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Sekhar Das S, Chaudhuri K, Mukherjee S. Clinical and immunohematological characterization of autoimmune hemolytic anemia in children. Transfus Apher Sci 2023:103703. [PMID: 36934038 DOI: 10.1016/j.transci.2023.103703] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2022] [Revised: 02/17/2023] [Accepted: 03/13/2023] [Indexed: 03/17/2023]
Abstract
Autoimmune Hemolytic Anemia (AIHA) in childhood is uncommon and estimated to be three per million annually under 18 years of age. Detailed immunohematological and clinical characterizations are essential for correct diagnosis of the disease and its management. In this study we described AIHA in children with regards to patient demography, underlying etiology, disease classification, antibody characterization, clinical features, degree of in vivo hemolysis and transfusion management. The prospective observational study was conducted over a period of 6 years and included 29 children with newly diagnosed AIHA. Patient details were obtained from the hospital information system and patient treatment file. The median age of the children was 12 years with a female preponderance. Secondary AIHA was observed in 62.1% patients. The mean hemoglobin and reticulocyte were 7.1 gm/dL and 8.8 percentages respectively. The median polyspecific direct antiglobulin test (DAT) grading was 3+. Red cell bound multiple autoantibodies were found in 27.6% children. Free serum autoantibodies were present in 62.1% patients. Twenty six of the 42 units transfused were "best match" or "least incompatible". Follow-up of 21 children showed clinical and laboratory improvement with DAT still positive at the end of 9 months. AIHA in childhood requires advanced and efficient clinical, immunohematological and transfusion support. Detailed characterization of AIHA is important, as they determine degree of in vivo hemolysis, disease severity, serological incompatibility and necessity of blood transfusion. Although blood transfusion in AIHA is a challenge but it should not be withheld in critically ill patients.
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Affiliation(s)
- Sudipta Sekhar Das
- Department of Transfusion Medicine, Apollo Multispeciality Hospitals, Kolkata 700054, India.
| | | | - Sourav Mukherjee
- Department of Transfusion Medicine, Apollo Multispeciality Hospitals, Kolkata 700054, India
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Affiliation(s)
| | | | - Mordi Muorah
- Birmingham Women's And Children's NHS Foundation Trust, Birmingham, UK
| | - Rajiv Sinha
- Institute of Child Health, Kolkata, India. .,Paediatric Nephrology, Institute of Child Health, Kolkata, India.
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Bose N, Chaudhuri K, Muorah M, Sinha R. Joining the dots: Questions. Pediatr Nephrol 2022; 37:1523-1524. [PMID: 35084567 DOI: 10.1007/s00467-021-05394-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/04/2021] [Accepted: 11/22/2021] [Indexed: 11/25/2022]
Affiliation(s)
| | | | - Mordi Muorah
- Birmingham Women's And Children's NHS Foundation Trust, Birmingham, UK
| | - Rajiv Sinha
- Institute of Child Health, Kolkata, India.
- Paediatric Nephrology, Institute of Child Health, Kolkata, India.
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Rosa C, Chaudhuri K, Kasavkar G, Price-Forbes A, Banerjee S. AB0716 Characteristics of 4 cases of PL - 7 positive antisynthatase syndrome: interstitial lung disease being a more common feature then myositis. Ann Rheum Dis 2022. [DOI: 10.1136/annrheumdis-2022-eular.3992] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
BackgroundAnti synthetase syndrome is a heterogeneous group of auto immune diseases characterised by antibodies against aminoacyl t RNA synthetase, associated with interstitial lung disease, myositis, arthritis and Raynaud’s phenomenon. Anti PL 7 antibody is rare, present in only 1-4% patients with anti synthetase syndrome.ObjectivesTo describe clinical characteristics PL – 7 positive patients with antisynthatase syndrome.MethodsIn this retrospective study, cohort of patients with inflammatory myositis were screened for anti PL-7 antibody positivity and 4 cases were detected. Diagnosis was made based on either 2017 EULAR/ ACR classification criteria and/ or Bohan and Peter criteria. [1, 2] Clinical manifestations, investigations including antibody profile, treatment and treatment response were described.ResultsOf the 4 patients, 3 were female and age of onset varied from 36 to 69 years. Only 1 patient presented with proximal muscle weakness while three patients with dyspnoea. Joint involvement and Raynaud’s phenomenon was present in 2 patients. Two patients had scleroderma spectrum manifestations. Three patients had elevated CK during the disease course with maximum values being 228, 594 and 1200 with only one having muscle weakness. One patient had dermatomyositis and 2 patients had mechanic‘s hand.HRCT patterns were usual interstitial pneumonia(UIP), nonspecific interstitial pneumonia(NSIP) and fibrosing NSIP with organising pneumonia. Three patients had anti Ro antibodies. All patients were treated with steroids, one each received Cyclophosphamide and Azathioprine initially however all the patients ended up with Mycophenolate mofetil—which controlled disease effectively without flare.Table 1.Patient 1Patient 2Patient 3Patient 4Age at onset69 years52 years36 years55 yearsGenderMaleFemaleFemaleFemalePresentationShortness of breathShoulder weaknessArthritis and shortness of breathShortness of breathMuscleNo weaknessNo weaknessNo weaknessMaximum CK (U/L)2285941200105Raynaud’sPresentAbsentPresentJointArthritis - presentAbsentPresentAbsentSkinSkin tightnessScelrodactylyNail fold capillaries dilationAbsentSkin tightnessScelrodactylyNail fold capillaries dilationMechanic’s hands, facial pigmentationMechanic’s handLungPresentAbsentPresentPresentAntibodiesANA+Anti Ro+PL - 7 +ANA+, anti Ro & La +, anti Ro52+PL – 7+ANA negativeanti Ro52+PL – 7+ANA negativePL – 7 +HRCTUIPNo ILDNSIPFibrosing NSIP, COPLung functionFEV153%Not availableFEV136%FEV165%FVC47%FVC35%FVC82%FEV1/FVC113%FEV1/FVC103%FEV1/FVC83%DLCO34%DLCO49%DLCO50%EMGNot doneChronic myopathyNot doneNot doneMuscle biopsyNot doneNot availableNot doneNot doneTreatmentPrednisolone andIV cyclophosphamide initially (side effects)Later on Mycophenolate MofetilStable diseasePrednisoloneInitially AzathioprineLater MMF due to relapsing disease while of AZAMMF and Prednisolone—clinical responsePrednisolone and Mycophenolate-response with normalisation of PFTPulmonary hypertensionPresentAbsentPresentAbsentConclusionIn Anti PL – 7 positive patients, interstitial lung disease is much more common than myositis. Mechanic’s hands and scleroderma overlap appear to be a common association. Additionally, antibody positivity with Anti Ro/Ro52 was also noted. One patient had features of dermatomyositis including facial rash which is extremely rare for PL7. All of these patients responded very well to Mycophenolate.References[1]Lundberg IE, Tjärnlund A, Bottai M, et al. 2017 European League Against Rheumatism/American College of Rheumatology classification criteria for adult and juvenile idiopathic inflammatory myopathies and their major subgroups [published correction appears in Ann Rheum Dis. 2018 Sep;77(9):e64]. Ann Rheum Dis. 2017;76(12):1955-1964. doi:10.1136/annrheumdis-2017-211468[2]Bohan A, Peter JB. Polymyositis and dermatomyositis (first of two parts). N Engl J Med. 1975;292(7):344-347. doi:10.1056/NEJM197502132920706Disclosure of InterestsNone declared
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Affiliation(s)
- Sudipta Sekhar Das
- Department of Transfusion Medicine, Apollo Gleneagles Hospitals, Kolkata 700 054, India.
