Supernumerary nostril is a ve,y rare congenital anomaly. It can be unilateral or bilateral, and it sometimes occurs in the pres ence of other congenital deformities. Behind the external opening ofa supernumerary nostril is a small accessory nasal cavity, which mayor may not communicate with the normal nasal cavity on the same side. We describe a new case in which the supernumerary nostril with a small accessory nasal cavity, which did not communicate with the normal nasal cavity on the same side, appeared in a young girl who also had microcornea and congenital cataract. The accessory nasal cavity was successfu lly removed surgically. We believe that this case may represent thefirst reported case ofa supernumerary nostril with a congenital cataract on the same side. We also discuss the hypotheses that have been proposed to explain supe rnumerary nostrils.
Epidemiological data of HIV affected individuals of aged 50 years and above in India are lacking for various reasons. Diagnosing HIV infection among the elderly is challenging as chronic HIV/AIDS can mimic those typically associated with aging in parallel to the myth that elderly individuals lead asexual lives. In this study, low-literate, poor, urban men were the major group. The most common presentation at diagnosis was frailty or unexpected weight loss and neurocognitive impairment, whereas the incidence of TB was much less. Policy makers and social workers should be aware of this descriptive analysis in order to address the emerging issue of HIV among geriatrics and to create a broader awareness programme and more liberal HIV testing among this group. This study also highlights the need for a larger population based study involving elderly HIV infected persons in India.
Malignancy of thyroglossal cyst is a rare entity. Medical literature has reported only a very few cases till date. Histopathologically papillary carcinoma of thyroglossal cyst is the most common variety encountered in clinical practice. Surgical excision by Sistrunk operation is the standard treatment of choice followed by subtotal or total thyroidectomy whenever indicated. We report here two cases of thyroglossal cyst carcinomas and their respective management.
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