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Jain H, Vasdev V, S K, Kumar A, Mishra PS, J S, Chandwani A. Multicentric reticulohistiocytosis. QJM 2024:hcae037. [PMID: 38430002 DOI: 10.1093/qjmed/hcae037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/23/2024] [Indexed: 03/03/2024] Open
Affiliation(s)
- Harsh Jain
- Department of Clinical Immunology and Rheumatology, Army Hospital Research and Referral, New Delhi, 110010, India
| | - Vivek Vasdev
- Department of Clinical Immunology and Rheumatology, Army Hospital Research and Referral, New Delhi, 110010, India
| | - Kartik S
- Department of Clinical Immunology and Rheumatology, Army Hospital Research and Referral, New Delhi, 110010, India
| | - Abhishek Kumar
- Department of Clinical Immunology and Rheumatology, Army Hospital Research and Referral, New Delhi, 110010, India
| | - P S Mishra
- Department of Pathology, Army Hospital Research and Referral, New Delhi110010, India
| | - Sankar J
- Department of Clinical Immunology and Rheumatology, Army Hospital Research and Referral, New Delhi, 110010, India
| | - Ashish Chandwani
- Department of Clinical Immunology and Rheumatology, Army Hospital Research and Referral, New Delhi, 110010, India
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Vasdev V, Singh R, Aggarwal V, Bhatt S, Kartik S, Hegde A, Kumar A, Bhaskar SV. Thermal imaging in rheumatoid arthritis knee joints and its correlation with power Doppler ultrasound. Med J Armed Forces India 2023; 79:S189-S195. [PMID: 38144611 PMCID: PMC10746829 DOI: 10.1016/j.mjafi.2022.05.011] [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: 08/11/2021] [Accepted: 05/22/2022] [Indexed: 11/23/2022] Open
Abstract
Background Power Doppler ultrasound (PDUS) is an established non-invasive modalities for quantification of inflammation, which has a bearing on the assessment of disease activity in rheumatoid arthritis (RA). However, PDUS has several disadvantages including cost of equipment, steep learning curve and inter-observer variability. Thermal imaging has emerged as a simple, powerful tool for mapping the heat distribution pattern and has the potential to document and quantify disease activity in RA. The objective was to study the thermal imaging pattern of inflamed knee joints in cases of RA and its correlation with PDUS. Methods This pilot case-control study was carried out at the rheumatology centre in India including 100 subjects (50 controls and 50 RA patients). All participants underwent thermal imaging and PDUS for the knee joints. The mean temperatures in area of interest in knee, thigh and knee-thigh differential were analysed in comparison with PDUS findings. Results RA subjects had significantly higher mean knee temperature and mean knee-thigh temperature differential compared with controls (p value < 0.00001). PDUS documented inflammation strongly correlated with knee-thigh temperature differential. Conclusion There was a statistically significant difference in mean knee temperature as well as mean knee-thigh temperature differential of inflamed versus control knees. Thermal imaging has the potential to become simple, objective, cost-effective and reliable tool for diagnosis and assessment of disease activity in inflammatory arthritis.
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Affiliation(s)
- V. Vasdev
- Commandant, Military Hospital Bhopal, MP, India
| | - Ramakant Singh
- Associate Professor (Medicine) & Rheumatologist, INHS Asvini, Mumbai, India
| | - Vivek Aggarwal
- Senior Registrar & AMP, OC Tps, 156 General Hospital, C/o, 56 APO, India
| | - Satyam Bhatt
- Senior Resident (Rheumatology), Army Hospital (R&R), New Delhi, India
| | - S. Kartik
- Senior Advisor (Medicine) & Rheumatologist, Army Hospital (R&R), New Delhi, India
| | - A. Hegde
- Senior Advisor (Medicine) & Rheumatologist, Command Hospital (Central Command), Lucknow, India
| | - Abhishek Kumar
- Classified Specialist (Medicine) & Rheumatologist, Army Hospital (R&R), New Delhi, India
| | - S. Vijay Bhaskar
- Professor, Department of Community Medicine, Armed Forces Medical College, Pune, India
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Kapoor M, Vasdev V, Singh RK, Jaipurkar R, Sikri G. Relationship between aerobic fitness and lower limb skin temperature during cycling exercise testing among well-trained athletes and nonathletes: a cross-sectional study. Med J Armed Forces India 2023; 79:S165-S174. [PMID: 38144645 PMCID: PMC10746799 DOI: 10.1016/j.mjafi.2022.04.017] [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: 07/02/2021] [Accepted: 04/27/2022] [Indexed: 11/18/2022] Open
Abstract
Background During prolonged physical exercise, the skin plays an important role in thermoregulation by dissipating heat to maintain core temperature. Moreover, thermal variation may be influenced by the physical fitness level of an individual. The aim of the present study was to determine the relationship between aerobic fitness and lower limb skin temperature during graded cycling exercise testing in well-trained athletes and nonathletes. Methods Twelve trained athletes (mean ± SD maximal oxygen consumption [VO2max], 52.44 ± 4.5 ml/kg/min) and 12 nonathletes (VO2max, 36.95 ± 4.9 ml/kg/min) participated in this study. The regional skin temperature over the lower limbs was monitored continuously during incremental exercise testing using a thermal camera, and cardio-respiratory parameters were assessed and recorded using a metabolic analyzer (K5, COSMED, Rome, Italy). Results The mean skin temperature of athletes at a high intensity of exercise was 27.23 ± 0.3 °C while that of nonathletes was 29.03 ± 0.44 °C, a difference that was statistically significant (p < 0.05). A negative correlation was observed between skin temperature and cardiovascular parameters (VO2max and heart rate) in athletes, while no such correlation was found among nonathletes. Conclusion The present study demonstrated a negative correlation between oxygen consumption and lower limb skin temperature in athletes, while the correlation was poor in nonathletes. This suggests that physical fitness level may influence the pattern of alterations in lower limb skin temperature, which supports the hypothesis that athletes exhibit better heat dissipation mechanisms than nonathletes.