| | - Kaustabh Chaudhuri
- Department of Transfusion Medicine, Apollo Gleneagles Hospitals, Kolkata 700 054, India
| | - Rathindra Nath Biswas
- Department of Transfusion Medicine, Apollo Gleneagles Hospitals, Kolkata 700 054, India
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Banerjee S, Chaudhuri K, Desai A, Krishna M, Gullick N. FRI0475 STEROID SPARING AGENTS IN POLYMYALGIA RHEUMATICA: A SYSTEMATIC REVIEW. Ann Rheum Dis 2020. [DOI: 10.1136/annrheumdis-2020-eular.4763] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Background:Polymyalgia rheumatica (PMR) is the commonest chronic inflammatory musculoskeletal disease of the elderly. The mainstay of treatment for PMR is long term systemic glucocorticoid (GC), which is associated with significant systemic toxicity. There is a need for steroid sparing drugs in PMR to reduce GC cumulative dose and GC induced adverse effects.(1)Objectives:To evaluate the role of steroid sparing agents in PMR.Primary outcomes:1.Steroid sparing effect of the intervention, measured by difference in cumulative glucocorticoid dose2.Percentage of patients in remission.Secondary outcomes:1. Mean reduction of CRP/ESR2. Adverse event/toxicity the drugs being compared—measured as number of patients with adverse events in the compared groups3. Percentage of patients with relapse during study period4. MortalityMethods:Electronic databases including Medline, Embase and Cochrane databases (CENTRAL) were searched since inception for prospective randomized control trials comparing disease modifying anti rheumatic drugs (DMARDs) and biologics with systemic GC in PMR, published in English with more than 20 patients and a minimum study duration of 24 weeks. As different classification criteria for PMR exist, studies were included if they used any accepted classification criteria for PMR. Case series, case reports, retrospective, non-randomized trials, abstracts, systematic reviews and non English language trials were not included. Patients with Giant cell arteritis (GCA) were excluded. Risk of bias and quality was assessed using the Cochrane tool.The studies were assessed for cumulative GC dose, proportion of patients in remission, proportion of patients with relapse, reduction in inflammatory markers, adverse events and mortality.Results:5 studies were selected for final review-- 3 studies involving Methotrexate, one study on azathioprine, one on Infliximab. The study on Azathioprine had high risk of bias, small sample size and low quality (Level 2 evidence) with high attrition rate but it revealed reduction of daily prednisolone with Azathioprine. A high quality RCT (Level 1) did not confirm a steroid sparing effect with Infliximab vs placebo, and there was no significant difference between relapse or remission rate. Methotrexate studies showed conflicting results: one high quality RCT (Level 1) and one low quality RCT (Level 2) on Methotrexate revealed statistically significant steroid sparing effect, however the remaining study did not demonstrate between Methotrexate and placebo. Two methotrexate studies assessed the risk of relapse, with conflicting results (relapses 73% placebo vs 47% methotrexate; or no difference).Methotrexate was not associated with increased adverse effects in any of the studies. Azathioprine was associated with significant adverse events resulting in high attrition.A meta analysis was not performed for methotrexate as the studies were heterogenous.Conclusion:There is a lack of evidence regarding DMARDs and biologics in PMR. Methotrexate is an effective steroid sparing agent, and is not associated with increased adverse events. Azathioprine may be effective but is associated with significant adverse events. Infliximab is not an effective steroid sparing agent in PMR. More high quality RCTs are needed to study the efficacy of steroid sparing agents.References:[1]Bhaskar Dasgupta, Frances A. Borg, Nada Hassan, Kevin Barraclough, Brian Bourke, Joan Fulcher, Jane Hollywood, Andrew Hutchings, Valerie Kyle, Jennifer Nott, Michael Power, Ash Samanta, on behalf of the BSR and BHPR Standards, Guidelines and Audit Working Group, BSR and BHPR guidelines for the management of polymyalgia rheumatica,Rheumatology, Volume 49, Issue 1, January 2010, Pages 186–190Disclosure of Interests:None declared
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Wamelen DV, Podlewska A, Leta V, Rizos A, Chaudhuri K. FM2-3 Slave to the rhythm: seasonal differences in non-motor symptoms in parkinson’s. J Neurol Neurosurg Psychiatry 2019. [DOI: 10.1136/jnnp-2019-abn.76] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
ObjectivesTo determine the effect of the change of season on non-motor symptoms in Parkinson’s disease (PD).DesignCross-sectional retrospective study.Subjects364 consecutive Parkinson’s patients in the London area taking part in the Non-motor Longitudinal International Study (NILS) study at King’s College Hospital London between November 2011 and April 2018.MethodsParticipants were divided into three groups based on their assessment date, using a simplified ecological seasonal model:November until February;March until 15 June;16 June until October.The primary outcome was a seasonal difference in non-motor symptom scale (NMSS) total scores and the secondary outcomes were NMSS subscores. Outcomes were adjusted for multiple testing using formal Bonferroni correction.Results102 patients were allocated to group 1, 105 patients to group 2 and 157 patients to group 3. Seasonal differences were present in NMSS total scores (p=0.042), especially between groups 1 and 3 (p=0.037). Differences were also present for NMSS domain 1 (cardiovascular and falls; p=0.004), 2 (sleep and fatigue; p=0.049), 4 (hallucinations; p=0.003) and 9 (miscellaneous; p=0.031). Within domain 9 there was only a significant difference for question 28 (smell; p=0.008).ConclusionsThese results indicate that non-motor symptoms in Parkinson’s fluctuate throughout the year with lowest scores in the summer months and highest in the winter months. These variations need to be taken into account to avoid inappropriate changes in medication regimes.
