RESUMO
Duodenal tuberulosis is uncommon. We present here a case of duodenal tuberculosis who presented with pain abdomen, vomiting and fever. Duodenoscopy revealed deep irregular ulcers in duodenum. Histopathology of duodenum showed features of tuberculosis.
RESUMO
The study was carried out to investigate the prevalence of endemic fluorosis in J&K State and cause of non-ulcer dyspepsia. A total of 1,61790 individuals in the age range of 5 to 70 years were studied. In district, Doda 90% of the population studied were suffering from dental fluorosis, 12% were having skeletal deformities as well as bony pains and 60% ofthe population above the age of 25 years were suffering from dyspepsia. In other districts only 26% of the population studied were having dental fluorosis, 7% had skeletal deformities and 42% were suffering from dyspepsia. The nuoride content in water of different sources ranged from 1.153 to 27.216 PPM. Two hundred patients suffering from dental and skeletal fluorosis, having severe symptoms of upper gastrioilllcstinal tract like retrosternal burning distention ofabdomen, pain epigastrium, sour eructations and excessive flatulence or constipation were studied alongwith 10 control normal subjects. Upper gastrointestinal endoscopy studies showcd that 82 patients had mild to moderate antritis and pyloritis, 35 had multiple erosions in stomach, 36 had duodenitis and 47 had normal study. Histopathological examination of biopsies of stomach and jejunum revealed non-specific changes but scanning electron microscopic examination showed scanty microvilli or bald epithelium of the nlucosa, surface abrasions, desquamated epithelium and classical cracked clay appearance. This study concludes that fluorosis is in endemic form in J&K State and non-ulcer dyspepsia 'is very common in these patients because of drinking of highly fluoridated waler.