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Singh B, Pandey S, Mangat G, Kaur G, Mishra N, Siddiqui M, Sharma S. PCN9 Bayesian Network Meta-Analyses of the Efficacy of LONG-Acting Release Somatostatin Analogs in Patients with Advanced Neuroendocrine Tumors: Application of Different Parametric and Fractional Polynomial Methods. Value Health Reg Issues 2020. [DOI: 10.1016/j.vhri.2020.07.059] [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: 10/23/2022]
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Mangat G, Singh B. PCN93 A Comparison of Machine Learning (ML) Algorithms Performance Against Medical Professionals in Diagnosing LUNG Cancer: A Targeted Review and Meta-Analysis. Value Health Reg Issues 2020. [DOI: 10.1016/j.vhri.2020.07.143] [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: 10/23/2022]
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Mangat G, Pilkhwal N, Sharma S, Singh B. PCN91 Penetration of Artificial Intelligence (AI) and Machine Learning (ML) in the Randomized Controlled Setting of Oncology. Value Health Reg Issues 2020. [DOI: 10.1016/j.vhri.2020.07.141] [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: 11/27/2022]
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Mangat G, Pilkhwal N, Kayam N, Attri S. A systematic literature review of the cost-effectiveness of treatments, costs, and resource use in patients with Burkitt lymphoma. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz427.012] [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: 11/12/2022] Open
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Sagdeo P, Balakrishnan C, Parikh T, Mangat G, Gc Y. AB0916 Adult-Onset Still's Disease-Experience over Last Five Years. Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-eular.2927] [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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Sagdeo P, Samant R, Balakrishnan C, Mangat G, Parikh T, Gc Y. AB0563 Takayasu's Arteritis: Experience from A Tertiary Care Centre in Western India: Table 1. Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-eular.2934] [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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Joshi P, Yathish G, Balakrishnan C, Mangat G, Samant R, Joshi V, Parikh T, Sagdeo P, Parmar A, Doshi B. Study of demographic profile and observing efficacy of systemic immunosupressants in patients with autoimmune inflammatory eye diseases. Indian Journal of Rheumatology 2014. [DOI: 10.1016/j.injr.2014.10.185] [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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Yathish G, Balakrishnan C, Mangat G, Joshi V, Joshi P, Parikh T, Sagdeo P, Parmar A, Doshi B. Subglottic stenosis (SGS) in rheumatology clinic: Experience with 11 patients. Indian Journal of Rheumatology 2014. [DOI: 10.1016/j.injr.2014.10.200] [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: 10/24/2022] Open
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Joshi P, Parikh T, Sharma V, Yathish G, Doshi B, Samant R, Mangat G, Balakrishnan C, Amin S, Joshi V. AB0592 A Study of Short Term Progression of Takayasu Arteritis: Table 1. Ann Rheum Dis 2014. [DOI: 10.1136/annrheumdis-2014-eular.6087] [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: 11/04/2022]
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Nagaraj S, Joshi P, Sharma V, Buche A, Mangat G, Samant R, Balakrishnan C. THU0227 Anca-associated vasculitis: A retrospective study from western india. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2012-eular.2192] [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: 11/03/2022]
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Sharma V, Nagaraj S, Mangat G, Balakrishnan C, Krishna B, Samant R. AB0778 Role of pet scan in the management of patients with takayasu arteritis. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2012-eular.778] [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: 11/04/2022]
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Siruguri V, Kumar PU, Raghu P, Rao MVV, Sesikeran B, Toteja GS, Gupta P, Rao S, Satyanarayana K, Katoch V, Bharaj T, Mangat G, Sharma N, Sandhu J, Bhargav V, Rani S. Aflatoxin contamination in stored rice variety PAU 201 collected from Punjab, India. Indian J Med Res 2012; 136:89-97. [PMID: 22885269 PMCID: PMC3461724] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/30/2022] Open