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Hota S, Podlewska A, Rizos A, Wamelen DV, Chaudhuri K. FM2-2 Exploratory analysis whether wearable sensor data can correlate with aspects of non-motor symptoms in parkinson’s: a real life study with the parkinson’s kinetigraphTM. J Neurol Neurosurg Psychiatry 2019. [DOI: 10.1136/jnnp-2019-abn.75] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
ObjectivesTo determine the association between the range and nature of non-motor symptoms (NMS) in people with Parkinson’s (PwP) and validated Parkinson’s KinetigraphTM (PKG) outcome measures.DesignCross-sectional retrospective study of participants enrolled in the Non-motor Longitudinal International Study (NILS, UKCRN No: 10084) at King’s College Hospital, London.Subjects108 PwP with a PKG recording within 4 months of a NILS assessment were included in the analysis.MethodsPKG is a validated accelerometery-based measure for motor function in PwP, reporting scores for global bradykinesia (BKS) and dyskinesia (DKS). NMS were assessed by the NMS scale (NMSS).ResultsUsing multiple linear regression, BKS was predicted by NMSS domains 6 (gastrointestinal tract; p=0.006) and 8 (sexual function; p=0.003). DKS was predicted by domains 3 (mood/cognition; p=0.016), domain 4 (perceptual problems; p=0.025), domain 6 (gastrointestinal tract; p=0.029) and domain 9 (miscellaneous, p=0.003). In these domains, anxiety, delusions, dysphagia, hyposmia, weight change and hyperhidrosis significantly predicted DKS. In addition, carbidopa dose predicted NMSS total scores (p=0.037), but not total LEDD (p=0.91).ConclusionsIn PwP, measures of BK and DK were mainly associated with gastrointestinal problems, underpinning the importance of gastric absorption of oral medications and constipation and the related motor effects in PwP. Interestingly, carbidopa appears to have a role in non-motor symptoms in PwP, which deserves further investigation.
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Dam D, Bhattacharya R, Chaudhuri K, Prodhan C, Mukhopadhyay A. The efficacy of Hydralazine to attenuate colorectal carcinoma (CRC) associated with CIN and/or MMR-deficient molecular aetiology. Ann Oncol 2017. [DOI: 10.1093/annonc/mdx659.040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Banerjee K, Pradhan C, Chaudhuri K, Mukhopadhyay A, Dam D, Bhattacharya R. 204P Attenuated MMR and CIN pathway promote CRC progression through CDC25A upregulation: role of DNMT inhibitors. Ann Oncol 2016. [DOI: 10.1093/annonc/mdw581.037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Basak J, Chakraborty A, Chaudhuri K, Katarkar A, Bose C, Mukhopadhyay A. Study of Immunohistochemical and Clinicopathologic Features of Female Breast Cancer Patients with /Without Brca1 Mutation in Eastern India. Ann Oncol 2014. [DOI: 10.1093/annonc/mdu329.33] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Karasz A, Patel V, Ranasinghe S, Chaudhuri K, McKee D. Preventing caries in young children of immigrant Bangladeshi families in New York: perspectives of mothers and paediatricians. Community Dent Health 2014; 31:80-84. [PMID: 25055604] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Grants] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
OBJECTIVE Childhood caries is common in South Asian immigrant families. Few children visit a dentist by 12 months, as recommended by current guidelines. The paediatric visit has important potential for linking children to preventive care. The aim of this study was to understand the barriers and facilitators to caries prevention for young children of immigrant Bangladeshi families in New York. Qualitative data were collected as a preliminary step in the development of an oral health counselling intervention for South Asian children. BASIC DESIGN Qualitative interviews on child feeding and oral health prevention were conducted with Bangladeshi mothers. Qualitative interviews were conducted with paediatricians regarding their experiences with providing care. The data were analysed using standard qualitative approaches. SETTING Paediatric practices serving low income Bangladeshi immigrants in New York City. PARTICIPANTS 26 mothers of children aged 6-24 months receiving services in five paediatric settings and 15 paediatricians providing care in these settings. RESULTS Both mothers and their paediatricians described risky feeding practices, communication problems and a lack of compliance. Oral health for young children was a low priority for some mothers. Most, however, were concerned about childhood caries but lacked skills or resources to decrease caries risk. CONCLUSIONS Results support our plan to develop an empowerment-based counselling intervention to address caries risk in children. Paediatric dentists should be aware of the barriers to caries prevention in this group.
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Khan R, Kr Rao V, Chaudhuri K. THU0457 Evaluation of rheumatology admissions in a teaching hospital: A trainee’s perspective. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2012-eular.2422] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Affiliation(s)
- K Chaudhuri
- Department of Obstetrics and Gynaecology, National University Hospital, Singapore.
