Pub Date : 2017-09-01DOI: 10.4103/MJDRDYPU.MJDRDYPU_56_17
S. Rohatgi, A. Ahluwalia
Background: Antiepileptic drugs (AEDs) have an adverse effect on the bone mineral metabolism. Patients and Methods: The objective of the study was to determine the bone loss and change in bone mineral parameters in patients treated with phenytoin sodium. We prospectively studied 36 young males aged 20–30 years, with new-onset epilepsy, and treated with phenytoin. Patients were clinically examined and subjected to determination of the bone mineral density (BMD) by dual-energy X-ray absorptiometry (DXA) at the femur neck, spine, and lower third of radius. We also assessed Vitamin 25-OH-Vitamin D3, parathyroid hormone (PTH), and osteocalcin at the onset and after 1 year of treatment. Results: There were no significant changes noted in the 25-OH-Vitamin D3, (20.7 ± 10 ng/dl before and 18.5 ± 7.3 ng/dl after therapy, P = 0.198), and serum parathyroid levels (8.8 ± 6.8 pg/ml before and 14.2 ± 11.5 pg/ml, P = 0.114) at the end of 1-year therapy. There was declines in BMD at all the three sites; the spine (0.943 ± 0.11 vs. 0.943 ± 0.12 g/cm2, P = 0.15), femur neck (0.912 ± 0.0.12 vs. 0.896 ± 0.124 g/cm2, P = 0.093), and a statistically significant decline lower third of radius (0.659 ± 0.07 vs. 0.644 ± 0.073 g/cm2, P ≤ 0.001). We did not find any significant change in levels of 25-OH-Vitamin D3, PTH, and serum alkaline phosphatase, but found significant elevation in levels of osteocalcin. Conclusions: Phenytoin therapy in young male patients for 1-year causes a bone loss at femur and spine in the absence of Vitamin D deficiency and significant bone loss in the cortical bone radius. DXA should be done in patients during the treatment with AEDs to identify patients who are susceptible to increased risk of fractures.
{"title":"Phenytoin-induced changes in the bone mineral metabolism in young males","authors":"S. Rohatgi, A. Ahluwalia","doi":"10.4103/MJDRDYPU.MJDRDYPU_56_17","DOIUrl":"https://doi.org/10.4103/MJDRDYPU.MJDRDYPU_56_17","url":null,"abstract":"Background: Antiepileptic drugs (AEDs) have an adverse effect on the bone mineral metabolism. Patients and Methods: The objective of the study was to determine the bone loss and change in bone mineral parameters in patients treated with phenytoin sodium. We prospectively studied 36 young males aged 20–30 years, with new-onset epilepsy, and treated with phenytoin. Patients were clinically examined and subjected to determination of the bone mineral density (BMD) by dual-energy X-ray absorptiometry (DXA) at the femur neck, spine, and lower third of radius. We also assessed Vitamin 25-OH-Vitamin D3, parathyroid hormone (PTH), and osteocalcin at the onset and after 1 year of treatment. Results: There were no significant changes noted in the 25-OH-Vitamin D3, (20.7 ± 10 ng/dl before and 18.5 ± 7.3 ng/dl after therapy, P = 0.198), and serum parathyroid levels (8.8 ± 6.8 pg/ml before and 14.2 ± 11.5 pg/ml, P = 0.114) at the end of 1-year therapy. There was declines in BMD at all the three sites; the spine (0.943 ± 0.11 vs. 0.943 ± 0.12 g/cm2, P = 0.15), femur neck (0.912 ± 0.0.12 vs. 0.896 ± 0.124 g/cm2, P = 0.093), and a statistically significant decline lower third of radius (0.659 ± 0.07 vs. 0.644 ± 0.073 g/cm2, P ≤ 0.001). We did not find any significant change in levels of 25-OH-Vitamin D3, PTH, and serum alkaline phosphatase, but found significant elevation in levels of osteocalcin. Conclusions: Phenytoin therapy in young male patients for 1-year causes a bone loss at femur and spine in the absence of Vitamin D deficiency and significant bone loss in the cortical bone radius. DXA should be done in patients during the treatment with AEDs to identify patients who are susceptible to increased risk of fractures.","PeriodicalId":36033,"journal":{"name":"Medical Journal of Dr. D.Y. Patil University","volume":"10 1","pages":"412"},"PeriodicalIF":0.0,"publicationDate":"2017-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48518440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-09-01DOI: 10.4103/MJDRDYPU.MJDRDYPU_293_16
C. Das, M. Mukhopadhyay, M. Kumari, Bikram Halder
Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal neoplasm of the gastrointestinal tract. The most common site is stomach, followed by small intestine, colon, and esophagus. However, GIST from the anal canal is an extremely rare tumor. Here, we report an extremely rare case of GIST of the anal canal in a 40-year-old female with a history of irregular bowel habits mixed with blood and constipation for 4 months. Diagnosis was made on the basis of histopathological and immunohistochemical examination.
