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Thareja J, Minj A, Samal P, Panigrahi PK. Ophthalmic manifestations in hematological malignancies: An observational study from a tertiary care health center in Eastern India. Indian J Ophthalmol 2024; 72:659-663. [PMID: 38189493 DOI: 10.4103/ijo.ijo_815_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2023] [Accepted: 09/08/2023] [Indexed: 01/09/2024] Open
Abstract
PURPOSE This study aimed to document the spectrum of ocular manifestations of hematological malignancies presenting to a tertiary health center in Eastern India and their association with blood parameters. METHODS This hospital-based cross-sectional study was conducted from August 2021 to July 2022. Patients diagnosed with leukemia, lymphoma, and multiple myeloma were enrolled in the study. A comprehensive ophthalmic evaluation was done in each case. RESULTS A total of 97 patients with a confirmed diagnosis of hematological malignancies and meeting the inclusion and exclusion criteria were included in the study. Ocular manifestations were noted in 48 (49.48%) patients. Acute lymphocytic leukemia accounted for 35.4% of cases, followed by acute myeloid leukemia (31.25%), lymphoma (4.2%), and minimum manifestation in multiple myeloma (2.1%) patients. Among 48 patients with ocular manifestations, anterior segment involvement was found in 6.2% of cases, with subconjunctival hemorrhage being the most common, and the posterior segment was involved in 100% of patients, with intraretinal hemorrhages being the most common manifestation. A statistically significant association was noted between hemoglobin, total red blood cell count, and total platelet count with posterior segment manifestations ( p < 0.001). On multivariable logistic regression, only total leucocyte count and total platelet count were significant predictors for ocular manifestation. CONCLUSION Indirect involvement of the retina is the most common ocular pathology in hematological malignancies, with intraretinal hemorrhages being the most common finding. Ophthalmic examination is highly recommended as a part of the routine evaluation at the time of diagnosis of hematological malignancies and periodically thereafter to diagnose any ocular involvement.
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Affiliation(s)
- Japesh Thareja
- Department of Ophthalmology, Institute of Medical Sciences and SUM Hospital, Siksha 'O' Anusandhan (Deemed to be) University, 8-Kalinga Nagar, Bhubaneswar, Odisha, India
| | - Anita Minj
- Department of Ophthalmology, Institute of Medical Sciences and SUM Hospital, Siksha 'O' Anusandhan (Deemed to be) University, 8-Kalinga Nagar, Bhubaneswar, Odisha, India
| | - Priyanka Samal
- Department of Haematology, Institute of Medical Sciences and SUM Hospital, Siksha 'O' Anusandhan (Deemed to be) University, 8-Kalinga Nagar, Bhubaneswar, Odisha, India
| | - Pradeep Kumar Panigrahi
- Department of Ophthalmology, Institute of Medical Sciences and SUM Hospital, Siksha 'O' Anusandhan (Deemed to be) University, 8-Kalinga Nagar, Bhubaneswar, Odisha, India
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Bishoyi AK, Sahoo CR, Samal P, Mishra NP, Jali BR, Khan MS, Padhy RN. Unveiling the antibacterial and antifungal potential of biosynthesized silver nanoparticles from Chromolaena odorata leaves. Sci Rep 2024; 14:7513. [PMID: 38553574 PMCID: PMC10980689 DOI: 10.1038/s41598-024-57972-5] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2024] [Accepted: 03/23/2024] [Indexed: 04/02/2024] Open
Abstract
This research investigates the biogenic synthesis of silver nanoparticles (AgNPs) using the leaf extract of Chromolaena odorata (Asteraceae) and their potential as antibacterial and antifungal agents. Characterization techniques like ultraviolet-visible, Fourier transform infrared (FTIR), Dynamic light scattering and zeta potential (DLS), X-ray diffraction (XRD), transmission electron microscopy (TEM), and field emission scanning electron microscopy and energy-dispersive X-ray spectroscopy (FESEM-EDX) confirmed the formation of spherical (AgNPs). UV-vis spectroscopy reaffirms AgNP formation with a peak at 429 nm. DLS and zeta potential measurements revealed an average size of 30.77 nm and a negative surface charge (- 0.532 mV). Further, XRD analysis established the crystalline structure of the AgNPs. Moreover, the TEM descriptions indicate that the AgNPs are spherical shapes, and their sizes ranged from 9 to 22 nm with an average length of 15.27 nm. The X-ray photoelectron spectroscopy (XPS) analysis validated the formation of metallic silver and elucidated the surface state composition of AgNPs. Biologically, CO-AgNPs showed moderate antibacterial activity but excellent antifungal activity against Candida tropicalis (MCC 1559) and Trichophyton rubrum (MCC 1598). Low MIC values (0.195 and 0.390 mg/mL) respectively, suggest their potential as effective antifungal agents. This suggests potential applications in controlling fungal infections, which are often more challenging to treat than bacterial infections. Molecular docking results validated that bioactive compounds in C. odorata contribute to antifungal activity by interacting with its specific domain. Further research could pave the way for the development of novel and safe antifungal therapies based on biogenic nanoparticles.
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Affiliation(s)
- Ajit Kumar Bishoyi
- Central Research Laboratory, Institute of Medical Sciences and Sum Hospital, Siksha 'O' Anusandhan Deemed to be University, Bhubaneswar, Odisha, 751003, India
- Department of Clinical Hematology, Institute of Medical Sciences and Sum Hospital, Siksha 'O' Anusandhan Deemed to be University, Bhubaneswar, Odisha, 751003, India
| | - Chita Ranjan Sahoo
- Central Research Laboratory, Institute of Medical Sciences and Sum Hospital, Siksha 'O' Anusandhan Deemed to be University, Bhubaneswar, Odisha, 751003, India
| | - Priyanka Samal
- Department of Clinical Hematology, Institute of Medical Sciences and Sum Hospital, Siksha 'O' Anusandhan Deemed to be University, Bhubaneswar, Odisha, 751003, India
| | | | - Bigyan Ranjan Jali
- Department of Chemistry, Veer Surendra Sai University of Technology, Burla, Sambalpur, Odisha, 768018, India.
| | - Mohd Shahnawaz Khan
- Department of Biochemistry, College of Science, King Saud University, 11451, Riyadh, Saudi Arabia.
| | - Rabindra Nath Padhy
- Central Research Laboratory, Institute of Medical Sciences and Sum Hospital, Siksha 'O' Anusandhan Deemed to be University, Bhubaneswar, Odisha, 751003, India.
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Bhoi SK, Lahre Y, Jha M, Naik S, Purkait S, Samal P, Saharia GK, Kumar M, Behera P. From periphery to center, untold story of pure neuritic leprosy: an electrophysiological study. Acta Neurol Belg 2024:10.1007/s13760-024-02503-2. [PMID: 38438636 DOI: 10.1007/s13760-024-02503-2] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2023] [Accepted: 02/08/2024] [Indexed: 03/06/2024]
Abstract
BACKGROUND Pure neuritic leprosy (PNL) is uncommon form of leprosy involving peripheral nerves. Some isolated case reports have shown imaging changes in the central nervous system (CNS) and also impairment in visual evoked potential (VEP), somatosensory evoked potential (SSEP) and brain stem auditory-evoked potentials (BAEPs) parameters in PNL, but there is lack of large study. This prospective observational study evaluates impairment in these central conduction studies among PNL patients. METHODS We screened patients with leprosy presenting with features of neuropathy and/or thickened nerves. Patients with bacilli-positive nerve biopsies were included in the study and subjected to routine tests along with nerve conduction study (NCS), VEP, tibial SSEP and BAEPs. Parameters of these studies were analyzed based on data from previous studies. RESULTS Of 76 patients screened for PNL 49 had positive findings in biopsy. Most of patients were male and mean age group was 46.35 ± 15.35 years. Mononeuritis multiplex was most common NCS pattern in 46.93% (23/49) patients. We found abnormal VEP in 13 out of 35 patients (37.14%). Similarly abnormal SSEP and BAEPs among 42.85% and 40% patients respectively. DISCUSSION This study shows that in PNL significant number of patients have subclinical CNS involvement. Exact pathophysiology of CNS involvement is not known till now but study of VEP, SSEP and BAEPs parameter may help in early diagnosis of PNL.
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Affiliation(s)
- Sanjeev Kumar Bhoi
- Department of Neurology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, 751019, India.
| | - Yuvraj Lahre
- Department of Neurology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, 751019, India
| | - Menka Jha
- Department of Neurology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, 751019, India
| | - Suprava Naik
- Department of Radiodiagnosis, All India Institute of Medical Sciences, Bhubaneswar, Odisha, 751019, India
| | - Suvendu Purkait
- Department of Pathology and Laboratory Medicine, All India Institute of Medical Sciences, Bhubaneswar, Odisha, 751019, India
| | - Priyanka Samal
- Department of Neurology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, 751019, India
| | - Gautom Kumar Saharia
- Department of Biochemistry, All India Institute of Medical Sciences, Bhubaneswar, Odisha, 751019, India
| | - Mukesh Kumar
- Department of Neurology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, 751019, India
| | - Pritimayee Behera
- Department of Neurology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, 751019, India
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Dixit S, Das A, Panigrahi SS, Das P, Samal P, Bal M, Pati S, Ranjit M. Compound Heterozygous for Asian Inversion Deletion Gγ (Aγδβ) 0 and IVS1-5 (G→C) β Thalassemia Mutation in a Transfusion-Dependent Patient. Indian J Pediatr 2024; 91:309. [PMID: 37707781 DOI: 10.1007/s12098-023-04825-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/07/2023] [Accepted: 08/04/2023] [Indexed: 09/15/2023]
Affiliation(s)
- Sujata Dixit
- Indian Council of Medical Research (ICMR)-Regional Medical Research Centre, Bhubaneswar, 751023, Odisha, India
- School of Biotechnology, Kalinga Institute of Industrial Technology (KIIT) University, Bhubaneswar, 751024, Odisha, India
| | - Arundhuti Das
- Indian Council of Medical Research (ICMR)-Regional Medical Research Centre, Bhubaneswar, 751023, Odisha, India
| | - Swati Sudeshna Panigrahi
- Indian Council of Medical Research (ICMR)-Regional Medical Research Centre, Bhubaneswar, 751023, Odisha, India
| | - Palash Das
- Department of Pediatrics, Kalinga Institute of Medical Sciences, Bhubaneswar, 751024, Odisha, India
| | - Priyanka Samal
- Department of Hematology, Institute of Medical Sciences (IMS) & SUM Hospital, Siksha 'O' Anusandhan (SOA) University, Bhubaneswar, 751003, Odisha, India
| | - Madhusmita Bal
- Indian Council of Medical Research (ICMR)-Regional Medical Research Centre, Bhubaneswar, 751023, Odisha, India
| | - Sanghamitra Pati
- Indian Council of Medical Research (ICMR)-Regional Medical Research Centre, Bhubaneswar, 751023, Odisha, India
| | - Manoranjan Ranjit
- Indian Council of Medical Research (ICMR)-Regional Medical Research Centre, Bhubaneswar, 751023, Odisha, India.
