Acquired urethral meatal stenosis: a rare sequel of an aggressive form of Behçet's disease.

Behçet's disease (BD) is characterised by the triad of recurrent oral and genital aphthous ulceration, skin lesions and ocular inflammation. This disease frequently affects other systems including neurological, locomotor, cardiac or vascular systems. Recurrent oral and genital aphthous ulcerations are the hallmarks of BD.

Multidrug resistant citrobacter: an unusual cause of liver abscess.

Liver abscesses are infectious, space occupying lesions in the liver, the two most common abscesses being pyogenic and amoebic. A pyogenic liver abscess (PLA) is a rare condition with a reported incidence of 20 per 100 000 hospital admissions in the western population. The right lobe of the liver is the most common site in both types of liver abscess.

Case for resurgence of radical perineal prostatecomy in Indian subcontinent.

Introduction: Radical perineal prostatectomy was the first surgery described for prostatic carcinoma (Young, 1904) but it lost its eminent status after Walsh's description in 1982 of anatomic radical retropubic prostatectomy followed by the enthusiasm in laparoscopy and now robotics. It made resurgence after it was realized in early 1990s that the pelvic lymph node dissection is needed only in selected cases. Last decade witnessed over 80 publications addressing the results and advances in the perineal approach.

A rare case of dengue encephalitis.

Dengue fever has a variable clinical spectrum ranging from asymptomatic infection to life-threatening dengue haemorrhagic fever and dengue shock syndrome. However, neurological complications, in general, are unusual. Dengue encephalopathy is not an unknown entity; however, dengue encephalitis, a direct neuronal infiltration by the dengue virus, is an extremely rare disease.

Pituitary macroadenoma: a rare cause of thyrotoxic hypokalaemic periodic paralysis.

Thyrotoxic hypokalaemic periodic palsy (THPP) is a well-recognised but under-diagnosed complication of hyperthyroidism and is commonly seen in Asian males. Patients usually present fully conscious with acute onset of severe motor weakness. Baseline investigation reveals severe hypokalaemia due to Na(+)/K(+) ATPase overactivity causing a massive influx of intracellular potassium ions.

Allergic broncho pulmonary aspergillosis complicated by nocardiosis.

We describe a 70-year-old male with a history of diabetes mellitus, hypertension, and asthma who presented with increasing breathlessness for 5 months. He was diagnosed to have allergic bronchopulmonary aspergillosis (ABPA) by serological and radiographic criteria. He was treated with steroids and itraconazole.

Caregiver's Burden, Coping, and Psycho-Education in Indian Households with Single- and Multiple-Affected Members with Schizophrenia.

There is considerable evidence that family psycho-education combined with pharmacological intervention for patients with schizophrenia increases family understanding of the illness, reduces the familial burden of care, and improves patient outcomes. However, no studies have determined whether the burden of care is greater for those families with more than one ill member (multiplex) than for families with a single-affected individual (simplex), and whether psycho-educational programs should be adapted to meet the specific needs of multiplex families. This study was conducted at a tertiary care postgraduate teaching hospital in New Delhi, India.

Ataxia telangiectasia: learning from previous mistakes.

Ataxia telangiectasia is an early onset neurodegenerative disorder. We report a case of childhood onset ataxia and ocular telangiectasia, presenting with pulmonary infection. The patient was diagnosed as ataxia telangiectasia.

Mixed cestode infection: an incidental association in an immunocompetent person.

Echinococcus and Taenia infection are the two most relevant forms of cestode infection in humans. These infections occur worldwide, but with higher prevalence in developing countries like India, where poor hygiene facilitates their transmission. We report a case of a middle-aged man who presented with seizures and was found to have dual worm infection including Taenia and Echinococcus.

Fahr's disease: an incidental finding in a patient of tubercular meningitis.

Fahr's disease, also known as idiopathic basal ganglia calcification, is a rare clinical entity characterised by bilaterally symmetric calcification of the basal ganglia. Most of the patients present with extrapyramidal symptoms, but the natural history, progression and treatment still remain unknown. We report a case of tubercular meningitis diagnosed by a cerebrospinal fluid examination with incidental findings of an extensive basal ganglia calcification on CT.

Patterns of Tobacco Consumption among Indian Men with Schizophrenia Compared to Their Male Siblings.

Objective: Tobacco consumption among patients with schizophrenia has been investigated extensively in western countries, but there is a dearth of studies in India, where socio-economic and cultural variables are different. This study aims to investigate the patterns of tobacco consumption among schizophrenia patients compared with their non-psychotic siblings.

Methods: Consenting, successive male outpatients diagnosed with schizophrenia (n=100, DSM-IV criteria), and their non-psychotic brothers (n=100) were compared.

Hepatorenal bypass using autogenous, free internal iliac artery graft: An attractive alternative to revascularize the right kidney in Takayasu's disease.

Nonspecific aortoarteritis or Takayasu's disease (TD) is a chronic pan endarteritis of unknown origin involving the aorta and its major branches affecting young adults especially women. The disease is more common in eastern Asian countries. Hypertension in these patients generally reflects as renal artery stenosis, which is seen in 28-75% of patients.

Obstructive jaundice due to pancreatic pseudocyst in a pediatric patient.

Obstructive jaundice solely due to pancreatic pseudocyst is rare in pediatric patients. Successful management of a case by internal drainage is being described here. The role of intra-operative cholangiogram is being highlighted for deciding whether a simple drainage procedure would be required instead of a hepatico-jejunostomy.

Differences among Men and Women with Schizophrenia: A Study of US and Indian Samples.

Objective: To test the hypothesis that similar differences in psychopathology are present across cultures among men and women with schizophrenia (SZ).

Methods: Sex based differences were tested systematically in two independent samples from the Northeastern USA and North India using the same procedures. The clinical variables were obtained from five interview instruments.