The Journal of the Association of Physicians of India
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J Assoc Physicians India · Oct 2010
Case ReportsKikuchi fujimoto disease and systemic lupus erythematosus--a rare association.
Kikuchi-Fujimoto disease is rarely associated with systemic lupus erythematosus (SLE). Kikuchi Fujimoto disease may precede, follow or coincide with the diagnosis of SLE. We report a case who was initially diagnosed as Kikuchi Fujimoto disease with SLE. She is presently in remission after treatment of SLE.
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J Assoc Physicians India · Sep 2010
Case ReportsMyopathy presenting as a sole manifestation of hypothyroidism.
Myopathy as the sole manifestation of hypothyroidism is rare although muscle weakness, aches and cramps, stiffness and delayed tendon jerk relaxation are the usual features of hypothyroid associated myopathy. We describe a patient with primary hypothyroidism, presenting solely with a clinical picture of myositis with very high levels of creatine phosphokinase (CPK), which normalised after 12 weeks of treatment with levothyroxine.
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J Assoc Physicians India · Aug 2010
Case ReportsIntractable seizures and metabolic bone disease secondary to celiac disease.
Celiac disease (CD) is Gluten sensitive enteropathy with a wide spectrum of severity and protean clinical manifestations. Patients with atypical (non-diarrhoeal) presentations are missed as the diagnosis of Celiac Disease is not considered. We present three young girls (ages 18, 19, 23 at presentation) who were admitted to our hospital as intractable seizures. ⋯ The diagnosis of CD was confirmed by serologic tests (IgA transglutaminase and IgG antigliadin antibodies) and biopsy of the duodenum. In all patients gluten free diet not only provided drug free control of seizures but also helped correct other features of malabsorption like hypocalcaemia and anaemia as the primary pathology behind these symptoms was corrected. We wish to highlight that hypocalcaemia of CD which may present as intractable seizures can be treated only by treating CD with gluten free diet and not by oral vitamin D and Calcium alone.
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J Assoc Physicians India · Aug 2010
Case ReportsHypoparathyroidism--a cause of reversible dilated cardiomyopathy.
Hypoparathyroidism is associated with chronic hypocalcaemia which can have a variety of manifestations including cardiovascular changes. We describe here a case of primary hypoparathyroidism associated with systolic dysfunction of left ventricle presenting as a dilated cardiomyopathy in addition to other manifestations.