Year : 2017 | Volume
: 14 | Issue : 3 | Page : 147-
Editor in Chief Department of Pediatrics, Indraprastha Apollo Hospitals, New Delhi, India
R N Srivastava
Indraprastha Apollo Hospitals, Sarita Vihar, New Delhi - 110 076
|How to cite this article:|
Srivastava R N. Editorial.Apollo Med 2017;14:147-147
|How to cite this URL:|
Srivastava R N. Editorial. Apollo Med [serial online] 2017 [cited 2018 Sep 25 ];14:147-147
Available from: http://www.apollomedicine.org/text.asp?2017/14/3/147/217370
The September issue of Apollo Medicine is the first since its publication was undertaken by the House of Wolters Kluwer. The aims and objectives of the Journal remain the same. We shall continue to publish original articles, reviews, instructive case reports, advances in medical technology and quality control. All material submitted will be subjected to careful peer review and standard editing practices.
The present number has reviews of two challenging problems. Renjen and Chaudhary highlight the difficulties in the evaluation of stroke, a major cause of death and mortality. Whereas the diagnosis of acute ischemic stroke is not difficult, there are some non-vascular conditions that mimic the features of stroke and several subtypes of strokes are recognized. The uncommon presentations of strokes (”stroke chameleons”) are discussed. Swain et al. have reviewed hearing loss, the most common type of sensory impairment. Hearing impairment is often congenital and part of several syndromes. Genetic alterations are responsible for about 50% in cases of congenital deafness. Mutations in the gene GJB2 encoding connexion 26 appear to be a common underlying cause. Genetic examination in nonsyndromic hearing loss can often lead to its early identification.
Mahdi et al. have examined risk factors in gastroesophageal reflux disease and correlated them with different grades of reflux. Their study suggests obesity, hiatus hernia, H. pylori infection and use of NSAID agents as being strong risk factors. Panda et al. have reported observations on the prognostic significance of glycemic control in patients with burn injury. Those managed with early insulin administration appeared to have a more favourable response. Oztekin et al. have examined the presence of alopecia areata in autoimmune thyroid disease. Their finding of a high incidence suggests that patients with alopecia areata should be screened for the presence of thyroid disorders. Shah et al. report on the management of aneurysmal bone cysts occurring in lower extremities. It is an uncommon condition leading to weakening and fracture of the affected part of the bone. The authors used non-vascularised fibular strut graft for reconstruction of bone cavities and observed that it was an effective and safe method.
A number of instructive case reports are included. Patil et al. identified bilateral renal lymphangiectasia characterised by dilatation of perireanl lymphatics, that resembled renal cystic diseases. Two unusual cases of acute encephalopathy are reported. The first patient had typhoid and presented with neurological symptoms and later complicated by disseminated intravascular coagulopathy. The other patient developed acute neurological manifestations like delirium, agitation and visual hallucinations during post partum period. She was found to have rhabdomyolyis, acute kidney injury and hypernatremia. MRI showed the characteristic wine glass sign suggestive of osmotic demyelination. Sahoo et al. report gynecomastia in a male patient with HIV infection while on treatment with Zidovudine, which completely regressed on discontinuation of this drug. Murthy et al. report Joubert's syndrome in siblings, a rare autosomal recessive condition characterised by agenesis of cerebellar vermis, retinal coloboma and multicystic kidney disease. Kodeeswaran et al. report a case where two rare conditions co –existed. These were idiopathic CD4 lymphocytopenia and cerebellar phaeohphomycosis. Gite and Dhakane report a patient with pulmonary sclerosing pneumocytoma (sclerosing hemangioma). It is an uncommon benign neoplasm having a characteristic histologic pattern, which mimics malignancy and is cured with surgical excision.
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