ANU YARKY | Maharashtra University 0f Health Science (original) (raw)

Papers by ANU YARKY

Research paper thumbnail of Rare Case of Capillary Hemangioma of Bilateral Lower Limb: A Case Report

International Journal of Current Research and Review, 2018

Aim: The aim of this case report is to bring to light an unusual case of soft tissue tumor in a y... more Aim: The aim of this case report is to bring to light an unusual case of soft tissue tumor in a young female. Case Report: Hemangiomas are commonly occuring soft tissue tumors, but it rarely involves the feet. We are reporting a twenty two year old female with capillary hemangioma of her left ankle and right foot which was painful. Her excision biopsy was done and microscopic investigation revealed capillary hemangioma. The patient has had no recurrence since the surgery. Discussion: Few similar cases have been reported in the past in children, adults and elderly patients and none of them experienced any recurrence after treatment by excision or sclerotherapy or embolisation. Conclusion: Insidious onset and gradually progressive painful swellings can often be misdiagnosed as vascular malignant neoplasms. Here we have reported an unusual case of capillary hemangioma of bilateral lower limb in a young female.

Research paper thumbnail of Autoimmune Hepatitis and Primary Biliary Cholangitis Overlap in a Patient with Systemic Lupus Erythematosus and Rheumatoid Arthritis Overlap (Rhupus) - An Unusual Association

International Journal of Health Sciences and Research

The diagnosis of overlap syndrome involving systemic lupus erythematosus (SLE) and autoimmune hep... more The diagnosis of overlap syndrome involving systemic lupus erythematosus (SLE) and autoimmune hepatitis (AIH) isn’t easily established due to its similar clinical presentations and biochemical features to those of lupus hepatitis. The term overlap syndrome is typically utilized in the context of overlap of autoimmune hepatitis with PSC (primary sclerosing cholangitis) or PBC (primary biliary cholangitis). Few rare cases of AIH complicated by SLE are reported within the literature. Overlapping of SLE and AIH should be suspected when patients with SLE have abnormal liver function tests or AIH patients present with a rash. Liver biopsy plays a really important role in establishing the medical diagnosis of SLE with liver impairment or overlap with AIH. The prompt diagnosis and adequate treatment plan can improve the disease outcome. Key words: autoimmune hepatitis, primary biliary cholangitis, systemic lupus erythematosus, overlap syndrome.

Research paper thumbnail of Idiopathic intracranial hypertension leading to bilateral optic atrophy in a patient with recent COVID-19 infection: a case report

International Journal of Advances in Medicine

Neurologic complications are common in patients hospitalised with COVID-19 infection. Most common... more Neurologic complications are common in patients hospitalised with COVID-19 infection. Most common complications are myalgias, headaches, encephalopathy and dizziness. Uncommon complications are stroke, motor and sensory deficits, seizures, ataxia and movement disorders. Multiple neuro-ophthalmological manifestations have also been reported in association with COVID-19. These complications may be the result of a range of pathophysiological mechanisms like hypoxic neuronal injury during active COVID-19 infection, RAS dysfunction, immune dysfunction and direct injury by the virus etc throughout the course of the disease. Here we reported a case of neuro-ophthalmic complication of Idiopathic intracranial hypertension (IIH) followed by bilateral optic atrophy in a middle-aged man with recent COVID-19 infection. He presented to the emergency with complaints of headache, dizziness and sudden painless bilateral diminution of vision for 3 days. His fundus examination was suggestive of bilate...

Research paper thumbnail of Tenosynovial giant cell tumor of subtalar joint: A case report with review of literature

Journal of Orthopedics, Traumatology and Rehabilitation

Tenosynovial giant cell tumor (TSGCT) are benign neoplasm affecting synovial lining of joints, te... more Tenosynovial giant cell tumor (TSGCT) are benign neoplasm affecting synovial lining of joints, tendon, and bursae. These tumor have been broadly divided into localized and diffuse type. Localized include TSGCT of tendon sheath and localized pigmented villonodular synovitis (PVNS) located mainly in hand whereas diffuse encompass conventional PVNS and diffuse-type GCT involving one or more joints. In this article, here, we present a case of TSGCT in subtalar joint which has been never reported till date along with review of literature, dilemma in diagnosis, differential diagnosis, and management of this tumor.

