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Biomedical subjects

R Mittal

Publications and source records attributed to R Mittal.

At least 91 records · Page 5Linked to original sources

Acne necrotica.

Explore the source record for details and available documents.

Biopsy↗

Polyarthritis with atypical keratotic nodular dermatosis or polyarthritis with multiple keratoacanthoma. A case report.

We report an interesting case of generalized papular and nodular lesions with central keratinous plugs and severe hyperkeratotic-acanthotic histopathology with arthritis in a 19-year-old male patient who had suffered from a similar disease 2 years earlier. Papules and nodules erupted a few days after the arthritis and this was noticed during both episodes. On healing, nodules fell spontaneously leaving behind insignificant hyperpigmented scars.

Adult↗

Accuracy of computerized tomography in determining hepatic tumor size in patients receiving liver transplantation or resection.

Computerized tomography (CT) of liver is used in oncologic practice for staging tumors, evaluating response to treatment, and screening patients for hepatic resection. Because of the impact of CT liver scan on major treatment decisions, it is important to assess its accuracy. Patients undergoing liver transplantation or resection provide a unique opportunity to test the accuracy of hepatic-imaging techniques by comparison of findings of preoperative CT scan with those at gross pathologic examination of resected specimens. Forty-one patients who had partial hepatic resection (34 patients) or liver transplantation (eight patients) for malignant (30 patients) or benign (11 patients) tumors were evaluable. Eight (47%) of 17 patients with primary malignant liver tumors, four (31%) of 13 patients with metastatic liver tumors, and two (20%) of 10 patients with benign liver tumors had tumor nodules in resected specimens that were not apparent on preoperative CT studies. These nodules varied in size from 0.1 to 1.6 cm. While 11 of 14 of these nodules were less than 1.0 cm, three of 14 were greater than 1.0 cm. These results suggest that conventional CT alone may be insufficient to accurately determine the presence or absence of liver metastases, extent of liver involvement, or response of hepatic metastases to treatment.

Adenoma, Bile Duct↗

Pseudomegadactyly. A unique presentation of chronic granulomatous paronychia.

An interesting case of chronic paronychia of the big toe for the last 6 years resulting in granulomatous reaction and hypertrophy of nail plate and bed is being reported. An increased rate of longitudinal growth of nails may occur in association with infection around the nail, in bullous, ichthyosiform erythroderma and in psoriasis as already reported, but a unique feature in this patient was the increase in size of the nail plate in all directions, along with simultaneous increase in the surface area of the nail bed.

Adult↗

Copper status of Indian pregnant women of low socio-economic group and its effect on the outcome of pregnancy.

Copper status of 109 women, (36 nonpregnant, 17 in the first trimester, 17 in the second trimester of pregnancy and 39 in the postpartum period) and its effect on the outcome of pregnancy was evaluated by a cross-sectional study. The results documented a low intake of copper--1.2 mg-1.5 mg, by the women and a statistically significant correlation (P less than 0.01) between the intake of copper and the intake Calories and protein. Serum copper levels rose with the progress of pregnancy and the increase was statistically significant (P less than 0.005) in the second trimester. Thereafter, a slight decline was noted. No correlation was found between serum copper and serum total proteins, albumin or globulin in either the pregnant or the nonpregnant women. The correlation between the dietary intake of copper and serum copper concentration was also not significant. Birth weight, length and head circumference of the neonate exhibited no correlation with material dietary or serum copper levels.

Birth Weight↗

Incontinentia pigmenti et achromians.

A case is reported, apparently the first of its kind in the literature, of a female child in which there were not only pigmented lesions of incontinentia pigmenti but also hypopigmented lesions of incontinentia pigmenti achromians. The title incontinentia pigmenti et achromians is suggested for this combined disorder. The child also had associated lesions in the form of nail dystrophy, delayed dentition and epilepsy.

Child, Preschool↗