Journal of the Indian Medical Association
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Kikuchi's disease, or histiocytic necrotising lymphadenitis, is an uncommon and unique form of self-limiting lymphadenitis and typically affects the head and neck regions. The most common clinical manifestation is cervical lymphadenopathy, with or without systemic signs and symptoms. ⋯ CT scan showed enlarged lymph nodes with hypodense centres and peripheral ring enhancement. As Kikuchi's disease can be cured by steroid, its diagnosis can prevent unnecessary surgery.
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Low back pain is very common complaint in all age groups. Paracetamol, non-steroidal anti-inflammatory drugs and muscle relaxants are commonly prescribed in combination for the treatment of back pain. The aim of the study was to evaluate efficacy and safety of fixed dose combination of aceclofenac + paracetamol + thiocolchicoside (acenac-MR) in the treatment of acute low back pain. ⋯ As per investigators' assessment about tolerability, 60 % of patients reported excellent, 36.66 % good and 3.33 % reported poor tolerability. None of the patients discontinued the therapy due to side-effects. Result of this study showed that aceclofenac + thiocolchicoside + paracetamol significantly reduced intensity of pain and improve the mobility of the patients.