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Chopra P, Gupta S, Chopra D. Multifocal presentation of cutaneous tuberculosis in a HIV positive patient. J R Coll Physicians Edinb 2024; 54:64-65. [PMID: 38456258 DOI: 10.1177/14782715241238784] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/09/2024] Open
Affiliation(s)
| | - Sharang Gupta
- Department of Dermatology, Government Medical College, Patiala, PB, India
| | - Dimple Chopra
- Department of Dermatology, Government Medical College, Patiala, PB, India
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Affiliation(s)
- Sharang Gupta
- Department of Dermatology, Government Medical College, Patiala, Patiala, Punjab, India
| | - Dimple Chopra
- Department of Dermatology, Government Medical College, Patiala, Patiala, Punjab, India
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Gupta S, Chopra D, Preeyati. Erosive pustular dermatosis of the scalp secondary to Erlotinib: A rare occurrence with trichoscopic perspective. J R Coll Physicians Edinb 2023; 53:255-257. [PMID: 37649190 DOI: 10.1177/14782715231196606] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/01/2023] Open
Abstract
Epidermal growth factor receptor inhibitors are anti-tumour agents that are frequently used for the treatment of neoplastic disorders. In addition to their cutaneous adverse effects, these drugs can rarely lead to erosive pustular dermatosis of the scalp. We report a case of a 67-year-old female who developed erosive pustular dermatosis of the scalp after being started on erlotinib from a trichoscopic perspective, which has been described in literature only once till now.
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Affiliation(s)
- Sharang Gupta
- Department of Dermatology, Government Medical College, Patiala, India
| | - Dimple Chopra
- Department of Dermatology, Government Medical College, Patiala, India
| | - Preeyati
- Government Medical College, Patiala, India
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Batra J, Gulati S, Sarangal R, Chopra D, Puri S, Kaur R. Utility of Dermoscopy in the Diagnosis of Erythroderma: A Cross-Sectional Study. Indian Dermatol Online J 2023; 14:821-828. [PMID: 38099018 PMCID: PMC10718095 DOI: 10.4103/idoj.idoj_678_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2022] [Revised: 06/05/2023] [Accepted: 06/17/2023] [Indexed: 12/17/2023] Open
Abstract
Background It is difficult to diagnose the underlying cause of erythroderma on mere clinical presentation. The role of dermoscopy in diagnosing erythroderma secondary to various etiologies is evolving. Aim and Objectives This study aimed to observe the dermoscopic features of erythroderma secondary to different cutaneous disorders and compare them with clinical features and histopathology. Materials and Methods Twenty-nine consecutive patients of erythroderma were enrolled in the study. Dermoscopy was performed on every case using a Heine Delta II Dermatoscope with 10x magnification in polarized mode. A histopathological examination was conducted to confirm the diagnosis. Results Eight patients were diagnosed with psoriasis, five with endogenous eczema, four with pityriasis rubra pilaris (PRP), three with pustular psoriasis, two with drug rash secondary to antitubercular therapy, two with dermatophytic infection, one patient each of atopic dermatitis, crusted scabies, pemphigus foliaceous, drug reaction with eosinophilia and systemic symptoms, and mycosis fungoides. Characteristic dermoscopic features were observed in erythroderma due to psoriasis, PRP, pustular psoriasis, endogenous eczema, scabies, and dermatophytosis. Differentiation of other disorders based on dermoscopy alone was difficult, and clinico-histopathological correlation was crucial to reach a diagnosis. Conclusion Dermoscopic features of classical patterns of skin disorders are preserved even in the corresponding erythrodermic or unstable stage. Dermoscopic features of erythroderma secondary to psoriasis, pustular psoriasis, PRP, endogenous eczema, scabies, and dermatophytosis are clearly differentiating, whereas the dermoscopic features in other causes of erythroderma are overlapping. Thus, dermoscopy can be a good screening tool in the clinical assessment of erythroderma.
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Affiliation(s)
- Jayati Batra
- Government Medical College, Patiala, Punjab, India
| | | | | | | | - Sulabh Puri
- Government Medical College, Patiala, Punjab, India
| | - Ravneet Kaur
- Government Medical College, Patiala, Punjab, India
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Arora R, Chopra D. Pseudo-Koebnerization of Verrcuae Plana Mimicking Laceration. Indian Dermatol Online J 2023; 14:743. [PMID: 37727541 PMCID: PMC10506821 DOI: 10.4103/idoj.idoj_650_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2022] [Revised: 12/31/2022] [Accepted: 01/06/2023] [Indexed: 09/21/2023] Open
Affiliation(s)
- Raina Arora
- Department of Dermatology, Government Medical College, Patiala, Punjab, India
| | - Dimple Chopra
- Department of Dermatology, Government Medical College, Patiala, Punjab, India
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Gupta S, Goyal A, Chopra D. Unilateral laterothoracic exanthem masquerading as herpes zoster in a COVID-19 positive adult male: A rare presentation. J Acute Dis 2023. [DOI: 10.4103/2221-6189.369079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/11/2023] Open
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Kaur R, Gupta S, Sarangal R, Chopra D, Singh H. Are we moving from symptomatic to asymptomatic syphilis: A retrospective analysis. Indian J Sex Transm Dis AIDS 2023; 44:45-48. [PMID: 37457540 PMCID: PMC10343136 DOI: 10.4103/ijstd.ijstd_109_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2022] [Revised: 02/17/2023] [Accepted: 03/09/2023] [Indexed: 07/18/2023] Open
Abstract