Research paper thumbnail of Hemophagocytic lymphohistiocytosis: a rare and life-threatening diagnosis

International Journal of Research in Medical Sciences

Hemophagocytic lymphohistiocytosis (HLH) is a rare and life-threatening syndrome of excessive act... more Hemophagocytic lymphohistiocytosis (HLH) is a rare and life-threatening syndrome of excessive activation of immune system. It frequently affects infants from birth to 18 months of age, but is also observed in children and adults of all ages. HLH can occur as a familial or sporadic disorder, and it is triggered by a variety of events, Infection being the most common trigger both in familial and in sporadic cases. Prompt treatment is very critical in cases of HLH, but the greatest barrier is often delay in diagnosis due to the rarity of this syndrome, variable clinical presentation, and lack of specificity of the clinical and laboratory findings. The key clinical features of HLH are high persistent fever, hepatosplenomegaly, blood cytopenia, elevated aminotransferase and ferritin levels, and coagulopathy. A diagnosis of HLH is mostly under-recognized, and is associated with high mortality, especially in adults; thus, prompt diagnosis and treatment are essential. We here present a rare...

Research paper thumbnail of Unusual case of talus neck fracture in a paediatric patient

International Journal of Research in Orthopaedics, 2018

Talus fracture is a rare injury in a paediatric patient. Among talus fractures, the fracture of n... more Talus fracture is a rare injury in a paediatric patient. Among talus fractures, the fracture of neck of talus is more common than fracture of body of talus. This can occur because of axial loading of the talus in a dorsiflexed foot against the anterior tibia. Children’s bones are skeletally immature and hence less brittle. They have higher elastic resistance than adult bone and are less likely to fracture.However talus fractures can still occur in paediatric patients when there is history of high-energy trauma. It needs surgery and can be associated with complications like avascular necrosis, delayed union, neuropraxia and may need a revision surgery. Here we present an unusual case of a talar neck fracture in a young boy, which was a closed fracture without distal neurovascular deficit. Closed reduction and internal fixation was done with K wire and post op X rays and follow up X rays showed complete union. Patient has normal joint mobility and strength after a period of 1 year fol...

Research paper thumbnail of Diagnostic Accuracy of a Drop Hydrogen Peroxide Test to Differentiate Between Exudative and Transudative Pleural Effusion

Annals of Medical and Health Sciences Research, 2017

Background: The differentiation of pleural effusions as being either transudate or exudate is the... more Background: The differentiation of pleural effusions as being either transudate or exudate is the first step in the diagnostic workup of the biofluid. It has been shown that physicians are not very accurate to differentiate exudate from transudate. Routinely we use Light’s criteria to differentiate between exudate and transudate pleural fluid, however, it takes about 24 hours to get the results, hence we want to use the bedside test which gives us the result within 1 minute of thoracocentesis. The aim of our study is to determine the Diagnostic accuracy of Bedside test - A drop Hydrogen peroxide test to differentiate between exudative and transudative pleural fluid in comparison with Light’s criteria. Methods: We screened 1024 patients in outpatient department and included 172 patients in the study who had clinical and radiological evidence of pleural effusion. These patients underwent aseptic thoracocentesis. A drop of 30% hydrogen peroxide was added to 2 ml of pleural fluid which ...

Research paper thumbnail of A rare case of glomus tumor of calcaneum

International Journal of Scientific Reports, Sep 29, 2018

When a young patient comes to our OPD with chronic heel pain, our first differential diagnosis is... more When a young patient comes to our OPD with chronic heel pain, our first differential diagnosis is never a tumour. We always consider a possibility of calcaneal epiphysitis, or apophysitis. Glomus tumour itself is rare and that involving the bones is rarer. We are presenting here a case of an 11 year old girl with complaints of chronic pain in left heel. Plain radiograph revealed a lesion in her left calcaneum. CT scan was suggestive of hyper dense lesion in left calcaneum and possibilities of chondroma or osteoid osteoma were kept. The lesion was excised and microscopy revealed a glomus tumour comprising round to oval cells arranged around blood vessels. Aim of our study is to report such an unusual case of glomus tumour of bone in young patient without recurrence after resection.

