scholarly journals AYURVEDIC MANAGEMENT OF KITIBH KUSHTHA (SCALP PSORIASIS) – A CASE REPORT

2021 ◽  
Vol 9 (12) ◽  
pp. 3179-3182
Author(s):  
Sanika R. Pandit ◽  
Rajesh Kolarkar
Keyword(s):  
Case Report ◽  
Autoimmune Disease ◽  
Autoimmune Diseases ◽  
Male Patient ◽  
Skin Diseases ◽  
Local Application ◽  
Effective Management ◽  
Proper Management ◽  
Scalp Psoriasis ◽  
Day By Day

People suffering from Autoimmune diseases is increasing day by day. The exact cause of the autoimmune disease is still unknown. Psoriasis is one such disease. Dry thick raised itchy patches on the skin are the sign of psoriasis. They are covered with silvery-white scales. It is triggered by infection stress and cold. There is no known cure but with proper management, serious flares can be avoided. It generally affects the scalp, sole, palm, elbows and knees. Such diseases can be effectively managed by Ayurveda. Ayurveda defines the major- ity of skin diseases under the category of Kushtha. Clinically we can compare scalp psoriasis to Kitibha Kush- tha mentioned in the granthas. In the present study, a 53-year-old male patient was treated for scalp psoriasis. He presented himself with itching, dry scales, flake formation and whitish-pink patches on the scalp. He was treated with Arogyavardhini, Sukshma Triphala, Panchatikta Ghrut, Jatamansi choorna internally and Karan- ja Tel for local application. The treatment was given for seven months. The case report is presented here to share effective management of scalp psoriasis by Ayurveda. Keywords: Psoriasis, Kitibha Kushtha, autoimmune diseases, Arogyavardhini, Ayurveda.

scholarly journals Pericostal tuberculosis in a patient with systemic sclerosis：the relationship of two rare diseases

2021 ◽  
Author(s):  
Naoho Takizawa ◽  
Tetsushi Mizutani ◽  
Yoshiro Fujita
Keyword(s):  
Case Report ◽  
Systemic Sclerosis ◽  
Autoimmune Disease ◽  
Autoimmune Diseases ◽  
Rare Diseases ◽  
Rare Presentation ◽  
Pulmonary Tb ◽  
Increase Risk ◽  
Extra Pulmonary ◽  
Relationship Of

Autoimmune diseases including systemic sclerosis (SSc) increase risk of developing TB. Pericostal tuberculosis (TB) is a rare presentation of skeletal TB. This case report describes pericostal TB in a SSc patient, and emphasizes significance of suspecting pulmonary and extra-pulmonary TB when patients with autoimmune disease follow atypical clinical courses.

Management of psoriasis with Ayurveda Panchakarma and Manibhadragula as Shodhana Rasayana – a case report

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Chiravila Omanakuttan Pillai Sambhu ◽  
Changuli Krishna Bhat Prathibha ◽  
Kesavan Parameswaran Namboothiri ◽  
Puthanmadom Venkataramana Sharma Anandaraman
Keyword(s):  
Case Report ◽  
Male Patient ◽  
Plaque Psoriasis ◽  
Skin Diseases ◽  
The Body ◽  
Case Presentation ◽  
Special Mode ◽  
Special Diet ◽  
Temporary Relief ◽  
Before And After

Abstract Background Plaque Psoriasis is very embarrassing condition of skin as it produces itchy rashes and scaly lesions which may not respond well to the treatment. It can be correlated with Kitibhakushta which is one among the 18 types of Kushta (skin diseases). Several corticosteroids for skin applications are used now a day’s which gives only temporary relief. Case presentation A 36 years old moderate built male patient complains of blackish skin rashes with itching, pain and scaling all over the body for three months. Based on the symptoms, Dosha (Biological humors) involved were assessed as Kapha (binding factors) and Vata (vital force of life) and suggestive of Kitibhakushta. Diagnosis of the Plaque psoriasis was further confirmed by biopsy. Classical Kushta treatment was adopted here. As Poorvakarma (pre-operative procedures), Rukshana (Dehydrating therapy) was done and then Snehapana (intake of medicated ghee) was administered. Then classical Vamana (emetic therapy) and Virechana (purgative therapy) were performed. This took almost one month. After Samsarjana (special diet) patient was administered Manibhadragula as Shodhana Rasayana for a period of one month. Results At the end of Manibhadragula intake, remarkable changes were observed in all the symptoms. There were significant changes seen in PASI, DLQI and photographs taken before and after treatment. Conclusions Here the special mode of administration of Manibhadragula as mentioned in Ashtanga Hridaya helps for Shodhana and the Shodhana itself has Rasayana action. Drugs also have Rasayana property. This made the authors to propose a new concept called Shodhana Rasayana. Classical treatment by considering the condition of Roga (disease) and Rogi (patient) helps for management of Kushta.

scholarly journals A Case Report of X-Linked Hyperimmunoglobulin M Syndrome with Lipoma Arborescens of Knees

