Background: We proposed hypothesis that obese and lean Indian type 2 diabetes mellitus patients would have diverse insulin secretory function clinical representation. conducted a study to compare serum Insulin, C-peptide levels, profile in patients. Materials Methods: Two hundred (100 underweight 100 obese) were selected. Underweight (lean) was defined as BMI <18.5 kg/m2 ≥ 25 according world health organization (WHO) Asia Pacific criteria. The demographic characteristics, profile,...

Recent literature has reported that radiological features of coronavirus disease (COVID-19) patients are influenced by computed tomography. This study aimed to assess the characteristic chest X-ray COVID-19 and correlate them with clinical outcomes patients. retrospective included 120 Baseline X-rays serial were reviewed. A severity index in form maximum assessment lung edema (RALE) score was calculated for each lung, scores both lungs summed obtain a final score. The mean ± standard...

Background: Protein-energy wasting (PEW) and heightened inflammation are prevalent in patients undergoing continuous ambulatory peritoneal dialysis (CAPD) is a strong risk factor for morbidity mortality these patients. Evaluation of PEW, prevalence as well interrelationship between various nutritional indices has not been studied much detail CAPD. Objectives: This study was conducted to evaluate the PEW Patients Methods: Sixty-three CAPD (M = 28, F 35) were assessed with regard their status...

Background: Milky urine can be due to chyluria or lipiduria nephrotic syndrome. Filarial usually responds medical management while non-filarial cases may require surgical intervention. Aim: To perform a prospective observational study in patients presenting with milky our centre over period of one year from July 2011 June 2012, complete biochemical work up and imaging find out the site leakage lymph if it is case chyluria, its response requirement Materials Methods: Routine blood...

Acute kidney injury (AKI) is common after cardiac surgery, the incidence varying between 7.7% and 28.1%. It significantly increases morbidity mortality. Creatinine considerably delays diagnosis with its own attended demerits. Novel urinary biomarkers are emerging which help in rapid thus reducing Biomarkers of our study were neutrophil gelatinase-associated lipocalin (NGAL) Interleukin-18 (IL-18).To find out AKI post-cardiac surgery patients hospital, ability two early predicting severity...

Cardiovascular biomarkers such as N-terminal pro-B-type natriuretic peptide (NT-proBNP), cardiac troponin T (cTnT), hs-CRP (high sensitivity C-reactive protein), and albuminuria predict underlying heart disease in the general population well CKD patients.We aimed to study association of NT-proBNP, cTnT, hs-CRP, spot urine albumin creatinine ratio with carotid intima media thickness (CIMT) for cardiovascular risk estimation predialysis (chronic kidney disease) patients.This cross-sectional...

Various extraglomerular disease processes have been associated with drug-induced secondary minimal change (MCD). In a majority of cases, preferably, hypersensitivity reaction appears to be involved, and in some there is direct toxic effect over glomerular capillaries. There are several reports demonstrate that rifampicin has various nephrotoxic adverse effects, but rifampicin-induced (MCD) very rare. Here, we report the case young adult male who presented nephrotic proteinuria bland urine...

Type 1 renal tubular acidosis (RTA), or distal RTA (dRTA), is a disorder of acidification, which generally asymptomatic but may rarely present as hypokalemic paralysis. Here, we report the case young male who presented with sudden onset weakness all 4 limbs and 2-month history swelling legs. An investigation revealed hypokalemia, metabolic acidosis, nephrotic syndrome. Additional analyses normal anion gap positive urine dRTA. Renal biopsy showed evidence membranous nephropathy (MN). The...

Postinfectious glomerulonephritis (PIGN) is primarily a disease of childhood. It occurs after upper respiratory tract infection or skin infections. Streptococcus the most common causative agent, but in elderly, staphylococcus main culprit. In adults, PIGN more immunocompromised patients, particularly diabetics and alcoholics. Here, we report case an elderly diabetic male who presented with severe acute kidney injury active urinary sediment gastroenteritis. Additional analyses revealed very...