{"title":"Gastrointestinal stromal tumor of the anal canal: An unusual presentation","authors":"C. Das, M. Mukhopadhyay, M. Kumari, Bikram Halder","doi":"10.4103/MJDRDYPU.MJDRDYPU_293_16","DOIUrl":"https://doi.org/10.4103/MJDRDYPU.MJDRDYPU_293_16","url":null,"abstract":"Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal neoplasm of the gastrointestinal tract. The most common site is stomach, followed by small intestine, colon, and esophagus. However, GIST from the anal canal is an extremely rare tumor. Here, we report an extremely rare case of GIST of the anal canal in a 40-year-old female with a history of irregular bowel habits mixed with blood and constipation for 4 months. Diagnosis was made on the basis of histopathological and immunohistochemical examination.","PeriodicalId":36033,"journal":{"name":"Medical Journal of Dr. D.Y. Patil University","volume":"10 1","pages":"488"},"PeriodicalIF":0.0,"publicationDate":"2017-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48168215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-09-01DOI: 10.4103/MJDRDYPU.MJDRDYPU_297_16
K. Tadepalli, Vijaya Gattu
Aggressive angiomyxoma (AAM) is a rare mesenchymal benign myxoid tumor of the pelvis and perineum which occurs almost exclusively in adult females. It rarely occurs in males and involves scrotum. Here, we report a case of aggressive angiomyxoma in a 15-year-old male presented with a slow-growing scrotal swelling for 6 months. About 150 cases were reported worldwide (few cases were reported in males). AAM in the scrotal region may present as a scrotal mass, often mistaken for a hernia or hydrocele.
{"title":"Aggressive angiomyxoma of scrotum in a young male: A rare entity","authors":"K. Tadepalli, Vijaya Gattu","doi":"10.4103/MJDRDYPU.MJDRDYPU_297_16","DOIUrl":"https://doi.org/10.4103/MJDRDYPU.MJDRDYPU_297_16","url":null,"abstract":"Aggressive angiomyxoma (AAM) is a rare mesenchymal benign myxoid tumor of the pelvis and perineum which occurs almost exclusively in adult females. It rarely occurs in males and involves scrotum. Here, we report a case of aggressive angiomyxoma in a 15-year-old male presented with a slow-growing scrotal swelling for 6 months. About 150 cases were reported worldwide (few cases were reported in males). AAM in the scrotal region may present as a scrotal mass, often mistaken for a hernia or hydrocele.","PeriodicalId":36033,"journal":{"name":"Medical Journal of Dr. D.Y. Patil University","volume":"10 1","pages":"458"},"PeriodicalIF":0.0,"publicationDate":"2017-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45074897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-09-01DOI: 10.4103/MJDRDYPU.MJDRDYPU_7_17
A. Mandal, Amitabh Singh, Vijay Gnanaguru, R. Seth