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Affiliation(s)
- Monika Kapoor
- Scientist 'C', Department of Physiology, Armed Forces Medical College, Pune, India
| | - V. Vasdev
- Commandant, Military Hospital Bhopal, MP, India
| | | | - Raksha Jaipurkar
- Professor & Head, Department of Physiology, Armed Forces Medical College, Pune, India
| | - Gaurav Sikri
- Commandant, 4016 Field Hospital, C/o 56 APO, India
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Kumar A, Gupta A, Gupta P, Vasdev V, Kartik S. The Coexisting Neuromyelitis Optica Spectrum Disorder and Systemic Lupus Erythematosus: A Therapeutic Challenge. Mediterr J Rheumatol 2023; 34:372-376. [PMID: 37941871 PMCID: PMC10628875 DOI: 10.31138/mjr.20230808.tc] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2022] [Revised: 01/16/2023] [Accepted: 01/17/2023] [Indexed: 11/10/2023] Open
Abstract
Neuromyelitis Optica (NMO), or Devic's disease, is an immune-mediated, usually relapsing, central nervous system (CNS) demyelination disorder associated with optic neuritis and transverse myelitis. It is characterised by the presence of longitudinally extensive transverse myelitis (LETM) and antibodies against water channel aquaporin-4 (AQP4-immunoglobulin G [IgG]). The term NMO spectrum disorder (NMOSD) includes patients with limited forms of NMO who are at risk of recurrence. Often patients with NMO or NMOSD have an associated systemic autoimmune disease, most commonly systemic lupus erythematosus (SLE) or Sjogren syndrome (SS) or a related profile of non-organ-specific autoantibodies. The intriguing aspect of coexisting NMOSD and SLE is whether they are independent diseases that can coexist with each other or the serological findings specific to both diseases in a patient is a non-specific finding of no prognostic or therapeutic concern. We have presented two cases of NMOSD coexisting with SLE and based upon the existing evidence in the literature we present that the two conditions are independent of each other, and, at times, it can throw a therapeutic challenge to any clinician.
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Affiliation(s)
- Abhishek Kumar
- Department of Rheumatology, Army Hospital Research and Referral, Delhi, India
| | - Anirban Gupta
- Department of Neurology, Army Hospital Research and Referral, Delhi, India
| | - Preeti Gupta
- Department of Radiology, Command Hospital, Alipore, Kolkata, India
| | - Vivek Vasdev
- Department of Rheumatology, Army Hospital Research and Referral, Delhi, India
| | - S Kartik
- Department of Rheumatology, Army Hospital Research and Referral, Delhi, India
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Aggarwal V, Muthukrishnan J, Manrai M, Chauhan P, Vasdev V. The prevalence of osteoporosis and its association with serum testosterone and serum vitamin D in the elderly male population: A cross-sectional study. Med J Armed Forces India 2023; 79:189-193. [PMID: 36969120 PMCID: PMC10037054 DOI: 10.1016/j.mjafi.2021.03.011] [Citation(s) in RCA: 1] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2020] [Accepted: 03/21/2021] [Indexed: 11/17/2022] Open
Abstract
Background Male osteoporosis is under-diagnosed and poorly studied. With the ageing population, osteoporotic fracture in men is an emerging health problem. The aim of this study was to study the prevalence of osteoporosis and its association with serum testosterone and serum vitamin D in elderly men (>60 years old) attending the outpatient department (OPD). Methods An observational cross-sectional study was performed in elderly men (>60 years old) attending OPD of a tertiary care hospital of Western Maharashtra between April 2017 and June 2019. Patients with rheumatological disorders, history of vertebral/femoral fractures, chronic kidney disease, chronic liver disease, thyroid disorders and alcohol dependence were excluded. Data were analysed using the chi-square test and descriptive statistics. Results In total, 408 male patients were included. The mean age was 68.33 years. Osteoporosis was seen in 39.5% of patients (161/408) with a T score of ≤2.5. Osteopenia was noted in 48.3% of patients (197/408). T and Z scores had significant correlation (p = <0.001). Only 12% of elderly men had normal bone mineral density score. Serum testosterone, chronic obstructive pulmonary disease (COPD) and benign prostatic hypertrophy (BPH) were significantly associated with male osteoporosis with a p-value of 0.019, 0.016 and 0.010, respectively. Vitamin D levels, type 2 diabetes mellitus, hypertension and coronary artery disease did not show any significant association with male osteoporosis. Conclusion Osteoporosis was noted in 39.5% of the elderly men. In addition, decreased testosterone, COPD and BPH were significantly associated with male osteoporosis. It is important to screen elderly men to diagnose osteoporosis early and prevent osteoporotic fractures.