Background Syphilis remains a global health problem with recent reports of resurgence from various parts of the world. We undertook this study to analyze the current epidemiological and clinical trends of syphilis in our part of the country. Aim and Objectives To analyze the changing trends in clinical presentation of syphilis and the current status of HIV/AIDS-syphilis co-infection in our area. Materials and Methods This is a hospital-based retrospective analysis of records of sexually transmitted disease (STD) patients enrolled in "Suraksha clinic" in the department of Skin and VD at a Tertiary Care Hospital in North India. Patient records were analyzed from January 2018 to December 2021. The demographic, clinical, and serological profiles of patients were assessed to study the percentage of syphilis patients attending the STD clinic and their clinical presentations. Results A total of 7153 patients were enrolled in the"Suraksha clinic" from January 2018 to December 2021, these included the venereal disease patients (3137) and nonvenereal disease patients (4016) who were registered for HIV and venereal disease research laboratory (VDRL) screening from the dermatology outpatient department. Out of 3137 sexually transmitted infection (STI) patients, 139 patients tested positive for VDRL. Treponema pallidum hemagglutination was found positive in 137 patients and negative in two patients. Hence, 137 patients were confirmed syphilis cases, constituting 4.36% of total STD cases in our STI clinic in 4 years. Out of 137 patients, 2 (1.45%) presented with primary chancre, 6 (4.37%) with lesions of secondary syphilis and 129 (94.16%) were found serologically reactive without any symptoms or clinical signs, i.e., in latent syphilis. Our records also showed 14 (10.21%) cases of HIV and syphilis co-infection. Conclusion In our study, a remarkable rise in the number of patients in the latent syphilis stage is observed over primary and secondary syphilis stage. This signifies the persistence of syphilis in subclinical phase in the community and unfortunately, it goes unnoticed. These could be "warning signs" for changing disease pattern of syphilis in India and points toward hidden resurgence of syphilis as being reported in various parts of the world. To actively look for these "hidden cases," there is a need to strengthen "Suraksha clinics." VDRL testing should be mandatory along with routine testing in all patients visiting the hospital irrespective of their disease. We also propose for the central registration of syphilis patients on lines of HIV-infected patients' registry.
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Affiliation(s)
- Ravneet Kaur
- Department of Dermatology, Government Medical College, Patiala, Punjab, India
| | - Sharang Gupta
- Department of Dermatology, Government Medical College, Patiala, Punjab, India
| | - Rishu Sarangal
- Department of Dermatology, Government Medical College, Patiala, Punjab, India
| | - Dimple Chopra
- Department of Dermatology, Government Medical College, Patiala, Punjab, India
| | - Harmeet Singh
- Department of Dermatology, Government Medical College, Patiala, Punjab, India
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Gupta S, Chopra D. A rash election: partial thickness burns secondary to inadvertent use of indelible voters' ink. Dermatol Ther 2022; 35:e15861. [PMID: 36165558 DOI: 10.1111/dth.15861] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2022] [Revised: 09/19/2022] [Accepted: 09/25/2022] [Indexed: 11/29/2022]
Affiliation(s)
- Sharang Gupta
- Department of Dermatology, Government Medical College, Patiala, Punjab, India
| | - Dimple Chopra
- Department of Dermatology, Government Medical College, Patiala, Punjab, India
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Amornpairoj W, Rivas K, Chopra D, Burgess J, Catanuto P, Siegfried L, Tomic-Canic M, Strbo N, Lev-Tov H, Pastar I. 539 Hidradenitis suppurativa is characterized by suppression of antimicrobial effector perforin-2. J Invest Dermatol 2022. [DOI: 10.1016/j.jid.2022.05.549] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Chopra D, Maczuga S, Kirby J, Lev-Tov H. 343 Recent trends in healthcare utilization and costs for adults and children with hidradenitis suppurativa. J Invest Dermatol 2022. [DOI: 10.1016/j.jid.2022.05.352] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Kaur K, Mohi MK, Chopra D, Sarangal R, Singh Saini JR, Chopra P. Vulval dermatoses (venereal and nonvenereal) among female patients presenting to a tertiary care hospital in North India. Indian J Sex Transm Dis AIDS 2022; 43:141-145. [PMID: 36743089 PMCID: PMC9891011 DOI: 10.4103/ijstd.ijstd_18_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2022] [Revised: 07/22/2022] [Accepted: 09/22/2022] [Indexed: 11/17/2022] Open
Abstract
Background The skin and mucosa of the vulva are different from the rest of the human body, as it is derived from all three embryological layers. It is more prone to dermatological diseases, both infectious and noninfectious. Aims and Objectives Our study was a prospective descriptive study on female patients attending the skin outpatient department with complaints of vulval dermatoses. Our aim was to determine the prevalence of venereal and nonvenereal dermatoses (infectious and non-infectious) along with age-wise distribution of these in our area. Materials and Methods All female patients presenting with visible skin lesions on the vulva from January 2019 to December 2019 were included in this study. Various diagnostic tests such as Gram staining, Tzanck smear, KOH mount, herpes simplex virus serology, and skin biopsy were performed wherever necessary. Observations and Results The study included 520 patients in whom 525 lesions were identified. These were grouped under venereal and non-venereal dermatoses. Nonvenereal dermatoses were further grouped under infectious and non-infectious conditions. Maximum patients were in the age group of 21-40 years (50.19%). The most common dermatoses were non-venereal infections, seen in 220 (42.30%) patients followed by non-venereal, non-infectious dermatoses seen in 177 (34.04%) patients whereas venereal dermatoses were seen in 128 (24.61%) patients. Conclusion Most of the patients were in the reproductive age group, and the prevalence of infectious dermatoses both venereal and non-venereal was much more than that of non-infectious conditions affecting the vulval skin as per our study.
