scholarly journals AYURVEDIC MANAGEMENT OF LICHEN PLANUS: A CASE REPORT

2021 ◽  
Vol p5 (5) ◽  
pp. 3043-3049
Author(s):  
Amit R. Nampalliwar ◽  
Seeta M. Biradar
Keyword(s):  
Case Report ◽  
Lichen Planus ◽  
Normal Skin ◽  
Signs And Symptoms ◽  
Autoimmune Disorder ◽  
Oral Medication ◽  
Bloodletting Therapy ◽  
Ayurvedic Treatment ◽  
Middle Aged Adults

Lichen planus (LP) is a chronic inflammatory skin disorder that most often affects middle-aged adults. LP can involve the skin and mucous membranes; it can significantly affect the quality of life of patients as well. Lichen planus is an autoimmune disorder. In Ayurveda, Lichen planus can be compared to Chramakushtha type of Kush- thavyadhi (~skin disease) which is the presentation of discolouration of the skin. In this study, a case report of lichen planus is being presented. The patient was treated on the lines of Kushthachikitsa with Predominant of dosha, aimed at controlling the vitiated Vata, Kapha, and normalizing the Raktadushti. For this Panchakarma therapy including Virechan (~the purgation) and Raktamokshana(~bloodletting therapy) as the chief treatment modality. On completion of Panchakarma therapy, the case was subjected to three months of Shaman therapy (~oral medication) of GiloySwarasa (~Juice of tinosporacordifolia), SanshamaniVati, Amarsundari Vati, Cap. Max Hb, Avipittikar Chruna, and Syrup Raktadoshantak. The observations made after the treatment through an assessment on various signs and symptoms and Pathyapathya (~Do’s & Don’ts) were advised during the whole treatment. The Ayurvedic treatment was successful and able to save normal skin texture. The patient was first fol- lowed up for a month, after which the signs and symptoms were reduced. No other oral medication was adminis- tered during this follow-up. The patient had been given regular follow up for more than a year without any relaps- es and complications. Keywords: Ayurveda, Charma Kushtha, Kushthachikitsa, Lichen planus.

scholarly journals Ayurvedic Panchkarma Management of Sthaulya (Obesity): A Case Report

2017 ◽  
Vol 8 (3) ◽  
Author(s):  
Nirmal P Alodaria ◽  
Gupta S N ◽  
Dhaval Dholakiya ◽  
Kaushik B Vyas
Keyword(s):  
Weight Loss ◽  
Case Report ◽  
Health Problem ◽  
Life Style ◽  
Signs And Symptoms ◽  
Exertional Dyspnoea ◽  
Measured Weight ◽  
Alternative Approach ◽  
Ayurvedic Treatment ◽  
Excessive Perspiration

Obesity is burning health problem for society nowadays. In Charak Samhita, Sthaulya is described widely and with deep interpretation. Also in sutrasthana which is most important part of Charak Samhita, in different adhyaya (eg. Astauninditiya, Langhanabrumhaniya, Santarpaniya) causes, symptoms and treatment are described. As an alternative approach, Ayurvedic treatment may serve as promising modality.A 27 years old male patient came in P.D. Patel Ayurveda Hospital at 5th June 2015. Patient measured weight was 98.1 kg and BMI was 33.94 which is fairly included in obesity category according to NHI guidelines. He also had some associated complaints like exertional dyspnoea, increased appetite, excessive perspiration. He was admitted in hospital and was treated with Snehana ( Aabhyantara and Bahya ), Swedana,Vamana, Virechana, Niruha Basti, Udavrtana along with oral medicines like Varunaadi Kwatha, Arogyavardhini Vati, Triphala Guggulu, Kaishor Guggulu and Navayasa Lauha. Also patient was advised to follow prescribed dietary regimes and life style strictly. The patient responded very well. He lost about 10.2 kg of weight, which was 87.9 kgs and BMI was 30.41 only in 26 days without any complications and any signs and symptoms of malnutrition. So with the help of Ayurvedic management patient got weight loss significantly

scholarly journals Seeking spark- ocular myasthenia gravis in a juvenile – an Indian case report

2020 ◽  
Vol 5 (7) ◽  
pp. 190-193
Author(s):  
Dr. Usha BR. ◽  
◽  
Dr. Nandhini K ◽  
Dr. Chaitra MC ◽  
◽  
...  
Keyword(s):  
Case Report ◽  
Neuromuscular Junction ◽  
Myasthenia Gravis ◽  
Autoimmune Disorder ◽  
Bilateral Ptosis ◽  
Ocular Myasthenia ◽  
Ocular Myasthenia Gravis ◽  
History Of ◽  
High Index Of Suspicion