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Chaudhuri K, Tan EK, Biswas A. Successful pregnancy in a woman with liver cirrhosis complicated by recurrent variceal bleeding. J OBSTET GYNAECOL 2012; 32:490-1. [DOI: 10.3109/01443615.2012.683215] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
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Chaudhuri K, Guddati R, Nawata K, Bhuyan R, Sawada T, Crouch G, Worthington M, Stuklis R, Edwards J. Technical Aspects of CO2 Gas Insufflation in Minimally Invasive Mitral Valve Surgery. Heart Lung Circ 2011. [DOI: 10.1016/j.hlc.2011.08.044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
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Mukherjee S, Katarkar A, Ray J, Chaudhuri K. Association of lysyl oxidase (arginine 158 glycine) polymorphism with zinc-vitamin a supplementation in oral submucous fibrosis. Int J Oral Maxillofac Surg 2011. [DOI: 10.1016/j.ijom.2011.07.1003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2022]
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Goff I, Coady D, Wright D, Mooney J, Poland F, Spalding N, Scott DGI, Watts R, Aquilina D, Walker D, Margham T, Bracewell C, Vila J, Burridge D, Coady D, Morris H, Ryan C, Lauchlan D, Field M, Lutalo PM, Davies U, Nandagudi A, Bruce J, Dabrera MG, Fleming CA, O'Connor MB, Bond U, Swan J, Phelan MJ, Hughes M, Amin R, Watson P, Pocock J, Gaffney K, Rao VK, Bhaskar S, Tosounidou S, Chaudhuri K, Nicolaou M, Amstrong R, Hassell AB, Walker D, Birrell F. Education research: 33. Evaluation of the First BSR Ultrasound Anatomy Training Course. Rheumatology (Oxford) 2011. [DOI: 10.1093/rheumatology/ker037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Chaudhuri K, Bhaskar J, Dimitriou J, Chan J, Buckland M, Storey E, Rosenfeldt F, Marasco S. CO2 Insufflation of the Pericardial Field: A Randomised Controlled Trial Investigating Neurocognitive Outcomes—Preliminary Results. Heart Lung Circ 2011. [DOI: 10.1016/j.hlc.2010.11.026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Abstract
Previously described treatments used for eosinophilic diseases of the gastrointestinal tract have included dietary restrictions primarily of cow milk protein, anti-inflammatory therapy utilizing suplatast, budesonide and corticosteroids, cromolyn sodium, anti-histamines and oral inhalable steroids. We describe a 12-year-old girl with diarrhea and malabsorption, who was later diagnosed to have eosinophilic gastroenteritis, was unresponsive to standard therapies, but exhibited marked improvement with use of montelukast.
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Affiliation(s)
- Chinnakkannan Selva Kumar
- Department of Pediatrics, Sri Venkateswara Medical College and Research Institute, Arriyur, Puduchery, India
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Chaudhuri K, Bhaskar J, Dimitriou J, Chan J, Malham G, Rosenfeld J, Marasco S. Salvage Thoracotomy Seems Futile in Patients with Thoracic Trauma Who Present with Deep Coma and Fixed Dilated Pupils. Heart Lung Circ 2011. [DOI: 10.1016/j.hlc.2010.11.051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Affiliation(s)
- Kaustabh Chaudhuri
- Department of Pediatrics, The Calcutta Medical Research Institute, Kolkata, India
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Honig H, Odin P, Chaudhuri K. Wirkung von Apomorphin auf nicht motorische Symptome bei Morbus Parkinson. Akt Neurol 2011. [DOI: 10.1055/s-0030-1265982] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Chong H, Chan J, Chaudhuri K, Vale M, Pellegrino V, Marasco S, Rosenfeldt F. Successful Extra-corporeal Membrane Oxygenator (ECMO) Support for Primary Graft Failure Post-cardiac Transplantation: Optimum Support Mechanism of Choice. Heart Lung Circ 2011. [DOI: 10.1016/j.hlc.2010.10.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Chaudhuri K, Singh Ahluwalia T, Singh S, Binepal G, Khullar M. Polymorphism in the promoter of the CCL5 gene (CCL5G-403A) in a cohort of North Indian children with Kawasaki disease. A preliminary study. Clin Exp Rheumatol 2011; 29:S126-S130. [PMID: 21418786] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2010] [Accepted: 12/16/2010] [Indexed: 05/30/2023]
Abstract
OBJECTIVES Kawasaki disease (KD) is a common vasculitic disorder and a leading cause of acquired heart disease in children. However, there is a paucity of information on KD from developing countries. The clinical phenotype of KD in India is different from that in the West. In this study, we investigated the association of a promotor gene variant of chemokines like chemokine ligand 5 (CCL5) and a deletion in chemokine receptor CCR5 (which is a common receptor for CCL5, macrophage inhibitory protein 1α and 1β), in a cohort of North Indian children with KD. METHODS CCL5 G-403A and CCR5Del 32 gene variants were genotyped in the KD cohort (n=40) and in healthy controls (n=100) using the PCR-RFLP assay. Logistic regression analysis was performed in order to examine the association of these variants with KD, with special reference to those with direct (on echocardiography) or indirect (on myocardial scintigraphy) evidence of coronary involvement. RESULTS No significant difference in genotype or allele frequency of CCL5 G-403A variant was observed between patients and controls. However, patients with evidence of coronary involvement had a higher frequency of the minor allele CCL5 -403A (p<0.004; OR- 2.25, 95%CI: 1.13-4.46). CCR5 Del 32 variant was found to be monomorphic (minor allele frequency <0.05) in our cohort. CONCLUSIONS CCL5 -403A variant may be associated with coronary involvement in North Indian children with KD. Our results, however, have to be replicated on a larger sample before any definitive conclusions can be drawn.