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Affiliation(s)
- Karamjot Kaur
- Department of Skin and VD, GMC, Patiala, Punjab, India
| | - Manjit Kaur Mohi
- Department of Obstetrics and Gynaecology, GMC, Patiala, Punjab, India
| | - Dimple Chopra
- Department of Skin and VD, GMC, Patiala, Punjab, India
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Sarangal R, Aulakh S, Arora R, Chopra D. Increased predisposition of sjs ten in COVID-19 patients, presenting as post COVID complication: Report of two cases. Indian Dermatol Online J 2022; 13:237-239. [PMID: 35287406 PMCID: PMC8917493 DOI: 10.4103/idoj.idoj_510_21] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2021] [Revised: 09/18/2021] [Accepted: 09/19/2021] [Indexed: 11/16/2022] Open
Abstract
We report two consecutive cases of toxic epidermal necrolysis presented to our emergency department in the past 5 months. Both patients had history of fever prior to the onset of skin manifestations and showed radiological findings suggestive of COVID-19 pneumonia and elevated D dimers. ALDEN score was used to assess the drug causality, which showed probable and possible associations, respectively. In this report, along with brief review of literature, we highlight the possible role of viral etiology, that is SARS-Cov2, in triggering toxic epidermal necrolysis.
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Walia R, Aggarwal S, Chopra D, Aulakh S, Aggarwal A, Gupta S, . P. Recognising Nail Changes Induced by Chemotherapy with Taxane-based Regimens and their Dermoscopic Confirmation: A Prospective Observational Study from Northern India. J Clin Diagn Res 2022. [DOI: 10.7860/jcdr/2022/55977.16870] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
Introduction: Taxanes are chemotherapeutic agents used in a variety of solid tumours. They are known to cause cutaneous as well as nail changes which are temporally associated with intake of drug. Nail involvement is reported in literature from some parts of the world. Aim: To study the pattern of nail changes occurring due to taxane-based chemotherapy regimens in patients suffering from malignancies. Materials and Methods: A prospective observational study was carried out in a tertiary care hospital in GMC, Patiala, Punjab, India from October 2020 to September 2021. A total of 160 adult patients undergoing cancer chemotherapy with taxanes were included in the study. After taking detailed history, nail changes were examined and confirmed by dermoscopy. The data was analysed using Epi Info 7 by CDC and Chi-square test was used to calculate the p-value. Results: A total of 144 patients (87 females and 57 males), with the mean age of 53.8 years, were screened for six chemotherapeutic cycles. Drug-induced Nail Pigmentation (DINP) was the most common nail abnormality seen in 43/144 (30%) patients after third cycle and in 105/144 (73%) patients after the sixth cycle. The most common pattern was diffuse nail pigmentation 40/105 (39%) followed by longitudinal melanonychia 22/105 (21%) after six cycles. Maximum pigmentation 52/60 (86%) was observed in patients who received taxane+adriamycin+ cyclophosphamide combination. On onychoscopy, DINP appeared as thin grey regularly arranged parallel longitudinal lines on homogenous grey background. Conclusion: Taxanes cause varied pattern of nail changes with DINP being the most common. It ranges from longitudinal bands after three cycles to diffuse pigmentation after six cycles. These nail changes show temporal relation with dose, duration, number of drugs, and colour of skin. Dermoscopy is a novel non invasive method with a good diagnostic accuracy.
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Batra J, Aulakh S, Chopra D, Sarangal R, Puri S. Skin as a Mirror to Internal Malignancy: A Rare Co-presentation of Nail Bed Squamous Cell Carcinoma and Renal Cell Carcinoma. Indian Dermatol Online J 2021; 12:580-582. [PMID: 34430464 PMCID: PMC8354395 DOI: 10.4103/idoj.idoj_848_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2020] [Revised: 12/22/2020] [Accepted: 02/23/2021] [Indexed: 11/19/2022] Open
Abstract
Squamous cell carcinoma (SCC) of the nail bed is not encountered commonly although it is the most common primary malignancy at this site. In general, it has a low rate of spread, except for high risk types which carry a greater risk of spread. Screening for systemic tumours should be done in all cases especially in the elderly. We present the case of a 67 year old male who was otherwise healthy and presented with just nail discoloration associated with pain and occasional profuse bleeding with minor trauma which turned out to be SCC of nail bed on biopsy. Subsequently, he was screened for internal malignancies and was found to have clear cell Renal cell carcinoma of right kidney and a metastatic nodule in right lung. This presentation has not been previously described in literature.
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Affiliation(s)
- Jayati Batra
- Government Medical College Patiala, Punjab, India
| | | | | | | | - Sulabh Puri
- Government Medical College Patiala, Punjab, India
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Shah P, Dubey P, Vyas B, Kaul A, Mishra AK, Chopra D, Patel P. Lamotrigine loaded PLGA nanoparticles intended for direct nose to brain delivery in epilepsy: pharmacokinetic, pharmacodynamic and scintigraphy study. Artif Cells Nanomed Biotechnol 2021; 49:511-522. [PMID: 34151674 DOI: 10.1080/21691401.2021.1939709] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
The present study aimed to investigate the brain targeting efficacy of Lamotrigine (LTG) loaded PLGA nanoparticles (LTG-PNPs) upon intranasal administration. LTG-PNPs were fabricated through the emulsification-solvent evaporation technique and evaluated for % Entrapment efficiency, particle size, in-vitro release, surface morphology, crystallinity, ex-vivo permeation & thermal behaviour. Biodistribution, gamma scintigraphy, and pharmacodynamic studies were performed in BALB/c mice, New Zealand rabbits, and Wistar rats respectively. LTG-PNPs exhibited % EE 71%; particle size 170.0 nm; Polydispersity index 0.191; zeta potential -16.60 mV. LTG-PNPs exhibited a biphasic release pattern. Biodistribution and gamma scintigraphy studies proved a greater amount of LTG in the brain following intranasal delivery of LTG-PNPs in comparison to LTG-SOL. Pharmacodynamic studies demonstrated delayed seizure onset time with LTG-PNPs in comparison to LTG-SOL. Intranasal administration of LTG-PNPs provided prolonged release, higher bioavailability, and better brain targeting bypassing the BBB. The developed formulation could be administered as a once-a-day formulation that would reduce the dosing frequency; dose; dose-related side effects; cost of the therapy and would be beneficial in the management of epilepsy as compared to the LTG-SOL. However, the proof of concept generated through these studies needs to be further validated in higher animals and human volunteers.
