A comparative study on the renal function parameters and serum C reactive protein levels in relation to the severity of preeclampsia

Background: Preeclampsia is one of the major complications affecting the pregnancy. It is an important cause of both maternal and fetal morbidity and mortality worldwide. Aims and Objectives: The aim of the study was to assess the renal function and serum C reactive protein (CRP) levels in pre-eclampsia. Materials and Methods: Our study was a cross-sectional study conducted among 90 pregnant women in a tertiary care center in Kerala. The Institutional Ethics Committee approved the study. Blood urea, serum creatinine, and serum CRP levels were estimated in 30 normotensive pregnant women, 30 mild preeclamptic, and 30 severe pre eclamptic women. Statistical analysis was done. Results: The mean values of all the three parameters were highest in severe pre-eclampsia when compared to the normotensive pregnant women. The mean values in mild pre-eclampsia lies in between the values of other two groups. The results were statistically significant. Conclusion: Significant alteration in renal function tests and serum CRP levels prove to be an important indicator in assessing the severity of preeclampsia.

Serum 25-hydroxyvitamin D levels in patients with slipped upper femoral epiphysis - A physiological pre-disposition for an anatomical disorder?

Background: Slipped upper femoral epiphysis (SUFE) is a common adolescent hip disorder with a multifactorial etiology affecting the growth plate. 25-hydroxy (OH) Vitamin D has a main role in maintaining adequate bone mineralization. There are only few studies in India that relates the association between SUFE and serum 25(OH)vitamin D deficiency. Aim and Objective: The objective of the study was to estimate the serum levels of 25(OH)vitamin D in diagnosed cases of SUFE and to compare the levels with healthy controls. Materials and methods: Our study was a case–control study conducted in a tertiary care center. The Institutional Ethics Committee approved the study. Serum 25(OH)vitamin D levels in a total of 40 subjects including 20 confirmed cases of SUFE and 20 healthy controls were estimated and statistical analysis was carried out. Results: Serum 25(OH) vitamin D levels were found to be decreased in SUFE cases when compared to control group and the difference is statistically significant with P < 0.001 by independent t-test. Conclusion: Our study establishes the need for estimation of serum 25(OH) vitamin D levels in diagnosed cases of SUFE and adequate correction of the deficiency in its management.