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Affiliation(s)
- Kaustabh Chaudhuri
- Pediatric Allergy Immunology Unit, Department of Pediatrics, Advanced Pediatrics Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India
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Chaudhuri K, Gonzales J, Jesurun CA, Ambat MT, Mandal-Chaudhuri S. Anaphylactic shock in pregnancy: a case study and review of the literature. Int J Obstet Anesth 2009; 17:350-7. [PMID: 18691872 DOI: 10.1016/j.ijoa.2008.05.002] [Citation(s) in RCA: 40] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/19/2007] [Accepted: 05/01/2008] [Indexed: 10/21/2022]
Abstract
We describe a 22-year-old previously healthy primigravida who presented with spontaneous rupture of membranes at 40 weeks of gestation. Because of her history of inadequate prenatal care, a chemoprophylaxis regimen against group B streptococcal infection was prescribed upon admission. Within a few minutes after initiation of an i.v. infusion of penicillin G, the patient developed generalized erythema and severe hypotension, which was essentially unresponsive to intravenous boluses of ephedrine. Following stabilization of maternal blood pressure with incremental doses of epinephrine, emergency cesarean section was performed with delivery of a severely depressed neonate. Postoperative recovery of the mother was uneventful, although the baby was diagnosed to have suffered significant neurological damage. This unfortunate event highlights the therapeutic dilemma in anaphylaxis during pregnancy, a relatively rare but potentially life-threatening event. A critical review of the scientific literature reveals several etiological agents for anaphylaxis during the perioperative period, with penicillin as the leading cause of anaphylaxis-related mortality. Although epinephrine is the vasopressor of choice during hemodynamic resuscitation in the non-pregnant patient, during pregnancy it may pose a risk to the placental-fetal circulation. Additionally, upon review of the various published reports to date, timing and mode of delivery of the neonate in the face of anaphylactic shock remains controversial.
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Affiliation(s)
- K Chaudhuri
- Department of Anesthesiology, Texas Tech University Health Sciences Center, El Paso, Texas 79905, USA.
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Dhawan V, Chaudhuri K. An unusual hazard of treating depression. Mov Disord 2008. [DOI: 10.3109/9780203008454-43] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Affiliation(s)
- P Roychoudhury
- Molecular and Human Genetics Division, Indian Institute of Chemical Biology, 4 Raja SC Mullick Road, Kolkata 700032, India
| | - K Chaudhuri
- Molecular and Human Genetics Division, Indian Institute of Chemical Biology, 4 Raja SC Mullick Road, Kolkata 700032, India
- E-mail:
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Herrmann KH, Wurdinger S, Fischer DR, Krumbein I, Schmitt M, Hermosillo G, Chaudhuri K, Krishnan A, Salganicoff M, Kaiser WA, Reichenbach JR. Application and assessment of a robust elastic motion correction algorithm to dynamic MRI. Eur Radiol 2006; 17:259-64. [PMID: 16612550 DOI: 10.1007/s00330-006-0224-3] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2005] [Accepted: 02/23/2006] [Indexed: 10/24/2022]
Abstract
The purpose of this study was to assess the performance of a new motion correction algorithm. Twenty-five dynamic MR mammography (MRM) data sets and 25 contrast-enhanced three-dimensional peripheral MR angiographic (MRA) data sets which were affected by patient motion of varying severeness were selected retrospectively from routine examinations. Anonymized data were registered by a new experimental elastic motion correction algorithm. The algorithm works by computing a similarity measure for the two volumes that takes into account expected signal changes due to the presence of a contrast agent while penalizing other signal changes caused by patient motion. A conjugate gradient method is used to find the best possible set of motion parameters that maximizes the similarity measures across the entire volume. Images before and after correction were visually evaluated and scored by experienced radiologists with respect to reduction of motion, improvement of image quality, disappearance of existing lesions or creation of artifactual lesions. It was found that the correction improves image quality (76% for MRM and 96% for MRA) and diagnosability (60% for MRM and 96% for MRA).
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Affiliation(s)
- K-H Herrmann
- Medical Physics Group, Institute for Diagnostic and Interventional Radiology, Friedrich-Schiller-Universität Jena, Philosophenweg 3, 07743 Jena, Germany.
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Paul RR, Mukherjee A, Dutta PK, Banerjee S, Pal M, Chatterjee J, Chaudhuri K, Mukkerjee K. A novel wavelet neural network based pathological stage detection technique for an oral precancerous condition. J Clin Pathol 2005; 58:932-8. [PMID: 16126873 PMCID: PMC1770817 DOI: 10.1136/jcp.2004.022095] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
AIM To describe a novel neural network based oral precancer (oral submucous fibrosis; OSF) stage detection method. METHOD The wavelet coefficients of transmission electron microscopy images of collagen fibres from normal oral submucosa and OSF tissues were used to choose the feature vector which, in turn, was used to train the artificial neural network. RESULTS The trained network was able to classify normal and oral precancer stages (less advanced and advanced) after obtaining the image as an input. CONCLUSIONS The results obtained from this proposed technique were promising and suggest that with further optimisation this method could be used to detect and stage OSF, and could be adapted for other conditions.
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Affiliation(s)
- R R Paul
- Department of Oral and Maxillofacial Pathology, R Ahmed Dental College and Hospital, Kolkata 700 014, India
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Mukherjee S, Mukhopadhyay A, Chaudhuri K, Ray K. Analysis of haemophilia B database and strategies for identification of common point mutations in the factor IX gene. Haemophilia 2003; 9:187-92. [PMID: 12614370 DOI: 10.1046/j.1365-2516.2003.00727.x] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Haemophilia B is an X-linked recessively inherited bleeding disorder caused by heterogeneous mutations spanning the entire factor IX gene. As spontaneous germ-line mutations are known to occur mostly at CpG dinucleotides in the FIX gene, control of the disease would require continuous carrier detection and mutation screening. Identification of point mutations, the most common type of mutation in FIX gene, is more challenging compared with deletion and insertion mutations. We examined the haemophilia B database to identify specific nucleotides in the FIX gene that are mutated in relatively large number of patients and the variability (if any) in the mutational hotspots at CpG dinucleotides. It was found that while mutations responsible to account for all 2348 haemophilia B patients covered 20% of the FIX cDNA, only 1% of the cDNA involving mostly CpG dinucleotides accounted for mutation in 42.41% of the patient pool. Thus, only 27 nucleotides need to be investigated to identify the common point mutations, among which 15 are predicted to undergo change in restriction sites on mutation. It is interesting to note that seven nucleotides occurring in CpG dinucleotides do not have any reported mutation despite each of those being predicted to harbour mutation as a result of transition and having mutations recorded in the database for the neighbouring nucleotides. Strikingly large number of mutation in codon 296 causing T to M change in catalytic domain originally proposed to be the result of the founder effect also contains largest number of haplotype suggesting recurrence of de novo mutation.