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Affiliation(s)
- Pranav Shah
- Maliba Pharmacy College, Uka Tarsadia University, Bardoli, India
| | - Priya Dubey
- Maliba Pharmacy College, Uka Tarsadia University, Bardoli, India
| | - Bhavin Vyas
- Maliba Pharmacy College, Uka Tarsadia University, Bardoli, India
| | - Ankur Kaul
- Division of Cyclotron and Radiopharmaceutical Sciences, Institute of Nuclear Medicine and Allied Sciences, New Delhi, India
| | - Anil Kumar Mishra
- Division of Cyclotron and Radiopharmaceutical Sciences, Institute of Nuclear Medicine and Allied Sciences, New Delhi, India
| | - Dimple Chopra
- Department of Pharmaceutical Sciences, Punjabi University, Patiala, India
| | - Priya Patel
- Department of Pharmaceutical Sciences, Saurashtra University, Rajkot, India
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Goel S, Chopra D, Gera G. Looking into Array of Clinical Presentations of Patients with Leprosy and their Clinico-epidemiological Profile: A Retrospective Study. J Clin Diagn Res 2021. [DOI: 10.7860/jcdr/2021/49116.15055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
Introduction: The prevalence of leprosy in India has decreased to <1 per 10,000 population by 2016 after the introduction of Multidrug Therapy (MDT) in 1982; still wide variations in Prevalence Rates (PR) continue to exist across the states and regions in the country. Aim: To determine the current clinical profile of leprosy and study various presenting features of patients with leprosy at a tertiary care hospital in North India. Materials and Methods: A retrospective study, based on seven years data, was conducted on patients diagnosed and registered in the leprosy clinic of a tertiary care hospital in North India, from January 2013 to December 2019. Data regarding their demographic details, presenting complaints, clinical features, associated complications and treatment administered was analysed and was entered into Microsoft Excel and presented as tables. Results: A total of 181 patients of leprosy were registered over a period of seven years. There were 133 males and 48 females with M:F ratio of 2.77:1. Of the total patients registered, 3.86% were children (≤14 years) and 97.8 % patients were immigrants from the adjoining states. The most common clinical type was Multibacillary (MB) leprosy in 88.95% patients whereas most frequent morphological type was Borderline Tuberculoid (BT) leprosy (72.93%). Thirty-three (18.23%) patients presented with leprosy reaction (Type 1 reaction in 16.6% and Type 2 reaction in 1.66%). World Health Organisation (WHO) grade 2 deformities (G2D) were diagnosed in 3 (1.66%) patients, with claw hand being the most common deformity (1.10%). Anaesthetic to hypoaesthetic patches were the most common presenting feature (64.1%). Conclusion: Despite statistical elimination, MB disease and leprosy reactions are commonly seen as presenting manifestations. It highlights the need for high quality leprosy services including good referral system for an active case detection. Varied clinical presentations of leprosy should be contemplated while examining patients that can assist in an early and better case detection that will prevent delay in therapy and associated deformities and also decrease the transmission of disease in the community.
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Goel S, Chopra D, Choudhary V, Riyat A, Chopra S. Changing trends of sexually transmitted infections and estimation of partner notification at a tertiary care center in North India. Indian J Sex Transm Dis AIDS 2020; 41:176-180. [PMID: 33817590 PMCID: PMC8000662 DOI: 10.4103/ijstd.ijstd_10_19] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2019] [Revised: 06/20/2019] [Accepted: 01/06/2020] [Indexed: 11/04/2022] Open
Abstract
Background Sexually transmitted infections (STIs) are dynamic and show a variable prevalence in different parts of the country. Moreover, the prevalence changes with time in the same geographical area. It is important to have the knowledge of current trend of STIs and partner notification (PN) rate in a particular area for the effective implementation of preventive and control measures. Aims This study aimed to assess the changing demographic and clinical trends of STIs in the patients attending a tertiary care center in North India. Materials and Methods This study was conducted at STI clinic located at a tertiary care center in North India. All the patients visiting STI clinic over a 5-year period from January 1, 2013, to December 31, 2017, were included in our study. Diseases were diagnosed on the basis of detailed history, clinical examination, and relevant investigations, and PN was done using the patient-oriented notification method. Results The most common STI affected age group was 25-44 years (45.11%), and the most common STI noted was candidal balanoposthitis in males (19.49%) and candidal vaginal discharge in females (20.54%), followed by herpes genitalis (15.04%) and condylomata acuminata (14.66%) in both the genders. Bacterial STIs such as syphilis (1.58%), lymphogranuloma venereum (0.45%), and chancroid (0.39%) were less common. The average PN rate was 42.48%. Conclusion In the present study, fungal and viral STIs showed an upward trend, whereas bacterial STIs such as syphilis and chancroid demonstrated a declining trend. The measures to improve PN are urgently required for both cure and the prevention of STIs.
