ABSTRACT
Hepatitis B Virus (HBV) infection is a menace worldwide as a major cause of morbidity & mortality through its consequences viz. acute hepatitis, chronic active, or persistent hepatitis, cirrhosis of liver and primary hepatocellular carcinoma. A total of 127 'HBsAg positive' patients were studied for 'HBeAg' by serum ELISA. Patient's aged between 11 to 60 years with a mean age 27.11. Out of 127 'HBsAg positive' cases 19 (14.96%) were 'HBeAg positive', of which maximum (21.43%) were among <20 years age group. Among 106 male patients 15 (14.155) & among 21 female patients 4 (19.055) were 'HBeAg positive'. Often the initiation of therapeutic approach remains a dilemma in absence of laboratory assessment of viraemic load or presence of HBV DNA through PCR or other DNA hybridization techniques. In such situations, alternatively, a significantly serum 'HBeAg' among 'HBsAg positive' patients may be taken as a surrogate marker for acute viral replication, and, thus apply justifying the initiation of antiviral chemotherapy without delay.
ABSTRACT
Noonan’s syndrome is an autosomal dominant disorder with a webbed neck that mimics turner syndrome. However, the syndrome has also been found to be genetically heterogeneous. Noonan syndrome is characterized by short stature, hyperkeratosis of skin, distinct facial features, lymphoreticular abnormalities, nail dystrophy. No abnormality in chromosome number has so far been reported. Here we present a 25 year old female who came to Bangladesh Medical College Hospital in May’08, with generalized skin eruptions and left leg swelling.