Research paper thumbnail of Rare Case of Capillary Hemangioma of Bilateral Lower Limb: A Case Report

International Journal of Current Research and Review, 2018

Aim: The aim of this case report is to bring to light an unusual case of soft tissue tumor in a y... more Aim: The aim of this case report is to bring to light an unusual case of soft tissue tumor in a young female. Case Report: Hemangiomas are commonly occuring soft tissue tumors, but it rarely involves the feet. We are reporting a twenty two year old female with capillary hemangioma of her left ankle and right foot which was painful. Her excision biopsy was done and microscopic investigation revealed capillary hemangioma. The patient has had no recurrence since the surgery. Discussion: Few similar cases have been reported in the past in children, adults and elderly patients and none of them experienced any recurrence after treatment by excision or sclerotherapy or embolisation. Conclusion: Insidious onset and gradually progressive painful swellings can often be misdiagnosed as vascular malignant neoplasms. Here we have reported an unusual case of capillary hemangioma of bilateral lower limb in a young female.

Research paper thumbnail of Autoimmune Hepatitis and Primary Biliary Cholangitis Overlap in a Patient with Systemic Lupus Erythematosus and Rheumatoid Arthritis Overlap (Rhupus) - An Unusual Association

International Journal of Health Sciences and Research

The diagnosis of overlap syndrome involving systemic lupus erythematosus (SLE) and autoimmune hep... more The diagnosis of overlap syndrome involving systemic lupus erythematosus (SLE) and autoimmune hepatitis (AIH) isn’t easily established due to its similar clinical presentations and biochemical features to those of lupus hepatitis. The term overlap syndrome is typically utilized in the context of overlap of autoimmune hepatitis with PSC (primary sclerosing cholangitis) or PBC (primary biliary cholangitis). Few rare cases of AIH complicated by SLE are reported within the literature. Overlapping of SLE and AIH should be suspected when patients with SLE have abnormal liver function tests or AIH patients present with a rash. Liver biopsy plays a really important role in establishing the medical diagnosis of SLE with liver impairment or overlap with AIH. The prompt diagnosis and adequate treatment plan can improve the disease outcome. Key words: autoimmune hepatitis, primary biliary cholangitis, systemic lupus erythematosus, overlap syndrome.

Research paper thumbnail of Idiopathic intracranial hypertension leading to bilateral optic atrophy in a patient with recent COVID-19 infection: a case report

International Journal of Advances in Medicine

Neurologic complications are common in patients hospitalised with COVID-19 infection. Most common... more Neurologic complications are common in patients hospitalised with COVID-19 infection. Most common complications are myalgias, headaches, encephalopathy and dizziness. Uncommon complications are stroke, motor and sensory deficits, seizures, ataxia and movement disorders. Multiple neuro-ophthalmological manifestations have also been reported in association with COVID-19. These complications may be the result of a range of pathophysiological mechanisms like hypoxic neuronal injury during active COVID-19 infection, RAS dysfunction, immune dysfunction and direct injury by the virus etc throughout the course of the disease. Here we reported a case of neuro-ophthalmic complication of Idiopathic intracranial hypertension (IIH) followed by bilateral optic atrophy in a middle-aged man with recent COVID-19 infection. He presented to the emergency with complaints of headache, dizziness and sudden painless bilateral diminution of vision for 3 days. His fundus examination was suggestive of bilate...

Research paper thumbnail of Tenosynovial giant cell tumor of subtalar joint: A case report with review of literature

Journal of Orthopedics, Traumatology and Rehabilitation

Tenosynovial giant cell tumor (TSGCT) are benign neoplasm affecting synovial lining of joints, te... more Tenosynovial giant cell tumor (TSGCT) are benign neoplasm affecting synovial lining of joints, tendon, and bursae. These tumor have been broadly divided into localized and diffuse type. Localized include TSGCT of tendon sheath and localized pigmented villonodular synovitis (PVNS) located mainly in hand whereas diffuse encompass conventional PVNS and diffuse-type GCT involving one or more joints. In this article, here, we present a case of TSGCT in subtalar joint which has been never reported till date along with review of literature, dilemma in diagnosis, differential diagnosis, and management of this tumor.