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Salunkhe M, Haldar P, Bhatia R, Prasad D, Gupta S, Srivastava MVP, Bhoi S, Jha M, Samal P, Panda S, Anand S, Kumar N, Tiwari A, Gopi S, Raju GB, Garg J, Chawla MPS, Ray BK, Bhardwaj A, Verma A, Dongre N, Chhina G, Sibia R, Kaur R, Zanzmera P, Iype T, Sulena, Garg R, Kumar A, Ranjan A, Sardana V, Maheshwari D, Bhushan B, Saluja A, Darole P, Bala K, Dabla S, Puri I, Shah S, Ranga GS, Nath S, Chandan S, Malik R. IMPETUS Stroke: Assessment of hospital infrastructure and workflow for implementation of uniform stroke care pathway in India. Int J Stroke 2024; 19:76-83. [PMID: 37577976 DOI: 10.1177/17474930231189395] [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: 08/15/2023]
Abstract
BACKGROUND India accounts for 13.3% of global disability-adjusted life years (DALYs) lost due to stroke with a relatively younger age of onset compared to the Western population. In India's public healthcare system, many stroke patients seek care at tertiary-level government-funded medical colleges where an optimal level of stroke care is expected. However, there are no studies from India that have assessed the quality of stroke care, including infrastructure, imaging facilities, or the availability of stroke care units in medical colleges. AIM This study aimed to understand the existing protocols and management of acute stroke care across 22 medical colleges in India, as part of the baseline assessment of the ongoing IMPETUS stroke study. METHODS A semi-structured quantitative pre-tested questionnaire, developed based on review of literature and expert discussion, was mailed to 22 participating sites of the IMPETUS stroke study. The questionnaire assessed comprehensively all components of stroke care, including human resources, emergency system, in-hospital care, and secondary prevention. A descriptive analysis of their status was undertaken. RESULTS In the emergency services, limited stroke helpline numbers, 3/22 (14%); prenotification system, 5/22 (23%); and stroke-trained physicians were available, 6/22 (27%). One-third of hospitals did not have on-call neurologists. Although non-contrast computed tomography (NCCT) was always available, 39% of hospitals were not doing computed tomography (CT) angiography and 13/22 (59%) were not doing magnetic resonance imaging (MRI) after routine working hours. Intravenous thrombolysis was being done in 20/22 (91%) hospitals, but 36% of hospitals did not provide it free of cost. Endovascular therapy was available only in 6/22 (27%) hospitals. The study highlighted the scarcity of multidisciplinary stroke teams, 8/22 (36%), and stroke units, 7/22 (32%). Lifesaving surgeries like hematoma evacuation, 11/22 (50%), and decompressive craniectomy, 9/22 (41%), were performed in limited numbers. The availability of occupational therapists, speech therapists, and cognitive rehabilitation was minimal. CONCLUSION This study highlighted the current status of acute stroke management in publicly funded tertiary care hospitals. Lack of prenotification, limited number of stroke-trained physicians and neurosurgeons, relatively lesser provision of free thrombolytic agents, limited stroke units, and lack of rehabilitation services are areas needing urgent attention by policymakers and creation of sustainable education models for uniform stroke care by medical professionals across the country.
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Affiliation(s)
- Manish Salunkhe
- Department of Neurology, All India Institute of Medical Sciences, New Delhi, India
| | - Partha Haldar
- Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India
| | - Rohit Bhatia
- Department of Neurology, All India Institute of Medical Sciences, New Delhi, India
| | - Deepshikha Prasad
- Department of Neurology, All India Institute of Medical Sciences, New Delhi, India
| | - Shweta Gupta
- Department of Neurology, All India Institute of Medical Sciences, New Delhi, India
| | - M V Padma Srivastava
- Department of Neurology, All India Institute of Medical Sciences, New Delhi, India
| | - Sanjeev Bhoi
- Department of Neurology, All India Institute of Medical Sciences, Bhubaneshwar, India
| | - Menka Jha
- Department of Neurology, All India Institute of Medical Sciences, Bhubaneshwar, India
| | - Priyanka Samal
- Department of Neurology, All India Institute of Medical Sciences, Bhubaneshwar, India
| | - Samhita Panda
- Department of Neurology, All India Institute of Medical Sciences, Jodhpur, India
| | - Sucharita Anand
- Department of Neurology, All India Institute of Medical Sciences, Jodhpur, India
| | - Niraj Kumar
- Department of Neurology, All India Institute of Medical Sciences, Rishikesh, India
| | - Ashutosh Tiwari
- Department of Neurology, All India Institute of Medical Sciences, Rishikesh, India
| | - S Gopi
- Department of Neurology, Andhra Medical College, Visakhapatnam, India
| | | | - Jyoti Garg
- Department of Neurology, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi, India
| | - M P S Chawla
- Department of Medicine, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi, India
| | - Biman Kanti Ray
- Department of Neurology, Bangur Institute of Neurology, Institute of Post Graduate Medical Education & Research (IPGMER), Kolkata, India
| | - Amit Bhardwaj
- Department of Neurology, Dr Rajendra Prasad Government Medical College, Tanda, India
| | - Alok Verma
- Department of Neurology, Ganesh Shankar Vidyarthi Memorial (GSVM) Medical College, Kanpur, India
| | - Nikhil Dongre
- Department of Neurology, Ganesh Shankar Vidyarthi Memorial (GSVM) Medical College, Kanpur, India
| | - Gurpreet Chhina
- Department of Medicine, Government Medical College, Amritsar, India
| | - Raminder Sibia
- Department of Medicine, Government Medical College, Patiala, India
| | | | - Paresh Zanzmera
- Department of Neurology, Government Medical College, Surat, India
| | - Thomas Iype
- Department of Neurology, Government Medical College, Trivandrum, India
| | - Sulena
- Department of Medicine, Guru Gobind Singh Medical College and Hospital, Faridkot, India
| | - Ravinder Garg
- Department of Medicine, Guru Gobind Singh Medical College and Hospital, Faridkot, India
| | - Ashok Kumar
- Department of Neurology, Indira Gandhi Institute of Medical Sciences, Patna, India
| | - Abhay Ranjan
- Department of Neurology, Indira Gandhi Institute of Medical Sciences, Patna, India
| | - Vijay Sardana
- Department of Neurology, Kota Medical College, Kota, India
| | | | - Bharat Bhushan
- Department of Neurology, Kota Medical College, Kota, India
| | - Alvee Saluja
- Department of Neurology, Lady Hardinge Medical College, New Delhi, India
| | - Pramod Darole
- Department of Medicine, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, India
| | - Kiran Bala
- Department of Neurology, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, India
| | - Surekha Dabla
- Department of Neurology, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, India
| | - Inder Puri
- Department of Neurology, Sardar Patel Medical College, Bikaner, India
| | - Shalin Shah
- Department of Neurology, Sardar Vallabhbhai Patel Institute of Medical Sciences and Research, Ahmedabad, India
| | | | - Smita Nath
- Department of Medicine, University College of Medical Sciences, Delhi, India
| | - Shishir Chandan
- Department of Neurology, Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi, India
| | - Rupali Malik
- Department of Medicine, Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi, India
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Porey C, Naik S, Bhoi SK, Jha M, Samal P. A Study of Diffusion Tensor Imaging in Central Post-Stroke Pain: Traveling Beyond the Pain Pathways. Ann Indian Acad Neurol 2023; 26:889-894. [PMID: 38229624 PMCID: PMC10789392 DOI: 10.4103/aian.aian_378_23] [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: 04/30/2023] [Revised: 08/10/2023] [Accepted: 08/13/2023] [Indexed: 01/18/2024] Open
Abstract
Introduction Central post-stroke pain (CPSP), seen in the aftermath of a stroke, is an underdiagnosed entity but quite a disabling complication. All the postulated theories regarding the pathogenesis of CPSP point to its origin in the central pain pathways. However, this study attempts to demonstrate the role of other contributing areas in the generation of CPSP. Materials and Methods In this single-center tertiary care hospital-based study, 24 patients with both ischemic and hemorrhagic strokes of variable durations were recruited, and Magnetic Resonance Imaging (MRI) imaging with diffusion tensor imaging (DTI) acquisition was done. Fractional anisotropy (FA) and apparent diffusion coefficient (ADC) values of the spinothalamic tract (STT), corticospinal tract (CST), superior thalamic radiation (STR), basal ganglia (BG), and primary somatosensory cortex (SSC) were compared between normal and abnormal sides and also in extrathalamic lesions separately. Results Significant differences with lower FA were noted in STT, CST, STR, and SSC and higher ADC values in BG, STR, CST, and SSC on comparison between the normal and lesion sides. On individual sub-analysis, ischemic stroke had significant changes in the FA value of CST and the ADC value of STR and CST, while hemorrhagic stroke had significant changes in the FA and ADC values of STR and SSC, as well as the FA value of STT. In the analysis of the extrathalamic strokes, significance persisted in all the studied parameters except the BG. The CST abnormalities were evident even in patients with clinical motor improvement. On multivariate analysis, visual analogue scale score severity was correlated with thalamic lesions. Conclusion Contrary to the belief that STT is solely responsible for CPSP, the role of CST, STR, BG, and SSC as contributing areas is evident from this study and may be more well established if studied in a larger population.
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Affiliation(s)
- Camelia Porey
- Department of Neurology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
| | - Suprava Naik
- Department of Radiodiagnosis, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
| | - Sanjeev Kumar Bhoi
- Department of Neurology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
| | - Menka Jha
- Department of Neurology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
| | - Priyanka Samal
- Department of Neurology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
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Jaiswal BK, Bhoi SK, Jha M, Samal P, Porey C. Equipotency of lacosamide to levetiracetam in new onset focal epilepsy: A randomized controlled trial. J Neurosci Rural Pract 2023; 14:622-628. [PMID: 38059231 PMCID: PMC10696354 DOI: 10.25259/jnrp_182_2023] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2023] [Accepted: 06/03/2023] [Indexed: 12/08/2023] Open
Abstract
Objectives Levetiracetam (LEV) is a well-established broad spectrum antiseizure medication (ASM) effective in focal, generalized, and myoclonic seizures whereas lacosamide (LCM) is a comparatively newer ASM currently approved only as an add-on agent in focal seizures. The aim of the study was to assess the efficacy and the tolerability of oral LCM as monotherapy in adult people with epilepsy (PWE) with new onset focal onset epilepsy compared with those receiving LEV. Materials and Methods In this open-label single-center non-inferiority trial, PWE aged between 16 and 65 years suffering from new onset focal seizures, with or without secondary generalization were put on LCM monotherapy or LEV monotherapy. Data regarding demographic characteristics, seizure type and etiology, LCM and LEV daily dose, seizure frequency at baseline and at 6 months of follow-up, and seizure freedom rates were recorded. Results Thirty-five PWE on LCM (24 males), their mean age: 38.20 ± 16.62 years and 35 PWE on LEV (25 males, mean age: 38.91 ± 17.13 years) were enrolled. The most common type of seizure observed was focal to bilateral tonic-clonic seizure >70% followed by focal impaired awareness seizure and focal awareness seizure. Structural epilepsy was found in 21 among LCM group and 22 of LEV group. In the LCM group, the seizure frequency decreased from 3.33 ± 1.88 to 0.85 ± 1.09 (P = 0.001) at 6 months and from 3.61 ± 3.12 to 0.94 ± 1.24 (P = 0.001) in LEV group, intergroup difference (P = 0.74). At 6-month follow-up period, 78.9% in LCM arm and 87.9% in the LEV arm had experienced a 50% of reduction in seizure frequency while seizure freedom was attained in 43.3% of PWE in both the arms (P = 1). The most common treatment emergent adverse effects in the LCM group were fatiguability, dyspepsia, headache, and dizziness, while in the LEV group; somnolence and behavioral abnormality. Conclusion Treatment with LCM met the non-inferiority criteria when compared with LEV. Therefore, it might be useful as first-line monotherapy for adults with newly diagnosed focal epilepsy.
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Affiliation(s)
- Binaya Kumar Jaiswal
- Department of Neurology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
| | - Sanjeev Kumar Bhoi
- Department of Neurology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
| | - Menka Jha
- Department of Neurology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
| | - Priyanka Samal
- Department of Neurology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
| | - Camelia Porey
- Department of Neurology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
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Porey C, Jha M, Bhoi SK, Samal P, Naik S. A Study of Organophosphorus Induced Delayed Myelopathy: Uncommon Sequelae of a Common Poisoning. Ann Indian Acad Neurol 2023; 26:469-474. [PMID: 37970320 PMCID: PMC10645247 DOI: 10.4103/aian.aian_19_23] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2023] [Revised: 02/06/2023] [Accepted: 02/16/2023] [Indexed: 11/17/2023] Open
Abstract
Introduction Organophosphorus (OP) compounds, with their lipophilicity, are responsible for a spectrum comprising of acute cholinergic symptoms, intermediate syndrome, as well as delayed neurological sequelae in the form of OP-induced delayed neuropathy and subsequently, myeloneuropathy with predominantly thoracic cord affection, manifested on partial recovery of the neuropathy. The pathogenesis of this myeloneuropathy in humans is still not well perceived. Aim of Study To determine the onset and course of development of delayed myeloneuropathy in patients of OP poisoning. Materials and Methods Twelve patients of OP ingestion presenting with delayed myeloneuropathy were evaluated with prior history, examination, MR imaging, nerve conduction and electromyography studies, and various evoked potentials to elicit the pattern of disease manifestation and progression. Results Among the included patients, a majority had consumed chlorpyrifos and permethrin composition, a majority had undergone gastric lavage. Five (41.7%) had experienced acute worsening and 8 (66.7%) patients had developed intermediate syndrome. OPIDN had appeared after a median of 4 (1-8) weeks after the poisoning. All patients had lower limb hypertonia with wasting and distal more than proximal weakness with pure motor or sensorimotor involvement. MRI showed thoracic cord atrophy in 3 (25%) patients. Motor-evoked potential with reduced amplitude was noted in lower limbs on lumbar stimulation but absent on cortical stimulation. Conclusion Various animal models have shown similar patterns of neurotoxicity in OP poisoning with predominant thoracic cord pathology. Further research in humans may be undertaken to elicit the pathogenesis, thereby improving the treatment modality.
