ABSTRACT
Black hairy tongue (BHT) also known as Lingua villosa nigra is an acquired, benign condition which is characterized by abnormally hypertrophied and elongated papilliform papillae on the dorsal surface of the tongue. Apart from black; it may also appear brown, yellow, green or blue. BHT typically causes aesthetic concerns to the patient. Gagging, nausea, dysgeusia, xerostomia, burning mouth syndrome and halitosis can be the very rare presenting complaints in some patients. In India, however, black tongue is believed to associate with witches and unfortunate doom spellers. We are reporting a case of olanzapine induced BHT who became a victim of very popular but irrational myth in Indian society.
ABSTRACT
Angiotensin converting enzyme inhibitors (ACE I) and angiotensin receptor blockers (ARBs) are commonly prescribed as antihypertensive drugs and they also show similar side effects. However ARBs are well tolerated than ACE I with low incidence of side effects. Both these classes of drugs can rarely cause angioedema but it is extremely rare with ARBs. The exact pathogenesis of angioedema with ARBs is not known but it has been postulated to be due to activation of complement system and or other pro inflammatory cytokines like prostaglandins and histamine. We report a case of 30 year old male patient who was taking losartan for control of blood pressure but presented with facial swelling and submandibular edema thus suggestive of losartan induced angioedema.
ABSTRACT
Background: Anganwadi workers (AWW) are India’s primary tool against the menace of child malnourishment, infant mortality, and lack of child education, community health. The anganwadi workers should have basic knowledge of treatment of minor ailment. So with this aim this study was planned to assess the existing knowledge regarding minor ailments of children among anganwadi workers problems and in curbing preventable diseases. Methods: The present study was conducted in the Department of Community Medicine SGRDIMSAR, Amritsar. By adopting stratified random sampling technique, 5 AWW were selected per each training session. A pre- designed and pre-tested questionnaire prepared was used to collect information from AWW. Pre-test and post-test assessment to determine the knowledge of minor ailments among AWW was done. The data collected was statistically analysed using SPSS 20.0 version. Results: The study revealed that out of 135 AWW, 40% were in the age group of 25-45 years. Only 8.9% AWW were aware that a neonate should be referred in case he suffers from any of these conditions i.e. hypothermia, jaundice, fever. Awareness about newborn care practices was observed to increase with increase in education level. There was statistically significant improvement in the knowledge regarding minor ailments in post-test scores of AWWs. Conclusions: Anganwadi workers are India’s primary tool against the scourges of child malnourishment, infant mortality and curbing preventive diseases such as most minor ailments.
ABSTRACT
A 60-year-old male, laborer by occupation, presented with an ulcerative lesion of medial canthus in the left eye along with infiltration and adhesion of lids to globe. He had decreased vision and restricted extraocular movements. Exenteration with skin grafting was done. Histopathologically it was diagnosed as periocular metatypical cell carcinoma with scleral infiltration. Any suspicious lesion should be diagnosed and treated early so as to prevent such extensive damage.