Publications by authors named "Sava Nanda Gopal"
Article Synopsis
- Vitamin B12 deficiency can be caused by rare gastric neuroendocrine tumors (GNETs), which are often associated with high levels of gastrin and chronic stomach inflammation.
- A 48-year-old vegetarian male from South India experienced symptoms like jaundice and fatigue and was found to have macrocytic anemia and significant vitamin B12 deficiency, alongside a GNET diagnosis from gastric nodules.
- He received treatment including vitamin B12 supplementation, tumor resection, and antiviral therapy for hepatitis B, leading to a successful recovery and improvements in his health.
Overlap syndromes involving systemic sclerosis (SSc), rheumatoid arthritis (RA), and systemic lupus erythematosus (SLE) are rare and present significant diagnostic and therapeutic challenges. This case report details a 54-year-old female who presented with a constellation of clinical and serological features suggestive of both SSc, RA, and SLE. The patient's clinical course, diagnostic findings, and response to treatment are discussed highlighting the need for a multidisciplinary approach in managing such complex cases.
View Article and Find Full Text PDFAutoimmune N-methyl-D-aspartate (NMDA) receptor encephalitis is an increasingly recognized cause of severe neuropsychiatric illness, particularly in young individuals. This case report presents a detailed account of a patient diagnosed with NMDA receptor encephalitis, highlighting the clinical presentation, diagnostic challenges, and treatment approach. The patient exhibited initial symptoms of psychosis and memory disturbances, which rapidly progressed to seizures and autonomic instability, reflecting the characteristic progression of the disorder.
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