Abstract
BACKGROUND & OBJECTIVES The present study was carried out on stored rice variety PAU 201 in Punjab that was not permitted for milling and public distribution due to the presence of damaged grains at levels exceeding the regulatory limits of 4.75 per cent. The aim of the study was to determine fungal and aflatoxin contamination in the rice samples to assess hazard from the presence of damaged grains. Presence of iron in discoloured rice grains was also assessed. METHODS Stored samples of paddy of PAU 201 rice variety were collected from six districts of Punjab, milled and analysed for presence of fungal and aflatoxin contamination. Scanning electron microscopy (SEM), energy dispersive X-ray (EDX) analysis and Prussian blue staining was used to determine fungal spores and presence of iron, respectively. RESULTS Aflatoxin analysis of rice samples indicated that none exceeded the Food Safety and Standards (Contaminants, Toxins and Residues) Regulations, 2011 tolerance limit of 30 μg/kg and majority of the samples had levels <15 μg/kg. The proportion of damaged grains exceeding the limit of 5 per cent was observed in 85.7 per cent of the samples. SEM and Prussian blue staining and EDX analysis of black tipped and pin point damaged rice grains did not show presence of fungal structures and presence of iron. INTERPRETATION & CONCLUSIONS The results of the study indicated that the stored rice samples did not pose any health concern with respect to aflatoxin contamination as per the criteria laid down by the Food Safety and Standards Authority of India.
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Affiliation(s)
| | - P Uday Kumar
- National Institute of Nutrition (ICMR), Hyderabad, India
| | - P. Raghu
- National Institute of Nutrition (ICMR), Hyderabad, India
| | | | - B. Sesikeran
- National Institute of Nutrition (ICMR), Hyderabad, India
| | - G. S. Toteja
- Indian Council of Medical Research, New Delhi, India,Reprint requests: Dr G.S. Toteja, Scientist F & Head (Nutrition), Indian Council of Medical Research, Ansari Nagar, New Delhi & “Centre for Promotion of Nutrition Research & Training with special focus on North-East, Tribal & Inaccessible population” (ICMR), ICMR Campus II, 3 Red Cross Road, Tuberculosis Association of India Building, 1st Floor, Near Parliament, New Delhi 110 001, India e-mail:
| | | | - Spriha Rao
- Indian Council of Medical Research, New Delhi, India
| | | | - V.M. Katoch
- Indian Council of Medical Research, New Delhi, India
| | - T.S. Bharaj
- Punjab Agricultural University, Ludhiana, Punjab, India
| | - G.S. Mangat
- Punjab Agricultural University, Ludhiana, Punjab, India
| | - Neerja Sharma
- Punjab Agricultural University, Ludhiana, Punjab, India
| | - J.S. Sandhu
- Indian Council of Agricultural Research, New Delhi, India
| | - V.K. Bhargav
- Central Institute of Post-Harvest Engineering & Technology, Ludhiana, India
| | - Shobha Rani
- Directorate of Rice Research (ICAR), Hyderabad, India
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Nagaraj S, Joshi PN, Mangat G, Kothari J, Gupta S, Balakrishnan C. P79 Peripheral lung sparing: an important CT sign in diffuse pulmonary haemorrhage. Indian Journal of Rheumatology 2011. [DOI: 10.1016/s0973-3698(11)60189-1] [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: 11/24/2022] Open
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Sharma V, Nagaraj S, Samant R, Mangat G, Balakrishnan C, Joshi VR. P41 Takayasu's arteritis at diagnosis: a 10-year single centre study from western India. Indian Journal of Rheumatology 2011. [DOI: 10.1016/s0973-3698(11)60151-9] [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: 11/17/2022] Open
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Kharbanda P, Balakrishnan C, Mangat G, Kothari J. P33 Lupus nephritis: experience at a tertiary referral centre in Mumbai. Indian Journal of Rheumatology 2011. [DOI: 10.1016/s0973-3698(11)60143-x] [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: 10/14/2022] Open
