ABSTRACT
Pregnancy is diabetogenic and characterized by increased insulin resistance. This review article discusses the definition, diagnostic criteria, maternal risk factors, classification of severity of diabetes in pregnancy, the effect of pregnancy on diabetes and the effect of diabetes on pregnancy and put some recommendations for dealing with the problem
Subject(s)
Humans , Female , Diabetes, Gestational/complications , Pregnancy in Diabetics/complications , Diabetes Mellitus, Type 2 , Obesity , Fetus , Congenital Abnormalities , Insulin ResistanceABSTRACT
Post kala azar dermal leishmaniasis [PKDL] is a condition that develops after treatment of kala azar. We report on 42 patients with suspected PKDL, 40% of whom were children. Diagnosis was made though investigation of family history of kala azar, clinical examination and the use of laboratory investigations, such as skin smear, skin biopsy, bone marrow aspiration and the leishmanin skin test. Regarding the lesions, 24 patients [57%] had papular lesions, 10 [24%] had hypopigmented maculopapular lesions and 8 [19%] had nodular lesions. The lesions of PKDL may be confused with other dermatological diseases and therefore it is important that clinicians and pathologists collaborate in diagnosing such cases