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Affiliation(s)
- Seema Goel
- Department of Dermatology Venereology and Leprology, Government Medical College, Patiala, Punjab, India
| | - Dimple Chopra
- Department of Dermatology Venereology and Leprology, Government Medical College, Patiala, Punjab, India
| | - Vivek Choudhary
- Department of Dermatology Venereology and Leprology, Government Medical College, Patiala, Punjab, India
| | - Amandeep Riyat
- Department of Dermatology Venereology and Leprology, Government Medical College, Patiala, Punjab, India
| | - Siddharth Chopra
- Department of Dermatology Venereology and Leprology, Government Medical College, Patiala, Punjab, India
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Kaur R, Rawat AK, Kumar S, Aadil W, Akhtar T, Narang T, Chopra D. Association of genetic polymorphism of interleukin-17A & interleukin-17F with susceptibility of psoriasis. Indian J Med Res 2019; 148:422-426. [PMID: 30666004 PMCID: PMC6362716 DOI: 10.4103/ijmr.ijmr_1859_16] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022] Open
Abstract
Background & objectives: Psoriasis is a chronic inflammatory skin disease with unknown aetiology. So far studies have confirmed that interleukins, pro-inflammatory factors and T-cell activation play major role in the development of disease. Interleukin-17 (IL-17) a T helper inflammatory cytokine, was found to be positively correlated with severity of psoriasis. However, the specific mechanism has not been clarified. IL-17A and IL-17F are group members of IL17 family cytokines and found to be located adjacent to one another on the same human chromosome, 6p12. The present study was designed to identify the association between IL-17A and IL-17F gene polymorphism with susceptibility of psoriasis in north Indian population. Methods: A total of 166 psoriasis patients and 150 healthy controls were genotyped for IL-17A and IL-17F gene polymorphism by amplification refractory mutation system-polymerase chain reaction method. One single nucleotide polymorphism (SNP) was analysed in IL-17A (rs10484879) and one SNP in IL-17F (rs763780) to look for an association with psoriasis. Results: Our study indicated decreased frequency of IL-17A (rs10484879) G allele (51.8 vs. 65.0%), and IL-17F (rs763780) C allele (36.5 vs. 45.7%) in psoriatic patients as compared to healthy controls. Interpretation & conclusions: The present findings suggest that IL-17A (rs10484879) G/T and IL-17F (rs763780) C/T gene polymorphisms may contribute in pathogenesis of psoriasis. Further studies need to be done to confirm these findings.
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Affiliation(s)
- Rajinder Kaur
- Department of Human Genetics, Punjabi University, Patiala, India
| | - Arun Kumar Rawat
- Department of Human Genetics, Punjabi University, Patiala, India
| | - Sunil Kumar
- Department of Human Genetics, Punjabi University, Patiala, India
| | - Wani Aadil
- Department of Human Genetics, Punjabi University, Patiala, India
| | - Tahseena Akhtar
- Department of Human Genetics, Punjabi University, Patiala, India
| | - Tarun Narang
- Department of Dermatology, Post Graduate Institute of Medical Education & Research, Chandigarh, India
| | - Dimple Chopra
- Department of Dermatology, Government Rajindra Medical College & Hospital, Patiala, India
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Chopra D, Kumari S, Kundal RK, Bahl RK, Aggarwal S, Singh H, Bansal S. A study of clinicopathological correlation of pruritic papular eruptions in HIV patients. Indian J Sex Transm Dis AIDS 2018; 39:44-49. [PMID: 30187026 PMCID: PMC6111639 DOI: 10.4103/ijstd.ijstd_10_17] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
Context: Pruritic papular eruption (PPE) is a chronic eruption of papular and pruritic lesions of unknown etiology, symmetrically distributed over trunk and extremities. These are common cutaneous manifestations in HIV patients. It is an important cause of HIV-related morbidity. PPE can be the first marker of HIV. Their etiology, histopathological findings, and associated factors vary from region to region. There are no clear data available on the etiology, exact spectrum of the condition, histopathological findings, or treatment of PPE. Aims: The study is aimed at documenting the etiology, CD4 count, and its histopathological correlation in HIV-infected patients. Settings and Design: An observational study conducted in Government Medical College, Patiala. Subjects and Methods: Two-year data regarding history, HIV status, cluster of differentiation 4 (CD4) cell count, and skin biopsy of clinically suspected PPE patients with known HIV status were analyzed. Statistical Analysis Used: All the results were then statistically analyzed. Categorical data were analyzed by Chi-square test, and one-way Spearman's rho test was used for multiple group comparison. Results: Data of 50 eligible patients were analyzed. The majority of the patients were female (between 21 and 50 years of age). The most common histopathological patterns were of papular urticaria, scabies, and drug reaction, and the others less common PPE were polymorphic light eruption and eosinophilic folliculitis. Patients with papular urticaria (32%) had significantly lower mean CD4 counts (157 cells/mm3), while in scabies, the mean CD4 count (376 cells/mm3) was higher. Conclusions: We conclude that histopathology helps in specifying the pattern of PPE and its etiology. It can be a marker of advanced HIV infection. Thus, correlation between the histopathology, clinical diagnosis, and CD4 counts helps to know the disease process.