© 2008. Indian Society of Medical and Paediatric Oncology. This is an open access article published by Thieme under the terms Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying reproduction so long as original work given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/.)

eicosanoids.There is systemic vasodilation and increased vascular permeability that leads to an increase uptake of venom by the blood vessels, which quickly spreads decreases renal perfusion causing ischemic injury.Apamin a peptide acts as neurotoxin degranulation mast cells.Histamine mostly culprit damaging endothelium, it can cause lysis leukocytes, red cells platelets.It has also been described direct toxic effect on skeletal muscles rhabdomyolysis myocardial necrosis [6].The resultant...

Background: Cardiac biomarkers N-terminal pro-B-type natriuretic peptide (NT-proBNP), cardiac troponin T (cTnT), hsCRP and Albuminuria, predicts underlying heart disease in the general population as well CKD patients.Objective: To study association of NT-proBNP, cTnT, hsCRP, spot urine albumin creatinine ratio with left ventricular mass index (LVMI) for cardiovascular risk prediction predialysis patients.Methods: Cross section included a total 120 adult patients.40 patients each group stage...

Background: Novel urinary biomarkers have always remained/continue to remain a fascinating area of exploration in the domain modern nephrology.They are promisingly convincing obviating major disadvantages creatinine setting Acute Kidney Injury (AKI).The specific novel tubular markers include Neutrophil Gelatinase Associated Lipocalin (NGAL), Interleukin-18 (IL-18), Molecule-1 (KIM-1), Hepatocyte growth factor, Osteopontin and Fatty acid binding proteins.Methods: Hundred patients who...

Full-house immunofluorescence and endothelial tubuloreticular inclusions are known as characteristic features of lupus nephritis. However, both not pathognomonic for A kidney biopsy specimen showing full-house pattern in the absence autoantibodies classical clinical Systemic Lupus Erythematosus (SLE) is now considered nonlupus nephropathy (FHN). Nonlupus FHN may be idiopathic or due to other disease processes secondary FHN. Here, we report case a 36-year-old female who presented with...

Introduction: The undifferentiated connective tissue disease (UCTD) is the clinical entity where patients share symptoms of different diseases but do not satisfy classification criteria American College Rheumatology for a particular disease.Case Report: A 62-year-old female was presented with multiple joint pain, Raynaud's phenomenon, alopecia, swelling legs, hardening skin fingers hands, and carpel tunnel syndrome.Antinuclear antibody test moderately positive.Antibodies to double-stranded...

International Journal of Case Reports and Images (IJCRI)International (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas basic medical sciences clinical specialties.Aim IJCRI to encourage the publication new information by providing a platform for reporting unique, unusual rare cases which enhance understanding disease process, its diagnosis, management clinico-pathologic correlations.

A successful PD program is dependent on the proper placement of permanent catheters, knowledge techniques and complications. Study outcomes 81 Coiled CAPD consecutive Tenckhoff catheter insertions by our nephrologists using open dissection surgical technique were reported.The major cause failure was infectious complications secondary to peritonitis 9.8 %. Peri operative 3.7% bleeding, no bowel injury observed. Mechanical Complications like 1.23% drainage failure, 2.4% migration,2.4% fluid...

Hyperkalemia is a potentially lethal electrolyte disorder, encountered by nephrologists and intensivists in emergency department. Symptoms of hyperkalemia are often nonspecific can ocassionally lead to life threatening cardiac arrhythmia. Here, we report the case an 86 years old diabetic female who presented with acute kidney injury severe serum potassium (9.3 mg/dl) that was out proportion fall estimated glomerular filtration rate (23.5 ml/min/1.73m2 ). Additional analyses revealed high...

Chronic myeloid leukemia (CML), BCR-ABL1-positive, is classified as a myeloproliferative neoplasm predominantly composed of proliferating granulocytes and determined to have the Philadelphia chromosome/translocation t (9;22)(q34;q11.2). Skin said be mirror systemic diseases, with skin manifestations ranging from nonspecific cutaneous lesions specific lesions. The CML are generally reddish-brown violaceous papules nodules, indurated or hemorrhagic plaques, perifollicular acneiform papules,...