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Moulick A, Jana A, Sarkar N, Guha P, Mahapatra C, Lallawmzuala K. Non pitting edema, arthritis and ichthyosis; presenting manifestation of leprosy. Indian J Lepr 2013; 85:83-86. [PMID: 24236367] [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: 06/02/2023]
Abstract
Leprosy is a chronic granulomatous infection caused by Mycobacterium leprae. Predominantly involving skin and nerves and having classic clinical description, the diagnosis may be clear-cut in majority of patients but may be challenging in others. Non-pitting edema, ichthyosis and arthritis are uncommon in leprosy and very rare in tuberculoid type where the diagnosis may be challenging unlike relatively clear-cut clinical picture in lepromatous type. Musculoskeletal manifestation is seen in 1-5% of cases and usually associated with reactional states where again the diagnosis sometimes becomes evident. High index of suspicion is therefore recommended in patients with unexplained systemic illness especially in endemic areas. Herein we report a young male with non pitting edema and symmetric peripheral arthritis involving all four limbs, and ichthyosis as presenting manifestation of borderline leprosy where the neuro-cutaneous manifestation developed two months after the said presenting features and in absence of a reactional state.
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Affiliation(s)
- A Moulick
- Department of Medicine, Calcutta National Medical College, 24 Gorachand Road, Kolkata-700014, India.
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Patel B, Coyle JC, Poe E, Rosenbloom C, Stevens RM, Coren JS, Ge S, Mesia IC, Moulick A, Toib A. Three dimensional rotational angiography imaging of double aortic arch vascular ring. Images Paediatr Cardiol 2013; 15:1-6. [PMID: 23720694 PMCID: PMC3663154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
BACKGROUND Three dimensional (3D) rotational angiography is a technique used increasingly for imaging in congenital heart disease. RESULTS We describe the use of this technique for imaging of double aortic arch vascular ring and discuss the advantages of this modality. CONCLUSIONS 3D rotational angiography is an excellent tool for imaging of various vascular anomalies. It provides high quality accurate images through a quick and safe procedure.
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Affiliation(s)
- B Patel
- Department of Pediatrics, University of Medicine and Dentistry of New Jersey-School of Osteopathic Medicine
- St Christopher's Hospital for Children, University of Medicine and Dentistry of New Jersey-School of Osteopathic Medicine
| | - JC Coyle
- Department of Pediatrics, University of Medicine and Dentistry of New Jersey-School of Osteopathic Medicine
- Section of Pediatric Cardiology, University of Medicine and Dentistry of New Jersey-School of Osteopathic Medicine
- St Christopher's Hospital for Children, University of Medicine and Dentistry of New Jersey-School of Osteopathic Medicine
| | - E Poe
- Department of Pediatrics, University of Medicine and Dentistry of New Jersey-School of Osteopathic Medicine
- Section of Pediatric Cardiology, University of Medicine and Dentistry of New Jersey-School of Osteopathic Medicine
- St Christopher's Hospital for Children, University of Medicine and Dentistry of New Jersey-School of Osteopathic Medicine
| | - C Rosenbloom
- Division of Pediatric Surgery, University of Medicine and Dentistry of New Jersey-School of Osteopathic Medicine
- Section of Cardiothoracic Surgery, University of Medicine and Dentistry of New Jersey-School of Osteopathic Medicine
- St Christopher's Hospital for Children, University of Medicine and Dentistry of New Jersey-School of Osteopathic Medicine
| | - RM Stevens
- Division of Pediatric Surgery, University of Medicine and Dentistry of New Jersey-School of Osteopathic Medicine
- Section of Cardiothoracic Surgery, University of Medicine and Dentistry of New Jersey-School of Osteopathic Medicine
- St Christopher's Hospital for Children, University of Medicine and Dentistry of New Jersey-School of Osteopathic Medicine
- Drexel University College of Medicine, University of Medicine and Dentistry of New Jersey-School of Osteopathic Medicine
| | - JS Coren
- Department of Family Medicine, University of Medicine and Dentistry of New Jersey-School of Osteopathic Medicine
| | - S Ge
- Department of Pediatrics, University of Medicine and Dentistry of New Jersey-School of Osteopathic Medicine