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Affiliation(s)
- Vivek Aggarwal
- Associate Professor, Department of Internal Medicine, Armed Forces Medical College, Pune, India
| | - J. Muthukrishnan
- Senior Adviser (Medicine & Endocrinology), Base Hospital, Delhi Cantt, India
| | - Manish Manrai
- Professor, Department of Internal Medicine, Armed Forces Medical College, Pune, India
| | | | - Vivek Vasdev
- Professor & Head, Department of Geriatric Medicine, Armed Forces Medical College, Pune, India
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Nair A, Kumar S, Chaturvedi V, Rath P, Vasdev V. Is it time to introduce structured musculoskeletal ultrasound training in the rheumatology curriculum in India? Indian J Rheumatol 2023. [DOI: 10.4103/injr.injr_185_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023] Open
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Kumar A, Vasdev V, Patnaik SK, Bhatt S, Singh R, Bhayana A, Hegde A, Kumar A. The diagnostic utility of rheumatoid factor and anticitrullinated protein antibody for rheumatoid arthritis in the Indian population. Med J Armed Forces India 2022; 78:S69-S74. [PMID: 36147402 PMCID: PMC9485759 DOI: 10.1016/j.mjafi.2020.04.007] [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: 10/13/2019] [Accepted: 04/10/2020] [Indexed: 11/24/2022] Open
Abstract
Background There is lack of Indian data on diagnostic utility of rheumatoid factor (RF) and anti-citrullinated protein antibody (ACPA) for diagnosis of rheumatoid arthritis (RA) and prevalence of these antibodies in patients with RA and the healthy population. The study was aimed to assess the diagnostic utility and prevalence of RF and ACPA at different titers in the Indian scenario. Method All the patients of RA fulfilling the European League Against Rheumatism/American College of Rheumatology (EULAR/ACR) 2010 classification criteria and age and gender-matched healthy controls were included in the study. RF and ACPA were measured by nephelometry and the enzyme-linked immunosorbent assay (ELISA) method, respectively. Result Of 803 patients (291 men and 512 women) included, the RF was positive in 566 (70.5%) study patients. The ACPA was positive in 527 (71.7%) patients of 735 of them. Among 408 healthy controls, 45 (11%) were RF positive and 19 (4.7%) were ACPA positive.At the positive cutoff level, the RF had a specificity of 87.6% (95% confidence interval [CI] = 84.4-90.8; positive likelihood ratio [LR+] 5.7). Specificity at 2 and 3 times above the upper limit of normal (ULN) increased to 96.2% (95% CI = 94.3-98.1; LR+ 15.7) and 97.1% (95% CI = 95.5-98.7; LR+ 17.1), respectively.The specificity of ACPA at the positive cutoff level was 94.4% (95% CI = 92.2-96.6; LR+ 12.7), which increased to 98% (95% CI = 96.6-99.4), at 2xULN level. The likelihood ratio for ACPA at all cutoff levels measured was more than 10. Conclusion The sensitivity and specificity of RF and ACPA in our study population are comparable with those of other studies. ACPA at lower titers may have sufficient diagnostic utility for RA in an appropriate clinical setting.
