iosr-JDMS   Volume-21 ~ Issue-9 ~ Sep. 2022

Abstract: Introduction :Pilomatrixoma, also known as pilomatricoma or calcifying epithelioma of Malherbe, is a benign neoplasm that derives from hair follicle matrix cells. In this case report, we present a case of a male patient with pilomatrixoma arising from the chest wall. Case presentation :A 71 year old gentleman presented with painless swelling over anterior aspect of the chest for the past 1 year, which was insidious in onset and progressed gradually. On examination, a single, oval, nodular, mobile, hard swelling in the anterior aspect of the midline chest was noted. Excision biopsy was done and biopsy revealed features suggestive of Pilomatrixoma. Patient recovered uneventfully. Discussion :Pilomatrixomas can show malignant transformation. Pilomatrix carcinoma is extremely uncommon and has traditionally been......

Key words: Pilomatrixoma;Calcifying epithelioma; Skin adnexal tumours; Soft tissue tumours.

[1]. Birman MV, McHugh JB, Hayden RJ, Jebson PJL. PILOMATRIXOMA OF THE FOREARM: A CASE REPORT. Iowa Orthop J. 2009;29:121–3.
[2]. DeRosa DC, Lin-Hurtubise K. Pilomatricoma: An Unusual Dermatologic Neoplasm. Hawaii J Med Public Health. 2012 Oct;71(10):282–6.
[3]. Forbis R, Helwig EB. Pilomatrixoma (calcifying epithelioma). Arch Dermatol. 1961 Apr;83:606–18.
[4]. Berberian BJ, Colonna TM, Battaglia M, Sulica VI. Multiple pilomatricomas in association with myotonic dystrophy and a family history of melanoma. J Am Acad Dermatol. 1997 Aug;37(2 Pt 1):268–9.
[5]. Julian CG, Bowers PW. A clinical review of 209 pilomatricomas. J Am Acad Dermatol. 1998 Aug;39(2 Pt 1):191–5.

Abstract: Background: Giant cell arteritis (GCA) is a common large vessel vasculitis of the elderly, often associated with sight loss.Despite the approval of biologic therapies, glucocorticoids (GC) continue to be the basis of therapy. In GCA, there are no biomarkers for disease severity, relapse probabilities, or damage.For suspected GCA, EULAR advises ultrasound (US) as the initial investigation. A non-compressible halo, the key Ultrasound discovery, is currently categorized as either positive or negative.In this study, we evaluate the hypothesis that the temporal and axillary arteries' halo signs, which are measured as a single composite Halo score (HS), may have diagnostic, prognostic, and monitoring value.......

Key Word: Temporal artery doppler; Giant cell arteritis; Ultrasound; Halo score: Halo sign

[1]. van der Geest KSM, Borg F, Kayani A, et alNovel ultrasonographic Halo Score for giant cell arteritis: assessment of diagnostic accuracy and association with ocular ischaemiaAnnals of the Rheumatic Diseases 2020;79:393-399.
[2]. Sebastian, A., van der Geest, K.S.M., Coath, F. et al. Halo score (temporal artery, its branches and axillary artery) as a diagnostic, prognostic and disease monitoring tool for Giant Cell Arteritis (GCA). BMC Rheumatol 4, 35 (2020).
[3]. Kornelis S. M. van der Geest, Konrad Wolfe, Frances Borg, Alwin Sebastian, Abdul Kayani, Alessandro Tomelleri, Prisca Gondo, Wolfgang A. Schmidt, RaashidLuqmani, Bhaskar Dasgupta, Ultrasonographic Halo Score in giant cell arteritis: association with intimal hyperplasia and ischaemic sight loss, Rheumatology, Volume 60, Issue 9, September 2021, Pages 4361–4366,
[4]. Salvarani C, Cantini F, Hunder GG. Polymyalgia rheumatica and giant-cell arteritis. Lancet. 2008.
[5]. Reinhard M, Schmidt D, Hetzel A. Color-coded sonography in suspected temporal arteritis-experiences after 83 cases. Rheumatol Int. 2004

Abstract: INTRODUCTION: Tendoachilles is a unique structure because of unparalleled strength, when severed, leads to loss of impetus for motion, and stability in standing is jeopardized. Management of Achilles tendon rupture is a controversial issue. Surgical and conservative treatments are the modalities of treatment. Operative treatment is the best involving open or percutaneous surgical techniques to repair the ruptured tendon. AIM : To study and evaluate the functional results of PERCUTANEOUS SUTURING in the management of ACUTE TENDOACHILLES rupture who were treated and followed up during SEP 2018 to 0CT 2020 in Department of Orthopaedics ,Guntur.....

Keywords: Achilles tendon ,Tendoachillies rupture , percutaneous repair..

[1]. Nicola Maffuli Tendon injuries basic science and clinical medicine 2004 springer.
[2]. L. Klenerman The early history of tendo Achilles and its rupture journal joint Bone Joint Surg [Br] 2007;89-B:545
[3]. Bosworth DM: Repair of defects in Tendoachilles, JBJS. 38-1:111,1956.
[4]. Arner O, Lindholm A (1959) Subcutaneous rupture of the Achilles tendon: a study of 92 cases. Acta Chir Scand Suppl 116S239.
[5]. Forward, A.D.; Cowan, R.J. tendon suture to bone. J. Bone and Joint Surg. Vol. 45, (807), 1963.
[6]. Lynn TA. Repair of the torn Achilles tendon, using the plantaris tendon as a reinforcing membrane. J Bone Joint Surg Am. 1966; 48:268-272.