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Singh S, Balakrishnan C, Mangat G, Samant R, Bambani M, Kalke S, Joshi VR. Giant cell arteritis in Mumbai. J Assoc Physicians India 2010; 58:372-374. [PMID: 21125778] [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: 05/30/2023]
Abstract
OBJECTIVE To study the clinical profile of patients with giant cell arteritis in Mumbai. METHODS From our database, patients with a diagnosis of giant cell arteritis (GCA) over a fifteen year period (January 1990 to December 2005) were included. Clinical manifestations, temporal artery biopsy, treatment, and follow-up data of these patients were analyzed. RESULTS Twenty one patients with GCA were identified. However, data were available only for 16 patients. The median age was 66.5 years (58-78 yrs) with male to female ratio of 1:1. The mean time from symptom onset to diagnosis was 5.18 months (0.5-24 months). Clinical manifestations included new onset headache (15), fever (9), weight loss (9), jaw claudication (9), polymyalgia rheumatica (5), visual disturbances (3), scalp nodule (1), temporal artery tenderness (11), tortuosity (9), and scalp tenderness (6). ESR was elevated in 15 patients with a median of 106.5 mm at 1 hr (25-135 mm/hr). Temporal artery biopsy was done in 11 patients and confirmed the diagnosis in 10 patients. Color doppler study of the temporal arteries (9 patients) revealed halo sign (indicating arterial wall edema) in 6 patients. Biopsy as per site by color doppler study was performed in 6 of these patients and was positive in 5. All patients had a good initial response to steroids, however, on follow up, 3 patients required addition of methotrexate. At a median follow up (n = 14) of 6 months (range 6-156), steroids were successfully stopped in 7 patients at 1 to 3 years interval. The disease relapsed in 1 patient. Of the remaining 7 patients, 2 were steroid dependent and 5 patients were doing well on low dose prednisolone. CONCLUSION GCA, though uncommon in India, should be suspected in all elderly patients with a new onset headache, fever, jaw claudication, or high ESR. Color doppler sonography is a useful noninvasive method for the diagnosis of GCA and also helps to identify the site to biopsy. Most respond to steroid therapy while some need addition of steroid sparing agents.
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Affiliation(s)
- S Singh
- PD Hinduja National Hospital, Mumbai
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Singh S, Balakrishnan C, Mangat G, Maheshwari S. Reversible posterior leucoencephalopathy syndrome in a patient with undifferentiated connective tissue disease. Scand J Rheumatol 2009; 35:248-9. [PMID: 16766377 DOI: 10.1080/03009740510026904] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- S Singh
- PD Hinduja National Hospital and MRC, VS Marg, Mumbai, India
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Tembe AG, Parmar G, Balakrishnan C, Mangat G, Samant R, Joshi VR. O27 Study of Neuropsychiatric SLE. Indian Journal of Rheumatology 2008. [DOI: 10.1016/s0973-3698(10)60401-3] [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: 10/19/2022] Open
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Bhatt K, Balakrishnan C, Mangat G, Bajan K, Ashavaid T, Joshi VR. Paget's disease of the bone: a report of three cases. J Assoc Physicians India 2006; 54:571-4. [PMID: 17089908] [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: 05/12/2023]
Abstract
Paget's disease is uncommon in Asians. We present 3 patients with varying manifestations. A 50 years old lady was detected to have raised alkaline phosphatase at a routine health check-up. Isoenzyme studies confirmed its bony origin. Bone scan revealed polyostotic disease. A 65 years old male patient with known Paget's disease of 6 years duration presented with pelvic girdle pain, progressive increase in alkaline phosphatase levels and worsening bone scan. A 45 years old male was admitted with chest pain. Cardiac evaluation was normal. Bone scan picked up a cough fracture in the left 7th rib and an incidental Paget's disease of the skull. All three had elevated markers of bone metabolism in the serum and urine. With monthly intravenous pamidronate there was significant improvement in the bone markers and follow-up bone scans.
