Management of Dushta Vrana (Non-Healing Ulcer) by Dhoopana (fumigation) with Guggulu Panchapala Choorna – A Case Report

2016 ◽  
Vol 1 (1) ◽  
Author(s):  
Azeem Ahmad ◽  
Singh Sarika
Keyword(s):  
Case Report ◽  
Hyperbaric Oxygenation ◽  
Current Treatment ◽  
Perfect Health ◽  
Vacuum Assisted Closure ◽  
Healing Ulcer ◽  
Medical Practices ◽  
Wound Debridement ◽  
Inflammatory Drugs ◽  
Maggot Therapy

Man, the superior most of all the species is always remaining in search of one prime goal; The perfect health. From Vedic era to space age, all the researches have been directed by the eminent scholars to achieve the same. Ancient Acharyas and their counterparts in this era tried and still trying their best to beep the man young and virile. Management of chronic non-healing ulcer has always been a difficult proposition in the evolution of medical practices. Throughout the ages, man was seeking better management of wound and ulcers. The current treatment used to treat non-healing ulcer is by antibiotics, anti-inflammatory drugs, wound debridement, irrigation, hyperbaric oxygenation, vacuum assisted closure, maggot therapy etc. Many of such technique are much expensive and are not successful in many cases. Hence, a technique from Ayurvedic classics Dhoopana which is less expensive was selected for the study.

scholarly journals Beyond the guidelines management of juvenile idiopathic arthritis: a case report of a girl with polyarticular disease refractory to multiple treatment options and Leri Weill syndrome

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Vana Vukić ◽  
Ana Smajo ◽  
Mandica Vidović ◽  
Rudolf Vukojević ◽  
Miroslav Harjaček ◽  
...  
Keyword(s):  
Juvenile Idiopathic Arthritis ◽  
Case Report ◽  
Treatment Options ◽  
Janus Kinase ◽  
Musculoskeletal Symptoms ◽  
Multiple Treatment ◽  
Number Of Patients ◽  
Systemic Glucocorticoids ◽  
Inflammatory Drugs ◽  
Anti Inflammatory

Abstract Background The last two decades brought new treatment options and high quality guidelines into the paediatric rheumatologic practice. Nevertheless, a number of patients still present a diagnostic and therapeutic challenge due to combination of vague symptoms and unresponsiveness to available treatment modalities. Case presentation We report a case of sixteen years old girl suffering from polyarticular type of juvenile idiopathic arthritis refractory to multiple treatment options. She first presented at the age of 4 with swelling and contractures of both knees. Her symptoms were initially unresponsive to nonsteroidal anti-inflammatory drugs and progressed despite treatment with intraarticular and systemic glucocorticoids and methotrexate. Throughout the years, she received several biologics together with continuous administration of nonsteroidal anti-inflammatory drugs and disease modifying anti-rheumatic drugs as well as intraarticular and systemic glucocorticoids in disease flares. However, none of this options  provided a permanent remission, so various other modalities, as well as other possible diagnoses were constantly being considered. Eventually she became dependent on a daily dose of systemic glucocorticoids. In 2018, the treatment with Janus kinase inhibitor tofacitinib was initiated, which led to gradual amelioration of musculoskeletal symptoms, improvement of inflammatory markers and overall well-being, as well as to the weaning of systemic glucocorticoids. As the swelling of the wrists subsided for the first time in many years, Madelung’s deformity was noticed, first clinically, and later radiographically as well. Genetic analysis revealed short-stature homeobox gene deficiency and confirmed the diagnosis of Leri Weill syndrome. Conclusions This case report emphasizes the need for reporting refractory, complicated cases from everyday clinical practice in order to build-up the overall knowledge and share experience which is complementary to available guidelines. Individual reports of difficult to treat cases, especially when additional diagnoses are involved, can be helpful for physicians treating patients with common rheumatological diseases such as juvenile idiopathic arthritis.

Atypical Cogan's syndrome: A case report and summary of current treatment options

2015 ◽  
Vol 79 (3) ◽  
pp. 428-431 ◽  
Author(s):  
Debora Jančatová ◽  
Karol Zeleník ◽  
Pavel Komínek ◽  
Petr Matoušek
Keyword(s):  
Case Report ◽  
Treatment Options ◽  
Current Treatment ◽  
Cogan’S Syndrome ◽  
Cogan's Syndrome

scholarly journals Acute calcific periarthritis secondary to calcium hydroxyapatite crystal deposition in the wrist: a case report

2020 ◽  
Vol 2020 (12) ◽  
Author(s):  
Joseph A Walker ◽  
Elizabeth R McLean ◽  
Raymond E Anakwe
Keyword(s):  
Case Report ◽  
Clinical Presentation ◽  
Diagnostic Procedures ◽  
Calcium Hydroxyapatite ◽  
Wrist Pain ◽  
Crystal Deposition ◽  
Joint Aspiration ◽  
Hydroxyapatite Crystal ◽  
Inflammatory Drugs ◽  
Calcific Periarthritis

