Cystatin C: An Early Marker of Cardiac Complications in Diabetics.

Introduction: Cardiovascular disease is one of the common complications of Diabetes mellitus. Serum Cystatin C level has been suggested as a marker for cardiac complications in diabetes. Material and Methods: We studied serum Cystatin C level in Diabetics to fi nd if correlation exists between cardiac complications and elevated Cystatin C levels. Results: A total of 50 diabetics were studied out of whom 25 had cardiac complications and the rest did not have cardiac complications. No signifi cant diff erence was observed between Serum Cystatin C levels of diabetics with cardiac complications (mean 1∙5±0∙45) and diabetics without cardiac complications (1∙4±0∙46) although Cystatin C levels were found to be elevated in diabetic cases. Conclusion: Keeping in view the signifi cant diff erence (p=0∙000) in Cystatin C levels of healthy and diabetic patients, it is reasonable to accept the importance of Cystatin C as an indicator of diabetes and its associated complications.

Ingrowing Toe Nail : Results of Surgical Matricectomy

Ingrowing toenail is a common problem causing lot of discomfort and morbidity. Though a variety of methods have been adopted including conservative treatment, nail excision, partial/complete matricectomy and even amputation of distal part of big toe, but to date no ideal treatment exists. In this study 50 patients with ingrowing toenail were treated by nail excision with surgical segmental matricectomy. The patients were mobile by 24 hrs, were able to perform normal activities by the end of second week and showed complete healing by the end of fourth week. There was no recurrence. The method was found satisfactory for treatment of ingrowing toenail.