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Affiliation(s)
- S Mukherjee
- Human Genetics and Genomics Division, Indian Institute of Chemical Biology, Kolkata-700 032, India
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Mitra S, Chatterjee S, Panda CK, Chaudhuri K, Ray K, Bhattacharyya NP, Sengupta A, Roychoudhury S. Haplotype structure of TP53 locus in Indian population and possible association with head and neck cancer. Ann Hum Genet 2003; 67:26-34. [PMID: 12556232 DOI: 10.1046/j.1469-1809.2003.00005.x] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
It has been proposed that a constellation of three TP53 polymorphisms (intron 3 16 bp duplication, codon 72 BstUI, and intron 6 Nci I RFLP at nt 13494) constitute a haplotype predictive of increased cancer risk. We have estimated the allele frequency of these polymorphisms in three endogamous Indian ethnic populations from three different geographic locations (viz. Iyer from south India, Brahmin from central India and Mahishya from eastern India), as well as in head and neck squamous cell carcinoma (HNSCC) patients, and in ethnically matched normal individuals from the eastern region of India. The genotype distributions and allele frequencies of the three polymorphisms in all but one population, as well as in patients, showed a good fit to Hardy-Weinberg equilibrium. Strong linkage disequilibria were observed between all loci in every population examined, except for the 16bp-Nci I haplotype in the Mahishya population. The Mahishya population differed significantly from the other two populations with respect to differences in allele frequency and haplotype frequency. Although there were no significant differences in genotypic frequency at any of the loci between HNSCC patients and the matched control population, the minor allele frequency of codon 72 and intron 3 16 bp polymorphisms showed significant variation. Variation in overall haplotype frequency between patients and normal individuals was significant (p = 0.036) when two rare haplotypes 2-1-2 and 1-2-1 were combined. The rare haplotype 2-1-2 was found to be modestly over represented in HNSCC patients as compared to normal individuals.
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Affiliation(s)
- S Mitra
- Indian Institute of Chemical Biology, Human Genetics and Genomics Division, Kolkata 700 032, India
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Chaudhuri K, Dubey S, Zaphiropoulos G. Idiopathic hypereosinophilic syndrome in a patient with long-standing rheumatoid arthritis: a case report. Rheumatology (Oxford) 2002; 41:349-50. [PMID: 11934978 DOI: 10.1093/rheumatology/41.3.349] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023] Open
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Das S, Chakrabortty A, Banerjee R, Roychoudhury S, Chaudhuri K. Comparison of global transcription responses allows identification of Vibrio cholerae genes differentially expressed following infection. FEMS Microbiol Lett 2000; 190:87-91. [PMID: 10981695 DOI: 10.1111/j.1574-6968.2000.tb09267.x] [Citation(s) in RCA: 33] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
Comparison of global transcription profiles of Vibrio cholerae grown in vitro and in vivo revealed that 20% of the genome was repressed and about 5% was induced under in vivo conditions. Hybridization with the cloned genes revealed that the virulence genes ctx, toxR, toxT and tcpA were induced under in vivo conditions. Dissection of two in vivo induced cosmids identified another set of three genes homologous to che Y1 involved in motility and chemotaxis, pnuC encoding the major component of the nicotinamide mononucleotide transport system and icmF belonging to a cassette involved in multiplication inside host cells. These results demonstrate that the global transcription profile approach might be a powerful method for identification of differentially expressed transcripts under in vivo conditions.
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Affiliation(s)
- S Das
- Biophysics Division, Indian Institute of Chemical Biology, Calcutta
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Chakrabortty A, Das S, Majumdar S, Mukhopadhyay K, Roychoudhury S, Chaudhuri K. Use of RNA arbitrarily primed-PCR fingerprinting to identify Vibrio cholerae genes differentially expressed in the host following infection. Infect Immun 2000; 68:3878-87. [PMID: 10858198 PMCID: PMC101662 DOI: 10.1128/iai.68.7.3878-3887.2000] [Citation(s) in RCA: 21] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/1999] [Accepted: 03/31/2000] [Indexed: 01/01/2023] Open
Abstract
Evidence suggests that a repertoire of Vibrio cholerae genes are differentially expressed in vivo, and regulation of virulence factors in vivo may follow a different pathway. Our work was aimed at characterization of in vivo-grown bacteria and identification of genes that are differentially expressed following infection by RNA arbitrarily primed (RAP)-PCR fingerprinting. The ligated rabbit ileal loop model was used. The motility of in vivo-grown bacteria increased by 350% over that of in vitro-grown bacteria. Also, the in vivo-grown cells were more resistant to killing by human serum. By using the RAP-PCR strategy, five differentially expressed transcripts were identified. Two in vitro-induced transcripts encoded polypeptides for the leucine tRNA synthatase and the 50S ribosomal protein, and the three in vivo-induced transcripts encoded the SucA and MurE proteins and a polypeptide of unknown function. MurE is a protein involved in the peptidoglycan biosynthetic pathway. The lytic profiles of in vivo- and in vitro-grown cells suspended in distilled water were compared; the former was found to be slightly less sensitive to lysis. Ultrathin sections of both cells observed under the transmission electron microscope revealed that in contrast to the usual wavy discontinuous membrane structure of the in vitro-grown cells, in vivo-grown cells had a more rigid, clearly visible double-layered structure. The V. cholerae murE gene was cloned and sequenced. The sequence contained an open reading frame of 1,488 nucleotides with its own ribosome-binding site. A plasmid containing the murE gene of V. cholerae was transformed into V. cholerae 569B, and a transformed strain, 569BME, containing the plasmid was obtained. Ultrathin sections of 569BME viewed under a transmission electron microscope revealed a slightly more rigid cell wall than that of wild-type 569B. When V. cholerae 569B and 569BME cells were injected separately into ligated rabbit ileal loops, the transformed cells had a preference for growth in the ileal loops versus laboratory conditions.