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Affiliation(s)
- K Bhatt
- Rheumatology Division, PD Hinduja Hospital and MRC, Veer Savarkar Marg, Mumbai
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Balakrishnan C, Pathan E, Khodaiji S, Dasgupta A, Mangat G, Joshi VR. Myelodysplasia and acute myeloid leukaemia in a case of rheumatoid arthritis with secondary amyloidosis treated with chlorambucil. J Assoc Physicians India 2004; 52:423-5. [PMID: 15656036] [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: 05/01/2023]
Abstract
Immunosuppressive therapy related secondary haematologic malignancy is well reported. A 52 years lady with established rheumatoid arthritis developed reactive amyloidosis. This was initially treated with colchicine and cyclophosphamide and later with chlorambucil. Ten months after stopping chlorambucil she developed pancytopenia and vitamin B12 deficient megaloblastic anaemia. The pancytopenia was refractory to vitamin B12 supplements and a repeat bone marrow confirmed myelodysplasia (FABI RAEB-T). Within three weeks of this diagnosis she evolved into acute myeloid leukaemia and expired due to refractory thrombocytopenia and uncontrolled bleeding. This case stresses the need for long term follow up of RA patients treated with alkylating agents.
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Affiliation(s)
- C Balakrishnan
- Department of Rheumatology, PD Hinduja National Hospital and MRC, Mumbai
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Gohar S, Sule A, Gaitonde S, Mittal G, Ejaz P, Mangat G, Bhaduri A, Joshi VR. Adrenal histoplasmosis. J Assoc Physicians India 2001; 49:916-7. [PMID: 11837763] [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: 02/23/2023]
Abstract
A 60 year old diabetic was admitted with the history of low grade fever and weight loss of six weeks duration. After investigations, he was detected to have bilateral adrenal masses which on biopsy proved to be due to histoplasmosis. He was treated with itraconazole and made complete recovery.
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Affiliation(s)
- S Gohar
- Department of Rheumatology, PD Hinduja National Hospital and Medical Research Centre, Veer Savarkar Marg, Mahim, Mumbai
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Gaitonde S, Sule A, Pathan E, Mangat G, Joshi VR. Vitamin D deficiency and DEXA scan. J Assoc Physicians India 2001; 49:862. [PMID: 11837492] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/23/2023]
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Dutta I, Gohar S, Balakrishnan C, Mangat G, Mittal G, Bhaba SK, Joshi VR. Unilateral inter-nuclear ophthalmoplegia in systemic lupus erythematosus. J Assoc Physicians India 2000; 48:1210-1. [PMID: 11280233] [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: 02/19/2023]
Abstract
We report a case of a 14 year old girl with SLE who developed neurological involvement in the form of posterior internuclear ophthalmoplegia (pINO). An MRI showed lesion involving pons which corroborated with the pINO.
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Affiliation(s)
- I Dutta
- Medicine Department, PD Hinduja National Hospital and MRC, Mumbai
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Balakrishnan C, Mittal G, Mangat G, Bhaduri A, Deshpande RB, Agarwalla N, Joshi VR. Blind conjunctival biopsy as an aid to the diagnosis of sarcoidosis. J Assoc Physicians India 2000; 48:656-8. [PMID: 11273556] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/19/2023]
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Sule A, Gohar S, Mittal G, Balakrishnan C, Mangat G, Joshi VR. Neuroleptic malignant syndrome occurring in a suspected case of systemic lupus erythematosus. J Assoc Physicians India 2000; 48:437-8. [PMID: 11273184] [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: 04/16/2023]
Abstract
The case of a 40 year old female patient of SLE who developed fatal neuroleptic malignant syndrome following administration of serenase (haloperidol) is reported. Relevant literature has been reviewed.