{"title":"Chloroma in a child with T-cell acute lymphoblastic leukemia","authors":"A. Mandal, Amitabh Singh, Vijay Gnanaguru, R. Seth","doi":"10.4103/MJDRDYPU.MJDRDYPU_7_17","DOIUrl":"https://doi.org/10.4103/MJDRDYPU.MJDRDYPU_7_17","url":null,"abstract":"","PeriodicalId":36033,"journal":{"name":"Medical Journal of Dr. D.Y. Patil University","volume":"10 1","pages":"500"},"PeriodicalIF":0.0,"publicationDate":"2017-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47697178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-09-01DOI: 10.4103/0975-2870.218185
S. Agarwal, B. Badhe, P. Pandey, M. Ralli
Multicystic renal dysplasia is a common cause of childhood end-stage renal failure and is categorized under the entity known as congenital anomalies of kidney and urinary tract. With the increasing knowledge about their natural history, it is now known that most of the cases of unilateral multicystic dysplastic kidney undergo spontaneous involution; thus, most of the pediatric urologists now prefer conservative management with long-term nephrological and urological observation. However, the presence of recurrent urinary tract infection as in the present case report due to associated ipsilateral Grade V vesicoureteral reflux, a rare associated finding mandates nephrectomy.
{"title":"Unilateral multicystic dysplastic kidney with ipsilateral grade V vesicoureteral reflux: A case report of a rare association","authors":"S. Agarwal, B. Badhe, P. Pandey, M. Ralli","doi":"10.4103/0975-2870.218185","DOIUrl":"https://doi.org/10.4103/0975-2870.218185","url":null,"abstract":"Multicystic renal dysplasia is a common cause of childhood end-stage renal failure and is categorized under the entity known as congenital anomalies of kidney and urinary tract. With the increasing knowledge about their natural history, it is now known that most of the cases of unilateral multicystic dysplastic kidney undergo spontaneous involution; thus, most of the pediatric urologists now prefer conservative management with long-term nephrological and urological observation. However, the presence of recurrent urinary tract infection as in the present case report due to associated ipsilateral Grade V vesicoureteral reflux, a rare associated finding mandates nephrectomy.","PeriodicalId":36033,"journal":{"name":"Medical Journal of Dr. D.Y. Patil University","volume":"10 1","pages":"479"},"PeriodicalIF":0.0,"publicationDate":"2017-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48565121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-09-01DOI: 10.4103/MJDRDYPU.MJDRDYPU_32_17
B. Joob, V. Wiwanitkit
Nanotechnology is accepted as a very useful new technology at present. The impact of new nanotechnology on health is very interesting. Indeed, several usefulness of nanotechnology on animal and human health can be expected. On the other hand, the negative effect of nanotechnology can also be seen. The applied nanotechnologies in public health and medicine already exist. In this short article, the summarization and discussion on nanotechnology and health are presented. It can be seen that the nanotechnology can be applicable in several fields of medicine and can help practitioner in diagnostic, therapeutic, and preventive activities.
