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Official publication of Indian Chest Society
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2008| January-March | Volume 25 | Issue 1
Online since
January 23, 2009
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CASE REPORTS
Agenesis of lung - A report of two cases
KH Kisku, MK Panigrahi, R Sudhakar, A Nagarajan, R Ravikumar, JR Daniel
January-March 2008, 25(1):28-30
DOI
:10.4103/0970-2113.44136
PMID
:20396661
Agenesis of lung is a rare congenital disorder. We are reporting varied degree of pulmonary agenesis in two adult patients. Lung India 2008; 25 : 28-30
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A case of haemoptysis due to endobronchial fibroma, a rare benign tumour of lung
Sibes Kumar Das, Ramendra Sundar Mukherjee, Anirban Das, Amp Kumar Halder, Samirendra Kumar Saha
January-March 2008, 25(1):25-27
DOI
:10.4103/0970-2113.44135
PMID
:20390070
A case of recurrent haemoptysis due to fibroma is described in a 55 years old male patient. Clinical examination revealed anaemia and bilateral basal crepitations. Chest X - ray showed no abnormality. Bronchoscopy revealed polypoid fibroma in left main bronchus. It was removed bonchoscopically with no recurrence during 12 months follow up.
[ABSTRACT]
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2,846
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Tuberculosis of spleen presenting with pyrexia of unknown origin in a non-immunocompromised woman
Prem Prakash Gupta, Sanjay Fotedar, Dipti Agarwal, Pradeep Sansanwal
January-March 2008, 25(1):22-24
DOI
:10.4103/0970-2113.44134
PMID
:20396657
Splenic lesions due to tuberculosis are extremely rare in immunocompetent individuals and delays in diagnosis are frequent. Here, we describe a 49-year-woman presenting with pyrexia-of-unknown origin with no evidence of any immunodeficiency. Computed tomography of the abdomen showed an enlarged spleen having multiple small focal hypodense lesions; the later were confirmed to be of tuberculous etiology on histopathological examination. She had favorable response with anti-tubercular chemotherapy. We report this case of tuberculosis spleen in an immunocompetent individual for its rarity and to highlight the fact that these patients can be managed by medical treatment effectively.
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2,516
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ORIGINAL ARTICLES
Profile of respiratory problems in patients presenting to a referral pulmonary clinic
Angira Dasgupta, Anirban Bagchi, Saikat Nag, Sujan Bardhan, Parthasarathi Bhattacharyya
January-March 2008, 25(1):4-7
DOI
:10.4103/0970-2113.44129
PMID
:20390068
Analysis of OPD data of 2012 patients in a referral pulmonary clinic at Kolkata was done following a protocol-based approach. Obstructive airway diseases (COPD and asthma) were the most common (43%) problem followed by infective lung diseases (15%) including tuberculosis, bronchogenic carcinoma (8%), ILD (4%), haemoptysis of undiagnosed etiology (4.5%), chronic cough of undiagnosed etiology (6.5%) and pleural diseases (4.6%). Other diseases like obstructive sleep apnoea, sarcoidosis, systemic diseases with lung involvements etc., and non respiratory problems formed the rest (14.4%).
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CASE REPORTS
Isolated metacarpal bone tuberculosis-A case report
R.A.S Kushwaha, Surya Kant, Sanjay Kumar Verma, Sanjay Mehra, Sumit Mehra
January-March 2008, 25(1):17-19
DOI
:10.4103/0970-2113.44132
PMID
:20396659
Tuberculous involvement of the metacarpals and phalanges is a rare presentation of extrapulmonary tuberculosis in adult. Here is a case of tubercular dactylitis in a 27 year old female presenting as discharging sinus over proximal part of third metacarpalbone of left hand.
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ORIGINAL ARTICLES
The site of airway obstruction among patients of emphysema: Role of impulse oscillometry
HS Hira, Jitendra Munjal, Sanjay Zachariah, MR Chauhan, Anshu Singh
January-March 2008, 25(1):8-13
DOI
:10.4103/0970-2113.44130
PMID
:20390069
Objectives:
To detect the site of airway obstruction in patients of emphysema by impulse oscillometry (IOS) and to compare its observatios with flow volume loop (FV loop) studies.
Methods:
Twenty-five patients of emphysema were subjected to both impulse oscillometry (IOS) and conventional spirometry. The resulting impedance spectra by IOS and FV loop were utilized to identify the site of airway obstruction in each of the patients. Both methods applied were also compared for sensitivity to identify airway and specify the site of obstruction.