- Section of Pediatric Cardiology, University of Medicine and Dentistry of New Jersey-School of Osteopathic Medicine
- St Christopher's Hospital for Children, University of Medicine and Dentistry of New Jersey-School of Osteopathic Medicine
- Drexel University College of Medicine, University of Medicine and Dentistry of New Jersey-School of Osteopathic Medicine
| | - IC Mesia
- Department of Pediatrics, University of Medicine and Dentistry of New Jersey-School of Osteopathic Medicine
- Section of Pediatric Cardiology, University of Medicine and Dentistry of New Jersey-School of Osteopathic Medicine
- St Christopher's Hospital for Children, University of Medicine and Dentistry of New Jersey-School of Osteopathic Medicine
- Drexel University College of Medicine, University of Medicine and Dentistry of New Jersey-School of Osteopathic Medicine
| | - A Moulick
- Division of Pediatric Surgery, University of Medicine and Dentistry of New Jersey-School of Osteopathic Medicine
- Section of Cardiothoracic Surgery, University of Medicine and Dentistry of New Jersey-School of Osteopathic Medicine
- St Christopher's Hospital for Children, University of Medicine and Dentistry of New Jersey-School of Osteopathic Medicine
- Drexel University College of Medicine, University of Medicine and Dentistry of New Jersey-School of Osteopathic Medicine
| | - A Toib
- Department of Pediatrics, University of Medicine and Dentistry of New Jersey-School of Osteopathic Medicine
- Section of Pediatric Cardiology, University of Medicine and Dentistry of New Jersey-School of Osteopathic Medicine
- St Christopher's Hospital for Children, University of Medicine and Dentistry of New Jersey-School of Osteopathic Medicine
- Drexel University College of Medicine, University of Medicine and Dentistry of New Jersey-School of Osteopathic Medicine
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Bandyopadhyay SK, Moulick A, Chakrabarti N, Dutta A. Familial hypoparathyroidism. J Assoc Physicians India 2010; 58:115-117. [PMID: 20653155] [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: 05/29/2023]
Abstract
A family with hereditary (familial) hypoparathyroidism is reported where three of the total four siblings were affected and each presented with different manifestation-one brother with refractory epilepsy since early childhood, another brother with unilateral extrapyramidal features in adult life, and their only sister having recurrent attacks of tingling and numbness due to hypocalcemia since 12 years of age.
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Affiliation(s)
- S K Bandyopadhyay
- Department of Medicine, Nil Ratan Sircar Medical College and Hospital, 138, A J C Bose Road, Kolkata-14
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Chakrabarti N, Moulick A, Saha J, Dutta A. Splenic metastasis and bleeding manifestations--an unusual association with gastric malignancy. J Assoc Physicians India 2008; 56:543-544. [PMID: 18846909] [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: 05/26/2023]
Abstract
Splenic metastasis is a rare clinical entity--incidence being 0.6% at autopsy and 1.1% at splenectomy. We report the case of a 30 year old female who presented with purpura and melena and who was later diagnosed to have a mucinous adenocarcinoma of stomach with disseminated intravascular coagulation and splenic metastasis.
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Affiliation(s)
- N Chakrabarti
- Department of Medicine, Nilratan Sircar Medical College, 138 Ajc Bose Road, Kolkata
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Moulick A, Sengupta P, Banerjee S, Basu D. Oromandibular dystonia and persistent psychiatric symptoms in extra-pontine myelinolysis. J Assoc Physicians India 2008; 56:259-261. [PMID: 18702390] [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: 05/26/2023]
Abstract
A 32 years female presented with gradually progressive dysarthria, dysphagia, oromandibular dystonia and mild generalized weakness. She had several episodes of acute psychotic behavior. She had abnormal saccadic eye movements, generalized hypertonia and exaggerated jerks in upper limbs. She was previously treated in a peripheral hospital for severe vomiting and diarrhea. MRI of brain revealed symmetrical T-2 weighted hyperintensities in bilateral putaminal and caudate region along with pons and midbrain suggesting demyelination due to a metabolic insult. Her power improved gradually over days and the dysarthria, dysphagia and oromandibular dystonia improved gradually over several weeks with supportive measures but the psychiatric manifestations are still persisting.