{"title":"Nanotechnology for health: A new useful technology in medicine","authors":"B. Joob, V. Wiwanitkit","doi":"10.4103/MJDRDYPU.MJDRDYPU_32_17","DOIUrl":"https://doi.org/10.4103/MJDRDYPU.MJDRDYPU_32_17","url":null,"abstract":"Nanotechnology is accepted as a very useful new technology at present. The impact of new nanotechnology on health is very interesting. Indeed, several usefulness of nanotechnology on animal and human health can be expected. On the other hand, the negative effect of nanotechnology can also be seen. The applied nanotechnologies in public health and medicine already exist. In this short article, the summarization and discussion on nanotechnology and health are presented. It can be seen that the nanotechnology can be applicable in several fields of medicine and can help practitioner in diagnostic, therapeutic, and preventive activities.","PeriodicalId":36033,"journal":{"name":"Medical Journal of Dr. D.Y. Patil University","volume":"10 1","pages":"401-405"},"PeriodicalIF":0.0,"publicationDate":"2017-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48799005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-09-01DOI: 10.4103/MJDRDYPU.MJDRDYPU_43_17
S. Bajaj, Pranjal Bobdey, Neha Singh
Background: Thirty-one cases of fever with rash were reported among students of a college in Pune, India, from March to May 2014. The clinical profile was similar to that of measles and 7 of them tested positive for measles-specific immunoglobulin M (IgM). An outbreak of measles was declared, and epidemiological investigation was carried out to assess the situation and suggest preventive measures. Methods: An epidemiological case sheet filled for each case to identify the source and likely contacts. Medical and administrative authorities were sensitized about the increase in incidence and clustering of cases. A surveillance system was set up for detection of new cases and follow-up of contacts. Throat swabs and blood samples from 12 cases were tested by ELISA method for commonly occurring viral exanthematous fevers to confirm the diagnosis and 7 were positive for measles-specific IgM antibody. Preventive measures were advised to control the outbreak. Results: A total of 31 cases of fever with rashes were reported among students of a college in Pune, India, during the months of March–May 2014. Most of the students were in the age group of 18–24 years. Samples from 12 cases were sent for testing and 7 tested positive for measles-specific IgM antibodies. Seven cases were epidemiologically linked to a lab-confirmed case. All cases had fever, maculopapular rash, and sore throat and gave a history of vaccination for measles in childhood. Conclusion: An epidemiological investigation was carried out for outbreak of measles in a young adult population of college students from Pune. It is reported that, with increase in overall coverage of vaccination, there is a rise in incidence of measles in vaccinated individuals. The age profile also shifts to higher age groups. Investigation of such outbreaks provides an opportunity to identify high-risk groups, changes in measles epidemiology and weaknesses in the routine immunization programs.
{"title":"Measles outbreak in adults: A changing epidemiological pattern","authors":"S. Bajaj, Pranjal Bobdey, Neha Singh","doi":"10.4103/MJDRDYPU.MJDRDYPU_43_17","DOIUrl":"https://doi.org/10.4103/MJDRDYPU.MJDRDYPU_43_17","url":null,"abstract":"Background: Thirty-one cases of fever with rash were reported among students of a college in Pune, India, from March to May 2014. The clinical profile was similar to that of measles and 7 of them tested positive for measles-specific immunoglobulin M (IgM). An outbreak of measles was declared, and epidemiological investigation was carried out to assess the situation and suggest preventive measures. Methods: An epidemiological case sheet filled for each case to identify the source and likely contacts. Medical and administrative authorities were sensitized about the increase in incidence and clustering of cases. A surveillance system was set up for detection of new cases and follow-up of contacts. Throat swabs and blood samples from 12 cases were tested by ELISA method for commonly occurring viral exanthematous fevers to confirm the diagnosis and 7 were positive for measles-specific IgM antibody. Preventive measures were advised to control the outbreak. Results: A total of 31 cases of fever with rashes were reported among students of a college in Pune, India, during the months of March–May 2014. Most of the students were in the age group of 18–24 years. Samples from 12 cases were sent for testing and 7 tested positive for measles-specific IgM antibodies. Seven cases were epidemiologically linked to a lab-confirmed case. All cases had fever, maculopapular rash, and sore throat and gave a history of vaccination for measles in childhood. Conclusion: An epidemiological investigation was carried out for outbreak of measles in a young adult population of college students from Pune. It is reported that, with increase in overall coverage of vaccination, there is a rise in incidence of measles in vaccinated individuals. The age profile also shifts to higher age groups. Investigation of such outbreaks provides an opportunity to identify high-risk groups, changes in measles epidemiology and weaknesses in the routine immunization programs.","PeriodicalId":36033,"journal":{"name":"Medical Journal of Dr. D.Y. Patil University","volume":"10 1","pages":"447"},"PeriodicalIF":0.0,"publicationDate":"2017-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45439677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-09-01DOI: 10.4103/MJDRDYPU.MJDRDYPU_261_16
Rupali R. Bavikar, S. Bamanikar, H. Kumar, M. Jha, Y. Ingale
Brenner tumor is a rare ovarian tumor that is a part of the surface epithelial group of ovarian neoplasm. It is usually asymptomatic, and most of the times, it is an incidental pathological finding. They can be subdivided into benign, borderline or proliferative, and malignant neoplasms. The majority of Brenner tumors are benign in nature. Tumors of borderline malignancy are less frequent, and only about 1% of tumors are borderline. Here, we present a rare case of giant Brenner tumor of ovary measuring 28 cm in diameter. This is the case is presented because the giant size of Brenner tumor, although rare gynecologist should be aware of this rare entity.
