{"title":"Estimation of Disease Activity in Rheumatoid Arthritis: A Correlation Study between Clinical, Inflammatory Markers and Power Doppler Ultrasonography","authors":"T. Sarkar, K. Gantait","doi":"10.5005/JP-JOURNALS-10070-7038","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10070-7038","url":null,"abstract":"Objective: To correlate between clinical, inflammatory markers and power Doppler (PD) ultrasonography (USG) to assess the disease activity in rheumatoid arthritis (RA) patients. Methods: Sixty consecutive patients with RA were included. Demographic and clinical data, C-reactive protein (CRP) level, and erythrocyte sedimentation rate (ESR) were recorded. All patients underwent an USG PD by an experienced ultrasonologist. USG joint effusion, synovitis, and PD signal were graded from 1 to 3 in a small joint of both hands (metacarpophalangeal, proximal interphalangeal, and wrist). Joint count and joint index for effusion, synovitis, and PD signal were recorded for a total of 22 joints. Result: Among 60 patients, 41 were female and 19 were male. The correlation coefficient between ESR with tender joint, swollen joint, USG synovitis, and USG hyperemia was 0.13, 0.13, 0.58, and 0.33, respectively. The correlation coefficient between CRP with tender joint, swollen joint, USG synovitis, and USG hyperemia was 0.46, 0.07, 0.36, and 0.27, respectively. Conclusion: USG PD is an important tool along with clinical assessment and inflammatory marker to assess the disease activity in RA patients.","PeriodicalId":207875,"journal":{"name":"Bengal Physician Journal","volume":"1972 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130066792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nandini Chatterjee, Amit Sarkar, P. Pal, Tathagata Ghosh
{"title":"A Case of Rectal Malignancy Presenting with Paraneoplastic Myopathy and Hyperpigmentation of Skin: An Interesting Case Report","authors":"Nandini Chatterjee, Amit Sarkar, P. Pal, Tathagata Ghosh","doi":"10.5005/JP-JOURNALS-10070-7030","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10070-7030","url":null,"abstract":"Colorectal cancer manifests usually with a change in bowel habit or a bleeding per rectum. Much less commonly, colorectal cancer may present as part of paraneoplastic syndrome. Paraneoplastic syndromes may help in the timely diagnosis of the case. The authors describe a case report of a 60-year-old woman with a hyperpigmented skin rash and proximal muscle weakness who was subsequently diagnosed with rectal carcinoma in the setting of progressive muscle weakness.","PeriodicalId":207875,"journal":{"name":"Bengal Physician Journal","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114878919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Optimizing Noncardiac Prescription in a Cardiac Patient","authors":"A. Sahib, M. Chenniappan","doi":"10.5005/JP-JOURNALS-10070-7032","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10070-7032","url":null,"abstract":"Comorbidities are present in greater than 75% of cardiac patients. While choosing therapy for such patients it is important to keep in mind the complex interactions of various drugs in the background of comorbidities. Safety should be the prime concern though the efficacy of the drugs should not be compromised too much. This article touches upon the therapy of cardiac patients with anemia, diabetes mellitus, kidney disease, thyroid disorders, sleep disorders, psychiatric illness, or malignancies. Drug class, dosage, drug route, or contraindications have been highlighted for optimal management.","PeriodicalId":207875,"journal":{"name":"Bengal Physician Journal","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114720241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hemiballismus Presenting as a Metabolic","authors":"D. Saha, K. Choudhury","doi":"10.5005/jp-journals-10070-6125","DOIUrl":"https://doi.org/10.5005/jp-journals-10070-6125","url":null,"abstract":"","PeriodicalId":207875,"journal":{"name":"Bengal Physician Journal","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124102684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Results of Deep Brain Stimulation for Parkinson's Disease after 30 Cases","authors":"A. Ghosh, Aditya Mantry, S. Hazra, Nilay Shah","doi":"10.5005/jp-journals-10070-6123","DOIUrl":"https://doi.org/10.5005/jp-journals-10070-6123","url":null,"abstract":"","PeriodicalId":207875,"journal":{"name":"Bengal Physician Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114394454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Coronavirus Disease-2019: An Overview and Update","authors":"A. Bhattacharya, A. Maiti","doi":"10.5005/jp-journals-10070-6126","DOIUrl":"https://doi.org/10.5005/jp-journals-10070-6126","url":null,"abstract":"There is current worldwide outbreak of a new type of coronavirus (COVID-19), which has originated from Wuhan, China, and has now spread to 140 other countries including India. As per recent available data, it can be said that spread to human has occurred via transmission from the wild animals sold in Wuhan seafood market. It spread rapidly through China affecting more than 85,000 people. Within a few months, it engulfed Europe causing massive loss of lives and property in Italy, Spain, France, Germany, the United Kingdom, and then the United States. It is now gaining a foothold in India, which has the second largest population in the world. As per current data, 4,429,969 people have been infected and 3 lakhs have succumbed to the illness all over the world. The WHO announced that COVID-19 has become a global health problem on March 11, 2020. Before March 3, India had three cases of coronavirus in Kerala, all of which were treated and discharged. On March 3, India’s fourth case was diagnosed in the state of Rajasthan and it was later found that this patient had infected 17 other Italians who were on a tour to India. Till the date of writing this article, India has 78,003 confirmed cases and 2,549 deaths have taken place. Maharashtra, Delhi, and Tamil Nadu are the three most badly affected states.","PeriodicalId":207875,"journal":{"name":"Bengal Physician Journal","volume":"64 6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131219465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Myths and Magic during the Coronavirus Epidemic: Anecdotes from India","authors":"R. Paul","doi":"10.5005/jp-journals-10070-6122","DOIUrl":"https://doi.org/10.5005/jp-journals-10070-6122","url":null,"abstract":"","PeriodicalId":207875,"journal":{"name":"Bengal Physician Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128839035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Writing the Medical Leave Certificate: What are the Precautions?","authors":"R. Paul","doi":"10.5005/jp-journals-10070-6119","DOIUrl":"https://doi.org/10.5005/jp-journals-10070-6119","url":null,"abstract":"","PeriodicalId":207875,"journal":{"name":"Bengal Physician Journal","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115806433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Integrated Learning: Need of the Hour in Medical Education","authors":"A. Dasgupta","doi":"10.5005/jp-journals-10070-6127","DOIUrl":"https://doi.org/10.5005/jp-journals-10070-6127","url":null,"abstract":"","PeriodicalId":207875,"journal":{"name":"Bengal Physician Journal","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131298503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}