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Affiliation(s)
- A Chakrabortty
- Biophysics Division, Indian Institute of Chemical Biology, Jadavpur, Calcutta-700 032, India
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Abstract
Most strains of Gram-positive and Gram-negative bacteria were inhibited by 50-100 mg/l of the anti-inflammatory agent, diclofenac sodium (Dc). In vivo test using 30 or 50 microg Dc per 20 g mouse (Swiss Albino variety) significantly (P <0.001) protected the animals when challenged with 50 MLD of a virulent Salmonella typhimurium. The anti-bacterial action of Dc was found to be due to inhibition of DNA synthesis which was demonstrated using 2 micro Ci (3H) deoxythymidine uptake.
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Affiliation(s)
- S G Dastidar
- Division of Microbiology, Department of Pharmaceutical Technology, Jadavpur University, 700 032, Calcutta, India
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Abstract
Endosulfan, an organochlorine pesticide, was subjected to the differential sensitivity assay in repair-deficient and repair-proficient strains of Escherichia coli K12, prophage lambda induction assay in WP2s (lambda) and mutation induction in E. coli K12. The induction of umu gene expression with endosulfan was studied also in Salmonella typhimurium TA1535/pSK1002 cells. The differential sensitivity assay revealed that the recA 13 strain was the most sensitive. Endosulfan induced prophage lambda in E. coli and umu gene expression in S. typhimurium cells; however, the extent of the effects were low. Endosulfan also induced a dose-dependent increase in forward mutations in E. coli K12 cells from ampicillin sensitivity to ampicillin resistance. Our studies indicate the genotoxic potential of endosulfan and the role of the recA gene in the repair of endosulfan-induced DNA damage.
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Affiliation(s)
- K Chaudhuri
- Biophysics Division, Saha institute of Nuclear Physics, 37, Belgachia Road, Calcutta-700 037, India
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Abstract
Scalp hair and fingernail samples of 42 medical radiographers and 42 nonradiographers (control) with matching age groups and food habits were collected for this study. Trace metal estimation by atomic absorption spectrometry (AAS) has indicated a significant increase (P < 0.001) in Zn, Cu, and Cd contents in the radiographers' hair and nails. Scanning electron microscopy (SEM) revealed structural changes in the hair and nails of radiographers. Significant alterations in the Zn and Cd contents along with extensive structural damage in the hair and nails probably indicate that low-dose X-radiation imposes stress on these radiation workers.
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Affiliation(s)
- S Majumdar
- E.M. Division, Indian Institute of Chemical Biology, Calcutta
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Chaudhuri K, Madhok R. An unusual case of carpal tunnel syndrome. Br J Rheumatol 1998; 37:912-4. [PMID: 9734686 DOI: 10.1093/rheumatology/37.8.912b] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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Affiliation(s)
- K Chaudhuri
- Centre for Rheumatic Diseases, Royal Infirmary, Glasgow
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Chatterjee J, Chaudhuri K, Das AK, Basu SK, De K, Majumdar S. A trace metal (zinc and iron) study on low dose x-radiation response in rat skin. Health Phys 1997; 73:362-368. [PMID: 9228171 DOI: 10.1097/00004032-199708000-00008] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
Abstract
There is no reliable bio-dosimeter regarding low dose radiation effects in mammalian systems. In this study, chronic low dose (< 1 cGy) whole body x-irradiated rat skin have shown altered trace metal (zinc and iron) content which clearly indicated the redistribution of these metals in the integumentary system. The decreased zinc to iron ratios suggested enhanced oxidative stress of the tissue. Changes in trace metal content in irradiated rat skin, as a biological response to low dose radiation, were non-linear. Moreover, the lowered zinc content of E2, E3, E4 and E5 dose groups suggested a different steady state, compared to the control. The Zn: Fe ratio decreased with increasing radiation dose.
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Affiliation(s)
- J Chatterjee
- Radiology Department, Medical College & Hospitals, Calcutta, India
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Abstract
Studies of effects of diazepam on liver parenchyma are very scanty. In this study, adult albino rats were treated with diazepam in two different doses (0.25 mg and 0.30 mg/kg body wt) daily for 30 and 60 d. Through light microscopy and electron microscopy, prenecrotic and necrotic changes were noted in the high-dose group. Trace metal analysis indicated that zinc (Zn) was reduced by 30 and 60 day under both the doses, whereas iron (Fe) and copper (Cu) were reduced significantly in these groups only after 60 d of treatment. This reduction in metal contents may have some correlations with necrotic changes in liver parenchyma.