{"title":"Giant brenner tumor of ovary","authors":"Rupali R. Bavikar, S. Bamanikar, H. Kumar, M. Jha, Y. Ingale","doi":"10.4103/MJDRDYPU.MJDRDYPU_261_16","DOIUrl":"https://doi.org/10.4103/MJDRDYPU.MJDRDYPU_261_16","url":null,"abstract":"Brenner tumor is a rare ovarian tumor that is a part of the surface epithelial group of ovarian neoplasm. It is usually asymptomatic, and most of the times, it is an incidental pathological finding. They can be subdivided into benign, borderline or proliferative, and malignant neoplasms. The majority of Brenner tumors are benign in nature. Tumors of borderline malignancy are less frequent, and only about 1% of tumors are borderline. Here, we present a rare case of giant Brenner tumor of ovary measuring 28 cm in diameter. This is the case is presented because the giant size of Brenner tumor, although rare gynecologist should be aware of this rare entity.","PeriodicalId":36033,"journal":{"name":"Medical Journal of Dr. D.Y. Patil University","volume":"10 1","pages":"497"},"PeriodicalIF":0.0,"publicationDate":"2017-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44302707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-09-01DOI: 10.4103/MJDRDYPU.MJDRDYPU_63_17
A. Dasgupta, B. Biswas, B. Paul, L. Bandyopadhyay, Ayon Ghosh, Sembagamuthu Sembiah
Context: Urban people are more prone to develop diabetes due to their sedentary lifestyle and high-calorie food intake. Shopkeepers with their long sitting hours, unhealthy food habits, and lack of regular physical activity are one of the high-risk groups for developing diabetes. Hence, it is necessary to detect this large pool of undiagnosed people with diabetes to offer them early treatment. Aims: The present study aimed at assessing people with a high risk of developing type 2 diabetes and its correlation with some known risk factors. Materials and Methods: The study was a cross-sectional community-based study conducted from May to July among 152 shopkeepers in a permanent market with a structured schedule. Statistical Analysis Used: Data were analyzed using appropriate statistical methods by SPSS software (version 16). Results: Thirty-five (23.02%) out of 152 shopkeepers were found having high blood sugar (>140 mg/dl). In univariate analysis, the study participants with higher age, perceived stress score, Indian Diabetic Risk Score (IDRS), body weight, centrally obese, and less physically active had shown significantly greater odds of having high blood sugar level. In multivariable model, PSS (adjusted odds ratio [AOR]-1.90), waist circumference (AOR-3.34), and physical activity (AOR-3.09) remained significantly adjusted with other significant variables in univariate analysis excepting IDRS. Sensitivity and specificity of IDRS were 68.6% and 65.8%, respectively, with diagnostic accuracy of 72.3% calculated using receiver operating characteristic curve. Conclusions: The study revealed that shopkeepers are indeed at high risk of developing diabetes. There is an urgent need for increasing awareness regarding diabetes among them.