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Affiliation(s)
- Camelia Porey
- Department of Neurology, All India Institute of Medical Sciences Bhubaneswar, Odisha, India
| | - Menka Jha
- Department of Neurology, All India Institute of Medical Sciences Bhubaneswar, Odisha, India
| | - Sanjeev Kumar Bhoi
- Department of Neurology, All India Institute of Medical Sciences Bhubaneswar, Odisha, India
| | - Priyanka Samal
- Department of Neurology, All India Institute of Medical Sciences Bhubaneswar, Odisha, India
| | - Suprava Naik
- Department of Radiodiagnosis, All India Institute of Medical Sciences Bhubaneswar, Odisha, India
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Patel A, Bhatt N, Prakash SS, Biswas G, Nagarkar R, Roy B, Samal P, Agrawal N, Meshram S, Kaushal A, Satheesh CT, Wategaonkar R, Thiagarajan KV, Jain K, Vijayaveeran P, Mukherjee K, Singh K, Patil T, Jain A, Dolai TK, Jain M, Hingmire S, Gupta TC, Lakshmaiah KC, Rajamanickam D, Nemade B, Goyal V, Mahato P, Mendiratta SK, Doshi M. Rituximab biosimilar for the treatment of diffuse large B-cell lymphoma: a phase 3 randomized study in India. Cancer Chemother Pharmacol 2023; 91:457-468. [PMID: 37093266 PMCID: PMC10124690 DOI: 10.1007/s00280-023-04530-x] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2022] [Accepted: 03/22/2023] [Indexed: 04/25/2023]
Abstract
PURPOSE Very few studies have demonstrated the rituximab biosimilarity in terms of efficacy, safety, pharmacokinetics, pharmacodynamics, and immunogenicity in patients with diffuse large B-cell lymphoma (DLBCL) in India. Therefore, we compared the efficacy, safety, pharmacokinetic, pharmacodynamic, and immunogenicity of our biosimilar rituximab with the reference rituximab (Ristova, Roche products [India] Pvt. Ltd) in patients with DLBCL in India. METHODS A phase 3, randomized, assessor-blind, parallel-group, two-arm study was conducted across 28 sites in India. A total of 153 newly diagnosed DLBCL patients were randomized to receive either biosimilar rituximab or reference rituximab. The study drugs were administered at a dose of 375 mg/m2 by intravenous infusion every 3 weeks for six cycles. The primary end point was objective response rate (ORR) at the end of Cycle 6. Secondary end points included: pharmacokinetic, pharmacodynamics, immunogenicity, and safety assessment. RESULTS The ORR at the end of Cycle 6 was 82.14% in the biosimilar rituximab and 85.71% in the reference rituximab group. The risk difference (90% CIs) was - 3.57 (- 14.80, 7.66). It met the non-inferiority margin of - 20%. The pharmacokinetic and pharmacodynamic parameters were comparable between the two treatment groups. The incidence rate of immunogenicity was very low and similar in both the treatment groups. The safety profile of both the treatments was comparable with no major difference in terms of nature, frequency and severity of TEAEs. CONCLUSION The study demonstrated the biosimilarity between the biosimilar rituximab and the reference rituximab. Our biosimilar rituximab could add to the cost-effective treatment alternatives for patients with DLBCL in India.
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Affiliation(s)
- Ankit Patel
- Unique Hospital Multispecialty & Research Institute, Surat, India
| | - Niraj Bhatt
- Kailash Cancer Hospital and Research Center, Vadodara, India
| | | | | | | | - Bodhisatta Roy
- Netaji Subhash Chandra Bose Cancer Hospital, Kolkata, West Bengal, India
| | - Priyanka Samal
- Institute of Medical Sciences (IMS) and SUM Hospital, Bhubaneswar, Odisha, India
| | - Narendra Agrawal
- Rajiv Gandhi Cancer Institute and Research Centre, New Delhi, India
| | - Sushil Meshram
- Government Medical College and Hospital, Nagpur, Maharashtra, India
| | | | - C T Satheesh
- Healthcare Global Enterprises Limited, Bangalore, Karnataka, India
| | | | | | - Kartikeya Jain
- Shree Himalaya Cancer Hospital & Research Institute, Vadodara, Gujarat, India
| | | | - Kalyan Mukherjee
- Chittaranjan National Cancer Institute, Kolkata, West Bengal, India
| | - Kishore Singh
- Maulana Azad Medical College and Lok Nayak Hospital, Delhi, India
| | - Tushar Patil
- Global Hospital & Research Institute, Pune, Maharashtra, India
| | - Amit Jain
- Valentis Cancer Hospital, Uttar Pradesh, Mussoorie, Meerut, India
| | - Tuphan Kanti Dolai
- Nil Ratan Sircar Medical College and Hospital, Kolkata, West Bengal, India
| | - Minish Jain
- Grant Medical Foundation, Pune, Maharashtra, India
| | - Sachin Hingmire
- Deenanath Mangeshkar Hospital and Research Center, Pune, Maharashtra, India
| | | | - K C Lakshmaiah
- Srinivasam Cancer Care Multispeciality Hospitals India Pvt. Ltd, Bangalore, Karnataka, India
| | | | | | - Vikash Goyal
- Sanjeevani CBCC Cancer Hospital, Raipur, Chhattisgarh, India
| | | | | | - Maulik Doshi
- Biologics (R & D and Manufacturing), Zydus Research Center, Moraiya, Ahmedabad, 382213, India
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Basu J, Madhulika S, Murmu KC, Mohanty S, Samal P, Das A, Mahapatra S, Saha S, Sinha I, Prasad P. Molecular and epigenetic alterations in normal and malignant myelopoiesis in human leukemia 60 (HL60) promyelocytic cell line model. Front Cell Dev Biol 2023; 11:1060537. [PMID: 36819104 PMCID: PMC9932920 DOI: 10.3389/fcell.2023.1060537] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2022] [Accepted: 01/19/2023] [Indexed: 02/05/2023] Open
Abstract
In vitro cell line model systems are essential in supporting the research community due to their low cost, uniform culturing conditions, homogeneous biological resources, and easy experimental design to study the cause and effect of a gene or a molecule. Human leukemia 60 (HL60) is an in-vitro hematopoietic model system that has been used for decades to study normal myeloid differentiation and leukemia biology. Here, we show that IMDM supplemented with 20% FBS is an optimal culturing condition and induces effective myeloid differentiation compared with RPMI supplemented with 10% FBS when HL60 is induced with 1α,25-dihydroxyvitamin D3 (Vit D3) and all-trans retinoic acid (ATRA). The chromatin organization is compacted, and the repressive epigenetic mark H3K27me3 is enhanced upon HL60-mediated terminal differentiation. Differential gene expression analysis obtained from RNA sequencing in HL60 cells during myeloid differentiation showed the induction of pathways involved in epigenetic regulation, myeloid differentiation, and immune regulation. Using high-throughput transcriptomic data (GSE74246), we show the similarities (genes that did not satisfy |log2FC|>1 and FDR<0.05) and differences (FDR <0.05 and |log2FC|>1) between granulocyte-monocyte progenitor vs HL60 cells, Vit D3 induced monocytes (vMono) in HL60 cells vs primary monocytes (pMono), and HL60 cells vs leukemic blasts at the transcriptomic level. We found striking similarities in biological pathways between these comparisons, suggesting that the HL60 model system can be effectively used for studying myeloid differentiation and leukemic aberrations. The differences obtained could be attributed to the fact that the cellular programs of the leukemic cell line and primary cells are different. We validated several gene expression patterns for different comparisons with CD34+ cells derived from cord blood for myeloid differentiation and AML patients. In addition to the current knowledge, our study further reveals the significance of using HL60 cells as in vitro model system under optimal conditions to understand its potential as normal myeloid differentiation model as well as leukemic model at the molecular level.
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Affiliation(s)
- Jhinuk Basu
- Chromatin and Epigenetics Unit, Institute of Life Sciences, Bhubaneswar, India,RCB, Regional Centre for Biotechnology, Faridabad, India
| | - Swati Madhulika
- Chromatin and Epigenetics Unit, Institute of Life Sciences, Bhubaneswar, India,RCB, Regional Centre for Biotechnology, Faridabad, India
| | - Krushna Chandra Murmu
- Chromatin and Epigenetics Unit, Institute of Life Sciences, Bhubaneswar, India,RCB, Regional Centre for Biotechnology, Faridabad, India
| | - Smrutishree Mohanty
- Chromatin and Epigenetics Unit, Institute of Life Sciences, Bhubaneswar, India,RCB, Regional Centre for Biotechnology, Faridabad, India
| | - Priyanka Samal
- IMS and SUM Hospital, Siksha ‘O' Anusandhan University, Bhubaneswar, India
| | - Asima Das
- Department of Obstetrics and Gynecology, KIMS, Bhubaneswar, India
| | - Soumendu Mahapatra
- Chromatin and Epigenetics Unit, Institute of Life Sciences, Bhubaneswar, India,Kalinga Institute of Industrial Technology (KIIT), School of Biotechnology, Bhubaneswar, India
| | - Subha Saha
- Chromatin and Epigenetics Unit, Institute of Life Sciences, Bhubaneswar, India
| | - Indranil Sinha
- Childhood Cancer Research Unit, Department of Women’s and Children’s Health, Karolinska Institutet, Solna, Sweden
| | - Punit Prasad
- Chromatin and Epigenetics Unit, Institute of Life Sciences, Bhubaneswar, India,*Correspondence: Punit Prasad,
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11
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Sireesha Y, Shree R, Nagappa M, Patil A, Singla M, Padma Srivastava MV, Dhamija RK, Balaram N, Pathak A, Ramachandran D, Kumar S, Puri I, Sharma S, Panda S, Desai S, Samal P, Choudhary A, Vijaya P, Ferreira T, Nair SS, Sinha HP, Bhoi SK, Sebastian J, Sharma S, Basheer A, Bhartiya M, Mathukumalli N, Jabeen SA, Lal V, Modi M, Sharma PP, Kaul S, Singh G, Agarwal A, Garg D, Jose J, Dev P, Iype T, Gopalakrishnan M, Upadhyay A, Bhatia R, Pandit AK, Singh RK, Salunkhe M, Yogeesh P, Reyaz A, Nadda N, Jha M, Kumar B, Kushwaha PK, Chovatiya H, Madduluri B, Ramesh P, Goel A, Yadav R, Vishnu VY. Impact of COVID-19 on Guillain-Barre Syndrome in India: A Multicenter Ambispective Cohort Study. Ann Indian Acad Neurol 2022; 25:1116-1121. [PMID: 36911481 PMCID: PMC9996522 DOI: 10.4103/aian.aian_523_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] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2022] [Revised: 07/01/2022] [Accepted: 07/10/2022] [Indexed: 03/14/2023] Open
Abstract
Introduction/Aims Studies conducted during the coronavirus disease 2019 (COVID-19) pandemic have reported varied data regarding the incidence of Guillain-Barre syndrome (GBS). The present study investigated demographic and clinical features, management, and outcomes of patients with GBS during a specified period of the COVID-19 pandemic, and compared these features to those of GBS in the previous year. Methods A multicenter, ambispective cohort study including 26 centers across India was conducted. Data from a pre-COVID-19 period (March 1 to August 31, 2019) were collected retrospectively and collected ambispectively for a specified COVID-19 period (March 1 to August 31, 2020). The study was registered with the Clinical Trial Registry India (CTRI/2020/11/029143). Results Data from 555 patients were included for analysis: pre-COVID-19 (n = 334) and COVID-19 (n = 221). Males were more commonly affected during both periods (male:female, 2:1). Gastroenteritis was the most frequent antecedent event in 2019 (17.4%), whereas fever was the most common event in 2020 (10.7%). Paraparesis (21.3% versus [vs.] 9.3%, P = 0.001) and sensory involvement (51.1% vs. 41.3%; P = 0.023) were more common during COVID-19 in 2020, whereas back pain (26.3% vs. 18.4%; P = 0.032) and bowel symptoms (20.7% vs. 13.7%; P = 0.024) were more frequent in the pre-COVID period. There was no difference in clinical outcomes between the two groups in terms of GBS disability score at discharge and 3 months after discharge. Independent predictors of disability in the pre-COVID period included areflexia/hyporeflexia, the requirementfor intubation, and time to bulbar weakness; in the COVID-19 period, independent predictors included time from onset to admission, intubation, and intubation requirement. The mortality rate was 2.3% during the entire study period (13/555 cases). Discussion Results of this study revealed an overall reduction in the frequency of GBS during the pandemic. The lockdown likely reduced the risk for antecedent infections due to social distancing and improved hygiene, which may have resulted in the reduction of the frequency of GBS.