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Affiliation(s)
- Dimple Chopra
- Department of Skin and VD, Rajindra Hospital, GMC, Patiala, Punjab, India
| | - Sarvjit Kumari
- Department of Skin and VD, Rajindra Hospital, GMC, Patiala, Punjab, India
| | | | - Rakesh Kumar Bahl
- Department of Skin and VD, Rajindra Hospital, GMC, Patiala, Punjab, India
| | - Shivali Aggarwal
- Department of Skin and VD, Rajindra Hospital, GMC, Patiala, Punjab, India
| | - Harpal Singh
- Department of Pathology, Rajindra Hospital, GMC, Patiala, Punjab, India
| | - Shalini Bansal
- Department of Skin and VD, Rajindra Hospital, GMC, Patiala, Punjab, India
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Narula N, Chopra D, Rosenberg M, Moayyedi P. A44 IS BLOOD UREA NITROGEN AN INDEPENDENT PREDICTOR OF POSITIVE ENDOSCOPIC FINDINGS IN PRESUMED UPPER GI BLEEDING? J Can Assoc Gastroenterol 2018. [DOI: 10.1093/jcag/gwy009.044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
| | - D Chopra
- Medicine, McMaster University, Hamilton, ON, Canada
| | - M Rosenberg
- Gastroenterology, McMaster University, Thornhill, ON, Canada
| | - P Moayyedi
- McMaster University, Hamilton, ON, Canada
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Rawat AK, Wani A, Akhtar T, Kaur P, Narang T, Chopra D, Singh TB, Kaur R. Insight into the Possible Association between Gene Polymorphism of IFN-γ and IL-22 with Psoriasis in Punjab, India. J Clin Diagn Res 2018. [DOI: 10.7860/jcdr/2018/36381.12154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Chopra D, Sharma A, Kaur S, Singh R. Eruptive pseudoangiomatosis - cherry angiomas with perilesional halo. Indian J Dermatol Venereol Leprol 2018; 84:424-430. [DOI: 10.4103/ijdvl.ijdvl_483_16] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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23
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Chopra D, Singh R, Bahl RK, Kundal RK, Aggarwal S, Sharma A, Singla A. Various Clinical and Histopathological Patterns of Idiopathic Photodermatosis: An Observational Study. J Clin Diagn Res 2018. [DOI: 10.7860/jcdr/2018/28950.12274] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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24
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Vadhariya A, Chopra D, Abughosh S. The Intention to use E-Cigarettes and its Association with Cigarette Smoking Intention and Habits Among us Youth. Res Social Adm Pharm 2016. [DOI: 10.1016/j.sapharm.2016.05.035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Chopra D, Shah A, Payakachat N. Predictors of Intention to First-Time Use of E-Cigarettes in Adolescents Using a Structural Equation Modeling Approach. Res Social Adm Pharm 2016. [DOI: 10.1016/j.sapharm.2016.05.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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26
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Chopra D, Sandhu I, Bahl RK, Bhatia R, Goyal A. Prevalence of sexually transmitted infections in HIV positive and HIV negative females, in a tertiary care hospital - An observational study. Indian J Sex Transm Dis AIDS 2015; 36:59-63. [PMID: 26392656 DOI: 10.4103/0253-7184.156730] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
UNLABELLED The presentation and course of Sexually transmitted diseases(STI) may be altered by presence of coexisting HIV status. Aim of the study was to study the prevalence of STI in 50 females with HIV infection and 50 females without HIV infection and to study the pap smear of patients to look for any cellular changes (dysplasia) due to sexually transmitted infections. MATERIAL AND METHODS The present study was an observational study, which was undertaken on 100 females with STIs (50 females with coexistent HIV infection and 50 females without HIV infection), in the age group 15-49 years attending Skin and VD OPD of Rajindra hospital, Patiala. RESULTS In our study, the commonest presenting complaint in case of both HIV positive (66%) and HIV negative (80%) women was vaginal discharge. PAP smear abnormalities were present in 28 (56%) HIV positive women and 11 (22%) HIV negative women. In case of HIV positive women, the inflammation was trichomonal in 4 (8%), bacterial in 2 (4%), fungal in 2 (4%) and non-specific in 20 (40%) patients. In HIV negative women, the inflammation was trichomonal in 2 (4%) patients, bacterial in 2 (4%) patients and non-specific in 7 (14%) patients. The difference in abnormality seen in PAP smear between HIV positive and HIV negative women is statistically significant only in case of non-specific inflammation which is more common in case of HIV positive women. CONCLUSION From the present study, it was concluded vaginal discharge was the commonest presenting complaint in both HIV positive and HIV negative women, though the commonest cause of vaginal discharge was candidiasis in HIV positive females and bacterial vaginosis in HIV negative females. Also, PAP smear abnormalities were significantly higher in HIV positive women than HIV negative women. So it is important that HIV positive women should have complete gynecological evaluation including a PAP smear with aggressive screening of STIs.
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Affiliation(s)
- Dimple Chopra
- Department of Dermatology, Government Medical College, Patiala, Punjab, India
| | - Ivy Sandhu
- Department of Dermatology, Government Medical College, Patiala, Punjab, India
| | - R K Bahl
- Department of Dermatology, Government Medical College, Patiala, Punjab, India
| | - Ruby Bhatia
- Department of Dermatology, Government Medical College, Patiala, Punjab, India
| | - Anupama Goyal
- Department of Dermatology, Government Medical College, Patiala, Punjab, India
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27
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Chopra D, Sandhu I, Bahl RK, Bhatia R, Goyal A. Prevalence of sexually transmitted infections in HIV positive and HIV negative females, in a tertiary care hospital - An observational study. Indian J Sex Transm Dis AIDS 2015. [PMID: 26392656 PMCID: PMC4555901 DOI: 10.4103/2589-0557.156730] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
UNLABELLED The presentation and course of Sexually transmitted diseases(STI) may be altered by presence of coexisting HIV status. Aim of the study was to study the prevalence of STI in 50 females with HIV infection and 50 females without HIV infection and to study the pap smear of patients to look for any cellular changes (dysplasia) due to sexually transmitted infections. MATERIAL AND METHODS The present study was an observational study, which was undertaken on 100 females with STIs (50 females with coexistent HIV infection and 50 females without HIV infection), in the age group 15-49 years attending Skin and VD OPD of Rajindra hospital, Patiala. RESULTS In our study, the commonest presenting complaint in case of both HIV positive (66%) and HIV negative (80%) women was vaginal discharge. PAP smear abnormalities were present in 28 (56%) HIV positive women and 11 (22%) HIV negative women. In case of HIV positive women, the inflammation was trichomonal in 4 (8%), bacterial in 2 (4%), fungal in 2 (4%) and non-specific in 20 (40%) patients. In HIV negative women, the inflammation was trichomonal in 2 (4%) patients, bacterial in 2 (4%) patients and non-specific in 7 (14%) patients. The difference in abnormality seen in PAP smear between HIV positive and HIV negative women is statistically significant only in case of non-specific inflammation which is more common in case of HIV positive women. CONCLUSION From the present study, it was concluded vaginal discharge was the commonest presenting complaint in both HIV positive and HIV negative women, though the commonest cause of vaginal discharge was candidiasis in HIV positive females and bacterial vaginosis in HIV negative females. Also, PAP smear abnormalities were significantly higher in HIV positive women than HIV negative women. So it is important that HIV positive women should have complete gynecological evaluation including a PAP smear with aggressive screening of STIs.