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Affiliation(s)
- A Sule
- Division of Medicine and Rheumatology, PD Hinduja Hospital and Medical Research Centre, Mumbai
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Balakrishnan C, Mangat G, Mittal G, Joshi VR. Isonex prophylaxis in cases of SLE on immunosuppressive therapy. J Assoc Physicians India 2000; 48:366. [PMID: 11229138] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/19/2023]
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Kini S, Mittal G, Balakrishna C, Mangat G, Hegde AV, Joshi VR. An unusual systemic presentation of gout. J Assoc Physicians India 2000; 48:354-5. [PMID: 11229128] [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: 02/19/2023]
Abstract
An elderly female presented with a systemic febrile illness and acute polyarthritis as the first manifestation of gout. She improved dramatically with anti-inflammatory therapy.
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Affiliation(s)
- S Kini
- PD Hinduja National Hospital and Medical Research Centre, Mahim, Mumbai 400 016
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Mittal G, Balakrishnan C, Mangat G, Joshi VR. High dose cyclophosphamide in the treatment of systemic lupus erythematosus. J Assoc Physicians India 1999; 47:747. [PMID: 10778607] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/16/2023]
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Abstract
Cytotoxic therapy, especially with cyclophosphamide in the dose 8-20 mg/kg used as intermittent pulses, has been shown to improve both patient and renal survival in systematic lupus erythematosus (SLE), but to date there is no cure for the disease. Owing to the paucity of recognisable clones, the rationale and goal of cytotoxic immunosuppressive therapy in the treatment of immune-mediated diseases as against malignancies is to suppress the aberrant inflammation and immune-mediated reactions responsible for tissue damage, without dangerously suppressing the normal host defence mechanism(s). We report the case of a patient suffering from SLE with nephritis who has remained in sustained remission over the past 8 years without any maintenance therapy following an accidental administration of a single dose of 5000 mg of intravenous cyclophosphamide (44.2 mg/kg body weight). The patient recovered fully from pancytopenia following the injection. Presently, she is asymptomatic and working gainfully. Her laboratory parameters including blood counts, urine analysis, FANA and anti-dsDNA have reverted to normal. Cyclophosphamide in the dose of 30-160 mg/kg has been safely and effectively used in various neoplastic conditions with the aim of destroying every possible tumour cell. The experience of the present case suggests that such an approach may be applicable to SLE.
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Affiliation(s)
- G Mittal
- Rheumatology Division, P.D. Hinduja National Hospital & Research Centre, Veer Savarkar Marg, Mahim, Mumbai, India
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Abstract
Two dimensional echocardiography with doppler examination was performed in 54 patients with systemic lupus erythematosus (SLE). Nine (17%) had significant cardiac involvement (four left ventricular hypertrophy, one moderate pericardial effusion, one severe aortic regurgitation, and three ventricular systolic dysfunction). We further studied diastolic function in 45 patients who did not have a major abnormality in echo. SLE was graded as active in 16 patients (SLEDAI > 5) and inactive in 29 patients. Twenty age- and sex-matched subjects acted as controls. The data were compared using one way ANOVA test. Patients with active disease had significant diastolic dysfunction compared to inactive patients and controls as indicated by increased peak A (P < 0.01) and decreased E/A ratio (P < 0.01). There was no linear correlation between disease activity and diastolic dysfunction if SLEDAI was considered as a continuous variable (r=0.29 for E/A). Anticardiolipin antibodies (both IgG and IgM) were elevated in five patients (13 studied). One of them had severe mitral regurgitation, one had trace mitral and aortic regurgitation and one had diastolic dysfunction. We conclude that asymptomatic diastolic dysfunction is present in SLE patients.