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Affiliation(s)
- Yareeda Sireesha
- Nizam's Institute of Medical Sciences, Hyderabad, Telangana, India
| | - Ritu Shree
- Post Graduate Institute of Medical Education and Research, Chandigarh, India
| | - Madhu Nagappa
- National Institute of Mental Health and Neuro Sciences, Bangalore, Karnataka, India
| | - Anuja Patil
- Krishna Institute of Medical Sciences Hospital, Secunderabad, Telangana, India
| | | | | | - RK Dhamija
- Lady Hardinge Medical College, New Delhi, India
| | | | - Abhishek Pathak
- Institute of Medical Sciences, Banaras Hindu University, Varanasi, India
| | | | - Sujit Kumar
- Apollo Hospitals, Sheshadripuram, Bangalore, India
| | - Inder Puri
- PBM Hospital, Sardar Patel Medical College, Bikaner, India
| | - Sudhir Sharma
- Indira Gandhi Medical College and Hospital, Shimla, Himachal Pradesh, India
| | - Samhita Panda
- All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - Soaham Desai
- Shree Krishna Hospital and Pramukhswami Medical College, Bhaikaka University, Karamsad, Anand, Gujarat, India
| | | | | | - Pamidimukkala Vijaya
- Lalitha Super Specialities Hospital Private Limited, Guntur, Andhra Pradesh, India
| | | | - S. S. Nair
- Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India
| | - H. P. Sinha
- NH MMI Narayana Superspeciality Hospital, Raipur, Chattisgarh, India
| | - S. K. Bhoi
- All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
| | | | - Sanjay Sharma
- Ramakrishna Care Medical Sciences Private Limited, Raipur, India
| | - Aneesh Basheer
- Pondicherry Institute of Medical Sciences, Pondicherry, India
| | | | | | | | - Vivek Lal
- Post Graduate Institute of Medical Education and Research, Chandigarh, India
| | - Manish Modi
- Post Graduate Institute of Medical Education and Research, Chandigarh, India
| | - P Praveen Sharma
- National Institute of Mental Health and Neuro Sciences, Bangalore, Karnataka, India
| | - Subash Kaul
- Krishna Institute of Medical Sciences Hospital, Secunderabad, Telangana, India
| | | | - Ayush Agarwal
- All India Institute of Medical Sciences, New Delhi, India
| | | | - James Jose
- Government Medical College Kozhikode, Kerala, India
| | - Priya Dev
- Institute of Medical Sciences, Banaras Hindu University, Varanasi, India
| | - Thomas Iype
- Government Medical College, Thiruvananthapuram, Kerala, India
| | | | | | - Rohit Bhatia
- All India Institute of Medical Sciences, New Delhi, India
| | | | | | | | - P.M. Yogeesh
- All India Institute of Medical Sciences, New Delhi, India
| | - Alisha Reyaz
- All India Institute of Medical Sciences, New Delhi, India
| | - Nishant Nadda
- Indira Gandhi Medical College and Hospital, Shimla, Himachal Pradesh, India
| | - Menkha Jha
- All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
| | - Bismay Kumar
- Institute of Medical Sciences, Banaras Hindu University, Varanasi, India
| | - PK Kushwaha
- NH MMI Narayana Superspeciality Hospital, Raipur, Chattisgarh, India
| | - Harshadkumar Chovatiya
- Shree Krishna Hospital and Pramukhswami Medical College, Bhaikaka University, Karamsad, Anand, Gujarat, India
| | | | - P Ramesh
- Nizam's Institute of Medical Sciences, Hyderabad, Telangana, India
| | - Abeer Goel
- Post Graduate Institute of Medical Education and Research, Chandigarh, India
| | - Rahul Yadav
- Shree Krishna Hospital and Pramukhswami Medical College, Bhaikaka University, Karamsad, Anand, Gujarat, India
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12
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Schuster M, Zijlstra J, Casasnovas RO, Vermaat JSP, Kalakonda N, Goy A, Choquet S, Neste EVD, Hill B, Thieblemont C, Cavallo F, De la Cruz F, Kuruvilla J, Hamad N, Jaeger U, Caimi P, Gurion R, Warzocha K, Bakhshi S, Sancho JM, Follows G, Egyed M, Offner F, Vassilakopoulos T, Samal P, Ku M, Ma X, Corona K, Chamoun K, Shah J, Shacham S, Kauffman MG, Canales M, Maerevoet M. Effect of Prior Therapy and Disease Refractoriness on the Efficacy and Safety of Oral Selinexor in Patients with Diffuse Large B-cell Lymphoma (DLBCL): A Post-hoc Analysis of the SADAL Study. Clin Lymphoma Myeloma Leuk 2022; 22:483-494. [PMID: 35078739 DOI: 10.1016/j.clml.2021.12.016] [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] [Subscribe] [Scholar Register] [Received: 07/11/2021] [Revised: 12/07/2021] [Accepted: 12/18/2021] [Indexed: 06/14/2023]
Abstract
BACKGROUND Despite a number of treatment options, patients with diffuse large B-cell lymphoma (DLBCL) whose disease has become refractory to treatment have a poor prognosis. Selinexor is a novel, oral drug that is approved to treat patients with relapsed/refractory DLBCL. In this post hoc analysis of the SADAL study, a multinational, open-label study, we evaluated subpopulations to determine if response to single agent selinexor is impacted by number of lines of prior treatment, autologous stem cell transplant (ASCT), response to first and most recent therapies, and time to progressive disease. PATIENTS Patients (n = 134) with DLBCL after 2-5 prior therapies were enrolled in SADAL and received 60mg selinexor twice weekly. RESULTS The median overall survival was 9.0 months and median progression free survival was 2.6 months. Patients who had the best overall response rate (ORR) and disease control rate were those who had prior ASCT (42.5% and 50.0%) or responded to last line of therapy (35.9% and 43.5%). Patients with primary refractory DLBCL also showed responses (ORR 21.8%). Adverse events between subgroups were similar to the overall study population, the most common being thrombocytopenia (29.1%), fatigue (7.5%), and nausea (6.0%). CONCLUSION Regardless of prior therapy and disease refractory status, selinexor treatment demonstrated results consistent with its novel mechanism of action and lack of cross-resistance. Thus, single agent oral selinexor can induce deep, durable, and tolerable responses in patients with DLBCL who have recurrent disease after several chemoimmunotherapy combination regimens.
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Affiliation(s)
| | - Josée Zijlstra
- Amsterdam UMC, Vrije Universiteit, Cancer Center, Amsterdam, Netherlands
| | | | | | | | - Andre Goy
- Hackensack University Medical Center, Hackensack, NJ, United States
| | | | | | - Brian Hill
- Cleveland Clinic, Cleveland, OH, United States
| | - Catherine Thieblemont
- APHP, Saint-Louis Hospital, Hemato-oncology, Paris, France & Diderot University, Paris, France
| | | | | | | | - Nada Hamad
- St. Vincent's Hospital Sydney, Darlinghurst, Australia
| | | | - Paolo Caimi
- UH Seidman Cancer Center, Cleveland, OH, United States
| | | | | | - Sameer Bakhshi
- Dr. B. R. A. Institute Rotary Cancer Hospital, New Delhi, India
| | | | | | | | | | | | - Priyanka Samal
- Institute of Medical Sciences & SUM Hospital, Odisha, India
| | - Matthew Ku
- St.Vincent's Hospital Melbourne, Fitzroy, Australia
| | - Xiwen Ma
- Karyopharm Therapeutics, Newton, MA, United States
| | - Kelly Corona
- Karyopharm Therapeutics, Newton, MA, United States
| | | | - Jatin Shah
- Karyopharm Therapeutics, Newton, MA, United States
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13
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Goyal V, Elavarasi A, Kumar A, Samal P, Garg A, Shukla G, Vishnu VY, Singh MB, Srivastava MVP. Cyclophosphamide therapy as an adjunct in refractory post-tubercular arachnoiditis. Indian J Tuberc 2022; 69:325-333. [PMID: 35760482 DOI: 10.1016/j.ijtb.2021.05.002] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2021] [Accepted: 05/22/2021] [Indexed: 11/28/2022]
Abstract
INTRODUCTION There is no satisfactory treatment for post tubercular arachnoiditis (TB arachnoiditis). We did this study to investigate the efficacy and safety of cyclophosphamide as adjuvant therapy for post TB arachnoiditis refractory to corticosteroids and anti-tubercular therapy (ATT). METHODS This was a retrospective case series of patients of refractory post TB arachnoiditis leading to paraparesis and vision loss who received cyclophosphamide as an adjuvant therapy along with standard ATT and corticosteroids. These patients were treated with intravenous cyclophosphamide (dose 500 mg/m2) once a month for 4 consecutive months after informed written consent and were assessed clinically and radiologically before and after cyclophosphamide therapy. RESULTS We had 4 patients with refractory post TB arachnoiditis of whom three became independently ambulatory. There was significant clinical as well as radiological improvement in all the patients. CONCLUSIONS Cyclophosphamide therapy could be an effective therapy for patients with refractory post TB arachnoiditis. Well-designed randomized controlled studies are essential to study the safety and efficacy of cyclophosphamide in this condition.
