Category Archives: Miscellaneous

Pentalogy of cantrell_Ambey

Incomplete pentalogy of cantrell associated with hydrocephalus
Ambey R,¹ Singh A²
Assistant Professor,¹ Professor²
¹Department of Pediatrics, Gajra Raja Medical College, Gwalior, Madhya Pradesh, India, ²Department of Pathology, Index Medical College Hospital and Research Centre, Indore, Madhya Pradesh, India
ABSTRACT
An unbooked primigravida delivered vaginally a female neonate with ectopia cordis, supraumbilical abdominal defect, and sternum defect that is consistent with incomplete pentalogy of cantrell. The neonate was also having central nervous system malformation in the form of hydrocephalus. Neonate expired within 30 min of birth.
KEY WORDS
Ectopia cordis, hydrocephalus, pentalogy of cantrell.

Cutis Marmorata_Ambey Ravi

Cutis Marmorata Telengiectatica Congenita in an Infant
Gogia P,¹ Ambey R²
Postgraduate Student,¹ Assistant Professsor²
^1,2Gajra Raja Medical College, Gwalior, Madhya Pradesh, India
ABSTRACT
A 3-month-old male infant was brought to the hospital with the complaint of the reticulated pattern over the skin of limb and trunk. The pattern was present since birth. The blue - purplish marbled, reticulated pattern of the skin was present on the right lower limb and trunk with a sharp cutoff line at midline. The pattern was having multiple indentations, which is the characteristic feature of cutis marmorata telengiectatica congenita. The pattern was getting prominent on crying and cold exposure. Ophthalmic examination was normal. There was no associated systemic abnormality.
KEY WORDS
Cutis marmorata telengiectatica congenital, reticulated pattern, infant.

Calcinosis_Rakesh Jain

Calcinosis Cutis
Jain R,¹Jain P²
Senior Resident¹, Lecturer²
¹Department of Cardiology, Government Medical College, Calicut, Kerala, India. ²Department of Pediatrics, Government Medical College, Calicut, Kerala, India.
ABSTRACT
Calcinosis cutis may a manifestation of different underlying pathophysiology. Therefore, after clinical diagnosis of calcinosis cutis, a laboratory workup to rule out abnormalities of calcium and phosphorus metabolism, malignant processes, collagen vascular diseases, renal insufficiency, excessive milk ingestion, vitamin D poisoning must be carried out to detect the underlying cause of the disease.
KEY WORDS
Calcinosis cutis, Dystrophic calcification, Tumoral calcinosis.

Kissing Warts_Sheikh AS

KISSING WARTS
Sheikh AS
Resident
Department of Medicine, King Edward Medical University & Mayo Hospital, Lahore, Pakistan
ABSTRACT
A 29 year old man developed three skin coloured lesions near his right ring finger. The first lesion was noticed in the teens and had persisted for a number of years before the other two appeared sequentially in late twenties. These warty lesions were painless and non-itchy. There was no relevant history of medical illness or regular medication usage. On palpation, they had a roughened surface. These warts are caused by human papilloma virus, and are prone to develop in proximity to each other, hence named the “kissing warts”. They are particularly stubborn to most forms of treatment including salicylic acid, cryotherapy, electrodessication and curettage. After carefully discussing different treatment options with the patient, he opted to apply De-wart lotion containing podophyllum emodi extract, verrugon and milk acid. Multiple applications were required and the warts decreased in size gradually. After four months of dedicated treatment, the patient was wart-free.
KEY WORDS
Kissing Warts

goyal_choanalatresia

Choanal Atresia
Goyal P,¹ Kumar A,¹ Goyal B²
Consultant Radiologist,¹ Consultant ENT Surgeon²
¹Vidya Health Imaging, Gwalior, M P, India, ²Gwalior,MP, India
ABSTRACT
Choanal atresia, refers to unilateral or bilateral, bony or membranous obstruction of the posterior nasal aperture. Approximately 50% of children with bilateral choanal atresia have associated other congenital abnormalities. The presenting symptoms may vary from intermittent to severe respiratory distress. Bilateral choanal atresia is a life threatening condition. CT scan plays an important role in diagnosing the nature & extent of the choanal atresia, to rule out other causes of congenital nasal obstruction and also helpful in therapeutic approach. The introduction of multidetector CT scanner offers several additional advantages. The mainstay of treatment is surgical correction.
KEY WORDS
Choanal atresia,Charge syndrome.

Consultant Radiologist1, Consultant ENT Surgeon2

ambey_image

Title : Bilateral Portwine Stain in a child with Sturge Weber Syndrome

Author: Dr. Ravi Ambey Co-Author: Dr. Arjun Singh

A 3 year old child presented with generalized seizures for one year. Child was the product of nonconsanguinous marriage with no family history of seizure and developmentally appropriate for age. On examination child was having very peculiar pattern of portwine stain on face. It involved the territory of Right ophthalmic division and Left mandibular division of trigeminal nerve. On right side it involved forehead, nose, upper eye lid and bulbar conjunctiva and on left side it involved left cheek, part of pinna, mandibular area, lip, oral mucosa and neck . Child was having nine ash leaf spots over trunk and extremities. Intraocular pressure was normal. On CT scan of head there was bilateral tram track calcification in cerebral cortex with atrophy. Child was started with valproic acid and seizure free for last three months.