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Affiliation(s)
- S Kalke
- Rheumatology Division, P.D. Hinduja National Hospital & Medical Research Centre, Mumbai, India
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Joshi VR, Mangat G, Balakrishnan C, Mittal G. Osteoporosis--approach in Indian scenario. J Assoc Physicians India 1998; 46:965-7. [PMID: 11229226] [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: 02/19/2023]
Affiliation(s)
- V R Joshi
- PD Hinduja National Hospital and Medical Research Centre, Veer Savarkar Marg, Mahim, Mumbai 400 016
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Balakrishnan C, Mangat G, Mittal G, Joshi VR. Tuberculosis in patients with systemic lupus erythematosus. J Assoc Physicians India 1998; 46:682-3. [PMID: 11229272] [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: 02/19/2023]
Abstract
In a retrospective analysis of 146 systemic lupus erythematosus (SLE) patients seen over a 5 year period, 17 patients of tuberculosis (TB) were identified yielding a prevalence rate of 11.6%. The median duration of SLE was 12 months (range 2-96 months) and 12/17 patients had disease activity score of more than five. The median duration of steroid treatment was 12 months (range 0-96 months) and the median cummulative dose of steroid was 7.75 gms (range 0-22.1 gms). Pulmonary TB (miliary-5, nonmiliary infiltrates-7 and pleural effusion-2) was the commonest type and there was an average diagnostic delay of approximately 1 month. While, majority of the patients responded adequately to treatment, 1 patient had a relapse and 1 expired due to a combination of active lupus and disseminated TB. Only 1 patient had received prophylactic isoniazid.
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Affiliation(s)
- C Balakrishnan
- Rheumatology Unit, PD Hinduja Hospital and Medical Research Centre, Veer Savarkar Marg, Mahim, Mumbai-400 016
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Kalke S, Jankharia B, Balakrishnan C, Mangat G, Khomani R, Chinoy RJ, Agarwala S, Deshpande RB, Joshi VR. Evaluation of the knee pathology by ultrasonography. J Assoc Physicians India 1998; 46:623-4. [PMID: 12152847] [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: 02/26/2023]
Abstract
Fourteen patients undergoing total knee replacement for the arthritic conditions of the knee were evaluated by ultrasonography (USG) prior to surgery. USG findings (synovium, fluid, femoral cartilage, cyst and loose bodies) were compared with surgical findings. USG and surgical findings matched for synovial pathology in 57%, for presence fluid in 71% and for cartilage damage in 45%. Loose bodies and cyst present in one patient was not picked up by USG. Baker's cyst was detected in one patient.
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Affiliation(s)
- S Kalke
- Rheumatology Division, PD Hinduja National Hospital and Medical Research Centre
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Kalke S, Kulkarni B, Balakrishnan C, Mangat G, Karve SR, Deshpande RB, Joshi VR. Cytomegalovirus pneumonia in a rheumatoid arthritis patient on low dose methotrexate. J Assoc Physicians India 1998; 46:554-6. [PMID: 11273258] [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: 04/16/2023]
Affiliation(s)
- S Kalke
- Rheumatology Division, Medicine Department, PD Hinduja National Hospital and Medical Research Centre, Veer Savarkar Marg, Mahim, Mumbai 400 016
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Balakrishnan C, Mangat G, Kalke S, Desai D, Joshi A, Deshpande RB, Joshi VR. The spectrum of chronic autoimmune hepatitis. J Assoc Physicians India 1998; 46:431-5. [PMID: 11273283] [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: 02/19/2023]
Abstract
Autoimmune hepatitis (AIH) is characterised by the presence of periportal hepatitis coupled with the presence of autoantibodies in the serum. We report our experience with 10 cases (females--8, males--2) who presented to the rheumatology clinic with either articular or extra-articular manifestations. Three patients (1 SLE, 1 Sjogren's and 1 RA), satisfied the criteria for an underlying rheumatic disease (secondary AIH) while, others had primary AIH. Median duration of hepatic involvement was 6 months and the varied presentations were noted. Articular disease ranged from arthralgias, palindromic arthritis to persistent non-erosive/non-deforming arthritis (Jaccoud's arthritis). Autoimmune thrombocytopenia was seen in 2 and autoimmune hypo and hyperthyroidism were seen in 3 patients each. Anti-nuclear antibody was positive in 9/10 (6 with speckled pattern and 3 with homogenous pattern) and anti-mitochondrial antibodies were positive in three. Hepatitis C virus (HCV) markers were positive in 1, who probably had viral hepatitis with dominant autoimmune features. All have been started on steroids (5 patients--1 mg/kg dose, 1 patient--0.5 mg/kg dose and 3 patients--0.25 mg/kg dose). The HCV positive patient was on a low dose steroid (0.25 mg/kg) and interferron treatment was contemplated before she was lost to follow up. Four patients are also on azathioprine in the dose of 2 mg/kg/day. Of the 6 patients who are under regular follow up, the liver parameters have normalised in 5 and one showed hypoalbuminaemia with normal enzyme levels at the last follow up.