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Affiliation(s)
| | | | - Anand Kumar
- Department of Neurology, Banaras Hindu University, Banaras, India
| | - Priyanka Samal
- Department of Neurology, Kalinga Hospitals, Bhubaneswar, India
| | - Ajay Garg
- Department of Neuro-radiology, All India Institute of Medical Sciences, New Delhi, India
| | - Garima Shukla
- Department of Neurology, All India Institute of Medical Sciences, New Delhi, India
| | - V Y Vishnu
- Department of Neurology, All India Institute of Medical Sciences, New Delhi, India
| | - Mamta Bhushan Singh
- Department of Neurology, All India Institute of Medical Sciences, New Delhi, India
| | - M V Padma Srivastava
- Department of Neurology, All India Institute of Medical Sciences, New Delhi, India
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14
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Nayak S, Govind S, Jena A, Samal P, Sahoo NK, Rath S. Evaluation of Oral Hygiene Status, Salivary Fluoride Concentration and Microbial Level in Thalassemic and Hemophilic Patients. Siriraj Med J 2022. [DOI: 10.33192/smj.2022.38] [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: 11/03/2022] Open
Abstract
Objective: This study aimed to evaluate oral hygiene status, salivary fluoride concentration, and Streptococcus mutans and Lactobacillus levels in saliva of thalassemic, hemophilic and individuals without any other systemic disorders.Materials and Methods: A total 162 individuals (44 healthy individuals, 86 thalassemic and 32 hemophilic patients) were selected, and randomly (n=30 in each group), the patients were allocated to Group A: individuals without any systemic condition, Group B: thalassemic patients, and Group C: hemophilic patients. Detailed case history, DMFT/DMFS, and OHI-S index were recorded. An aliquot of 5 ml of saliva was collected from each patient to determine the salivary fluoride concentration and predominant microbial colony in saliva. The data were analyzed by chi-square test of independence and nonparametric Kruskal-Wallis H test.Results: The mean debris and calculus index among groups A, B, and C was 0.55 ± 0.43, 0.61 ± 0.46, 0.46 ± 0.47 and 0.33 ± 0.48, 0.18 ± 0.34, and 0.15 ± 0.34, respectively. The DMFT score for group A was high (1.93 ± 1.86, 1.67 ± 1.92) compared to groups B (0.40 ± 0.77, 0.67 ± 1.37) and C (0.47 ± 0.68, 0.30 ± 0.54). The fluoride concentrations among three groups (A, B, and C) were 0.06 ± 0.07, 0.12 ± 0.13, and 0.12 ± 0.13 ppm respectively. The number of colony-forming units was highest in the healthy individual>hemophilic>thalassemic and presence of predominant microorganisms showed insignificant association among the groups (p=0.323).Conclusion: Compared to healthy individuals, thalassemic and hemophilic patients had better oral hygiene.
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15
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Vishnu V, Garg D, Dhamija R, Choudhary A, Shree R, Kumar S, Samal P, Pathak A, Vijaya P, Sireesha Y, Nair S, Sharma S, Desai S, Sinha H, Agarwal A, Upadhyay A, Padma Srivastava MV, Bhatia R, Pandit A, Singh R, Reyaz A, Yogeesh PM, Salunkhe M, Lal V, Modi M, Singh G, Singla M, Panda S, Gopalakrishnan M, Puri I, Sharma S, Kumar B, Kushwaha P, Chovatiya H, Ferreira T, Bhoi S, Bhartiya M, Kaul S, Patil A, Mathukumalli N, Nagappa M, Sharma PP, Basheer A, Ramachandran D, Balaram N, Sebastian J. Impact of the COVID-19 pandemic on the frequency, clinical spectrum and outcomes of pediatric guillain-Barré syndrome in India: A multicentric ambispective cohort study. Ann Indian Acad Neurol 2022; 25:60-67. [PMID: 35342256 PMCID: PMC8954314 DOI: 10.4103/aian.aian_392_21] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2021] [Revised: 05/25/2021] [Accepted: 06/14/2021] [Indexed: 11/16/2022] Open
Abstract
Objective: To study impact of COVID-19 pandemic on frequency, clinical/electrophysiological profile and treatment outcomes in pediatric Guillain-Barré syndrome (GBS). Background: GBS is the most frequent cause of pediatric acute flaccid paralysis. The effect of the COVID-19 pandemic on pediatric GBS is unclear in the literature. Methods: We conducted an ambispective, multicentric, cohort study involving 12 of 27 centres in GBS Consortium, during two periods: pre-COVID-19 (March-August 2019) and during COVID-19 (March-August 2020). Children ≤12 years who satisfied National Institute of Neurological Diseases and Stroke criteria for GBS/variants were enrolled. Details pertaining to clinical/laboratory parameters, treatment and outcomes (modified Rankin Scale (mRS) at discharge, GBS Disability score at discharge and 3 months) were analysed. Results: We enrolled 33 children in 2019 and 10 in 2020. Children in 2020 were older (median 10.4 [interquartile range 6.75–11.25] years versus 5 (2.5–8.4) years; P = 0.022) and had more sensory symptoms (50% versus 18.2%; P = 0.043). The 2020 group had relatively favourable mRS at discharge (median 1 (1–3.5) versus 3 (2–4); P = 0.042) and GBS disability score at 3 months (median 0 (0–0.75) versus 2 (0–3); P = 0.009) compared to 2019. Multivariate analysis revealed bowel involvement (P = 0.000) and ventilatory support (P = 0.001) as independent predictors of disability. No child in 2020 had preceding/concurrent SARS-CoV2 infection. Conclusions: The COVID-19 pandemic led to a marked decline in pediatric GBS presenting to hospitals. Antecedent illnesses, clinical and electrophysiological profile of GBS remained largely unchanged from the pre-pandemic era.
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Ray A, Mohapatra L, Patra P, Samal P, Samal A, Kar B. Morpheaform leukemia cutis in a case of b-cell acute lymphoblastic leukemia - A rare presentation. Indian J Paediatr Dermatol 2022. [DOI: 10.4103/ijpd.ijpd_162_20] [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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Patra P, Samal P, Bhola R, Pradhan S. An event of Evans even in HIV. Indian J Sex Transm Dis AIDS 2022; 43:64-66. [PMID: 35846539 PMCID: PMC9282701 DOI: 10.4103/ijstd.ijstd_113_20] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2020] [Revised: 05/05/2021] [Accepted: 05/05/2021] [Indexed: 11/28/2022] Open
Abstract
Autoimmune cytopenias may be the initial presentation in patients with HIV infection or can develop while on treatment with antiretroviral therapy (ART). These cytopenias usually resolve after initiation of ART. We report a rare case of HIV who presented with Evans syndrome on ART, being refractory to steroids and rituximab but with response to splenectomy.
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Casasnovas RO, Follows G, Zijlstra JM, Vermaat JSP, Kalakonda N, Choquet S, Neste EVD, Hill B, Thieblemont C, Cavallo F, la Cruz FD, Kuruvilla J, Hamad N, Jaeger U, Caimi PF, Gurion R, Warzocha K, Bakhshi S, Sancho JM, Schuster M, Egyed M, Offner F, Vassilakopoulos TP, Samal P, Ku M, Ma X, Chamoun K, Shah J, Canales M, Maerevoet M, Shacham S, Kauffman MG, Goy A. Comparison of the Effectiveness and Safety of the Oral Selective Inhibitor of Nuclear Export, Selinexor, in Diffuse Large B Cell Lymphoma Subtypes. Clin Lymphoma Myeloma Leuk 2021; 22:24-33. [PMID: 34493477 DOI: 10.1016/j.clml.2021.07.017] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/20/2021] [Revised: 07/11/2021] [Accepted: 07/16/2021] [Indexed: 12/13/2022]
Abstract
BACKGROUND The SADAL study evaluated oral selinexor in patients with relapsed and/or refractory diffuse large B-cell lymphoma (DLBCL) after at least 2 prior lines of systemic therapy. In this post-hoc analysis, we analyzed the outcomes of the SADAL study by DLBCL subtype to determine the effects of DLBCL subtypes on efficacy and tolerability of selinexor. PATIENTS AND METHODS Data from 134 patients in SADAL were analyzed by DLBCL subtypes for overall response rate (ORR), overall survival (OS), duration of treatment response, progression-free survival, and adverse events rate. RESULTS ORR in the entire cohort was 29.1%, and similar in patients with germinal center (GCB) versus non-GCB DLBCL (31.7% vs. 24.2%, P = 0.45); transformed DLBCL showed a trend towards higher ORR than de novo DLBCL: 38.7% vs. 26.2% (P = 0.23). Despite similar prior treatment regimens and baseline characteristics, patients with DLBCL and normal C-MYC/BCL-2 protein expression levels had a significantly higher ORR (46.2% vs.14.8%, P = 0.012) and significantly longer OS (medians 13.7 vs. 5.1 months, hazard ratio 0.43 [95% CI, 0.23-0.77], P = 0.004) as compared with those whose DLBCL had C-MYC and BCL-2 overexpression. Among patients who had normal expression levels of either C-MYC or BCL-2 and baseline hemoglobin levels ≥ 10g/dL, ORR was 51.5% (n = 47), with median OS of 15.5 months and median PFS of 4.6 months. Similar rates of adverse events were noted in all subgroups. CONCLUSIONS Overall, single agent oral selinexor showed strong responses in patients with limited treatment alternatives regardless of germinal center B-cell type or disease origin.
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Affiliation(s)
| | | | - Josee M Zijlstra
- Amsterdam University Medical Center, Vrije Universiteit, Cancer Center, Amsterdam, The Netherlands
| | | | | | | | | | | | - Catherine Thieblemont
- AP-HP, Hopital Saint-Louis, Hémato-oncology, DMU DHI, Paris, France; Université de Paris, Paris, France
| | - Federica Cavallo
- Department of Molecular Biotechnologies and Health Sciences, Division of Hematology, University of Turin, Turin, Italy
| | | | | | - Nada Hamad
- St Vincent's Hospital Sydney, Darlinghurst, NSW, Australia
| | | | | | - Ronit Gurion
- Institute of Hematology, Rabin Medical Center, Petah Tikva, Israel; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | | | - Sameer Bakhshi
- Dr. B. R. A. Institute Rotary Cancer Hospital, New Delhi, India
| | | | | | | | | | - Theodoros P Vassilakopoulos
- Department of Haematology, Laikon General Hospital, National and Kapodistrian University of Athens, Athens, Greece
| | - Priyanka Samal
- Institute of Medical Sciences & SUM Hospital, Odisha, India
| | - Matthew Ku
- St.Vincent's Hospital Melbourne, Fitzroy, Victoria, Australia
| | - Xiwen Ma
- Karyopharm Therapeutics, Newton, MA
| | | | | | | | | | | | | | - Andre Goy
- Hackensack University Medical Center, Hackensack, NJ
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19
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Maerevoet M, Zijlstra JM, Follows G, Casasnovas RO, Vermaat JSP, Kalakonda N, Goy A, Choquet S, Van Den Neste E, Hill B, Thieblemont C, Cavallo F, De la Cruz F, Kuruvilla J, Hamad N, Jaeger U, Caimi P, Gurion R, Warzocha K, Bakhshi S, Sancho JM, Schuster M, Egyed M, Offner F, Vassilakopoulos TP, Samal P, Ku M, Ma X, Corona K, Chamoun K, Shah J, Shacham S, Kauffman MG, Canales M. Survival among patients with relapsed/refractory diffuse large B cell lymphoma treated with single-agent selinexor in the SADAL study. J Hematol Oncol 2021; 14:111. [PMID: 34271963 PMCID: PMC8283921 DOI: 10.1186/s13045-021-01122-1] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [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: 04/20/2021] [Accepted: 07/01/2021] [Indexed: 01/22/2023] Open
Abstract
Patients with RR DLBCL who have received ≥ 2 lines of therapy have limited treatment options and an expected overall survival (OS) of < 6 months. The SADAL study evaluated single-agent oral selinexor in patients with RR DLBCL and demonstrated an overall response rate (ORR) of 29.1% with median duration of response (DOR) of 9.3 months. The analyses described here evaluated a number of subpopulations in order to understand how response correlates with survival outcomes in order to identify patients who could most optimally benefit from selinexor treatment. Median age was 67 years; 44.8% of patients were ≥ 70 years of age. The median OS was 9.0 months (95% CI 6.2, 13.7) at a median follow-up of 14.8 months. The median OS was not reached in patients with a CR or PR, while patients who did not respond have a median OS of 4.9 months (p < 0.0001). Patients < 70 years had an OS of 11.1 months compared with 7.8 months in patients ≥ 70 years. Among patients with or without prior ASCT, the median OS was 10.9 and 7.8 months, respectively. Among patients with disease refractory to the most recent DLBCL treatment regimen, the median OS was 7.0 months compared with 11.1 months for disease not refractory to the most recent treatment. In a patient population in which survival is expected to be < 6 months, treatment with single-agent oral selinexor was associated with a median survival of 9 months. Increased median OS observed in patients responding to selinexor was consistent across subgroups regardless of age, prior ASCT therapy, or refractory status. Randomized studies of selinexor in combination with a variety of other anti-DLBCL agents are planned. This trial was registered at ClinicalTrials.gov (NCT02227251) on August 28, 2014. https://clinicaltrials.gov/ct2/show/NCT02227251 .