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Affiliation(s)
- Abhishek Kumar
- Classified Specialist (Medicine) & Rheumatologist, Command Hospital (Eastern Command), Kolkata, India
| | - Vivek Vasdev
- Professor & Head, Department of Geriatrics Medicine, Armed Forces Medical College, Pune, India
| | | | - Satyam Bhatt
- Resident (Rheumatology), Army Hospital (R&R), New Delhi, India
| | - Ramakant Singh
- Classified Specialist (Medicine) & Rheumatologist, INHS Ashvini, Colaba, Mumbai, India
| | - Aprajita Bhayana
- Graded Specialist (Aerospace Medicine), SMC, Air Force Station, Palam, New Delhi, India
| | - Arun Hegde
- Senior Advisor (Medicine) & Rheumatologist, Command Hospital (Southern Command), Pune, India
| | - Ashwani Kumar
- Classified Specialist (Medicine) & Rheumatologist, Army Hospital (R&R), New Delhi, India
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Kumar A, Bhakuni DS, Kartik S, Hegde A, Shanmuganandan K, Singh K, Vasdev V, MN A. Serum interleukin-6 in seropositive rheumatoid arthritis and response to tocilizumab: An observational study. Eur J Rheumatol 2022; 9:26-30. [PMID: 35110134 PMCID: PMC10089141 DOI: 10.5152/eurjrheum.2021.20202] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE There is no clinically useful biomarker as a predictor of response to any class of biological disease-modifying antirheumatic drugs (bDMARD). Serum interleukin-6 (IL-6) has a major role in the pathogenesis of rheumatoid arthritis (RA) and its serum level in patients of RA may predict response to treatment with IL-6 receptor (IL-6R) antagonist tocilizumab. METHODS Biological DMARD naïve patients of seropositive RA, fulfilling American College of Rheumatology/European League Against Rheumatism classification criteria 2010, were treated with 06 doses of tocilizumab (8mg/kg) at monthly interval. Baseline and post-treatment serum IL-6 levels were measured and correlated with response to treatment measured by disease activity score-28 joints erythrocyte sedimentation rate (DAS28 ESR) after treatment. RESULTS The study included 34 patients and 26 (70%) of them achieved DAS-28 remission (DAS28 ESR < 2.6). The baseline serum IL-6 did not correlate with post-treatment DAS28 ESR (R -0.197, P = .264). Though, statistically not significant (P = .085) more patients with comparatively lower baseline serum IL-6 attained DAS28 remission (16 out of 17, P = .085). There was an increase in the serum IL-6 level (median 40.5pg/ml [IQR 130.2] to 72.6pg/ml [IQR 162.5]) after tocilizumab treatment and the change in IL-6 level also did not correlate with post-treatment DAS28 ESR (R -0.240, P = .172). CONCLUSION Higher number of patients with comparatively lower serum IL-6 level attained DAS28 remission in this study; however, it was not statistically significant. It requires further evaluation in larger studies to make any conclusion on the role of serum IL-6 as a predictor of response to tocilizumab in seropositive RA.
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Affiliation(s)
- Abhishek Kumar
- Department of Rheumatology, Command Hospital (Eastern Command), Alipore, Kolkata, India
| | - D. S. Bhakuni
- Manipal Hospital, Sector 6, Dwarka, New Delhi, India
| | - Sivasami Kartik
- Department of Rheumatology, Army Hospital Research and Referral, Delhi, India
| | - Arun Hegde
- Department of Rheumatology, Command Hospital (Southern Command), Pune, India
- Address for correspondence: Arun Hegde; Department of Rheumatology, Command Hospital (Southern Command), Pune, India E-mail:
| | - K. Shanmuganandan
- Department of Medicine, Sree Balaji Medical College and Hospital, Chrompet, Chennai, India
| | - Kavita Singh
- Public Health Foundation of India, Plot 47, Sector 44, Gurgaon, India
| | - Vivek Vasdev
- Department of Rheumatology, Command Hospital (Southern Command), Pune, India
| | - Arjun MN
- Department of Rheumatology, Command Hospital (Central Command), Lucknow, India
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Hegde A, Mangal V, Vasdev V, Singh K, Bhanu K. Pure peripheral spondyloarthritis, is it exceedingly rare? A real-world experience from an Indian tertiary care hospital. J Mar Med Soc 2022. [DOI: 10.4103/jmms.jmms_117_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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Aggarwal V, Sashindran VK, Dudeja P, Prashant P, Sarkar N, Vasdev V, Singhal A. Malnutrition in elderly pilgrims attending kumbh festival 2019: A cross-sectional study. J Mar Med Soc 2022. [DOI: 10.4103/jmms.jmms_154_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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Aggarwal V, Shankar S, Suryakant, Manrai M, Vasdev V, Singhal A, Yadav AK. A young clinician's perspective on deprescribing in elderly patients: A pilot study. J Mar Med Soc 2022. [DOI: 10.4103/jmms.jmms_38_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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Abstract