Results:
Four patients were excluded from the final analysis as their impedance spectra showed significant upper airway influence, which would have made the localization of the site of airway obstruction by IOS invalid. Both IOS and FV loop could detect airway obstruction in all 21 patients. FV loop localized the site of obstruction as combined central and peripheral airways in 15 patients (71.4%) and as peripheral in 6 (28.6%).The IOS however, revealed the presence of the predominant site of obstruction peripheral in all the 21 patients, and both central and peripheral obstruction in 5 patients (23.8%).
Conclusions:
IOS had proven to be advantageous over FV loop studies as it could identify central and peripheral airway obstruction separately and established the predominant site of obstruction.
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CASE REPORTS
Malignant pleural mesothelioma without asbestos exposure with distant metastasis in a peripheral lymph node: A case report
Surya Kant, Sanjay Kumar Verma, Sanjay
January-March 2008, 25(1):31-33
DOI
:10.4103/0970-2113.44137
PMID
:20396658
Malignant mesothelioma is an uncommon pleural neoplasm and usually associated with inhalation exposure to asbestos. About 20% of the patients have no demonstrable exposure to asbestos. It rarely metastasizes in peripheral lymph nodes. Here is a case report of malignant pleural mesothelioma without asbestos exposure with cervical lymph node metastasis
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2,242
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Haemoptysis - A rare presentation of aortic aneurysm
Girija Nair, Savita Jindal, Abhishek Chandra, Shivani Swami, Pankaj Garg
January-March 2008, 25(1):20-21
DOI
:10.4103/0970-2113.44133
PMID
:20396656
We report a case of a 65 year old man who presented with haemoptysis. X-ray chest PA view shows mediastinal widening suggestive of mediastinal mass. A CT scan of thorax shows a large aneurysm of ascending aorta & arch of aorta. This aneurysm is eroding the trachea and abutting the sternum and vertebrae. The patient is VDRL reactive. Haemoptysis is a rare presentation of aortic aneurysm.
[ABSTRACT]
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2,086
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Metastatic angiosarcoma presenting as diffuse alveolar hemorrhage
SP Rai, MS Barthwal, P Bhattacharya, S Bhargava, M Pethe
January-March 2008, 25(1):14-16
DOI
:10.4103/0970-2113.44131
PMID
:20396655
Angiosarcoma is a rare malignant neoplasm of the vascular or lymphatic endothelium. Diffuse alveolar hemorrhage is a rare presenting manifestation of angiosarcoma. We describe a case of pulmonary metastasis of angiosarcoma who presented with diffuse alveolar hemorrhage as initial manifestation.
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1,997
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Pleuropulmonary hydatid disease treated with thoracoscopic instillation of hypertonic saline
P Hari Lakshmanan, A Mohammed Musthafa, KP Suraj, C Ravidran
January-March 2008, 25(1):34-37
DOI
:10.4103/0970-2113.44138
PMID
:20390071
Hydatid disease is caused by the larval stage of the cestode, Echinococcus granulosus. Man is the intermediate host in its life cycle. The most common organ involved is liver followed by lung. Although surgery remains the definitive treatment for symptomatic lesions, it is associated with considerable morbidity. Other less invasive treatment strategies as an adjunct to medical treatment that have been tried in various case series include percutaneous aspiration, instillation and re-aspiration of scolicidal agents (PAIR), and thoracoscopic removal of cysts located subpleurally. Here we report the case of a 58 year old gentleman with hepatic and pleuropulmonary hydatid disease who was subjected to medical thoracoscopy and instillation of hypertonic saline (3%), followed by medical management with albendazole with which complete resolution of the pulmonary cysts was achieved.
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1,839
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EDITORIAL
Asthma in the obese: Yet another reason to lose weight
PR Gupta
January-March 2008, 25(1):1-3
DOI
:10.4103/0970-2113.44128
PMID
:20396654
[FULL TEXT]
[PDF]
[PubMed]
1,599
362
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CORRESPONDENCE
Tuberculous sarcoidosis: Does it exist?
Ramakant Dixit
January-March 2008, 25(1):38-39
DOI
:10.4103/0970-2113.44140
PMID
:20396660
[FULL TEXT]
[PDF]
[PubMed]
1,494
303
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