ABSTRACT Acute calcific periarthritis (ACP) is an unusual cause of monoarticular pain characterised by the deposition of calcium hydroxyapatite in the peri-articular and intra-articular tissues. Although the most commonly affected joint is the shoulder, other joints may be involved, including the wrist. This case report describes a 57-year-old female presenting with wrist pain and swelling associated with amorphous calcification overlying the lunate. The patient improved with the use of non-steroidal anti-inflammatory drugs and splinting. Clinician awareness of the clinical presentation and radiographic features of ACP is important to reduce unnecessary invasive diagnostic procedures such as joint aspiration.

Lenalidomide-induced arthritis: A case report and review of literature and pharmacovigilance databases

2021 ◽  
pp. 107815522110380
Author(s):  
Charlotte Icard ◽  
Pauline Mocquot ◽  
Jean-Claude Nogaro ◽  
Fabien Despas ◽  
Martin Gauthier
Keyword(s):  
Case Report ◽  
Adverse Events ◽  
Inflammatory Markers ◽  
Maintenance Treatment ◽  
Cell Lymphoma ◽  
Mechanisms Of Action ◽  
Review Of Literature ◽  
International Database ◽  
Mantle Cell ◽  
Inflammatory Drugs

Introduction Lenalidomide is an immunomodulatory agent with multiple mechanisms of action, and treatment with lenalidomide is associated with adverse events such as thrombosis and abdominal pain; nonetheless, other rarer adverse events do exist, with few knowledge from physicians and pharmacists. For such adverse events, pharmacovigilance databases are of great interest. Case report A 71-year-old patient with no rheumatologic history, in complete remission of a mantle-cell lymphoma following rituximab, doxorubicin, vincristine, cyclophosphamide, and prednisone induction, received a maintenance treatment with rituximab and lenalidomide. After each course of lenalidomide and with no other new medication, the patient presented with fever and high inflammatory markers level, and a scapular-belt arthritis. Management and outcome The patient was managed with non-steroidal anti-inflammatory drugs and colchicine, with symptomatology and inflammation improvement. After discontinuation of lenalidomide, he had no arthritis relapse; it was then concluded that the patient had a lenalidomide-induced arthritis. We interrogated the national and international (VigiBase®) pharmacovigilance databases and found that arthritis in the context of lenalidomide exposure is a rare finding, with only three reported cases in France; 0.13% of adverse events reported with lenalidomide in the international database VigiBase® were arthritis. Discussion Our case then reports an uncommon finding, of which both pharmacists and physicians should be aware due to the wide and increasing use of lenalidomide.

scholarly journals Non-Healing Ulcer Due to Bone Wax in Alveolar Bone Graft Donor Site- A Case Report

2019 ◽  
Vol 3 (35) ◽  
pp. 192-194
Author(s):  
Moumita De ◽  
Rakesh Dawar ◽  
Maneesh Singhal ◽  
Ashish Bichpuriya ◽  
Ravikiran Nalla
Keyword(s):  
Case Report ◽  
Bone Graft ◽  
Alveolar Bone ◽  
Donor Site ◽  
Healing Ulcer ◽  
Graft Donor

scholarly journals Acute Myopericarditis in a Pediatric Patient after First Dose of Pfizer BioNTech COVID - 19 Vaccination: First Case Report in the Kingdom of Bahrain

2021 ◽  
Vol 33 (4) ◽  
pp. 29-32
Author(s):  
Ghada Al Qassim ◽  
Vimalarani Arulselvam ◽  
Suad R Al Amer ◽  
Salah Al Ghanem ◽  
Neale Nicola Kalis
Keyword(s):  
Case Report ◽  
Adverse Events ◽  
Pediatric Patient ◽  
Task Force ◽  
Limited Data ◽  
First Case ◽  
National Task ◽  
Inflammatory Drugs ◽  
Anti Inflammatory

Coronavirus disease 201 9 (COVID - 1 9 ) vaccination for children over 12 years of age began on May 2021 in the kingdom of Bahrain. Very limited data is available regarding the adverse events related to COVID -19 vaccination in children. This is a case report of a 12-year-old previously healthy boy with acute myopericarditis who presented on day 5 after the first dose of Pfizer COVID - 19 vaccination. Other causes of acute myopericarditis were ruled out. He was treated with non - steroidal anti-inflammatory drugs and recovered fully. This case of vaccine-induced myocarditis was reported to the national task force of Bahrain for combating COVID - 19.

scholarly journals Seroma after sternal wound debridement: Case report

2021 ◽  
pp. 047-048
Author(s):  
Glizevskaja Julia ◽  
Abbas Mohammed ◽  
Nwaejike Nnamdi
Keyword(s):  
Case Report ◽  
Wound Debridement
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