Background Psoriasis a chronic inflammatory skin disease manifests with microcirculatory changes within skin which may precede skin manifestations, correlate with their severity, joint involvement and resolve with treatment. Nailfold capillaroscopy (NFC) is used in rheumatology for connective tissue disorder assessment and is assuming significance in psoriasis. The aim was to study the nailfold capillaroscopic findings in patients with psoriasis. Methods A cross-sectional observational study was carried out at a skin center of a tertiary care hospital from January 2016 to June 2017. Selected cases underwent NFC using a portable color capillaroscope with an attached computer with software to analyze the nailfold capillaries for morphological parameters and abnormalities. Independent-samples t test and chi-square test was used to analyze the relationships between variables. Results Mean capillary loop density in 96% of study population was subnormal (<9 capillaries/mm), mean arterial limb diameter 11.37 ± 2.434μ; mean venous limb diameter 15.89 ± 3.131μ, top of the loop diameter 14.41 ± 4.373μ and length of the loop was 152.51 ± 57.21μ. Only 3 had length of loop >300μ. Bizarre morphology was seen in 15.5% of capillaries (p value < 0.001). Crossed loops/tortuous capillaries were seen in 17.3% of patients (p value < 0.001). Ramified capillaries were seen in 9.1% of patients with psoriasis (p value < 0.001). Other abnormalities observed were hemorrhage, avascular areas and subpapillary plexus. Widespread disease and psoriatic arthritis (18.2%) had irregular and haphazard distribution of capillaries (p value < 0.001). Analysis of Psoriasis Area Severity Index score, age of the patient and NFC did not reveal any statistically significant relationship. Conclusions Nailfold capillaroscopy (NFC), a non invasive imaging technique for microcirculation evaluation can serve to prognosticate and follow up patirents with psoriasis as a simple and highly reproducible tool. Nailfold capillaroscopy is a simple and an easy method to study the microvascular abnormalities in psoriasis. Findings correlate with disease severity. It can be used for follow-up as a predictor of disease worsening or response to treatment.
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Affiliation(s)
- M Sivasankari
- Graded Specialist (Dermatology), Military Hospital Jodhpur, India
| | - Sandeep Arora
- Professor & Head (Dermatology), Command Hospital (Air Force), Bengaluru, 560007, India
| | - Vivek Vasdev
- Professor and Head, Department of Geriatric Medicine, Armed Forces Medical College, Pune, 411040, India
| | - Evangeline M Mary
- Associate Professor (Community Health), Stanley Medical College, Chennai, India
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Mahale M, Behal P, Bewal NM, Aggarwal V, Singhal A, Yadav AK, Vasdev V. Study of Prevalence of Neuropsychiatric Symptoms in Elderly Dementia Patients. J Clin Diagn Res 2021. [DOI: 10.7860/jcdr/2021/44440.14510] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
Introduction: Prevalence of dementia is increasing with rapidly ageing population. Neuropsychiatric Symptoms (NPS) are common in certain types of dementia and increases with duration of dementia in Alzheimer’s disease and are causes significant psychosocial and management issues. Aim: To study the prevalence and type of NPS in patients of dementia presenting to a Tertiary Care Hospital and to find out the association between NPS and the type of dementia and to assess the association of the caregiver stress in this setting. Materials and Methods: The present cross-sectional observational study was conducted at Tertiary Care Government Hospital of Western Maharashtra. All patients with suspected dementia were initially screened by a Mini-Cog questionnaire and patients with a score of three or less were assessed with Hindi Mental Status Examination (HMSE). The inclusion criteria were patients with HMSE of less than or equal to 23. All the diagnosed patients with dementia were screened for common psychiatric symptoms using Neuropsychiatric Inventory (NPI). The presence of NPS was noted based on either presenting complaint of the patient or as per the history given by the primary caregiver for these symptoms in last one month. These questions were administered in focused group discussion form to the primary caregiver by the physician. The data was collected and analysed using descriptive statistics and Chi-square test with SSPS 20. Results: The most common neuropsychiatric manifestation was sleep and night-time behavioural disorder (51.5%). It was followed by depression (44%). Neuropsychiatric manifestations were much more common in demented patients of probable Dementia with Lewy Bodies (DLB) and dementia with B12 deficiency. More than 50% of the patients had two or more psychiatric symptoms. The most common psychiatric symptom in patients with probable Alzheimer’s disease was sleep and night-time disturbance in 54.9%. Common neuropsychiatric manifestations seen in DLB were visual hallucinations (100%), followed by irritability (88%). More than 90% of the caregivers were not aware of the psychiatric manifestations of dementia and did not know how to cope up with these symptoms. Conclusion: NPS were more common in patients with DLB dementia and dementia with B12 deficiency, with depression been more common symptom in patients with Parkinson’s related dementia. It is therefore, very important to look for NPS in all elderly patients which can help us to diagnose dementia earlier.
