Acute Painful Peripheral Diabetic Neuropathy: A Life Limiting Morbidity and it’s Treatment

Diabetes is a pandemic disease and the painful neuropathy is one of the most debilitating complications. It is characterized by constant, sudden onset burning pain along with paresthesia and intermittent sharp, shooting pain, usually involving the extremities. It handicaps the daily activities of the patient, interferes with sleep and also affects the mood. Case: We report the case of a 30-year-old male, with Type 1 DM who presented with complaints of painful neuropathy in the lower extremities. Conclusion: Painful neuropathy is an increasing threat and is often not detected or misdiagnosed due to inconsistent definitions and lack of diagnostic criteria. The knowledge of this condition in very important not only to diagnose it but also to appropriately manage a case, from the widely available pharmacological options.

Rheumatoid Arthritis- Unique Combination of Rheumatic, Cardiac and Pulmonary Manifestation of a Multisystem Disorder

Rheumatic arthritis is a common inflammatory disease but combination of cardiac valvular dysfunction involving aortic valve calcification, tricuspid regurgitation and right atrioventricular enlargement with interstitial involvement of lung is very rare manifestation of this multisystem disorder.