Adult respiratory distress syndrome following aluminium phosphide ingestion. Report of 4 cases.

Four cases of adult respiratory distress syndrome (ARDS) following aluminium phosphide ingestion (ALP) are being reported. The dose of the intoxicant varied from 2 tablets (6.0 gm) to 3 tablets (9.0 gm). All patients had shock at admission and developed ARDS within 6 hours. The exhalation of Phosphine, (PH3) detected by positive silver nitrate paper test, was the possible noxious triggering factor in our cases. The cases are being reported because of their rare occurrence.

Ear-lobe crease and ear-canal hair as predictors of coronary artery disease in Indian population.

215 patients of different communities were selected randomly to predict the correlation between the ear-lobe crease, ear-canal hair and coronary artery disease. On analysis, it was found that prevalence of the ear-lobe crease increases with advancing age, and the incidence was much more higher in Sindhis in whom the overall incidence of CAD is also significantly high. Bilateral diagonal ear-lobe crease was found to be significantly (P less than 0.001) associated in patients with documented CAD, and a significant difference was also observed between men with and without CAD in the presence of ear-canal hair with age matched group. The combined presence of ear-lobe crease and ear-canal hair was more definite and more sensitive index of underlying CAD.