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Hegde A, Mangal V, Singh K, Bhanu K, Jain A, Vasdev V. Clinical characteristics of takayasu arteritis: A retrospective study from a tertiary care hospital in North India. Acta Med Int 2020. [DOI: 10.4103/ami.ami_78_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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Arjun MN, Vasdev V, Kishore K, Hegde A, Shanmuganandan K, Kumar A, Kovilapu U, Shivashankar R. Comparison of intra articular autologous platelet-rich plasma with steroids in osteoarthritis knee: Experience from a North Indian tertiary care center. Indian J Rheumatol 2020. [DOI: 10.4103/injr.injr_159_19] [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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Hegde A, Kumar A, Bhakuni D, Shanmuganandan K, Vasdev V, Arjun MN, Kishore K. Clinical efficacy and safety of tocilizumab in the treatment of seropositive rheumatoid arthritis patients in India. Indian J Rheumatol 2020. [DOI: 10.4103/injr.injr_98_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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Affiliation(s)
- Velu Nair
- Internal Medicine & Haematology; Armed Forces Medical College; Pune India
| | - Vivek Vasdev
- Rheumatology & Clinical Immunology; Army Hospital R & R; New Delhi India
| | - Abhishek Kumar
- Rheumatology & Clinical Immunology; Army Hospital R & R; New Delhi India
| | | | - Vivek Nair
- Dermatology; Maulana Azad Medical College; New Delhi India
| | - Ajay Sharma
- Rheumatology & Clinical Immunology; Army Hospital R & R; New Delhi India
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Vasdev V, Kumar A, Manrai M, Bhayana A, Hegde A, Arjun MN, Kishore K. Assessment of hepatic fibrosis in patients with rheumatoid arthritis on long-term methotrexate therapy using transient elastography. Indian J Rheumatol 2018. [DOI: 10.4103/injr.injr_92_18] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [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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Vasdev V, Hegde A, Shanmuganandan K, Singh K, Kartik S, Kumar A. Safety and efficacy of an Anti-CD20 Monoclonal antibody (RedituxTM) In Indian patients with seropositive rheumatoid arthritis. Indian J Rheumatol 2018. [DOI: 10.4103/injr.injr_98_17] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [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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Vasdev V, Bhayana A, Piplani S. A rare case of monoclonal gammopathy with autoinflammatory syndrome (schnitzler syndrome): A case report. Indian Journal of Rheumatology 2014. [DOI: 10.1016/j.injr.2014.10.191] [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] Open
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Balakrishnan L, Nirujogi RS, Ahmad S, Bhattacharjee M, Manda SS, Renuse S, Kelkar DS, Subbannayya Y, Raju R, Goel R, Thomas JK, Kaur N, Dhillon M, Tankala SG, Jois R, Vasdev V, Ramachandra Y, Sahasrabuddhe NA, Prasad TK, Mohan S, Gowda H, Shankar S, Pandey A. Proteomic analysis of human osteoarthritis synovial fluid. Clin Proteomics 2014; 11:6. [PMID: 24533825 PMCID: PMC3942106 DOI: 10.1186/1559-0275-11-6] [Citation(s) in RCA: 98] [Impact Index Per Article: 9.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2013] [Accepted: 01/06/2014] [Indexed: 12/30/2022] Open
Abstract
Background Osteoarthritis is a chronic musculoskeletal disorder characterized mainly by progressive degradation of the hyaline cartilage. Patients with osteoarthritis often postpone seeking medical help, which results in the diagnosis being made at an advanced stage of cartilage destruction. Sustained efforts are needed to identify specific markers that might help in early diagnosis, monitoring disease progression and in improving therapeutic outcomes. We employed a multipronged proteomic approach, which included multiple fractionation strategies followed by high resolution mass spectrometry analysis to explore the proteome of synovial fluid obtained from osteoarthritis patients. In addition to the total proteome, we also enriched glycoproteins from synovial fluid using lectin affinity chromatography. Results We identified 677 proteins from synovial fluid of patients with osteoarthritis of which 545 proteins have not been previously reported. These novel proteins included ADAM-like decysin 1 (ADAMDEC1), alanyl (membrane) aminopeptidase (ANPEP), CD84, fibulin 1 (FBLN1), matrix remodelling associated 5 (MXRA5), secreted phosphoprotein 2 (SPP2) and spondin 2 (SPON2). We identified 300 proteins using lectin affinity chromatography, including the glycoproteins afamin (AFM), attractin (ATRN), fibrillin 1 (FBN1), transferrin (TF), tissue inhibitor of metalloproteinase 1 (TIMP1) and vasorin (VSN). Gene ontology analysis confirmed that a majority of the identified proteins were extracellular and are mostly involved in cell communication and signaling. We also confirmed the expression of ANPEP, dickkopf WNT signaling pathway inhibitor 3 (DKK3) and osteoglycin (OGN) by multiple reaction monitoring (MRM) analysis of osteoarthritis synovial fluid samples. Conclusions We present an in-depth analysis of the synovial fluid proteome from patients with osteoarthritis. We believe that the catalog of proteins generated in this study will further enhance our knowledge regarding the pathophysiology of osteoarthritis and should assist in identifying better biomarkers for early diagnosis.