Myasthenia gravis (MG) is a rare autoimmune disorder affecting neuromuscular junction by muscleweakness. Myasthenia gravis can be generalized or localized as ocular myasthenia gravis. Casepresentation: We report an 8-year-old boy who presented with 10 days history of drooping of botheyelids and 8 days history of diplopia. Examination revealed bilateral ptosis. A diagnosis of JuvenileOcular Myasthenia gravis was made when symptoms improved with intramuscular Edrophoniumadministration. He was commenced on oral Neostigmine at a dose of 2mg/Kg/ day,4 hourly individed doses and is on regular follow up and had a good response. Conclusion: Ocular Myastheniagravis (OMG) is a rare disease in itself. A high index of suspicion is required in a juvenile as it iseven rarer.

scholarly journals Challenges in Management of Bartholin gland Leiomyoma: A Case Report

2020 ◽  
Author(s):  
Angela Vinturache ◽  
Lamiese Ismail ◽  
Stephen Damato ◽  
Hooman Soleymani Maid
Keyword(s):  
Case Report ◽  
Case Reports ◽  
Symptom Control ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Postoperative Recovery ◽  
Long Term Follow Up ◽  
Vulvar Mass

Abstract Background: Leiomyomas are uncommon vulvar neoplasms often misdiagnosed as other Bartholin gland pathology. Due to their rarity and the absence of guidelines, their diagnosis and management remain challenging, largely based on expert opinion and evidence from case reports. Case Presentation: This case report describes a 44-year-old woman presenting with accelerating growth of a vulvar mass. Based on clinical signs and symptoms, the initial diagnosis was Bartholin cyst. Surgical excision was provided for symptom control and aesthetic reasons. The histopathologic diagnosis was vulvar leiomyoma. The postoperative recovery was complicated by secondary haematoma and dehiscence of the surgical site. There was no recurrence at two years follow up. Therefore, we discuss the dilemma posed by physical examination of a vulvar mass, the challenges of the management, and report on secondary morbidity and long-term follow up, aspects of care for patients with vulvar pathology not commonly addressed in the literature. Conclusions: Bartholin gland neoplasms are rare tumors, commonly misdiagnosed as Bartholin’s cysts. Excision is the treatment of choice. Short time follow up allows prompt management of potential postoperative complications. Continuing long term follow up is recommended due to recurrence risk.

scholarly journals Photodynamic Treatment of Oral Lichen Planus: A Literature Review

2021 ◽  
Vol 8 ◽  
Author(s):  
Asma Azzouzi ◽  
Karima El Harti
Keyword(s):  
Photodynamic Therapy ◽  
Lichen Planus ◽  
Oral Lichen Planus ◽  
Signs And Symptoms ◽  
First Line ◽  
Photodynamic Treatment ◽  
Randomized Controlled ◽  
Oral Lichen ◽  
Exact Origin

Lichen planus (LP) is a chronic, relapsing, non-infectious inflammatory disease affecting the skin and mucous membranes. The exact origin of oral lichen planus (OLP) is not well known. Complete spontaneous healing is rare. The treatment of oral lichen planus is palliative, and there is no curative treatment so far, which is a therapeutic challenge for practitioners. The goals of treatment are the control of pain, signs, and symptoms. Local corticosteroids remain the first-line treatment. In case of failure of drug therapy, other treatments can be considered, such as photodynamic therapy. Material and methods: Our work was carried out using the PubMed, ScienceDirect, and EBSCO search engines to explore the literature on the efficacy of photodynamic therapy in the treatment of lichen planus. Conclusion: Photodynamic therapy appears to have some effect in the treatment of OLP in adult patients. However, further randomized controlled trials with a long follow-up period, standardized PDT parameters, and comparison of PDT efficacy with steroid therapy are warranted to obtain firm conclusions in this regard.

Amoxapine Neurotoxicity: A Case Report with Long-Term Follow-up

1982 ◽  
Vol 16 (5) ◽  
pp. 404-407 ◽  
Author(s):  
Jerry L. Browne8 ◽  
Ming T. Tsuang ◽  
Paul J. Perry
Keyword(s):  
Case Report ◽  
Signs And Symptoms ◽  
Tricyclic Antidepressant ◽  
Long Term Follow Up ◽  
Toxic Potential

A case of amoxapine (Asendin) overdose, in a 24-year-old female, is presented. The manifestations of amoxapine ingestion in this case are dissimilar to those of previously described tricyclic antidepressant (TCA) overdoses, and to those previously described for amoxapine. The signs and symptoms of TCA toxicity are discussed and contrasted with observations of this case. Impressions from this case indicate that amoxapine and other dibenzoxazepine derivatives possess a significantly different and greater toxic potential than other TCA agents.

