar in their ability to detect rotavirus antigen, but both methods were found to be significantly superior to DCIE and AGPT (p less than 0.01).

Animals↗
PubMedDate not supplied

Wegener's vasculitis: diagnostic and therapeutic problems.

A case of Wegener's granulomatosis (WG) presenting with pulmonary manifestation which were initially suspected to be due to tuberculosis is being reported. Renal involvement appeared later. He developed complications of antitubercular treatment and of immunosuppression. The difficulties in distinguishing pulmonary manifestation of WG from tuberculosis and other diagnostic and therapeutic problems are discussed.

Antitubercular Agents↗
PubMedDate not supplied

Falciparum malaria with acute liver failure.

INTRODUCTION: Falciparum malaria occasionally presents with encephalopathy, jaundice and fever mimicking fulminant hepatic failure. PATIENTS: We recently managed seven cases (mean age 34 years, range 20-45; all men) of acute falciparum malaria presenting with a short history [mean duration 8.1 (4-15) days] of fever, jaundice, altered sensorium and oliguria. Only one patient had splenomegaly. Investigations revealed jaundice (bilirubin 1.9-30.7 mg/dl), moderate to severe anaemia (Hb 4-8 gm/dl), increased liver enzymes (2-4 times normal) and azotaemia (serum creatinine 1.6-7.4 mg/dl). Coagulation parameters were deranged in 3 with clinical bleeding in two cases. One patient without a past history of diabetes had increased blood glucose values with ketonuria. HBsAg was negative in all cases. Patients received supportive therapy along with intravenous quinine. Peritoneal dialysis was done in one patient. Three patients showed rapid recovery and four succumbed to the disease. Post-mortem liver biopsy showed Kupffer cell hyperplasia, pigment deposition, foci of steatosis and necrosis along with submassive necrosis in one case. CONCLUSIONS: In areas endemic for malaria, awareness of this entity is a must. In a patient with jaundice and altered sensorium, disproportionate anaemia, azotaemia and only mild elevation of liver enzymes should help differentiate these patients from cases of fulminant hepatic failure. The diagnosis can be confirmed by peripheral blood examination. Early institution of specific therapy may be the only life saving measure in these patients.

Adult↗
PubMedDate not supplied

Multiple lymphomatous polyposis presenting as inflammatory bowel disease.

Multiple lymphomatous polyposis is a rare manifestation of primary gastrointestinal lymphoma characterized by polypoidal masses involving several segments of the gastrointestinal tract. We report a case who initially presented with features resembling inflammatory bowel disease.

Adolescent↗
PubMedDate not supplied

Does autopsy of antenatally diagnosed malformed foetuses aid genetic counselling?

BACKGROUND: Many pregnancies are terminated because of ultrasonographic diagnosis of malformation in the foetus. A detailed foetal autopsy is needed to arrive at a definite diagnosis on the basis of which genetic counselling can be provided. METHODS: Sixty-one foetuses, terminated because of antenatal diagnosis of congenital malformations by ultrasound, were autopsied. The ultrasound diagnosis was compared with the diagnosis reached after autopsy. RESULTS: In 31 cases (51%) the autopsy provided additional findings. In 21 cases (34.4%), the autopsy changed the primary diagnosis. The revised diagnosis led to a change in the risk of recurrence in 18 cases (29.5%). CONCLUSION: Genetic counselling depending solely on ultrasonographic foetal diagnosis may be erroneous. For appropriate genetic counselling, a detailed foetal examination should be carried out after termination in cases with ultrasonographically detected congenital malformations.

Autopsy↗