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Affiliation(s)
- C Balakrishnan
- Division of Rheumatology, PD Hinduja National Hospital and Medical Research Centre, Mumbai
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Balakrishnan C, Mangat G, Mittal G, Joshi VR. Hypovitaminosis D in patients attending a rheumatology clinic at a tertiary referral centre. J Assoc Physicians India 1998; 46:403. [PMID: 11273338] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/16/2023]
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Kalke S, Balakrishnan C, Mittal G, Mangat G, Joshi VR. Complications with low dose methotrexate in rheumatoid arthritis. J Assoc Physicians India 1997; 45:903-4. [PMID: 11229210] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/19/2023]
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Venkatachalam S, Balakrishnan C, Mangat G, Deshpande RB, Chinoy R, Joshi VR. Destructive bone lesion in primary amyloidosis. J Assoc Physicians India 1996; 44:351-3. [PMID: 9282593] [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: 02/05/2023]
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Venkatachalam S, Balakrishnan C, Mangat G, Kanekar S, Niranjan A, Sainani RG, Joshi VR. Central nervous system toxoplasmosis in acquired immune deficiency syndrome. J Assoc Physicians India 1995; 43:427-30. [PMID: 8906950] [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: 02/03/2023]
Affiliation(s)
- S Venkatachalam
- National Health and Education Society, PD Hinduja National Hospital and Medical Research Centre, Veer Savarkar Marg, Mahim, Bombay
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Balakrishnan C, Venkatchalam S, Mangat G, Pathak A, Kapadia A, Joshi VR. Dermatomyositis with malignancy. J Assoc Physicians India 1995; 43:287-8. [PMID: 8713271] [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: 02/01/2023]
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Balakrishnan C, Mangat G, Joshi VR. Anaemia and raised erythrocyte sedimentation rate. J Assoc Physicians India 1995; 43:303. [PMID: 8713282] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
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Agrawal V, Biswas J, Madhavan HN, Mangat G, Reddy MK, Saini JS, Sharma S, Srinivasan M. Current perspectives in infectious keratitis. Indian J Ophthalmol 1994; 42:171-92. [PMID: 10576995] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/14/2023] Open
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Javle M, Mangat G, Balakrishnan C, Joshi VR. Upper esophageal spasm in systemic sclerosis. J Assoc Physicians India 1993; 41:545-6. [PMID: 8294373] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
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Abstract
Seventy consecutive patients with definite or classical RA attending a University Hospital Rheumatology Clinic in Malaysia, were compared with an age, sex, disease duration matched group of RA patients seen in a British University Hospital. There were no differences in measures of disease activity, overall functional status or serological status in the two groups. However significant differences were seen in both the articular and extra-articular manifestations of the disease in the two countries. British patients had more severe disease in the feet, and a higher prevalence of nodules, vasculitis and pulmonary fibrosis. The Malaysian population had fewer erosions, more frequent involvement of the wrists and cervical spine, and a much higher incidence of secondary sicca syndrome. Radiographic changes were generally milder in Malaysian patients. Possible reasons for these differences in the expression of RA in the two countries are discussed.
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Affiliation(s)
- K Veerapen
- Department of Medicine, University Hospital, Kuala Lumpur, Malaysia
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Mangat G. DISH--a common but ignored entity. J Assoc Physicians India 1991; 39:917-8. [PMID: 1816216] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
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