Publications by authors named "Shastri M"

Article Synopsis
  • Defects in erythropoietin (EPO) production are linked to anemia, but the effects of aging on EPO levels and different types of geriatric anemia are not well understood.
  • The study aimed to compare serum EPO levels in elderly patients with different types of anemia (nutritional anemia, anemia of chronic disease, and unexplained anemia) against non-anemic controls.
  • Results showed that geriatric anemia patients had higher serum EPO levels than controls, especially in nutritional anemia cases, while EPO levels correlated inversely with markers of inflammation.
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Article Synopsis
  • - A 23-year-old pregnant woman experienced severe jaundice, anemia, dyspnea, and hyperthyroidism after five months of not menstruating.
  • - Initial treatments for jaundice were ineffective, leading to a focus on managing her thyroid storm, a serious condition related to hyperthyroidism.
  • - The patient's liver dysfunction improved significantly with the use of iodine and thionamides, highlighting a rare link between severe jaundice and thyroid storm during pregnancy.
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  • - Takayasu arteritis (TA) is an autoimmune disorder that leads to thickening of large and medium-sized arteries and can cause symptoms like headaches, dizziness, and palpitations, often linked with serious heart issues.
  • - A 17-year-old Indian female with a history of Hashimoto's thyroiditis and congestive heart failure presented with abdominal pain; diagnosis of TA was confirmed through imaging showing occlusion of important arteries.
  • - Treatment involved corticosteroids and methotrexate, and the case highlights the rare combination of TA, psoriasis, and heart failure, emphasizing the need for comprehensive evaluation in patients with multiple autoimmune conditions.
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Objectives: The coronavirus disease of 2019 (COVID-19) pandemic started by affecting the older age groups with comorbidities but gradually advanced to severely affect even young adults. This study attempts to clinically evaluate critically ill young and middle-aged adults hospitalized with COVID-19 and study the association of risk factors and the markers of inflammation and coagulation with their outcome.

Materials And Methods: A prospective observational study on 146 patients was conducted in a tertiary care hospital in Western India.

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Introduction Hemophilia is an uncommon, X-linked recessive bleeding condition characterized by a lack of either factor VIII or factor IX. It is more prevalent in men. Due to the substantial impact inhibitor development has on patient prognosis, the primary treatment for hemophilia is the transfusion of recombinant factors.

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Skin is now emerging as a complex realm of three chief systems viz. immune system, nervous system, and endocrine system. The cells involved in their intricate crosstalk, namely native skin cells, intra-cutaneous immune cells and cutaneous sensory neurons have diverse origin and distinct functions.

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Background: Mucormycosis is a fungal infection that can affect multiple organs. The role of fine-needle aspiration cytology (FNAC) in its diagnosis is not well documented.

Aim: The objective of this study was to describe the detailed cytomorphologic features of mucormycosis on FNAC samples.

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 Serum immunofixation electrophoresis (SIFE) and serum free light chain (SFLC) assay are imperative investigations in diagnosis and follow-up of multiple myeloma (MM). SFLC assays are reported to have higher sensitivity than SIFE. However, discrepancies have been reported between them.

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Background: Inflammation has several effects in the geriatrics with reference to iron deficiency anemia (IDA), anemia of chronic disease (ACD), and unexplained anemia (UA). Whether hyperinflammation is part of their pathogenesis or just incidental is unknown. Data are limited regarding inflammatory patterns in IDA, ACD, and UA in anemic geriatrics and inflammation as a component of UA.

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Background And Objectives: Hemophilia is an X-linked recessive inherited disease affecting the coagulation pathway due to congenital deficiencies in either factor VIII (hemophilia A) or factor IX (hemophilia B). The clinical assessment of a patient's functional ability and the state of joint conditions is carried out by the clinicians by administering questionnaires namely the Gilbert or the World Federation of Hemophilia Physical Examination (WFH-PE) score for joint condition and Functional Independence Score in Hemophilia (FISH) for joint function. Here, we have studied the clinical profile of adult hemophilia patients with the short- and long-term complications of the disease.

