Abstract Background: Orofacial manifestation and radiographic alterations of systemic sclerosis (SS) cases were limited and mainly reported on Caucasians, so far only case reports were reported the oral features of Indian people with SS. Thus, the purpose of this study was to assess the incidence of orofacial manifestation and radiographic alterations among North Indian people with SS. Materials and Methods: A total of 20 (18 female and two male) North Indian people with SS attending the Dental outpatient department were enrolled in the study from August 2015 to March 2017; all underwent orofacial clinical examination and further underwent panoramic radiography. Results: Among reported extraoral manifestations, thin atrophied and incompetent lips were most common (90.00%), followed by cutaneous hyperpigmentation and mask-like face (70.00%), cutaneous scar (65.00%), beak-shaped nose (55.00%), cutaneous hypopigmentaion (30.00%), and dysphagia (30.00%) in SS cases. Among reported intraoral manifestations, oral trismus, dental caries, and absence of bleeding on periodontal probing were the most common (85.00%), followed by depapillaion of tongue and burning sensation (75.00%), mucosal pigmentation (65.00%), xerostomia (60.00%), localized gingival recession (40.00%), and tooth mobility (25.00%) in SS cases. Among radiographic alterations, periodontal ligament widening was most common (65.00%), followed by mandibular angle resorption (45.00%), condylar and coronoid process resorption (35.00%), and ramus resorption (10.00%) in SS cases. Conclusion: The study results allow a rational understanding of orofacial manifestations and radiological alteration and their impact on oral health status in SS patients which enable the dentist for a better diagnosis and evolve a comprehensive treatment plan.
Background: Breast carcinoma is one of the most common malignancies in women. Palpable breast lesions are one of the commonest presentations in general and surgical practice. To study the spectrum of benign and malignant breast lesions and the efficacy of FNAC as a diagnostic tool by correlating with histopathological findings. Methods: The present study was carried out among 250 patients who presented to ACPM medical college and hospital during a 5-year period from January 2018 to January 2023. All cases that presented with a palpable breast lump were evaluated with FNAC and the lesions were categorised as C1-C5 as per National Health Service Breast screening programme (NHSBSP) reporting criteria. Every patient subjected to FNAC with an adequate result, underwent a definitive surgical procedure. All specimens so obtained were subjected to histopathology. The results thus obtained were matched with those of FNAC and a correlation was sought based on statistical tests. In 243 cases cytohistopathological correlation was obtained. Results: A total of 250 cases was studied which included 170 benign cases (68%), 52 malignant cases (20.8%), 21 proliferative lesions with atypia (8.4%) and 7 inadequate aspirates (2.8%). The diagnostic accuracy of FNAC in this study was 98.77%. Conclusions: Aspiration cytology can be done as a first line procedure but cannot be considered as a substitute for histopathology.
Background: Blunt abdominal trauma represents a significant cause of morbidity and mortality, particularly in developing countries. The management approach has evolved from primarily surgical to selective non-operative management in hemodynamically stable patients. Methods: A prospective observational study was conducted at a tertiary care center over 18 months, including 50 patients with blunt abdominal trauma. Data were collected on demographics, clinical presentation, management approach, and outcomes. Statistical analysis was performed using chi-square test and Student's t-test. Results: The study included 40 males (80%) and 10 females (20%), with mean age of 35.2 years. Road traffic accidents accounted for 50% of cases, followed by assault (38%) and falls (12%). Surgical management was required in 31 patients (62%), while 19 patients (38%) were managed conservatively. The overall mortality rate was 10% (5 patients), with 90% achieving complete recovery. Mesenteric tears were the most common intraoperative finding (60% of surgical cases). Significant associations were found between outcome and clinical features including abdominal distension (p=0.026), vomiting (p=0.045), and associated injuries (p=0.023). Conclusions: Blunt abdominal trauma predominantly affects young males, with road traffic accidents being the leading cause. While surgical intervention remains necessary in the majority of cases, selective non-operative management can be safely applied in hemodynamically stable patients with appropriate monitoring. Early recognition and prompt intervention are crucial for optimal outcomes.
Abstract Klippel–Feil syndrome (KFS) is a genetic condition characterized by improper segmentation or congenital fusion of at least 1 vertebral segment of the cervical spine, with or without additional spinal or extraspinal manifestations, and an annual incidence of around 1 in 42,000 births. It is associated with a classical triad of symptoms short neck, low posterior hairline, and limited range of neck movements. Psychiatric manifestations of this syndrome are rare and not much researched, however, there are a few reports of intellectual disability, Tourette’s syndrome, and schizophrenia. Here, we report a rare case of schizophrenia in KFS.
