Tuberous Sclerosis in a Child.

A female child presented with the complaints of seizure and learning difficulties. On examination various types of skin lesion were found, including adenoma sebacum, hypomelanic macules ("ash leaf spots"), Shagreen patches. On investigation, CT scan of brain showed subepedymal nodule in walls of ventricle. B scan of eyes revealed multiple tiny nodular lesions in posterior chamber of eyes called astrocytic hamartomas (or "phakomas"). Antiepileptic drugs started, now patient is seizure free.

Congenital Lamellar Icthyosis (Collodion Baby).

Lamellar ichthyosis, also known as ichthyosis lammellaris and nonbullous congenital ichthyosis, is a rare inherited skin disorder, affecting around 1 in 600,000 people the images of this rare variety of skin disorder has been presented here.

Use of Verbal Autopsy as a Proxy to Determine the Possible Cause of Neonatal Deaths.

Introduction: Information on causes of death is extremely important for policy making, planning, monitoring, field research, future management statergies and epidemic awareness. The best method of finding the cause of death is by post mortem examination but since this is difficult, post death analysis by verbal autopsy is a good method to determine the same. Objective: To asses the role of verbal autopsy method in the investigation of neonatal death and to determine the probable, causes of neonatal death. Materials and Methods: A pre-tested questionnaire in Hindi was administered to 50 mothers and/or next of kin or other care givers of the deceased residing in villages around 200 Kms. of Bhopal and in urban slums of Municipal Corporation, Bhopal. Results: 84 % of the total death occurred with in seven days of birth, 88 % of death occurred in villages where health facilities were available. As per verbal autopsy 36 % and 20 % of the infants died because of Birth asphyxia and Respiratory Distress Syndrome respectively and further 2%, 4% and 6% because of neonatal tetanus, hypothermia and other causes respectively. Conclusion: Verbal autopsy could be one of the possible cost effective and a reliable tool for determining the causes of neonatal deaths at present.

Fournier’s Gangrene in a Neonate: A Case Report.

A 15 days newborn presented to paediatric OPD for evaluation of abdominal distension, not accepting feed properly and scrotal swelling. On examination gangrene was found on the scrotum, blood culture showed growth of streptococcal organism. Patient was treated with 3rd generation cephalosporin and local debridement of gangrenous scrotal tissue. Wound got healed by secondary intention and patient was discharged alive and healthy. The outcome of treatment of Fournier’s gangrene in neonate is good.