{"title":"Quantification of vulnerability to Type 2 diabetes: A study among shopkeepers in Kolkata","authors":"A. Dasgupta, B. Biswas, B. Paul, L. Bandyopadhyay, Ayon Ghosh, Sembagamuthu Sembiah","doi":"10.4103/MJDRDYPU.MJDRDYPU_63_17","DOIUrl":"https://doi.org/10.4103/MJDRDYPU.MJDRDYPU_63_17","url":null,"abstract":"Context: Urban people are more prone to develop diabetes due to their sedentary lifestyle and high-calorie food intake. Shopkeepers with their long sitting hours, unhealthy food habits, and lack of regular physical activity are one of the high-risk groups for developing diabetes. Hence, it is necessary to detect this large pool of undiagnosed people with diabetes to offer them early treatment. Aims: The present study aimed at assessing people with a high risk of developing type 2 diabetes and its correlation with some known risk factors. Materials and Methods: The study was a cross-sectional community-based study conducted from May to July among 152 shopkeepers in a permanent market with a structured schedule. Statistical Analysis Used: Data were analyzed using appropriate statistical methods by SPSS software (version 16). Results: Thirty-five (23.02%) out of 152 shopkeepers were found having high blood sugar (>140 mg/dl). In univariate analysis, the study participants with higher age, perceived stress score, Indian Diabetic Risk Score (IDRS), body weight, centrally obese, and less physically active had shown significantly greater odds of having high blood sugar level. In multivariable model, PSS (adjusted odds ratio [AOR]-1.90), waist circumference (AOR-3.34), and physical activity (AOR-3.09) remained significantly adjusted with other significant variables in univariate analysis excepting IDRS. Sensitivity and specificity of IDRS were 68.6% and 65.8%, respectively, with diagnostic accuracy of 72.3% calculated using receiver operating characteristic curve. Conclusions: The study revealed that shopkeepers are indeed at high risk of developing diabetes. There is an urgent need for increasing awareness regarding diabetes among them.","PeriodicalId":36033,"journal":{"name":"Medical Journal of Dr. D.Y. Patil University","volume":"10 1","pages":"417"},"PeriodicalIF":0.0,"publicationDate":"2017-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42204042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-07-01DOI: 10.4103/0975-2870.213931
V. Pathak, Deepti Sukheeja, Rakesh K. Singh
Lipoma of the uterus is a rare benign tumor, usually developing in postmenopausal woman. Clinical symptoms and physical signs are similar to those found in leiomyomas. Most are postoperative chance finding following hysterectomy for leiomyoma. A 50-year-old postmenopausal woman presented with vaginal prolapse. The hysterectomy specimen showed an intramural lipoma of the uterus. The diagnosis of pure lipoma of the uterus should be made when any smooth muscle if present is confined to the periphery of the tumor composing of mature adipocytes. Our case highlights the importance of this benign but rare entity.
{"title":"Uterine intramural lipoma: A benign but rare entity","authors":"V. Pathak, Deepti Sukheeja, Rakesh K. Singh","doi":"10.4103/0975-2870.213931","DOIUrl":"https://doi.org/10.4103/0975-2870.213931","url":null,"abstract":"Lipoma of the uterus is a rare benign tumor, usually developing in postmenopausal woman. Clinical symptoms and physical signs are similar to those found in leiomyomas. Most are postoperative chance finding following hysterectomy for leiomyoma. A 50-year-old postmenopausal woman presented with vaginal prolapse. The hysterectomy specimen showed an intramural lipoma of the uterus. The diagnosis of pure lipoma of the uterus should be made when any smooth muscle if present is confined to the periphery of the tumor composing of mature adipocytes. Our case highlights the importance of this benign but rare entity.","PeriodicalId":36033,"journal":{"name":"Medical Journal of Dr. D.Y. Patil University","volume":"10 1","pages":"384"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42430700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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