Publications by authors named "J A Lalkaka"

Autoimmune encephalitis (AE) is an immune-mediated disorder of the central nervous system (CNS). Its definitive diagnosis relies on the identification of a specific antibody. Autoimmune limbic encephalitis (LE) is a subset of AE characterized by inflammation of the limbic cerebral cortex.

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Background: Rituximab, an anti-CD20 monoclonal antibody, has been used worldwide as an off-label therapy in patients with multiple sclerosis (MS) and neuromyelitis optica spectrum disorders (NMOSD).

Objective: The aim of the present study was to evaluate the efficacy and safety of rituximab in central nervous system demyelinating disorders in the Indian context.

Methods: We conducted a retrospective analysis of patients with MS, NMOSD, and myelin oligodendrocyte glycoprotein antibody disease (MOGAD) who were treated with rituximab at a single tertiary care centre in Mumbai.

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Article Synopsis
  • * LGMDs, which cause progressive weakness in hip and shoulder areas, can be inherited either autosomal dominant (LGMD1) or autosomal recessive (LGMD2), with varying prevalence based on ethnicity and geographic region.
  • * Clinical features like upper girdle weakness, respiratory involvement, and specific signs aid in identifying subtypes, while further tests such as serum creatine kinase and genetic studies support diagnosis.
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Parkinson's disease (PD) has a low prevalence in India except in the small Parsi community where Bharucha et al. found a high prevalence. Although early onset PD and familial cases have been described from India, no genetic mutations have as yet been identified.

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Nucleotide sequences of two HTLV-I proviruses isolated from Indian patients with HAM/TSP were analyzed. The sequence data of the env, pX, and LTR regions showed 98-99% homologies with the prototype HTLV-I, ATK-1, isolated from a Japanese ATL patient, indicating that HTLV-I isolates in India and Japan are similar, with minor variations. However, certain small sequences of noncoding regions in the pX and LTR showed differences of 6.

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