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Affiliation(s)
- Marie Maerevoet
- Service Hématologie, Institut Jules Bordet, 1000, Brussels, Belgium.
| | - Josee M Zijlstra
- Amsterdam UMC, Vrije Universiteit, Cancer Center, Amsterdam, Netherlands
| | | | | | | | | | - Andre Goy
- Hackensack University Medical Center, Hackensack, USA
| | | | | | | | - Catherine Thieblemont
- APHP, Hemato-oncology, Saint-Louis Hospital, Paris, France.,Diderot University, Paris, France
| | | | | | | | - Nada Hamad
- St. Vincent's Hospital Sydney, Darlinghurst, Australia
| | | | | | - Ronit Gurion
- Rabin MC, Petah Tiqwa, Israel.,Tel Aviv University, Tel Aviv, Israel
| | | | - Sameer Bakhshi
- Dr. B. R. A. Institute Rotary Cancer Hospital, New Delhi, India
| | | | | | | | | | | | - Priyanka Samal
- Institute of Medical Sciences and SUM Hospital, Bhubaneswar, Odisha, India
| | - Matthew Ku
- St.Vincent's Hospital Melbourne, Fitzroy, Australia
| | - Xiwen Ma
- Karyopharm Therapeutics, Newton, USA
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Krishnan A, Samal P, Mayi S, Degulmadi S, Rai RR, Dave B. Thoracic Spine Stenosis: Does Ultrasonic Osteotome Improve Outcome in Comparison to Conventional Technique? Malays Orthop J 2021; 15:62-69. [PMID: 34429824 PMCID: PMC8381659 DOI: 10.5704/moj.2107.010] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [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: 12/27/2019] [Accepted: 05/25/2021] [Indexed: 02/05/2023] Open
Abstract
INTRODUCTION To investigate the efficacy of Ultrasonic Bone Scalpel (UBS) in thoracic spinal stenosis (TSS) in comparison to traditional technique. MATERIAL AND METHODS A total of 55 patients who had undergone conventional surgery (Group A) are compared with 45 patients of UBS (Group B) in TSS. The primary outcome measure of Modified Japanese Orthopaedic Association score (m JOA) with neurological complications and dural injury were assessed. Secondary outcome measures of total blood loss (TBL), time duration of surgery (ORT) and length of hospital stay (LHS) were analysed. RESULTS The pre-operative mJOA score 5.00(4.00-6.00) in the group A and 5.00(4.00-6.00) in the group B improved to 7.00(7.00-8.00) in the group A and 9.00(9.00-10.00) in the group B, respectively (P<0.001) at final average follow-up of 117.55 months for group A and 75.69 months in group B. More significant grade of myelopathy improvement and mJOA recovery rate (RR) were noted in group B. The TBL, ORT and LHS were more favourable in group B as compared to group A (p<0.0001). The group A had 9 (16.36%) neurological deficits compared to 2 (4.44%) in group B (p<0.001). Dural tears occurred in both groups (A=11, B=9). It was more frequent and not repairable in group A but without significant statistical difference. CONCLUSION UBS can reduce neurological deficits and improve outcomes in TSS. Secondarily, reduced blood loss, lesser surgical time and reduced LHS are significant added advantages of this new technology.
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Affiliation(s)
- A Krishnan
- Department of Spine Surgery, Stavya Spine Hospital and Research Institute, Ahmedabad, India
| | - P Samal
- Department of Spine Surgery, Stavya Spine Hospital and Research Institute, Ahmedabad, India
| | - S Mayi
- Department of Spine Surgery, Stavya Spine Hospital and Research Institute, Ahmedabad, India
| | - S Degulmadi
- Department of Spine Surgery, Stavya Spine Hospital and Research Institute, Ahmedabad, India
| | - R R Rai
- Department of Spine Surgery, Stavya Spine Hospital and Research Institute, Ahmedabad, India
| | - B Dave
- Department of Spine Surgery, Stavya Spine Hospital and Research Institute, Ahmedabad, India
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21
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Satpathy DK, Mitra C, Samal P, Pattnaik SB, Mohanty BB, Acharya SD. Delayed Cerebral Infarction Following Trans-Sylvian Surgery for Craniopharyngioma Presenting as Status Epilepticus. Neurol India 2021; 68:1428-1430. [PMID: 33342882 DOI: 10.4103/0028-3886.304097] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
The postoperative period after craniopharyngioma surgery has a high likelihood of complications and its management can be challenging. We present the case of a 10-year-old boy who was operated for craniopharyngioma. In the postoperative period he developed lacunar infarct, endocrine disturbances, delayed vasospasm leading to cerebral infarction and status epilepticus. The likely cause of status epilepticus was likely delayed cerebral infarction compounded with dyselectrolytemia. We discuss the possible etiology of delayed cerebral infarction.
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Affiliation(s)
- D K Satpathy
- Department of Neurosurgery, BR Life Kalinga Superspeciality Hospital, Bhubaneshwar, Odisha, India
| | - C Mitra
- Department of Neurosurgery, BR Life Kalinga Superspeciality Hospital, Bhubaneshwar, Odisha, India
| | - P Samal
- Department of Neurology, BR Life Kalinga Superspeciality Hospital, Bhubaneshwar, Odisha, India
| | - S B Pattnaik
- Department of Pediatrics, BR Life Kalinga Superspeciality Hospital, Bhubaneshwar, Odisha, India
| | - B B Mohanty
- Department of Critical Care Medicine, BR Life Kalinga Superspeciality Hospital, Bhubaneshwar, Odisha, India
| | - S D Acharya
- Department of Radiology, BR Life Kalinga Superspeciality Hospital, Bhubaneshwar, Odisha, India
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22
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Samal P, Elavarasi A, Padma MV, Garg A, Goyal V. Diagonistic Dyspraxia and Apraxia in NMDA Encephalitis: A Rare Etiology. Mov Disord Clin Pract 2021; 8:474-475. [PMID: 33816682 DOI: 10.1002/mdc3.13164] [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: 11/25/2020] [Revised: 01/20/2021] [Accepted: 01/26/2021] [Indexed: 11/09/2022] Open
Affiliation(s)
- Priyanka Samal
- Department of Neurology All India Institute of Medical Sciences New Delhi India
| | | | - Madakasira V Padma
- Department of Neurology All India Institute of Medical Sciences New Delhi India
| | - Ajay Garg
- Department of Neuro-Radiology and Interventional Neurology All India Institute of Medical Sciences New Delhi India
| | - Vinay Goyal
- Department of Neurology All India Institute of Medical Sciences New Delhi India.,Department of Neuro-Radiology and Interventional Neurology All India Institute of Medical Sciences New Delhi India
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23
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Samal P, Goyal V. Authors' Reply. Ann Indian Acad Neurol 2021; 24:293-294. [PMID: 34220095 PMCID: PMC8232517 DOI: 10.4103/aian.aian_364_20] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2020] [Accepted: 07/22/2020] [Indexed: 11/29/2022] Open
Affiliation(s)
- Priyanka Samal
- Department of Neurology, All India Institute of Medical Sciences, New Delhi, India
| | - Vinay Goyal
- Department of Neurology, All India Institute of Medical Sciences, New Delhi, India
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24
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Shah J, Shacham S, Kauffman M, Daniele P, Tomaras D, Tremblay G, Casasnovas RO, Maerevoet M, Zijlstra J, Follows G, P Vermaat JS, Kalakonda N, Goy AH, Choquet S, Den Neste EV, Hill BT, Thieblemont C, Cavallo F, la Cruz FD, Kuruvilla J, Hamad N, Bouabdallah R, Jäger U, Caimi P, Gurion R, Warzocha K, Bakhshi S, Sancho JM, Schuster M, Egyed M, Offner F, Vasilakopoulos TP, Samal P, Nagy A, Ku M, Canales Albendea MÁ. Health-related quality of life and utility outcomes with selinexor in relapsed/refractory diffuse large B-cell lymphoma. Future Oncol 2021; 17:1295-1310. [PMID: 33528286 DOI: 10.2217/fon-2020-0946] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [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: 02/07/2023] Open
Abstract
Aim: Evaluate health-related quality of life (HRQoL) and health utility impact of single-agent selinexor in heavily pretreated patients with relapsed/refractory diffuse large B-cell lymphoma. Patients & methods: Functional Assessment of Cancer Therapy (FACT) - Lymphoma and EuroQoL five-dimensions five-levels data collected in the single-arm Phase IIb trial SADAL (NCT02227251) were analyzed with mixed-effects models. Results: Treatment responders maintained higher FACT - Lymphoma (p ≤ 0.05), FACT - General (p < 0.05) and EuroQoL five-dimensions five-levels index scores (p < 0.001) beginning in cycle 3. The estimated difference in health state utilities for treatment response and progressive disease was both statistically significant and clinically meaningful (mean difference: 0.07; p = 0.001). Conclusion: In patients with relapsed/refractory diffuse large B-cell lymphoma, objective response to selinexor was associated with HRQoL maintenance, reduction in disease-related HRQoL decrements and higher health utilities.
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Affiliation(s)
- Jatin Shah
- Karyopharm Therapeutics, Inc., Newton, MA 02459, USA
| | | | | | - Patrick Daniele
- Health Economics, Purple Squirrel Economics, Montreal, QC H3J 1M1, Canada
| | - Dimitrios Tomaras
- Health Economics, Purple Squirrel Economics, Montreal, QC H3J 1M1, Canada
| | - Gabriel Tremblay
- Health Economics, Purple Squirrel Economics, Montreal, QC H3J 1M1, Canada
| | | | | | - Josee Zijlstra
- Department of Hematology, Amsterdam UMC, Amsterdam, 1105 AZ, The Netherlands
| | - George Follows
- Haematology, Addenbrooke's Hospital, Cambridge, CB2 0QQ, UK
| | - Joost S P Vermaat
- Hematology, Leiden University Medical Center, Leiden, 2333 ZA, The Netherlands
| | - Nagesh Kalakonda
- Institute of Translational Medicine, University of Liverpool, Liverpool, L3 9TA, UK
| | - Andre Henri Goy
- John Theurer Cancer Center, Hackensack University Medical Center, Hackensack, NJ 07601, USA
| | - Sylvain Choquet
- Service d'Hématologie clinique, Hôpital Pitié-Salpêtrière, Paris, 75013, France
| | - Eric Van Den Neste
- Faculté de médecine et médecine dentaire, Université catholique de Louvain, Ottignies-Louvain-la-Neuve, 1348, Belgium
| | - Brian T Hill
- Hematology & Medical Oncology, Cleveland Clinic, Cleveland, OH 44106, USA
| | | | - Federica Cavallo
- Divisione di Ematologia, University of Turin, Turin, 10138, Italy
| | - Fátima de la Cruz
- Facultativo Especialista de Área de Hematología, Hospital Universitario Virgen del Rocío, Sevilla, 41013, Spain
| | - John Kuruvilla
- Cancer Clinical Research Unit, University Health Network Research, Toronto, ON, Canada
| | - Nada Hamad
- Haematology Clinical Trials Unit, St Vincent's Hospital, Melbourne, 3065, Australia
| | | | - Ulrich Jäger
- Department of Clinical Hematology & Hemostaseology, Medical University of Vienna, Vienna, 1090, Austria
| | - Paolo Caimi
- Department of Medicine, UH Cleveland Medical Center, Cleveland, OH 44106, USA
| | - Ronit Gurion
- Hematology, Tel Aviv University, Tel Aviv, 69978, Israel
| | | | - Sameer Bakhshi
- Department of Medical Oncology, Institute Rotary Cancer Hospital, New Delhi, 110029, India
| | - Juan Manuel Sancho
- Department of Clinical Hematology, Germans Trias i Pujol Hospital, Barcelona, 08916, Spain
| | | | - Miklós Egyed
- Department of Haematology, Somogy County Kaposi Mór Hospital, Kaposvár, 7400, Hungary
| | - Fritz Offner
- Department of Clinical Hematology, Ghent University Hospital, Ghent, 9000, Belgium
| | | | | | - Agnes Nagy
- Hematology, Semmelweis University, Budapest, 1085, Hungary
| | - Matthew Ku
- Department of Haematology, St Vincent's Hospital, Melbourne, VIC, 3065, Australia
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25
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Agarwal A, Samal P, Mohaptra D, Kar B. Neutrophilic eccrine hidradenitis presenting in a case of acute undifferentiated leukemia before chemotherapy. Indian J Drugs Dermatol 2021. [DOI: 10.4103/ijdd.ijdd_59_20] [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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26
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Patro P, Sahu S, Iqbal S, Behera I, Samal P, Mohapatra S. Spontaneous recovery in a case of lupus with severe COVID-19 pneumonia; Do we need to reconsider treatment Protocol? Indian J Rheumatol 2021. [DOI: 10.4103/injr.injr_143_20] [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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27
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Samal P, Chakrabarti P. Waldenström Macroglobulinemia: A Clinicopathological Profile and Review of Six Cases. Indian J Med Paediatr Oncol 2020. [DOI: 10.4103/ijmpo.ijmpo_234_19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
AbstractWaldenström macroglobulinemia (WM) is an indolent B-cell neoplasm in which lymphoplasmacytic cells are accumulated in the bone marrow. This rare disease is incurable with the available treatments and its management is generally based on risk-adapted methods. We present here six cases of WM with their clinicopathological profile and response to therapy. This is a retrospective observational study conducted in a tertiary referral center in Eastern India from October 2014 to December 2016. The clinical manifestations, diagnostic challenges, and response to therapy for WM were analyzed. A total of six cases of WM were analyzed, of which five were male; the mean age was 65 years. The most common presentation was transfusion-dependent anemia, followed by hyperviscosity. All the patients had bone marrow infiltration by lymphoplasmacytoid cells, and serum protein electrophoresis and immunofixation showed immunoglobulin M kappa monoclonal protein. Bortezomib, dexamethasone, and rituximab (BDR) was the most commonly used regimen. Complete and very good partial responses were seen in one patient (16.7%) each and partial response in 3 (50%) patients. There was disease progression to diffuse large B-cell lymphoma in one patient (16.7%). After a 26-month follow-up, four of six patients (66.67%) remained free of disease progression. A very low incidence of WM was reported, and patients had a varied clinicopathological spectrum. A combination of BDR is a promising frontline therapy in the patients of WM.