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Affiliation(s)
- S Chatterjee
- Department of Anatomy, R. G. Kar Medical College, Calcutta, India
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45
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Abstract
Three outer membrane proteins with molecular masses of 40, 38, and 27 kDa of the hypertoxinogenic strain 569B of Vibrio cholerae have been purified to homogeneity. The synthesis of all the three proteins is regulated by the osmolarity of the growth medium. The pore-forming ability of the 40-kDa protein, OmpT, and the 38-kDa protein, OmpU, has been demonstrated by using liposomes, in which these proteins were embedded. The 27-kDa protein, OmpX, though osmoregulated, is not a porin. OmpU constitutes 30% of the total outer membrane protein when grown in the presence of 1.0% NaCl in the growth medium and 60% in the absence of NaCl. OmpU is an acidic protein and is a homotrimer of 38-kDa monomeric units. Its secondary structure contains predominantly a beta-sheet, and three to four Ca2+ ions are associated with each monomeric unit. Removal of Ca2+ irreversibly disrupts the structure and pore-forming ability of the protein. The pore size of OmpU is 1.6 nm, and the specific activity of the OmpU channel is two- to threefold higher than that of Escherichia coli porin OmpF, synthesis of which resembles that of OmpU with respect to the osmolarity of the growth medium. The pore size of OmpT, which is analogous to OmpC of E. coli, is smaller than that of OmpU. Southern blot hybridization of V. cholerae genomic DNA digested with several restriction endonucleases with nick-translated E. coli ompF as the probe revealed no nucleotide sequence homology between the ompU and ompF genes. OmpU is also not antigenically related to OmpF. Anti-OmpF antiserum, however, cross-reacted with the 45-kDa V. cholerae outer membrane protein, OmpS, the synthesis of which is regulated by the presence of maltose in the growth medium. OmpU hemagglutinated with rabbit and human blood. This toxR-regulated protein is one of the possible virulence determinants in V. cholerae (V. L. Miller and J. J. Mekalanos, J. Bacteriol. 170:2575-2583, 1988).
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Affiliation(s)
- S R Chakrabarti
- Biophysics Division, Indian Institute of Chemical Biology, Calcutta, India
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Chaudhuri K, Lonergan D, Portek I, McGuigan L. Septic arthritis of the shoulder after mastectomy and radiotherapy for breast carcinoma. J Bone Joint Surg Br 1993; 75:318-21. [PMID: 8444958 DOI: 10.1302/0301-620x.75b2.8444958] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
We report five patients who developed septic arthritis of the shoulder after cancer of the ipsilateral breast had been treated by surgery and radiotherapy. Lymphoedema was present in all cases. The infections were not obvious, having subacute onsets, and delays in diagnosis led to destruction of the joint in all but one patient.
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Affiliation(s)
- K Chaudhuri
- Department of Rheumatology, St. George Hospital, Kogarah, New South Wales, Australia
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Abstract
The cell surfaces of several toxigenic and nontoxigenic environmental and clinical isolates of Vibrio cholerae non-O1 have been examined. The environmental strains, irrespective of toxigenicity, are significantly more resistant to antibiotics and detergents than are V. cholerae O1 strains. The clinical isolates of non-O1 vibrios are as sensitive to a wide variety of chemicals as the O1 vibrios. The environmental non-O1 strains are also less susceptible to lysis when treated with protein denaturants or neutral and anionic detergents than are O1 vibrios and the clinical non-O1 strains. In contrast to O1 vibrios, the environmental non-O1 vibrios do not have exposed phospholipids in their outer membranes. These features of the cell surfaces of environmental non-O1 vibrios might have a role in the better survival of these organisms under environmental fluctuations.
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Affiliation(s)
- K Chaudhuri
- Biophysics Division, Indian Institute of Chemical Biology, Jadavpur, Calcutta
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Chakraborty AK, Chaudhuri K, Sreenivas TR, Murthy MS, Shashidhara AN, Channabasavaiah R. Tuberculous infection in a rural population of south India: 23-year trend. Tuber Lung Dis 1992; 73:213-8. [PMID: 1477388 DOI: 10.1016/0962-8479(92)90089-3] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
A survey was conducted in Bangalore district of south India between February 1984 and January 1986 to study the tuberculosis infection rate. The data from this survey, along with the information derived from the earlier ones in the same area conducted between 1961-1968, have been used in the report to study the trend of tuberculosis. Tuberculin test results in 0- to 14-year-old unvaccinated children from each survey were distributed, and based on the antimode, infected persons were identified. The standardized prevalence rates in population from the surveys were converted into risk rates by using the TSRU methodology and compared. The average annual risk of infection of 1.1% observed in 1961 declined to 0.61% in 1985, representing a decline of approximately 37% in nearly 23 years. This amounted to an average decline of 3.2% per annum over the period. The trend probably represented a natural dynamics. Whether organized intervention played some role could not be commented upon. Similar studies in other parts of the country are recommended in order to have information on the trend in the country as a whole.
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Ramakrishna R, Chaudhuri K, Sturgess A, Manoharan A. Haematological manifestations of primary Sjögren's syndrome: a clinicopathological study. Q J Med 1992; 83:547-54. [PMID: 1484932] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
Clinically significant cytopenias are thought to be uncommon in primary Sjögren's syndrome: only a few cases have been reported in the literature. Over a 3-year period we identified haematological abnormalities in 11 of 27 patients with Sjögren's syndrome. Six patients had a positive direct antiglobulin test, including one patient with all the features of autoimmune haemolytic anaemia and two others with some features of this condition. Four patients had immune thrombocytopenia and two patients had myelodysplastic syndrome. Neutropenia was noted in two patients, one patient had aplastic anaemia and one had pure red cell aplasia. Haematological disorders were found to be common in patients with Sjögren's syndrome (40 per cent). Accordingly, we suggest that patients with immune cytopenia(s) should be screened for Sjögren's syndrome using sensitive assays for anti-SS.A and anti-SS.B antibodies, and that patients with Sjögren's syndrome should be periodically monitored, with a full blood count to rule out any haematological abnormality.
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Abstract
Vibrio cholerae 569B was found to be highly sensitive to a wide range of chemicals, particularly hydrophobic compounds and neutral and anionic detergents. The phospholipid profile of the outer membrane was similar to that reported for other Gram-negative bacteria. The lipopolysaccharide (LPS) contained O-antigenic sugars and exhibited heterogeneity. In addition, the LPS moiety was characterized by a relatively low negative charge. Analysis by topological probes revealed the presence of a significant amount of exposed phospholipids in the outer membrane. The reduced negative charge of LPS molecules and the exposed phospholipids present in the outer membrane could be important in the increased permeation of exogenous compounds in V. cholerae.
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Affiliation(s)
- S Paul
- Biophysics Division, Indian Institute of Chemical Biology, Calcutta
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