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Affiliation(s)
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Subramanian Shankar
- Department of Internal Medicine, Armed Forces Medical College, Pune, Maharashtra 411040, India.
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Affiliation(s)
- Vimal Upreti
- Department of Endocrinology, Command Hospital (Air Force), Bangalore, Karnataka, India
| | - Vivek Vasdev
- Department of Rheumatology, Command Hospital (Air Force), Bangalore, Karnataka, India
| | - Pawan Dhull
- Department of Neurology, Command Hospital (Air Force), Bangalore, Karnataka, India
| | - S. K. Patnaik
- Department of Pediatrics, Command Hospital (Air Force), Bangalore, Karnataka, India
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Mullick G, Bhakuni DS, Shanmuganandan K, Garg MK, Vasdev V, Kartik S, Jain R. Clinical profile of benign joint hypermobility syndrome from a tertiary care military hospital in India. Int J Rheum Dis 2013; 16:590-4. [PMID: 24164848 DOI: 10.1111/1756-185x.12024] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
BACKGROUND AND AIMS Joint hypermobility when associated with symptoms in the absence of systemic rheumatologic disease is termed as benign joint hypermobility syndrome (BJHS). BJHS is often an under-recognised and a poorly managed entity. Indian studies on BJHS are very few and none have been carried out in any of the service rheumatology centres. Hence this retrospective study was carried out at a tertiary medical institute of the Indian Army to assess the varied clinical profile of BJHS. METHODS All patients consecutively diagnosed as BJHS at the rheumatology clinic of the Army Hospital (Research and Referral) Delhi from May 2010 to May 2011 were included in the study. Their age, sex, presenting features, clinical profile, laboratory and radiological parameters were studied. RESULTS The mean age of these patients was 30 ± 5.71 years with a median duration of symptoms of 42 (06-120) months. There were 45 males and 39 females (male : female = 1.15 : 1.00). The median Beighton's score in these patients was 6/9 (range 4-9). Most of our patients were military personnel (43/84), and all had knee joint pain with evidence of degenerative changes in 19 and synovitis in two patients. Eleven patients including nine military personnel had evidence of soft tissue rheumatism with associated fibromyalgia in four and anxiety disorder in one. Out of 18 patients with a Beighton's score of ≥ 7, nine had incidental findings of lateral head tilt on frontal observation. There was evidence of carpal tunnel syndrome in a patient with wrist synovitis and one patient had associated skin laxity without features of Ehlers-Danlos syndrome. CONCLUSION BJHS is often under-recognized in clinical practice and is usually missed because of a lack of awareness. A high index of clinical suspicion to diagnose this entity is essential due to its associated morbidities, especially among those exposed to strenuous physical activities.
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Affiliation(s)
- Gautam Mullick
- Department of Rheumatology, Army Hospital Research and Referral, New Delhi, India
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Bhakuni DS, Vasdev V, Garg MK, Narayanan K, Jain R, Mullick G. Nailfold capillaroscopy by digital microscope in an Indian population with systemic sclerosis. Int J Rheum Dis 2011; 15:95-101. [PMID: 22324952 DOI: 10.1111/j.1756-185x.2011.01699.x] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
AIM Nailfold capillaroscopy (NFC) is a simple, non-invasive method with exceptional predictive value for the analysis of microvascular abnormalities, especially in systemic sclerosis (SSc) but remains underutilized due to cost factors of the nailfold videocapillaroscope, lack of expertise and availability issues. The aim of this study was to establish the utility of an inexpensive digital microscope to study NFC changes in SSc in correlation with disease subsets and extent of skin involvement. METHODS Twenty-two diffuse cutaneous SSc (DSS), 20 limited cutaneous SSc (LSS) patients and 42 controls were evaluated with NFC using a digital microscope at 30× and 100× magnification. Digital micrographs were used to study qualitative and quantitative changes in microvasculature. RESULTS The capillary density was significantly less in all cases of SSc as compared to controls (5.3 ± 1.4 vs. 8.7 ± 1.2; P < 0.00001). Disorganized architecture was much more prevalent in DSS versus LSS (86.4%vs. 25%). The vascular deletion score (VDS) was significantly higher in DSS as compared to LSS (P < 0.0001). Scleroderma pattern (SP) was seen in 18 (81.9%) and 15 (75%) of patients with DSS and LSS, respectively. Only 4% of normal subjects showed non-specific pattern and none showed SP. The mean modified Rodnan skin score (MRSS) was positively correlated with vascular deletion score (r = 0.572; P < 0.001) and negatively with capillary density (r = -0.8; P < 0.001). CONCLUSION Nailfold capillaroscopy changes in SSc are related to disease subset and MRSS. NFC with digital microscope is a simplified, inexpensive, outpatient procedure with results comparable to previous studies.