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Affiliation(s)
- A Moulick
- Department of Neurology, Nil Ratan Sircar Medical College and Hospital, Kolkata
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Bandyopadhyay SK, Moulick A, Dutta A. Primary duodenal lymphoma producing obstructive jaundice. J Assoc Physicians India 2007; 55:76-7. [PMID: 17444348] [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: 05/14/2023]
Abstract
Primary lymphoma of the duodenum presenting with obstructive jaundice is a rare entity. We report a case of primary non-Hodgkin's lymphoma of the duodenum producing obstructive jaundice in a middle aged lady, where the concentric thickening of the duodenal wall also gave rise to symptomatic partial high small bowel obstruction in due course. Guided aspiration and flowcytometry established a diagnosis of diffuse large B-cell lymphoma.
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Affiliation(s)
- S K Bandyopadhyay
- Department of Medicine, Nil Ratan Sircar Medical College and Hospital, 138, A J C Bose Road, Kolkata-14
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Bandyopadhyay SK, Moulick A, Dutta A. Multiple colocutaneous fistulae. J Assoc Physicians India 2006; 54:712. [PMID: 17212018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/13/2023]
Affiliation(s)
- S K Bandyopadhyay
- Department of Medicine, Nil Ratan Sircar Medical College, 138, A J C Bose Road, Kolkata-14
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Bandyopadhyay SK, Moulick A, Ghosal J, Dutta A. Pre sternal cold abscess. J Assoc Physicians India 2005; 53:866. [PMID: 16459530] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/06/2023]
Affiliation(s)
- S K Bandyopadhyay
- Department of Medicine, Nil Ratan Sircar Medical College and Hospital, 138, A J C Bose Road, Kolkata-700014
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Bandyopadhyay SK, Bandyopadhyay R, Moulick A, Dutta A, Saha DK. Benign mediastinal teratoma producing recurrent hemoptysis. J Assoc Physicians India 2005; 53:698. [PMID: 16398080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/06/2023]
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Puri D, Sharma R, Kumar R, Sahoo M, Panigrahi BP, Moulick A. Surgical management of large renal artery aneurysm with atherosclerotic and tortuous aorta. Indian J Thorac Cardiovasc Surg 2004. [DOI: 10.1007/s12055-004-0412-1] [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: 11/29/2022] Open
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Puri D, Kumar R, Jain A, Sahoo M, Panigrahi BP, Moulick A. Strategies to minimize morbidity/mortality of CABG following acute myocardial infarction. Indian J Thorac Cardiovasc Surg 2004. [DOI: 10.1007/s12055-004-0321-3] [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: 11/24/2022] Open
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Puri D, Kumar R, Jain A, Sahoo M, Panigrahi BP, Moulick A. Integrated approach for myocardial protection in combined valve replacement and surgical revascularization. Indian J Thorac Cardiovasc Surg 2004. [DOI: 10.1007/s12055-004-0392-1] [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: 10/22/2022] Open
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Puri D, Samra N, Sahoo M, Panigrahi BP, Moulick A. Modified submammary approach for complex cardiac surgery in young females. Indian J Thorac Cardiovasc Surg 2004. [DOI: 10.1007/s12055-004-0433-9] [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: 10/22/2022] Open
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Das MB, Kapoor L, Moulick A, Mukhopadhyaya S, Harish R, Gan MD, Dixit MD, Shetty DP. Video-assisted thoracoscopic surgery for closure of patent ductus arteriosus in children. Indian Heart J 1997; 49:300-2. [PMID: 9291655] [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] [Indexed: 02/05/2023] Open
Abstract
Video-assisted thoracoscopic surgery (VATS) was recently described as an approach to clip the patent ductus arteriosus (PDA). Between May 1994 and May 1996, we performed this procedure on 34 children below 12 years of age (mean 7 years). Thirty-two had an isolated PDA and two had associated small perimembranous ventricular septal defect (VSD), diagnosed on echocardiography and colour flow mapping. None had pulmonary arterial hypertension. The procedure was successful in 33 (97%) children confirmed by absence of residual shunt on serial echocardiography. Complications in the form of pneumothorax (1) and vocal card paralysis (2) were encountered in three children. The overall hospital stay was reduced to five days. In conclusion, the technique of PDA clipping using VATS is easy to learn and highly successful with acceptable risk of complications.
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Affiliation(s)
- M B Das
- BM Birla Heart Research Centre, Calcutta
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