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Affiliation(s)
- Priyanka Samal
- Department of Clinical Hematology, Institute of Medical Sciences and SUM Hospital, Bhubaneswar, Odisha, India
| | - Prantar Chakrabarti
- Department of Clinical Hematology, Nilratan Sircar Medical College, Kolkata, West Bengal, India
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28
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Samal P, Mohapatra NC, Mishra J, Mylarappa A, Das P. A Rare Case of Giant Cell Tumour of Bilateral Achilles Tendon Sheath - Reconstruction with Dual Tendon Transfer: A Case Report. Malays Orthop J 2020; 14:84-87. [PMID: 32296488 PMCID: PMC7156183 DOI: 10.5704/moj.2003.014] [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] [Indexed: 11/05/2022] Open
Abstract
Giant cell tumour of tendon sheath is a benign soft tissue lesion most commonly found in the flexor aspect of hand and wrist. However, it is uncommon in foot and ankle and rare in bilateral achilles tendon. We report a case of 17-year-old female who presented with progressive enlargement of bilateral achilles tendon for six months. MRI findings showed that most of the tumour had intermediate to low signal intensity. Histopathology confirmed the diagnosis of giant cell tumour of tendon sheath. To help the patient regain the strength of the achilles tendon and walking abilities, a large area of tendon tumour was excised, followed by reconstruction with transfer of the peroneus brevis (PB) and posterior tibial (PT) tendon autograft. At two years follow-up, functional result was satisfactory.
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Affiliation(s)
- P Samal
- Department of Orthopaedic Surgery, Siksha O Anusandhan University Institute of Medical Sciences and SUM Hospital, Bhubaneswar, India
| | - N C Mohapatra
- Department of Orthopaedic, Sriram Chandra Bhanja Medical College and Hospital, Cuttack, India
| | - J Mishra
- Department of Orthopaedic Surgery, Siksha O Anusandhan University Institute of Medical Sciences and SUM Hospital, Bhubaneswar, India
| | - A Mylarappa
- Department of Orthopaedic Surgery, Siksha O Anusandhan University Institute of Medical Sciences and SUM Hospital, Bhubaneswar, India
| | - P Das
- Department of Pathology, Siksha O Anusandhan University Institute of Medical Sciences and SUM Hospital, Bhubaneswar, India
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29
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Samal P, Pradhan S, Das SS. Masquerading of mismatched blood transfusion by underlying autoimmune hemolytic anemia. Asian J Transfus Sci 2019; 13:142-144. [PMID: 31896924 PMCID: PMC6910039 DOI: 10.4103/ajts.ajts_154_17] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2017] [Accepted: 06/08/2018] [Indexed: 11/30/2022] Open
Abstract
Mismatched blood transfusion due to immunohematological discrepancy is relatively uncommon and in most instances occurs due to Type IV blood group discrepancy which is the discrepancies between forward and reverse groupings. Here, we present a case of a 15-year-old girl with preexisting autoimmune hemolytic anemia (AIHA) who inadvertently received 3 units of wrongly matched packed red blood cell (PRBC), followed by severe intravascular hemolysis. On detailed immunohematological investigation, the patient was found to be autoimmunized and diagnosed with “mixed AIHA” and the patient's blood group was confirmed as “A” positive. Three units of group-specific “best match” PRBC was transfused under close observation without any adverse effect. This highlights the importance of carrying out both forward and reverse blood groupings to avoid mismatched blood transfusion.
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Affiliation(s)
- Priyanka Samal
- Department of Clinical Hematology, IMS and SUM Hospital, Bhubaneswar, Odisha, India
| | - Sarita Pradhan
- Department of Pathology, Division of Hematology, IMS and SUM Hospital, Bhubaneswar, Odisha, India
| | - Sudipta Sekhar Das
- Department of Transfusion Medicine, Aapollo Gleneagles Hospital, Kolkata, West Bengal, India
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30
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Bhola RK, Das PK, Pradhan S, Chakraborty K, Mohapatra D, Samal P, Patra PC, Panda SS, Mishra SK. Multiplexing 8 colors with 12 antibodies in a single lymphoid screening tube by flow cytometry for evaluating suspected chronic lymphoproliferative disorders (CLPD). J Hematop 2019. [DOI: 10.1007/s12308-019-00376-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
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31
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Samal P, Chakrabarti P, Nath UK. A prospective, randomized study to compare the combination of imatinib and cytarabine versus imatinib alone in newly diagnosed patients with chronic phase chronic myeloid leukemia. Indian J Cancer 2019; 56:211-215. [PMID: 31389383 DOI: 10.4103/ijc.ijc_303_18] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
INTRODUCTION To compare the efficacy and safety of imatinib and cytarabine (ara-c) combination versus imatinib monotherapy in newly diagnosed patients with chronic phase chronic myeloid leukemia (CML-CP). MATERIALS AND METHODS This prospective, randomized study included adult patients (age >18 years) with newly diagnosed CML-CP. Patients received either a single oral dose of imatinib 400 mg/day in combination with a subcutaneous injection of ara-c 20 mg/m2/day (imatinib + ara-c) or a single oral dose of imatinib 400 mg/day. Primary endpoints were hematological and molecular responses at 3 months and cytogenetic responses at 6 and 12 months. Secondary endpoints included grade 3/4 hematological and nonhematological adverse events (AEs). RESULTS Of 30 patients included, 14 were randomized to imatinib + ara-c and 16 to imatinib alone. Complete hematologic response (CHR) at 3 months was higher with imatinib + ara-c vs. imatinib alone (100% vs. 87.5%, P = 0.48). The median time to achieve CHR was significantly (P < 0.001) lower with imatinib + ara-c (32.07 vs. 23.43 days). Molecular response at 3 months was significantly higher (P = 0.04) with imatinib + ara-c vs. imatinib alone (100% vs. 68.75%). Complete cytogenetic response was also higher with imatinib + ara-c vs. imatinib alone (42.85% vs. 25% at 6 months and 71.4% vs. 62.5% at 12 months). Neutropenia followed by thrombocytopenia and anemia were the most common AEs. Grade 3/4 hematological and nausea events were significantly (P < 0.05) higher with imatinib + ara-c. Other nonhematological events were not significantly different between the treatments. The median follow-up duration was 20 months (range: 15-23 months). CONCLUSION Imatinib with low-dose ara-c can be considered as a potential first-line treatment option for CML-CP.
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Affiliation(s)
- Priyanka Samal
- Institute of Hematology and Transfusion Medicine (IHTM), Kolkata, West Bengal, India
| | - Prantar Chakrabarti
- Institute of Hematology and Transfusion Medicine (IHTM), Kolkata, West Bengal, India
| | - Uttam K Nath
- Institute of Hematology and Transfusion Medicine (IHTM), Kolkata, West Bengal, India
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Samal P, Patra PC, Mohanty JN. A comparative Clinico-hematological profile analysis of HbE beta thalassemia and homozygous HbE disease in adult and children at a tertiary care hospital. ACTA ACUST UNITED AC 2019. [DOI: 10.33545/pathol.2019.v2.i2d.107] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Elavarasi A, Goyal V, Samal P. Dancing Scapula: The Missed Movement. Ann Indian Acad Neurol 2019; 22:218-219. [PMID: 31007439 PMCID: PMC6472239 DOI: 10.4103/aian.aian_210_18] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
| | - Vinay Goyal
- Department of Neurology, All India Institute of Medical Sciences, New Delhi, India
| | - Priyanka Samal
- Department of Neurology, All India Institute of Medical Sciences, New Delhi, India
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Gumpha L, Babu L, Kumar A, Samal P, Panda A. Effect of Low Protein Diets on Production Performance, Egg Quality and Serum Biochemical Indices of Vanaraja Laying Hens. ANIM NUTR FEED TECHN 2019. [DOI: 10.5958/0974-181x.2019.00033.7] [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: 10/24/2022]
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Abstract
Objectives Patients with muscle-specific kinase (MuSK)-positive myasthenia are generally considered to have a grave prognosis. We present our experience of patients with myasthenia with different antibody status. This is followed by a short discourse on previous studies and the current view on MuSK-positive myasthenia, focusing on the associated prejudice. Materials and Methods This study compares 23 patients with MuSK-positive myasthenia with 55 patients with acetylcholine receptor-positive myasthenia and 9 patients with double-seronegative myasthenia at a tertiary level center. Results We did not find any significant difference in terms of clinical characteristics, treatment response to immunosuppressants, long-term prognosis, and quality of life. Conclusion Seropositivity for antibodies should not be used in isolation to guide the management or predict the prognosis. Undue negative prognostication may affect the morale of patient. Clinical features and response to therapy in addition to antibody status must be considered before planning therapy.
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Affiliation(s)
- Priyanka Samal
- Department of Neurology, All India Institute of Medical Sciences, New Delhi, India
| | - Vinay Goyal
- Department of Neurology, All India Institute of Medical Sciences, New Delhi, India
| | - Mamta B Singh
- Department of Neurology, All India Institute of Medical Sciences, New Delhi, India
| | - M V Padma Srivastava
- Department of Neurology, All India Institute of Medical Sciences, New Delhi, India
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Samal P, Goyal V, Makharia GK, Das CJ, Gorthi SP, Y VV, Singh MB, Srivastava MVP. Transfer Dysphagia Due to Focal Dystonia. J Mov Disord 2018; 11:129-132. [PMID: 30304925 PMCID: PMC6182304 DOI: 10.14802/jmd.17081] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [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] [Received: 12/25/2017] [Accepted: 08/01/2018] [Indexed: 12/02/2022] Open
Abstract
Objective
The inability to propel a bolus of food successfully from the posterior part of the oral cavity to the oropharynx is defined as transfer dysphagia. The present case series describes the varied presentation of transfer dysphagia due to focal dystonia and highlights the importance of early detection by following up on strong suspicions. Methods
We describe seven cases of transfer dysphagia due to focal dystonia. Transfer dysphagia as a form of focal dystonia may appear as the sole presenting complaint or may present with other forms of focal dystonia. Results
Four out of seven patients had pure transfer dysphagia and had previously been treated for functional dysphagia. A high index of suspicion, barium swallow including videofluoroscopy, associated dystonia in other parts of the body and response to drug therapy with trihexyphenidyl/tetrabenazine helped to confirm the diagnosis. Conclusion
Awareness of these clinical presentations among neurologists and non-neurologists can facilitate an early diagnosis and prevent unnecessary investigations.
