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Rakesh Kumar, Binay Ranjan, Manjul Vijay Department of Pediatrics, Katihar medical college, Katihar...

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Question Category : Autoimmune Disorder
Sir, I am an asst. professor medicine at MKCG medical college, berhampur orissa. My daughter has been suffering from musculo skeletal pain with recurrent UTI for last 8 months. She is 10 years old. She has been investigated for SLE at Vellore in December. The tests negative for SLE. Now she has UTI again with skin lesions diagnosed as nodular vasculitis. Kindly advice me what steps to be taken for the diagnosis You can suggest name of consultants or institutions. Yours sincerely. Check Out the Answer
Question Category : Autoimmune Disorder
How do you treat haemophagocytic syndrome and how do u follow up such patients? Check Out the Answer
Question Category : Autoimmune Disorder
A seven year old male child presented with pain in legs unable to get up from bed. On examination child was having erythme over extremeties mild grade fever and tenderness all over body. DTR were normal. The child was put on paracetamol and amoxcillin and got routine investigation with CPK. CPK was 5000 IU and I diagnosed as myositis . Seven days later symptoms subsided and CPK was normal. Eight months later child came back with similar problem. Subsided again. What is the line of management? Check Out the Answer
Question Category : Autoimmune Disorder
I have a problem in a case which was admitted in my hospital on 06\05\06 with history of erythematous skin lesion over anterior aspect of both lower limb. Also there is fever and pain on both knee jt. My patient is 12 years old female, overweight. She had a history of URTI just 5 days before she developed this rash. The rash was painful, sudden onset, slight raised over skin. \There is h\o reccuent tonsilitis, but no h\o cough \weightloss\ night sweating \or moring stiffiness\ or Raynaud phenomena. Also there is no h\o trauma \drugs\diarrhea\or weakness neighter convlsions\no family history, any Rheumatological disease. On examination, conscious, not dyspnic\or tachypnic, no pallor or cyanosis. Vital signs stable. Systemic examination was normal, Skin examination was normal. Investigations CBC was normal LFT, RFT both were normal. Serology negative, CRP and Rheumatoid factor both positive, ASO and cold agglutination positive, LE cell negative, ANAB also negative, Tuberculin test negative, urine R\E and C\S both normal. The working diagnosis was erythema nodosum. We put the patient on Asprin anti-inflammatory dose, the patient had still no improvement. Sorry, I forget to inform you that abdominal USG and CT, both were normal. Thank you for help co-operation. Your friend Dr.Najat. Check Out the Answer
Question Category : Autoimmune Disorder
Can you please tell me how will macrophage activation syndrome present IN K/C/O JRA? Also please tell me about histo-pathologic features of Bone Marrow biopsy of the same. Check Out the Answer
Question Category : Autoimmune Disorder
Dear sir a 16 year old female present with painful petechial eythematous lesion in both lower legs seen by dermatologist, diagnosed as vasculitis. The patient gave history of GN 6 years ago. Now she is on captopril+propranol+prednisolone for the last 3 years. Prior to that she was given cyclophosphamide for 4months. On exam. Obese healthy, vital sign are normal, GUE is normal apart from trace albumine, renal function are normal. My questions are; 1.Any relation between vasculitis and activity of the disease . 2.Can we taper the treatment or does she need treatment now. . 3.Is renal biopsy indicated. I am waiting reply thanks. Check Out the Answer

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