Background: The bone marrow examination is an essential investigation for the diagnosis and management of many disorders of the blood and bone marrow. Bone marrow aspiration (BMA) alone is usually sufficient to diagnose nutritional anaemias, and most of the acute leukaemias. Aim was to study the spectrum of haematological disorders diagnosed on bone marrow aspiration.Methods: This study was conducted in the Department of Clinical Haematology in Sher e Kashmir Institute of Medical Sciences, Kashmir for a period of 2 years from December 2015 to December 2017. Bone marrow examination of 2131 cases of suspected hematological disorders was carried out. Bone marrow was aspirated from posterior superior iliac spine under local anaesthesia. Aspirates of dry tap were excluded from the study. Aspiration smears where stained with Leishmann stain for morphological examination.Results: A total of 2131 cases were included in this study. Male to female ratio in our study was 1.9:1. The age range of cases was from 1-80 years and the mean age was 47.3 years. Anemia was the most common haematological disorder in our study accounting for 25.6% of cases followed by acute leukaemia accounting for 22.3% and multiple myeloma (13.3%). Among anemias, megaloblastic anemia was most common followed by dual deficieny anemia. Among leukaemias, acute myeloid leukaemia (13.2%) was more common than acute lymphoblastic leukaemia (9.1%).Conclusions: Bone marrow aspiration cytology is a mildly invasive technique which can diagnose many hematological and non-hematologic diseases that can be confirmed by more advanced investigations viz. serological, biochemical or molecular. It is a highly informative test procedure performed for evaluating blood and blood related diseases in our environment.
Background: To study the expression of PTEN (Phosphatase and Tensin homologue) and Cyclin D1 in normal, hyperplastic and neoplastic endometrium by immunohistochemistry and to corroborate the interrelationship between PTEN and Cyclin D1 in normal to neoplastic endometrial disorders including endometrial carcinoma.Methods: Formalin fixed paraffin embedded (FFPE) sections of spectrum of endometrium in fifty different cases were taken from secretory phase to endometrial carcinoma and subjected to Immunohistochemistry using PTEN and Cyclin D1 .Results: Immunoreactivity was regarded as positive when brown staining was localized in the nuclei or cytoplasm. The intensity of nuclear staining was graded from 0 to 3+ and the extent was semi quantitatively estimated. If less than 10% of cells were positive a score of 0 was given, 11 % to 30% cell positivity was scored as 1+, 31% to 60 % positivity was scored as 2+ and more than 60% positive cells was labelled as 3+. Statistical analysis was performed with Chi-Square test and significant differences were noted between these 3 groups (p value < 0.05).Conclusions: The present study supports that an inverse correlation exists in the expression of PTEN and Cyclin D1 in normal, hyperplastic and neoplastic endometrium. The decreased PTEN expression is a marker of the earliest endometrial premalignant lesions, and we propose that use of PTEN immunostaining may be informative in identifying premalignant lesions that are likely to progress to carcinoma. Cyclin D1 expression in endometrial glands increases progressively in intensity and extent from normal endometrium to hyperplasia to carcinoma.
Introduction: Diabetes mellitus (DM) is characterized by hyperglycemia accompanied with the biochemical alterations in carbohydrate, protein and lipid metabolism. Diabetics have been shown to be in procoagulant state due to abnormalities in several plasma proteins in blood coagulation.Measurement of prothrombin time (PT), activated partial thromboplastin time (APTT), bleeding time and clotting factor concentration are usually done in patients with a suspected abnormal coagulation. The present study was planned to assess and compare the coagulation tests in patients with T2DM and healthy individuals. Material and methods:In this prospective case control study 50 diabetic patients and 50 healthy non-diabetic individuals were were subjected to Prothrombin time(PT), Activated partial thromboplastin time(APTT) and D-Dimer assay patients in the department Results:A stastically significant increase in Mean Prothrombin time (PT) levels of 17.48 in cases vs 14.52 in controls with a P value was 0.012. The Mean aPTT levels in cases was 48.12 and in controls was 30.56 with a P value was 0.001. However, in case of Mean D-Dimer levels, there was no significant difference between cases and controls with a P value of 1.000. Conclusion:The present study observed a significant association between Type 2 Diabetes mellitus and coagulation parameters. Increased plasma levels of PT and APTT were observed which are consistent with abnormal coagulation mechanisms and may be interpreted as a tendency for bleeding and cardiovascular disorders. It would also be helpful to incorporate coagulation screening as a routine investigations for the better management of diabetic patients.
<p class="abstract"><strong>Background:</strong> Dermatophytosis is a superficial fungal infection of keratinized tissue caused by keratophilic fungi- dermatophytes. Inanimate objects and infected nails favour the spread of infection. Purpose of this study was to identify the role of waist bands and uninvolved nails as sources of infection in patients with tinea corporis.</p><p class="abstract"><strong>Methods:</strong> A study was carried out on 50 patients with tinea corporis during the period of December 2010 to June 2012 at Tertiary Care Centre at Pondicherry. Nail clippings, waist band cuttings and scrapings were subjected to direct microscopy with 10% KOH and culture.<strong></strong></p><p class="abstract"><strong>Results:</strong> Laboratory analysis showed positive culture in 18% of patients, of which dermatophytes were isolated from all three samples in 12% of patients, while in 6% of the patients growth was seen only in the skin scrapings and waist bands.</p><p class="abstract"><strong>Conclusions:</strong> Waist bands and uninvolved nails harbour dermatophytes and play an active role in the spread and recurrence of infection.</p>
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