Abstract: Acute pancreatitis is a relatively common and a potentially life threatening disease. It is defined as ―an inflammatory process of pancreas with possible peripancreatic tissue involvement and multi organ dysfunction syndrome with increasing mortality rate1‖ Estimates of incidence are often inaccurate, because mild cases are often unreported, and deaths may occur in severe forms even before a diagnosis is made. Severe acute pancreatitis accounts for about 20 % of the cases, and it is associated with one or more of the following: Pancreatic necrosis, distant organ failure, and development of local complications like haemorrhage, pancreatic necrosis, pseudocyst etc......

[1]. Comparison of BISAP, Ranson's, APACHE-II, and CTSI Scores in Predicting Organ Failure, Complications, and Mortality in Acute PancreatitisGeorgios I. Papachristou, MD, VenkataMuddana, MD, DhirajYadav, MD,et al. Am J Gastroenterology 2010; 105: 435–441
[2]. A brief history of pancreatitis. D A O'Reilly MRCS, A N Kingsnorth MS FRCS. Journal of the royal society of medicine.March 2001; volume 94; 130-132.
[3]. Eric H. Jensen, Daniel Borja-Cacho, Waddah B. Al-Refaie, and Selwyn M. Vickers, sabiston textbook of Surgery, 2012
[4]. Ranson JH, Rifkind KM, Roses DF, et al: Prognostic signs and the role of operative management in acute pancreatitis. SurgGynecolObstet 139:69–81, 1974.
[5]. Gravante G, Garcea G, Ong SL, et al: Prediction of mortality in acute pancreatitis: A systematic review of the published evidence.Pancreatology9:601–614, 2009.

Abstract: Background: Congenital heart disease (CHD) is the commonest of all congenital lesions and is the most common type of heart disease among children. 28% of all major congenital anomalies consist of heart defects. Prevalence of Congenital Heart Disease in India is reported to be between 2.5 to 5/1000 live births. This study was undertaken to study the clinical profile, complications and outcome of congenital heart diseases. Material and Methods:We enrolled 120 patient of congenital heart diseses diagnosed by clinical examination and 2 D ECHO. Detailed history ,examination ,complication and outcome were noted......

[1]. Faheem UlHaq et al. Risk factors predisposing to congenital heart defects. APC 2011;4(2):117-121.
[2]. S. L. Chadha, Neerpal Singh and D.K. Shukla. Epidemiological study ofcongenitalheart disease. Indian Journal of Pediatrics. 2001;68:507-510.
[3]. Saxena A. CHD in India: A status report. Indian J Pediatr. 2005;72:595.
[4]. Shieh. Consanguinity and the Risk of Congenital Heart Disease. Am JMed Genet A. 2012;158A(5):1236-41.
[5]. Branon E.S., Weens M.S., Warren J.V.ASD. Study of hemodynamics byThe technique of right heart cath. American journal of med s.o.210:980,1945..

Abstract: Macroamylasemia is a high serum amylase level that persists over time without showing any obvious clinical signs of a pancreatic disease.We describe a case of a 28-year-old male who was diagnosed with acute appendicitis and macroamylasemia. Hehad a high serum amylase level but normal lipase.After the patient had an appendectomy, the abdominal pain went away, but the serum amylase remained increased.

Key words: appendicitis, macroamylasemia, appendectomy

[1]. Forster M. J., Akoh J. A. Perforated appendicitis masquerading asacute pancreatitis in a morbidly obese patient. World J Gastroenterol, 2008, 14 : 1795-1796.
[2]. Ganesh M., SalamI. Lessons to be learned : a case studyapproach – acute appendicitis masquerading as macroamylasaemia.J R Soc Promot Health, 2008, 128 : 140-142.
[3]. Sachdeva CK, Bank S, Greenberg R, Blumstein M, Weissman S. Fluctuations in serum amylase in patients with macroamylasemia. Am J Gastroenterol 1995; 90: 800-3
[4]. Kao YS, Liu FJF, Alexander DR. Laboratory diagnosis of gastrointestinal tract and exocrine pancreatic disorders. In: Henry JB, eds. Clinical diagnosis and management by laboratory methods. Philadelphia: WB Saunders, 1996: 515-45
[5]. Banks PA. Acute and chronic pancreatitis. In: Feldman M, Scharschmidt BF, Sleisennger MH, eds. Gastrointestinal and liver disease. Philadelphia: WB Saunders, 1998: 809-62

Abstract: Eccrine angiomatous hamartoma (EAH) is a benign and rare cutaneous tumor, histologically characterized by increased numbers of eccrine sweat glands and numerous capillary channels. Eccrine angiomatous hamartoma is usually present at birth or develops during childhood. It is typically a solitary lesion and the most common site is on the distal parts of limbs......

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