2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Qiuting Dong ◽  
Jinxia Zhao ◽  
Zhongqiang Yao ◽  
Xiangyuan Liu ◽  
Huiying He
Keyword(s):  
Case Report ◽  
Autoimmune Diseases ◽  
Primary Immunodeficiency ◽  
Male Patient ◽  
Benign Tumor ◽  
Primary Immunodeficiency Disease ◽  
Deletion Mutation ◽  
Lipoma Arborescens ◽  
Rare Benign Tumor ◽  
Immunodeficiency Disease

The X-linked hyperimmunoglobulin M syndrome (HIGM), caused by mutations in the CD40LG gene, is a kind of primary immunodeficiency disease (PID). Patients with X-linked HIGM are susceptible to infection as well as autoimmune diseases. Lipoma arborescens (LA) is a rare benign tumor, of which the pathogenesis mechanism has not been clearly understood. We report a case of HIGM combined with LA in a 22-year-old male patient. A new deletion mutation of CD40LG gene was detected in this case. The possible relationship between HIGM and LA was also discussed.

scholarly journals Cefixime and Ofloxacin fixed dose combination induced petechial rash: a case report

2016 ◽  
Vol 6 (1) ◽  
pp. 211
Author(s):  
Sudhir Kumar ◽  
Kirti Nirmal ◽  
Amit Kumar Nirmal ◽  
S. K. Bhattacharya
Keyword(s):  
Case Report ◽  
Male Patient ◽  
Fixed Dose Combination ◽  
Local Application ◽  
Fixed Dose ◽  
Petechial Rash ◽  
Patient Reported ◽  
Dose Combination

Petechial rash is a type of rash which is associated with many infectious and non-infectious conditions. We present a case of Petechial rash induced by administration of cefixime with ofloxacin tablet. A eighteen year old male patient reported to us with a presentation of rash with itching for three days on administration of the fixed dose combination of cefixime + ofloxacin along with paracetamol for the previous symptoms of fever with chills, headache and bodyache. Patient describes itching in the rash which is increasing. The duty doctor attended the patient and immediately stopped the further administration of the offending medication. The patient was prescribed tablet cetirizine orally along with calamine lotion for local application. The patient reported back in for follow-up and was without any residual rashes or other such complaints. He was advised to remember and cautious from the use of drugs in the offending category.

Multiple Autoimmune Syndrome: An Unusual Combination of Autoimmune Disorders

2020 ◽  
Vol 15 (3) ◽  
pp. 240-243 ◽  
Author(s):  
Sabahat Sarfaraz ◽  
Sabiha Anis
Keyword(s):  
Celiac Disease ◽  
Case Report ◽  
Autoimmune Disease ◽  
Autoimmune Diseases ◽  
Autoimmune Hepatitis ◽  
Primary Biliary Cholangitis ◽  
Team Approach ◽  
Crest Syndrome ◽  
Autoimmune Syndrome ◽  
Multiple Autoimmune Syndrome

Background: Autoimmune diseases are multifactorial with environmental and heritable factors. Autoimmunity reflects an altered immune status, therefore the presence of more than one disorder is not uncommon. The coexistence of three or more autoimmune diseases in a patient constitutes multiple autoimmune syndrome (MAS). This is an interesting case of a middle-aged female who had celiac disease, primary biliary cholangitis, autoimmune hepatitis and evolving CREST (Calcinosis, Rhaynaud’s phenomenon, Esophageal dysmotility, Sclerodactyly and Telangiectasia) syndrome. Case Report: Fifty years old female patient presented with generalized fatigue, fever, weight loss, vertigo and constipation. She was a diagnosed case of celiac disease, and responded well to glutenfree diet. Family history was unremarkable for any autoimmune disorder. Laboratory workup showed normal complete blood counts, markedly elevated transaminases and alkaline phosphates. Her antinuclear antibodies (ANA) test was strongly positive (>1:320) and showed an anti-centromere pattern. Anti-extractable nuclear antibody(ENA) assay showed anti-mitochondrial and anti- CENP B antibodies. Liver biopsy revealed overlap syndrome (primary biliary cholangitis and autoimmune hepatitis). : This patient had celiac disease, primary biliary cholangitis and autoimmune hepatitis. Extensive immunological workup unexpectedly revealed the presence of anti-centromere protein B (anti-CENP B) antibodies which are strongly associated with CREST syndrome. Clinical re-evaluation of the patient gave clues of the evolving CREST syndrome. This case report highlights the importance of adequate immunological investigations in conjunction with clinical information for adequate patient management to achieve favorable consequences in the future. Conclusion: Patients suffering from an autoimmune disease need special attention as multiple immune- mediated disorders may be present simultaneously or sequentially during the course of the disease process. MAS patients are at a higher risk of acquiring infections and tumor development due to prolonged use of immunosuppressants. These patients need close surveillance for the development of another autoimmune disease, so as to control the current disease and to prevent future complications. This case report emphasizes the importance of a multidisciplinary team approach including an immunologist who may facilitate a better understanding of disorders related to the breakdown of immune tolerance.