scholarly journals Atypical Presentation of Traumatic Neuroma: A case report

2017 ◽  
Vol 13 (3) ◽  
pp. 366-369
Author(s):  
Bela Agrawal ◽  
Ajit Kumar Yadav ◽  
Khushboo Goel ◽  
Sajeev Shrestha ◽  
Ashish Shrestha
Keyword(s):  
Case Report ◽  
Smooth Surface ◽  
Histopathological Examination ◽  
Neural Tissue ◽  
Signs And Symptoms ◽  
Mental Foramen ◽  
Atypical Presentation ◽  
Traumatic Neuroma ◽  
Reactive Proliferation

Congenital Traumatic neuroma is a rare disorder that represents a reactive proliferation of neural tissue followingdamage to an adjacent nerve. Rarely these lesions appear in the oral cavity with certain predilection for the mental foramen and the tongue area. However, its presentation on lip is more unusual with only few cases being reported in the literature. Typically diagnosed in middle-aged women, patient complains of pain as a frequent symptom. Clinically, the lip lesions appear as a normal or grayish white nodule with a smooth surface that typically resembles a mucocele. We report here a case of a 37-year old female who presented with similar signs and symptoms and was diagnosed clinically as a mucocele. However, histopathological examination revealed it as a traumatic neuroma that was surgically excised. The patient is under follow-up with no signs of recurrence for 18 months. 

scholarly journals Lead poisoning after gunshot wound

2000 ◽  
Vol 118 (3) ◽  
pp. 78-80 ◽  
Author(s):  
Paulo Roberto de Madureira ◽  
Eduardo Mello De Capitani ◽  
Ronan José Vieira
Keyword(s):  
Case Report ◽  
Gunshot Wound ◽  
Signs And Symptoms ◽  
Lead Intoxication ◽  
Chronic Alcohol Abuse ◽  
History Of ◽  
Lead Bullet ◽  
Radical Solution ◽  
Arthroplasty Procedure

CONTEXT: Despite the absence of symptoms in the majority of patients carrying lead bullet fragments in their bodies, there needs to be an awareness of the possible signs and symptoms of lead intoxication when bullets are lodged in large joints like knees, hips and shoulders. Such patients merit closer follow-up, and even surgical procedure for removing the fragments. OBJECTIVE: To describe a patient who developed clinical lead intoxication several years after a gunshot wound. DESIGN: Case report. CASE REPORT: A single white 23-year-old male, regular job as a bricklayer, with a history of chronic alcohol abuse, showed up at the emergency department complaining of abdominal pain with colic, weakness, vomiting and diarrhea with black feces. All the symptoms had a duration of two to three weeks, and had been recurrent for the last two years, with calming during interval periods of two to three weeks. Abdominal radiograms showed a bullet lodged in the left hip, with a neat bursogram of the whole synovial capsule. A course of chelating treatment using calcium versenate (EDTACaNa2) intravenously was started. After the chelation therapy the patient had recurrence of his symptoms and a radical solution for the chronic mobilization of lead was considered. A hip arthroplasty procedure was performed, leading to complete substitution of the left hip.

scholarly journals External Root Resorption Management of an Avulsed and Reimplanted Central Incisor: A Case Report

2021 ◽  
Vol 9 (6) ◽  
pp. 72
Author(s):  
Gianni Di Giorgio ◽  
Alessandro Salucci ◽  
Gian Luca Sfasciotti ◽  
Flavia Iaculli ◽  
Maurizio Bossù
Keyword(s):  
Case Report ◽  
Calcium Silicate ◽  
Root Resorption ◽  
Signs And Symptoms ◽  
Clinical Results ◽  
Permanent Teeth ◽  
Central Incisor ◽  
Maxillary Central Incisor ◽  
External Root Resorption

Background: Avulsion and reimplantation of permanent teeth represent a major challenge in terms of treatment and long-term prognosis. The present study reported clinical management of external root resorption of an avulsed and reimplanted maxillary central incisor. Case report: A 9-year-old boy reported an uncomplicated crown fracture and avulsion of tooth 11 and complicated crown fracture of tooth 21 due to trauma. Reimplantation of element 11 was obtained within 30 min post-trauma and 3 days after both elements were diagnosed with necrotic pulp. In addition, tooth 11 showed early external root resorption. Both elements underwent endodontic treatment and root closure with apical plug using calcium-silicate-based cement. At 6-month follow-up root resorption appeared to be arrested. Twenty-four months after trauma the clinical results were stable, although signs and symptoms of ankylosis were observed. Conclusions: An immediate endodontic approach and use of calcium-silicate-based cement seemed to contrast the progression of root resorption of an avulsed and reimplanted central incisor after 24 months of follow-up.

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