Publications by authors named "Kunjan Khanal"
Article Synopsis
- Langerhans Cell Histiocytosis (LCH) is a rare pediatric condition caused by an excessive number of abnormal Langerhans cells, typically affecting children aged 1 to 3 and can involve various organs, notably the skeleton and skin.
- A case study details a 13-month-old boy presenting with fever, rash, and swelling, diagnosed through imaging and a biopsy, resulting in treatment with vinblastine and prednisolone that improved his condition.
- LCH can manifest in different ways and requires careful diagnosis and treatment based on how widespread the disease is, emphasizing the importance of considering it in cases of ongoing skin and bone issues in children for effective management.*
The increasing prevalence of cannabis worldwide requires awareness of a potential, less recognized, paradoxical entity, the cannabinoid hyperemesis syndrome (CHS). This includes cyclic episodes of nausea, vomiting, and compulsive hot water bathing for alleviation in individuals with chronic cannabis use. An 18-year-old male with daily and prolonged cannabis use has excessive nausea and vomiting, is diagnosed with CHS, and is further complicated by severe and rapidly fluctuating hypophosphatemia.
View Article and Find Full Text PDFChronic Lithium Toxicity in Old Age Patients Taking Angiotensin Receptor Blocker: A Case Report.
JNMA J Nepal Med Assoc
November 2023
Unlabelled: Chronic lithium toxicity is a potentially serious side effect on patients taking lithium for a prolonged period with the diagnosis of mood disorders. The toxicity is even higher in patients taking drugs that interfere with the metabolism of lithium like angiotensin receptor blockers and in older patients with reduced kidney function. In this report, we present the case of a 62-year-old woman who presented to the emergency department with symptoms including loose stools, generalised body weakness, slurred speech, coarse hand tremors, and dystonia persisting for fifteen days.
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