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EDITORIAL
Year : 2018  |  Volume : 15  |  Issue : 4  |  Page : 181

Editorial


Editor in Chief, Department of Pediatrics, Indraprastha Apollo Hospitals, New Delhi, India

Date of Web Publication5-Dec-2018

Correspondence Address:
Dr. R N Srivastava
Department of Pediatrics, Indraprastha Apollo Hospitals, New Delhi - 110 076
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/am.am_87_18

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How to cite this article:
Srivastava R N. Editorial. Apollo Med 2018;15:181

How to cite this URL:
Srivastava R N. Editorial. Apollo Med [serial online] 2018 [cited 2018 Dec 15];15:181. Available from: http://www.apollomedicine.org/text.asp?2018/15/4/181/246901



The last issue of Apollo Medicine for 2018 has a special section that reports certain uncommon neurological conditions. Renjen has commented on these.

Swain et al. discuss antimicrobial properties of cerumen, which is produced by sebaceous glands in the external ear. It has barrier and has antimicrobial functions and usually does not require removal.

Rath et al. investigated the susceptibility of Candida species to several antifungal agents isolated from urine in patients while being managed in neuroscience intensive care unit. Candida albicans was the most common organism. Itraconazole was found to show the highest susceptibility, which was related to the species isolated. They emphasize the need for identification of the Candida species and appropriate use of antifungal drug.

Gupta et al. have reviewed the conditions caused by deposition of crystals of calcium pyrophosphate in the joints, referred to as chondrocalcinosis. These are common but not well understood. The joint afflictions need to be differentiated from gout, osteoarthritis and inflammatory conditions. There is no specific treatment clinical course is variable with supportive measures. The knee joint is more severely affected and occasionally joint replacement may be required.

Narasimhan et al. have reported their observations on physiological introversion of lower limbs in children. They mention the difficulty of obtaining accurate measurements in young children, but emphasize that imaging methods involving radiation should be avoided. The abnormality was found to improve with age. Explanation of the condition to the family and their cooperation in the management are essential.

Parmaeswaran has reported an analysis of the conditions for which the patients visited an orthopedic hospital at Vadodara, Gujarat, India. Tendon and ligament tears and muscle pulls comprised 62% of all acute problems.

Several interesting case reports are included.

Jindal et al. described a case of carcinoma of pancreas with meningeal metastasis, which is a rare complication. Swain reported a case of a rapidly growing, huge rhabdomyosarcoma in the cervical region, in a 1-year-old child. Such tumors carry a poor prognosis, unless detected early and subjected to chemotherapy and radiation. Srinath et al. presented a case of mucinous appendiceal adenocarcinoma with umbilical metastasis manifesting as a nodule. The umbilical nodule or a mass is referred to as Sister Mary Joseph nodule and is usually caused by abdominal malignancy.

Das et al. reported a case of parathyroid crisis in a 41-year-old woman who was symptomatic for over 2 years, but the condition was surprisingly missed by different specialists. A large parathyroid adenoma was surgically removed, following which she showed remarkable improvement.

Kapoor et al. report repairing tendoachilles that sustained total cut due to injury from glass. Open invasive repair and early rehabilitation result in satisfactory outcome. Yadav et al. report occurrence of dislocation of elbow and radiocarpal fracture dislocation in 31 year old man following fall from a height. Such injury is usually seen in children.

Patil had reviewed the use of imaging modalities in the diagnosis of various syndromes that result from vascular compressions in abdomen and pelvis. Clinical features require careful evaluation. Computed tomography scanning and magnetic resonance imaging demonstrate the abnormality.

We gratefully acknowledge the expert assistance of our reviewers.






 

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