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Affiliation(s)
- Dimple Chopra
- Department of Dermatology, Government Medical College, Patiala, Punjab, India,Address for correspondence: Dr. Dimple Chopra, 27, Bank Colony, Patiala, Punjab, India, E-mail:
| | - Ivy Sandhu
- Department of Dermatology, Government Medical College, Patiala, Punjab, India
| | - RK Bahl
- Department of Dermatology, Government Medical College, Patiala, Punjab, India
| | - Ruby Bhatia
- Department of Dermatology, Government Medical College, Patiala, Punjab, India
| | - Anupama Goyal
- Department of Dermatology, Government Medical College, Patiala, Punjab, India
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Panini P, Chopra D. Investigation of interactions involving organic fluorine in trifluoromethylated benzanilides. Acta Crystallogr A 2011. [DOI: 10.1107/s0108767311092142] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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29
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Choudhury AR, Panini P, Kaur G, Chopra D. Halogen interactions using variable temperature single crystal X-ray diffraction. Acta Crystallogr A 2011. [DOI: 10.1107/s0108767311083243] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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30
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Abstract
A 24-year old male developed left sided pleural effusion 10 days after the start of anti tubercular chemotherapy for right-sided pleural effusion and parenchymal lesion. This effusion seemed to be a paradoxical response as it resolved on follow up.
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Affiliation(s)
- Vishal Chopra
- Deptt. of Chest & Tuberculosis, Govt. Medical College, Patiala, Punjab, India
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31
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Chopra D, Kini P, Bhaskaranand N, Aroor S. Spectrum of infections in children with nephrotic syndrome. Int J Infect Dis 2010. [DOI: 10.1016/j.ijid.2010.02.552] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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32
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Affiliation(s)
- A S Kashyap
- Department of Endocrinology, Command Hospital (Central Command), Lucknow, India.
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35
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Brar BK, Mehta V, Chopra D, Kubba A. Churg-strauss syndrome. Indian J Dermatol 2009. [DOI: 10.4103/0019-5154.45465] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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36
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Abstract
Rosai-Dorfman disease is a rare, benign histiocytic proliferative disorder which commonly affects the lymph nodes. Extranodal involvement along with concomitant nodal disease occurs in about 43% of cases. Isolated extranodal Rosai-Dorfman disease is relatively uncommon. We report this rare case of isolated extranodal Rosai-Dorfman disease and its ultrasound findings.
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Affiliation(s)
- D Chopra
- Nuclear Medicine, Imaging Department, Charing Cross Hospital, Fulham Palace Road, Hammersmith, London
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39
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Affiliation(s)
- D Chopra
- Classified Specialist (Surgery), UN Mission
| | - J N Lakhe
- Classified Specialist (Anaesthesiology), MH Agra Cantt
| | - S C Sharma
- Classified Specialist (Pathology), MH Ambala Cantt
| | - K R Salgotra
- Senior Advisor (Surg & Orthopaedics), 166 MH, C/o 56 APO
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40
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Chopra D, Lakhe JN, Sharma SC, Salgotra KR, Raju M. Lump in a Lactating Breast. Med J Armed Forces India 2006; 62:297-8. [PMID: 27407918 DOI: 10.1016/s0377-1237(06)80031-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2004] [Accepted: 05/27/2005] [Indexed: 10/18/2022] Open
Affiliation(s)
- D Chopra
- Classified Specialist (Surgery), UN Mission
| | - J N Lakhe
- Classified Specialist (Anaesthesia) MH Agra
| | - S C Sharma
- Classified Specialist (Pathology) MH Ambala Cantt
| | - K R Salgotra
- Senior Advisor (Surgery and Orthopaedics) 166 MH C/o 56APD, Pune
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41
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Chopra D, Nagarajan K, Guru Row TN. Polymorphism in an anti-implantation agent: a subtle interplay of weak intermolecular interactions. Acta Crystallogr A 2005. [DOI: 10.1107/s0108767305087908] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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42
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Meshram DM, Langade DG, Kinagi SB, Naikwadi AA, Morye V, Chopra D. Evaluation of efficacy and safety of fixed dose combination of glimepiride 2 mg pluspioglitazone 15 mg plus metformin SR 500 mg in the management of patients with type-2 diabetes mellitus. J Indian Med Assoc 2005; 103:447-50. [PMID: 16363204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/05/2023]
Abstract
An estimated 25 million Indians currently have diabetes and the projections indicate Indians would be the largest group by the year 2025 AD. An open, phase III, multicentric study was conducted to determine the efficacy and tolerability of the triple drug combination glimepiride 2 mg plus pioglitazone hydrochloride 15 mg plus metformin SR 500 mg for 8 weeks in 101 Indian patients with type 2 diabetes mellitus. The study revealed that the triple drug combination could achieve the recommended goals, recommended by American Diabetic Association, for fasting blood glucose < or = 140 mg/dl and glycosylated haemoglobin (HbA1c) of < or = 8%. After 8 weeks, the mean fasting blood glucose (baseline 189.61) was reduced to 111.68 (41% reduction); the mean glycosylated haemoglobin (baseline 10.32) was significantly reduced to 7.54 (26% reduction). The triple drug combination significantly reduced the levels of triglyceride, low density lipoproteins and total cholesterol. These significant levels were achieved within 8 weeks and all patients tolerated the drug well with no reported case of serious adverse events including hypoglycaemia. There were also no reported drug interactions in the study. Since the decrease in HbA1c was continuous and throughout the study, a further decrease in the HbA1c levels would have been noted since the present trial was designed for a period of 8 weeks. Thus, the present study confirms the efficacy and safety of FDC of the triple drug combination in patients with type 2 diabetes.