Research paper thumbnail of Hemophagocytic lymphohistiocytosis: a rare and life-threatening diagnosis

International Journal of Research in Medical Sciences

Hemophagocytic lymphohistiocytosis (HLH) is a rare and life-threatening syndrome of excessive act... more Hemophagocytic lymphohistiocytosis (HLH) is a rare and life-threatening syndrome of excessive activation of immune system. It frequently affects infants from birth to 18 months of age, but is also observed in children and adults of all ages. HLH can occur as a familial or sporadic disorder, and it is triggered by a variety of events, Infection being the most common trigger both in familial and in sporadic cases. Prompt treatment is very critical in cases of HLH, but the greatest barrier is often delay in diagnosis due to the rarity of this syndrome, variable clinical presentation, and lack of specificity of the clinical and laboratory findings. The key clinical features of HLH are high persistent fever, hepatosplenomegaly, blood cytopenia, elevated aminotransferase and ferritin levels, and coagulopathy. A diagnosis of HLH is mostly under-recognized, and is associated with high mortality, especially in adults; thus, prompt diagnosis and treatment are essential. We here present a rare...

Research paper thumbnail of Unusual case of talus neck fracture in a paediatric patient

International Journal of Research in Orthopaedics, 2018

Talus fracture is a rare injury in a paediatric patient. Among talus fractures, the fracture of n... more Talus fracture is a rare injury in a paediatric patient. Among talus fractures, the fracture of neck of talus is more common than fracture of body of talus. This can occur because of axial loading of the talus in a dorsiflexed foot against the anterior tibia. Children’s bones are skeletally immature and hence less brittle. They have higher elastic resistance than adult bone and are less likely to fracture.However talus fractures can still occur in paediatric patients when there is history of high-energy trauma. It needs surgery and can be associated with complications like avascular necrosis, delayed union, neuropraxia and may need a revision surgery. Here we present an unusual case of a talar neck fracture in a young boy, which was a closed fracture without distal neurovascular deficit. Closed reduction and internal fixation was done with K wire and post op X rays and follow up X rays showed complete union. Patient has normal joint mobility and strength after a period of 1 year fol...

Research paper thumbnail of Diagnostic Accuracy of a Drop Hydrogen Peroxide Test to Differentiate Between Exudative and Transudative Pleural Effusion

Annals of Medical and Health Sciences Research, 2017

Background: The differentiation of pleural effusions as being either transudate or exudate is the... more Background: The differentiation of pleural effusions as being either transudate or exudate is the first step in the diagnostic workup of the biofluid. It has been shown that physicians are not very accurate to differentiate exudate from transudate. Routinely we use Light’s criteria to differentiate between exudate and transudate pleural fluid, however, it takes about 24 hours to get the results, hence we want to use the bedside test which gives us the result within 1 minute of thoracocentesis. The aim of our study is to determine the Diagnostic accuracy of Bedside test - A drop Hydrogen peroxide test to differentiate between exudative and transudative pleural fluid in comparison with Light’s criteria. Methods: We screened 1024 patients in outpatient department and included 172 patients in the study who had clinical and radiological evidence of pleural effusion. These patients underwent aseptic thoracocentesis. A drop of 30% hydrogen peroxide was added to 2 ml of pleural fluid which ...

Research paper thumbnail of A rare case of glomus tumor of calcaneum

International Journal of Scientific Reports, Sep 29, 2018

When a young patient comes to our OPD with chronic heel pain, our first differential diagnosis is... more When a young patient comes to our OPD with chronic heel pain, our first differential diagnosis is never a tumour. We always consider a possibility of calcaneal epiphysitis, or apophysitis. Glomus tumour itself is rare and that involving the bones is rarer. We are presenting here a case of an 11 year old girl with complaints of chronic pain in left heel. Plain radiograph revealed a lesion in her left calcaneum. CT scan was suggestive of hyper dense lesion in left calcaneum and possibilities of chondroma or osteoid osteoma were kept. The lesion was excised and microscopy revealed a glomus tumour comprising round to oval cells arranged around blood vessels. Aim of our study is to report such an unusual case of glomus tumour of bone in young patient without recurrence after resection.