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Affiliation(s)
- Priyanka Samal
- Department of Neurology, All India Institute of Medical Sciences, New Delhi, India
| | - Vinay Goyal
- Department of Neurology, All India Institute of Medical Sciences, New Delhi, India
| | - Govind K Makharia
- Department of Gastroenterology, All India Institute of Medical Sciences, New Delhi, India
| | - Chandan J Das
- Department of Radiology, All India Institute of Medical Sciences, New Delhi, India
| | | | - Vishnu V Y
- Department of Neurology, All India Institute of Medical Sciences, New Delhi, India
| | - Mamta Bhushan Singh
- Department of Neurology, All India Institute of Medical Sciences, New Delhi, India
| | - M V Padma Srivastava
- Department of Neurology, All India Institute of Medical Sciences, New Delhi, India
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Mondal B, Singh A, Singh SD, Kalra BS, Samal P, Sinha MK, Ramajayam D, Kumar S. Augmentation of Water Resources Potential and Cropping Intensification Through Watershed Programs. Water Environ Res 2018; 90:101-109. [PMID: 28600862 DOI: 10.2175/106143017x14902968254700] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
This paper presents the biophysical impact of various interventions made under watershed development programs, in terms of the creation of additional water resources, and resultant changes in land use and cropping patterns in the Bundelkhand region of Madhya Pradesh State, India. Both primary and secondary data gathered from randomly selected watersheds and their corresponding control villages were used in this study. Analysis revealed that emphasis was given primarily to the creation of water resources potential during implementation of the programs, which led to augmentation of surface and groundwater availability for both irrigation and non-agricultural purposes. In addition, other land based interventions for soil and moisture conservation, plantation activities, and so forth, were taken up on both arable and nonarable land, which helped to improve land slope and land use, cropping pattern, agricultural productivity, and vegetation cover.
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Samal P, Goyal V, Singh M. Deep-Brain Stimulation-Implanted Pulse Generator Eroding Skin After a Fall: Does Shape Matter? Mov Disord Clin Pract 2017; 4:905-906. [DOI: 10.1002/mdc3.12534] [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: 02/21/2017] [Revised: 06/27/2017] [Accepted: 08/01/2017] [Indexed: 11/08/2022] Open
Affiliation(s)
- Priyanka Samal
- Department of Neurology; All India Institute of Medical Sciences (AIIMS); New Delhi India
| | - Vinay Goyal
- Department of Neurology; All India Institute of Medical Sciences (AIIMS); New Delhi India
| | - Manmohan Singh
- Department of Neurosurgery; All India Institute of Medical Sciences (AIIMS); New Delhi India
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Pradhan S, Chauhan S, Samal P. Incidental Detection of a Rare Hemoglobin Variant (Hemoglobin N Seattle) Leading to Undetectable Levels of HbA1c in a Diabetic Female: A Case Report. Thalassemia Reports 2017. [DOI: 10.4081/thal.2017.5860] [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: 11/23/2022] Open
Abstract
Glycosylated hemoglobin (GHb) is routinely used to monitor glycemic control over past 2–3 months in diabetics. As per the recommendations of the American Association of Clinical Endocrinologist, 2007 values should be maintained below 7% to prevent the risk of chronic complications. We report a case of a 55-year old female patient with spuriously low HbA1c values by high-performance liquid chromatography. Suspecting the presence of any abnormal hemoglobin, capillary zone electrophoresis was done which identified the presence of Hb variant corresponding to -Hb N Seattle. Our case highlights that clinical laboratories should be aware of limitations of their HbA1c assay methods as well as rule out any possible interfering Hb variants.
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Panda S, Babu L, Panda A, Tanuja S, Mohanty A, Panigrahy K, Samal P, Pradhan C. Effect of Dietary Incorporation of Fermented Fish Silage on the Performance of Broiler Japanese Quails (Coturnix coturnix japonica). ANIM NUTR FEED TECHN 2017. [DOI: 10.5958/0974-181x.2017.00030.0] [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: 10/18/2022]
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Jena D, Das S, Patra BK, Biswal SS, Mohanty DN, Samal P. Certain hormonal profiles of postpartum anestrus jersey crossbred cows treated with controlled internal drug release and ovsynch protocol. Vet World 2016; 9:1102-1106. [PMID: 27847419 PMCID: PMC5104718 DOI: 10.14202/vetworld.2016.1102-1106] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [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] [Received: 04/15/2016] [Accepted: 08/30/2016] [Indexed: 12/02/2022] Open
Abstract
Aim: The study was conducted to determine the serum levels of certain hormones in post-partum anestrus cows following treatment with controlled internal drug release (CIDR) and Ovsynch protocol. Materials and Methods: A total of 30 postpartum anestrus cows were divided into three equal groups after thorough gynecoclinical examination. The Group 1 animals received an intravaginal progesterone device on day 0 and 2 ml of prostaglandin F2α (PGF2α) on day of CIDR removal (7th day), Group 2 cows were treated with ovsynch protocol (gonadotropin-releasing hormone [GnRH]-PGF2α-GnRH) on day 0, 7 and 9, respectively, and Group 3 cows were supplemented with mineral mixture and treated as control. The serum estrogen, progesterone, triiodothyronine, and thyroxine concentration were estimated using enzyme-linked immunosorbent assay kit and absorbance was read at 450 nm with Perkin Elmer Wallac 1420 Microplate Reader. Results: There was a significant increase in progesterone level in Group 1 after withdrawal of CIDR as compared to other two groups. However, the estrogen assay revealed a greater concentration in Group 2 against Group 1 on day 7 of sampling. However, there was no significant difference for serum triiodothyronine (T3) and thyroxine (T4) irrespective of treatment protocols and days of sampling. Conclusion: Treatment with CIDR based progesterone therapy and drug combinations may affect the reproductive hormonal balance like estrogen and progesterone, which is inevitable for successful return to cyclicity and subsequent fertilization and conception. However, as far as serum T3 and T4 concentration concerned it may not give an astounding result.
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Affiliation(s)
- Dayanidhi Jena
- Department of Animal Reproduction, Gynaecology and Obstetrics, College of Veterinary Science and Animal Husbandry, Orissa University of Agriculture and Technology, Bhubaneswar - 751 003, Odisha, India
| | - S Das
- Teaching Veterinary Clinical Complex, College of Veterinary Science and Animal Husbandry, Orissa University of Agriculture and Technology, Bhubaneswar - 751 003, Odisha, India
| | - B K Patra
- Teaching Veterinary Clinical Complex, College of Veterinary Science and Animal Husbandry, Orissa University of Agriculture and Technology, Bhubaneswar - 751 003, Odisha, India
| | - S S Biswal
- Department of Animal Reproduction, Gynaecology and Obstetrics, College of Veterinary Science and Animal Husbandry, Orissa University of Agriculture and Technology, Bhubaneswar - 751 003, Odisha, India
| | - D N Mohanty
- Department of Animal Reproduction, Gynaecology and Obstetrics, College of Veterinary Science and Animal Husbandry, Orissa University of Agriculture and Technology, Bhubaneswar - 751 003, Odisha, India
| | - P Samal
- Department of Clinical Veterinary Medicine, Ethics and Jurisprudence, College of Veterinary Science and Animal Husbandry, Orissa University of Agriculture and Technology, Bhubaneswar - 751 003, Odisha, India
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Chakrabarti A, Samal P, Chakrabartty J. Amyloidosis: The Newer Discovered ALECT2 Associated with der7q add(7). J Clin Diagn Res 2016; 10:ED04-ED05. [PMID: 27790444 DOI: 10.7860/jcdr/2016/21705.8555] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2016] [Accepted: 07/05/2016] [Indexed: 11/24/2022]
Abstract
Amyloidosis is characterized by pathological deposition of abnormal protein aggregates in various tissues, AL protein being the commonest. ALECT 2 is the newest protein described, having a predisposition to affect the kidneys, sometimes the liver and rarely other organs. We present a case of renal amyloid ALECT 2 due to leucocyte cell derived chemotaxin 2, a novel amyloidogenic protein. The patient presented with mild proteinuria, scattered plasma cells on bone marrow examination and altered kappa/lambda ratio with associated cytogenetic abnormality of der7q add(7). It is essential to correctly type this protein and differentiate it from AL during diagnosis for appropriate and effective clinical management.
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Affiliation(s)
- Amrita Chakrabarti
- Postgraduate Trainee, Department of Pathology, Apollo Gleneagles Hospital , Kolkata, West Bengal, India
| | - Priyanka Samal
- Junior Consultant, Department of Clinical Hematology and Hemato-Oncology, Apollo Gleneagles Hospital , Kolkata, West Bengal, India
| | - Joydeep Chakrabartty
- Consultant, Department of Clinical Hematology and Bone Marrow Transplant, Advanced Medical Research Institute , Kolkata, West Bengal, India
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Samal P, Samal S, Raulo BC, Sahu MC. A manifestation of cutaneous aspergillosis in immunocompetent host: A rare presentation as forearm mass lesion. J Mycol Med 2016; 26:51-5. [PMID: 26907914 DOI: 10.1016/j.mycmed.2015.12.009] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2015] [Revised: 12/21/2015] [Accepted: 12/26/2015] [Indexed: 11/16/2022]
Abstract
The Aspergillus species is a ubiquitous fungus, which can cause pathogenic and opportunistic fungal infections in the immunocompromised. This is an atypical occurrence in the host with an otherwise normal immune status. We report a case of an immunocompetent 45-year-old patient who developed cutaneous aspergillosis with a very benign course presenting simply with a gradually enlarging mass and none of the classical signs and symptoms. All prior laboratory examinations failed to detect or reproduce the organism or establish a diagnosis. Surgery was both diagnostic and therapeutic, to remove the mass which causes the patient pain and limitation of activity. This was to our advantage because the fungal elements were very well encapsulated and the mass was a well-organized conglomeration of cystic abscesses that even prolonged chemotherapy alone might not succeed in eradicating the infection.
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Affiliation(s)
- P Samal
- Department of Orthopaedics, IMS and SUM Hospital, Siksha 'O' Anusandhan University, K-8, Kalinga Nagar, Bhubaneswar, 751003, Odisha, India.
| | - S Samal
- Department of Orthopaedics, IMS and SUM Hospital, Siksha 'O' Anusandhan University, K-8, Kalinga Nagar, Bhubaneswar, 751003, Odisha, India
| | - B C Raulo
- Department of Orthopaedics, IMS and SUM Hospital, Siksha 'O' Anusandhan University, K-8, Kalinga Nagar, Bhubaneswar, 751003, Odisha, India
| | - M C Sahu
- Central Research Laboratory, IMS and Sum Hospital, Siksha 'O' Anusandhan University, K-8, Kalinga Nagar, Bhubaneswar, 751003, Odisha, India
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Porichha D, Rao VN, Samal P, Rao AK. Transfer of disability care of leprosy to the affected persons and the community members. Indian J Lepr 2011; 83:81-86. [PMID: 21972660] [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: 05/31/2023]
Abstract
Bargarh district in the western Orissa had high leprosy burden and LEPRA India supported in control activities. Its main focus was on POD care with community participation. After motivation and capacity building, it transferred the responsibility of POD care to affected persons, family, community partners and GHS staff in 2006. The effectiveness of this approach was evaluated in 2009. With personal contact responses from 112 (17%) persons with disability and 18 stakeholders were obtained. Result shows 98% affected persons are staying with family; 92% are practicing self-care; 92% felt self-care is beneficial; 57% and 36% are using commercial and MCR footwear respectively. Surgical correction of deformity is maintained in 80% of cases. Difficulty in activity and in community participation was experienced in about one third of affected persons the latter is mostly due to self stigma. The facilitators were happy with their beneficiaries.
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Affiliation(s)
- D Porichha
- Regional Office, LEPRA India, Bhubaneswar-751015, Orissa, India.
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