Changes in clinical & biochemical presentations of primary hyperparathyroidism in India over a period of 20 years.

Background & Objectives: With the advent of serum chemistry autoanalyzer and routine estimation of serum calcium as a part of annual physical examination, there has been a dramatic change in the presentation of primary hyperparathyroidism (PHPT) from symptomatic to asymptomatic disease in the United States. However, such trend has not been documented from India. We carried out this retrospective study to analyse the changes in clinical presentations of PHPT patients over a period of two decades in a tertiary care centre in north India.

Fusarium falciforme infection of foot in a patient with type 2 diabetes mellitus: a case report and review of the literature.

Fungal infections of foot in patients with diabetes are not uncommon; however, foot infection due to Fusarium species has been rarely reported. We report here a case of a 50-year-old male with type 2 diabetes who developed multiple spontaneous nodular lesions on right foot without any systemic symptoms and signs for 6 months. The lesions were unresponsive to broad-spectrum antibacterial treatment.

Pulmonary function tests in patients with primary hyperparathyroidism.

Context: There is limited information on respiratory muscle functions in patients with primary hyperparathyroidism (PHPT).

Aim: To assess respiratory muscle dysfunction in patients with PHPT.

Setting And Design: This prospective study was carried between January 2005 and December 2006 by the Department of Endocrinology at the Postgraduate Institute of Medical Education and Research, Chandigarh.