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Anuradha S.,Sri Satya Sai Medical College and Research Institute | Bharathi K.,Sri Satya Sai Medical College and Research Institute
International Journal of Pharma and Bio Sciences | Year: 2012

Pycnodysostosis is a rare genetic disorder with autosomal recesive mode of inheritance. It is characterised by short stature, stubby extremities, facial dysmorphism, frequent pathological fractures of long bones, open anterior fontanelles, blue sclera and absence of mental retardation. Here, we are presenting a rare case report of pycnodysostosis from Tamilnadu, India. In our case, pycnodysostosis is affecting all the male siblings of a family while sparing the female siblings. This rare case portrays non-classic type of inheritance of pycnodysostosis. This is the first case report in medical literature documenting non-classic pattern of inheritance in pycnodysostosis violating the mendelian law of inheritance. Source


Bharathi K.,Sri Satya Sai Medical College and Research Institute | Anuradha S.,Sri Satya Sai Medical College and Research Institute | Khalique A.,Sri Satya Sai Medical College and Research Institute
International Journal of Pharma and Bio Sciences | Year: 2012

Primary mucinous adenocarcinoma of renal pelvis is a rare cystic neoplasm which mimics a hydronephrosis or pyonephrosis radiologically. We are presenting here a case report where mucinous cystadenocarcinoma of pelvicalyceal system was mimicking clinically and radiologically as pyonephrosis but diagnosed preoperatively through a simple and rapid test, Ultrasound- guided fine-needle aspiration cytology. Cytology smears revealed signet ring like malignant epithelial cells in a mucinous background. A cytological diagnosis of mucinous adenocarcinoma of renal pelvis was suggested. It is essential to diagnose mucinous cystadenocarcinoma preoperatively through cytology to decide the appropriate surgical plan. Radical nephrectomy with partial ureterectomy was done. Grossly the entire kidney was converted into thick walled cyst measuring 20 × 16 cm containing thick mucinous material. Histopathological examination confirmed the cytological diagnosis. The post operative period was uneventful and one year follow up showed no recurrence. Thus a timely cytological diagnosis made preoperatively saved the patients life. Source


Murali M.,Sri Satya Sai Medical College and Research Institute | Abdul Khader F.,Sri Satya Sai Medical College and Research Institute | Sunderajan T.,Sri Satya Sai Medical College and Research Institute | Mothilal S.N.,Sri Satya Sai Medical College and Research Institute
Journal of Clinical Orthopaedics and Trauma | Year: 2013

Metacarpophalangeal joint [MCP] dislocations of the index, little and thumb are common; that of the middle finger is very rare. In all the literature consulted only five cases of isolated closed dorsal dislocation of the MCP joint of the middle finger have been reported. Hyperextension of MCP joint is the mechanism of injury. We are herewith reporting a case of isolated MCP dislocation of the middle finger.One of our medical students while driving a motorcycle fell down on the road and sustained lacerated wound over the hypothenar area of the left hand. There was prominence of the head of the third metacarpal on the volar aspect and the base of the proximal phalanx was prominent dorsally. MCP dislocation of the middle finger was our clinical diagnosis which was confirmed by the radiograph. The patient had reported within 60min of the accident.There was no tendon injury. Wound debridement was done, wound was extended to the back of the middle finger. The volar plate which was interposed between the head of the metacarpal and the base of the proximal phalanx was repositioned and the dislocation was reduced. Reduction was stable and the patient was reviewed after 14 months. The function of the hand is satisfactory.The case is presented for its unique presentation. This is the sixth case of isolated dislocation of the MCP joint of the middle finger. © 2013 Delhi Orthopaedic Association. Source

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