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Affiliation(s)
- Darshan S Bhakuni
- Department of Rheumatology, Army Hospital (Research & Referral), Delhi, India
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Vasdev V, Bhakuni DS, Bhayana A, Kamboj P. Nailfold capillaroscopy: A cost effective practical technique using digital microscope. Indian Journal of Rheumatology 2011. [DOI: 10.1016/s0973-3698(11)60205-7] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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26
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Vasdev V, Kaushik SK. Oral health and rheumatoid arthritis: Is the relationship causal or casual? Indian Journal of Rheumatology 2011. [DOI: 10.1016/s0973-3698(11)60071-x] [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: 11/25/2022] Open
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Abstract
Acute polyarthritis can occur in non-rheumatic systemic illnesses, presenting a diagnostic dilemma. We present an extremely rare case presenting as acute polyarthritis, panniculitis and medullary fat necrosis with underlying pancreatic pathology. This case report describes a young woman presenting with panniculits, pancreatic tumour, polyarthritis and intra-osseus fat necrosis with a fatal outcome. The medical fraternity needs to be aware of this potentially fatal albeit rare musculoskeletal complication secondary to a pancreatic pathology.
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Affiliation(s)
- Vivek Vasdev
- Department of Rheumatology & Clinical Immunology, Army hospital R & R, New Delhi, India.
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Abstract
OBJECTIVE To assess bone mineral density (BMD) abnormalities in young Indian males with ankylosing spondylitis (AS) and factors influencing this. METHODS Eighty AS male subjects were compared with 160 age/sex matched controls for BMD of lumbar spine and proximal femur. AS subjects were evaluated and followed up every 3 months for disease activity. BMD was estimated at spine and proximal femur using the dual-energy X-ray absorptiometry (DXA) technique. RESULTS All subjects were males with mean age of 32.9 ± 8.3 years and mean duration of disease was 8.1 ± 5.8 years. AS subjects had significantly lower BMD at the spine and femur as compared with controls (both P < 0.001). Using WHO standards, osteoporosis (OP) in spine and femur neck was seen in 28.75% (controls: 1.84%, P < 0.001) and 11.54% (controls: 1.23%, P < 0.001), respectively. No statistically significant difference in prevalence of OP was seen with disease duration, C-reactive protein levels and disease activity indices (all P > 0.05). Syndesmophytes were seen in 22.5% (n = 18) of AS subjects. There was no significant difference between BMD values at spine in AS subjects with or without syndesmophytes (0.91 + 0.16 g/cm(2) vs. 0.90 + 0.14 g/cm(2), P = 0.79). CONCLUSION OP is a significant complication in AS even in young males with early disease, and more prevalent in the spine compared to femur. In our study, BMD was not influenced by disease activity indices, inflammatory markers or total disease duration. Spinal BMD is the most sensitive site for defining OP in AS.
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Affiliation(s)
- Vivek Vasdev
- Department of Rheumatology and Clinical Immunology, Army Hospital R & R, New Delhi, India
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Narayanan K, Bhakuni DS, Jain R, Vasdev V, Mullick G. O20 Efficacy and safety of guide free sacroiliac (SI) joint steroid injection in axial spondyloarthropathy (SPA). Indian Journal of Rheumatology 2010. [DOI: 10.1016/s0973-3698(10)60595-x] [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: 11/25/2022] Open
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Narayanan K, Jain R, Bhakuni DS, Garg, Vasdev V. P15 Pattern of DMARD use and associated comorbidities in chronic RA who have received more than 10 years of DMARD therapy. Indian Journal of Rheumatology 2009. [DOI: 10.1016/s0973-3698(09)60033-9] [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: 10/19/2022] Open
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Vasdev V. P73 Rare case of acute polyarthritis. Indian Journal of Rheumatology 2009. [DOI: 10.1016/s0973-3698(09)60091-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Narayanan K, Bhakuni DS, Garg OP, Vasdev V, Jain R. P14 Use of infliximab in ankylosing spondylitis—a practical approach. Indian Journal of Rheumatology 2009. [DOI: 10.1016/s0973-3698(09)60032-7] [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: 11/29/2022] Open
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Rajagopal R, Khati C, Vasdev V, Trehan A. Scrub typhus: a case report. Indian J Dermatol Venereol Leprol 2003; 69:413-5. [PMID: 17642955] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/16/2023]
Abstract
Fever with rash is a common cause for dermatological referral. The causes can range from viral to protozoal, bacterial or spirochaetal. A case of rickettsial fever is reported.
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Affiliation(s)
- R Rajagopal
- Department of Dermatology, 5 Air Force Hospital, C/o 99 APO.
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