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Joshi SR, Kale S, Oomman A, Joshi RM, Chopra D. Study of efficacy and safety of losartan (losar) in Asian Indian hypertensives. J Indian Med Assoc 2005; 103:392, 394-6. [PMID: 16366194] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/05/2023]
Abstract
Although there has been widespread dissemination of knowledge about hypertension, it remains poorly treated in most populations. Systemic hypertension is associated with increased risk for coronary artery disease, stroke, nephrosclerosis, peripheral vascular disease, etc. The treatment of hypertension includes non-pharmacological measures and the specific drug therapy. Losartan potassium is an orally active, non-peptide angiotensin II receptor antagonist. It is the first of this new class of drugs introduced for clinical use in hypertension. Data was obtained of 347 patients from 140 general physicians. The study revealed that losartan potassium is used in the treatment of mild to moderate hypertension with excellent to good response in 98.8% of the cases. Mild adverse reactions were reported in 5.8% of the cases. None of the adverse reactions were severe enough which required discontinuation of therapy or needed hospitalisation. Thus, the present postmarketing surveillance study confirms the safety and efficacy of losartan potassium in Indian population.
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Abstract
The aggregation properties of novel bile acid analogs-phosphonobile salts (PBS)-have been studied. The critical micellar concentration of 23 and 24-phosphonobile salts were measured using fluorescence and 31P NMR methods. All the ten synthesized phosphonobile salts formed gels at different pH ranges in water. The pH range at which individual PBSs could gelate water was narrow and influenced by the number and conformation of hydroxyl groups. A reversible thermochromic system has been developed (with 23-phosphonodeoxycholate at pH 3.3), which changes color upon gelation. The investigation of the first hydrogels derived from trihydroxy bile acid analogs 1 and 6 was made using fluorescence, 31P NMR, X-ray crystallography, circular dichroism and SEM. The present studies reveal that the gel network consists of a chiral, fibrous structure possessing hydrophobic interiors.
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Affiliation(s)
- Ponnusamy Babu
- Department of Organic Chemistry, Indian Institute of Science, Bangalore, 560 012, India
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46
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Chopra A, Jha A, Chopra D. Pyoderma gangrenosum and urinary tract infection. Indian J Dermatol Venereol Leprol 2001; 67:259-60. [PMID: 17664767] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/16/2023]
Abstract
A case of pyoderma gangrenosum is reported in a 52-year-old man who had skin lesions without any association. On investigation urinary tract infection was detected. Treatment of UTI led to spontaneous healing of the lesions in short period thus avoiding the need of oral corticosteroids.
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Affiliation(s)
- A Chopra
- Department of Dermato-Venereology, Raiendra Hospital, Patiala-147 001, India
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Chopra A, Kullar J, Chopra D, Dhaliwal RS. Cutaneous physiological and pathological changes in elderly. Indian J Dermatol Venereol Leprol 2000; 66:274. [PMID: 20877103] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Affiliation(s)
- A Chopra
- Department of Skin & VD, Govt. Medical College, Patiala - 147 001 (Punjab), India
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Chopra A, Kaur M, Chopra D. Multiple keratoacanthomas of hands simulating discoid lupus erythematosus. Indian J Dermatol Venereol Leprol 2000; 66:91-92. [PMID: 20877038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
A 38-year-old woman presented with multiple, well-defined, erythematous, scaly, slightly pain-ful nodules progressing to plaques on the palms, dorsa of fingers of both hands since 6 years. Healed lesions had well-defined hyperpigmented margins with slight central atrophy. Clinical diagnosis of dis-coid lupus erythematosus was made, but histopatholgoy confirmed the diagnosis of keratoacanthomas.
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Chopra A, Walia P, Chopra D, Jassal JS. Adiposis dolorosa. Indian J Dermatol Venereol Leprol 2000; 66:101-102. [PMID: 20877043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
Adiposis dolorosa, a rare condition characterised by painful subcutaneous plaques of fat associated with obesity and emotional disturbances in menopausal females, is being reported.
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Affiliation(s)
- A Chopra
- Department of Skin & VD, S.P. Medical College, Bikaner, India
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50
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Chopra A, Kaur M, Kular J, Chopra D. Nail changes after carbamazepine. Indian J Dermatol Venereol Leprol 2000; 66:103. [PMID: 20877044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
Antiepileptics are known to produce different types of side effects including nail changes. A 20-year-old epileptic man had yellowish discolouration followed by dystrophy and onycholysis of his 15 nails after taking carbamazepine for 3 months which cleared within six months after discontinuation of the drug. This type of change has not been reported earlier with carbamazepine.
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Affiliation(s)
- A Chopra
- Professor, Skin & V.D, 27, Bank Colony, Patiala -147 001, Punjab, India
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