Laryngeal Manifestations of Autoimmune Diseases

2020 ◽  
Vol 5 (2) ◽  
pp. 439-456
Author(s):  
Jenny L. Pierce
Keyword(s):  
Autoimmune Disease ◽  
Autoimmune Diseases ◽  
Patient Outcomes ◽  
Correct Diagnosis ◽  
Upper Airway ◽  
Clinical Implications ◽  
Laryngeal Function ◽  
The Past ◽  
Referral Practices ◽  
Timely Referral

Purpose This review article provides an overview of autoimmune diseases and their effects on voice and laryngeal function. Method A literature review was conducted in PubMed. Combinations of the following keywords were used: “autoimmune disease and upper airway,” “larynx,” “cough,” “voice,” “dysphonia,” and “dyspnea.” Precedence was given to articles published in the past 10 years due to recent advances in this area and to review articles. Ultimately, 115 articles were included for review. Results Approximately 81 autoimmune diseases exist, with 18 of those highlighted in the literature as having laryngeal involvement. The general and laryngeal manifestations of these 18 are discussed in detail, in addition to the clinical implications for a laryngeal expert. Conclusions Voice, breathing, and cough symptoms may be an indication of underlying autoimmune disease. However, these symptoms are often similar to those in the general population. Appropriate differential diagnosis and timely referral practices maximize patient outcomes. Guidelines are provided to facilitate correct diagnosis when an autoimmune disease is suspected.

The Effectiveness of Behaviour Therapy in Writer’s Cramp: A Case Report

2016 ◽  
Vol 3 (2) ◽  
Author(s):  
Mahesh M M ◽  
Dr. Johnson Alex
Keyword(s):  
Mental Illness ◽  
Case Report ◽  
Family History ◽  
Male Patient ◽  
Motor Nerve ◽  
Conclusive Evidence ◽  
Behaviour Therapy ◽  
Present Treatment ◽  
Writer’S Cramp ◽  
Writer's Cramp

42 years old male patient referred from neurology department, working as a teacher, educated up to MSc, premorbidly anxious personality, family history mental illness (first degree relatives), comes from MSES with presenting complaints of difficulty in writing or copying since seven years. Disability progressed and he was unable to write even a few words legibly and could not hold object which leads to anxiety and dependency. When the patient was examined at Neurology OPD, find out that he has normal sensory and motor nerve functions. The present treatment involved the use of Bahaviour therapy. The findings in this case is very encouraging and studies with large sample sizes can be considered for further conclusive evidence on the treatment of writer’s cramp.

Covid-19 and Autoimmune Diseases: A Systematic Review of Reported Cases

2020 ◽  
Vol 16 ◽  
Author(s):  
Mariam Ahmed Saad ◽  
Mostafa Alfishawy ◽  
Mahmoud Nassar ◽  
Mahmoud Mohamed ◽  
Ignatius N Esene ◽  
...  
Keyword(s):  
Systematic Review ◽  
Autoimmune Disease ◽  
Kawasaki Disease ◽  
Autoimmune Diseases ◽  
English Language ◽  
Clinical Evidence ◽  
Eligibility Criteria ◽  
Thrombocytopenic Purpura ◽  
Pubmed Database ◽  
Viral Illness

Introduction: Over 4.9 million cases of Coronavirus disease 2019 (COVID-19) have been confirmed since the worldwide pandemic began. Since the emergence of COVID-19, a number of confirmed cases reported autoimmune manifestations. Herein, we reviewed the reported COVID-19 cases with associated autoimmune manifestations. Methods: We searched PubMed database using all available keyword for COVID-19. All related studies between January 1st, 2020 to May 22nd, 2020 were reviewed. Only studies published in English language were considered. Articles were screened based on titles and abstract. All reports of confirmed COVID-19 patients who have associated clinical evidence of autoimmune disease were selected. Results: Among 10006 articles, searches yielded, Thirty-two relevant articles for full-text assessment. Twenty studies meet the eligibility criteria. The twenty eligible articles reported 33 cases of confirmed COVID-19 diagnosis who developed an autoimmune disease after the onset of covid-19 symptoms. Ages of patients varied from a 6 months old infant to 89 years old female (Mean=53.9 years of 28 cases); five cases had no information regarding their age. The time between symptoms of viral illness and onset of autoimmune symptoms ranged from 2 days to 33 days (Mean of the 33 cases=9.8 days). Autoimmune diseases were one case of subacute thyroiditis (3%), two cases of Kawasaki Disease (6.1%), three cases of coagulopathy and antiphospholipid syndrome (9.1%), three cases of immune thrombocytopenic purpura (9.1%), eight cases of autoimmune hemolytic anemia (24.2%), and sixteen cases of Guillain–Barré syndrome (48.5%). Conclusions: COVID-19 has been implicated in the development in a range of autoimmune diseases which may shed a light on the association between autoimmune diseases and infections.

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