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Objectives: Carcinosarcomas (CSs) are rare gynecological neoplasms seen in elderly females. These are composed of malignant epithelial and mesenchymal components, which appear as adenocarcinoma and high-grade sarcoma. Effusions are encountered uncommonly in CS.

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Chinese food, containing the ingredient monosodium glutamate (MSG) as the main additive agent, results in a variety of symptoms in susceptible individuals. The spectrum of symptoms ranges from headache, sweating, abdominal pain, and urticaria to angioedema in severe cases. This group of symptoms is known as MSG symptom complex or Chinese restaurant syndrome (CRS).

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Background: Obesity is a largely neglected health problem in developing countries which leads to additional morbidities including nonalcoholic fatty liver disease (NAFLD), one of the most important causes of chronic liver disease. Central obesity is intricately related to the pathogenesis of the NAFLD, which over time could result in a fiogenic response and end-stage liver disease. We have attempted to study the association of various risk factors and laboratory investigations with the incidence of liver involvement in obese individuals.

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Trichobezoar is a rare condition almost exclusively seen in young females presenting with non-specific abdominal complaints and a history of psychiatric illness. In most patients, it is confined within the stomach; however, in some severe cases, it extends through the pylorus into the duodenum, jejunum, ileum, or even colon, known as Rapunzel syndrome. Conventional treatment includes laparotomy and psychiatric counseling to prevent relapses.

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Introduction: The deposition of calcium in the skin is known as calcinosis cutis. It can affect any part of the body and can mimic soft tissue or bony lesions clinically.

Aim: To describe the clinical and cytomorphologic features of calcinosis cutis on fine needle aspiration cytology smears.

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Article Synopsis
  • Amyloidosis is a complex disorder where abnormal proteins deposit in tissues, disrupting normal organ function, and localized amyloidosis is rare, mainly affecting the head-and-neck region, with only 4% in the orbit.
  • Conjunctival amyloidosis is a particularly rare form, often linked to local immunologic issues, and usually appears without systemic symptoms.
  • This text presents two cases of unilateral conjunctival amyloidosis, highlights the importance of including it in the differential diagnosis of conjunctival tumors, and emphasizes that histopathological exams with Congo red stain are crucial for accurate diagnosis.
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Background And Objective: Coronavirus disease 2019 (COVID-19) is a viral infectious disease caused by the severe acute respiratory syndrome virus, which has affected billions of people across the globe. The pathogenesis of respiratory inflammation involves elevated concentration of interleukin-6; hence, interventions targeting interleukin-6 receptor, such as tocilizumab (TCZ), have been investigated as potential treatment amidst the dilemma of COVID-19 management. The aim of the study is to analyse the efficacy and safety of TCZ and record the outcome in COVID-19 patients.

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Background: Pulmonary blastomas are exceptionally rare tumours. These tumours behave aggressively, with a propensity to metastasise to the brain and mediastinum. A definitive diagnosis of pulmonary blastoma is challenging to obtain on cytomorphology alone.

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Background Mucormycosis (MM) is an angioinvasive locally destructive fungal infection. Before the coronavirus disease 2019 (COVID-19) pandemic, it was associated with diabetes (particularly diabetic ketoacidosis), immunosuppressive drugs and trauma. Among its various forms, cerebral invasion is considered to be highly fatal even if with long-term treatment.

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Background And Aim: To describe the cytomorphological findings of all cerebrospinal fluid (CSF) cytology samples showing infiltration by chronic myeloid leukaemia (CML) and their correlation with haematological findings.

Materials And Methods: A retrospective analysis of all CSF samples reported as showing infiltration by CML on cytology from January 2014 to December 2021 was performed.

Results: A total of 10 cases with positive CSF cytology were evaluated.

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Despite their recognized potential, current applications of cyanobacteria as microbial cell factories remain in early stages of development. This is partly due to the fact that engineered strains are often difficult to grow at scale. This technical challenge contrasts with the dense and highly productive cyanobacteria populations thriving in many natural environments.

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Cystic hepatic lesions encompass a vast spectrum of infectious, non-neoplastic, and neoplastic entities. Most hepatic cysts are benign and asymptomatic, requiring no active intervention. However, symptomatic and malignant cysts need proper evaluation and specific treatment.

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