Symptomatic Papillary Fibroelastoma- Case Report and Literature Review.

Primary cardiac tumors represent a small subset of cardiac neoplasms. The papillary fibroelastoma (PFE) is a benign tumor that typically affects the cardiac valvular system and is second in prevalence only to myxomas. Though typically asymptomatic and diagnosed incidentally, few patients with PFE may also experience neurologic and cardiac symptoms that prompt further diagnostic investigation. We present a case of a patient with transient monocular vision loss with a later occurrence of bilateral lower extremity weakness and confusion over a short period of time. The alarming symptomatology eventually led to diagnosis by transesophageal echocardiogram of a PFE involving the aortic valve. We include a review of the current literature on PFE to further elucidate etiology of this neoplasm, symptomology, prognosis, and treatment. Currently, the role of anticoagulation in PFE remains unclear. Due to the embolic nature of this neoplasm as evidenced by the case presentation, surgical resection, anticoagulation or a combination of both provides patients with maximal prevention of stroke.

Evaluation of oral health status, salivary characteristics and dental caries experience in down’s syndrome children.

Background and Objectives : A positive correlation between Salivary characteristics and caries resistance in adults has been reported in literature. Such a correlation is also observed in Down’s syndrome population but lacks sufficient data support. AIM: The present study was conducted to Evaluate and correlate the Oral Health Status, S mutans level, Salivary Flow Rate, salivary pH, Buffering capacity, Calcium level, phosphorus level, IgA level of saliva, and Dental caries experience in Normal healthy children and Downs syndrome children. Methodology: The study population consisted of 60 subjects aged 8-14 years who were divided into two groups: 60 children (30 normal and 30 Down’s syndrome children). Clinical examination was done and the study population was examined for the assessment of dental caries status (WHO 2004) and oral hygiene status (OHI -S Index). Unstimulated total saliva samples were collected. Results & Conclusion: In DS subjects, oral hygiene status and dental caries were insignificant whereas other parameters were highly significant prevalence of dental caries was high and oral hygiene status was not properly maintained when compared to the normal subjects.