{"title":"Reviewers in this Issue Vol.11(1)","authors":"Md Aminul Haque Khan","doi":"10.3329/jemc.v11i1.63177","DOIUrl":"https://doi.org/10.3329/jemc.v11i1.63177","url":null,"abstract":"Abstract not available\u0000J Enam Med Col 2021; 11(1): 60","PeriodicalId":30472,"journal":{"name":"Journal of Enam Medical College","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43043619","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":"Comparative Study of Topical Terbinafine 1% Cream versus Butenafine 1% Cream in the Treatment of Tinea Cruris","authors":"Meher Afsun, Iftekhar Ahmed","doi":"10.3329/jemc.v11i1.63172","DOIUrl":"https://doi.org/10.3329/jemc.v11i1.63172","url":null,"abstract":"Background: Tinea cruris constitutes a major health problem worldwide. Although not lifethreatening, it can cause significant discomfort in daily activities. So, search for better therapeutic options in terms of clinical efficacy and safety profile is ongoing.\u0000Objective: To compare the efficacy and safety of topical terbinafine 1% and butenafine 1% cream in the treatment of tinea cruris.\u0000Materials and Methods: This Comparative interventional study was carried out in the Dermatology & Venereology department of Bangabandhu Sheikh Mujib Medical University between October 2014 and March 2015. A total of 50 patients of tinea cruris who met the inclusion criteria and provided consent were enrolled in the study. They were then divided into two groups as Group A (terbinafine group) and Group B (butenafine group) in a 1:1 ratio following a simple randomization method. Patients were advised to apply the medication once daily for 2 weeks and evaluated on the basis of clinical assessment score at the end of 1 and 2 weeks.\u0000Results: The baseline socio-demographic characteristics of the two groups were not statistically significantly different. Higher clinical cure was observed in butenafine recipients as compared with terbinafine recipients on the basis of mean clinical assessment score at the end of 7 days (5.72±0.7 vs 4.12±0.7) and 14 days (3.04±0.5 vs 1.44±0.9). The difference was statistically significant at both the time points. Both the drugs were well-tolerated except one patient of terbinafine group complained of transient burning.\u0000Conclusion: Treatment with butenafine 1% cream can be considered superior to terbinafine 1% cream in case of tinea cruris.\u0000J Enam Med Col 2021; 11(1): 39-46","PeriodicalId":30472,"journal":{"name":"Journal of Enam Medical College","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41812976","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}
R. Jahan, M. Rahman, K. Fatema, M. E. Karim, Subrata Roy
{"title":"Computed Tomographic Findings in Children with Cerebral Palsy in a Developing Country","authors":"R. Jahan, M. Rahman, K. Fatema, M. E. Karim, Subrata Roy","doi":"10.3329/jemc.v11i1.63169","DOIUrl":"https://doi.org/10.3329/jemc.v11i1.63169","url":null,"abstract":"Background: Cerebral palsy (CP) is one of the most common causes of chronic childhood disability. To know the aetiopathogenesis, severity and prognosis of CP, neuroimaging is an important modality of investigation.\u0000Objective: This study was done to observe the findings in CT scan of brain in children with CP.\u0000Materials and Methods: This is a cross-sectional descriptive study. One hundred and ten patients who were clinically diagnosed as cerebral palsy were enrolled in the study. After selection of the subjects, demographic and clinical characteristics were recorded. All other comorbidities including visual and hearing impairments were identified. CT scan of brain was done in all children and reporting had been done by a single qualified radiologist.\u0000Results: The mean age of the studied children was 2.6±2.2 years (1 to 14 years). Seven types of CP were found in the study group. Among them quadriplegic CP were the most common (39.1%). History of perinatal asphyxia was found in 81.8% children. Cognitive delay was found in 90% children, speech delay was found in 88.2% children, visual impairment was found in 35.5% children and hearing impairment in 31.8% cases. Epilepsy was found in 44.4% among studied subjects. Most common finding on CT scan of brain was cerebral atrophy (62.7%), followed by encephalomalacia (15.5%), calcification (13.6%), and brain malformations (11.8%). Abnormal CT scan findings were found in 88.2% of study population.\u0000Conclusion: This study showed that most common type of CP was quadriplegic CP. Maximum children had abnormal CT scan findings. Most common CT scan finding was cerebral atrophy.\u0000J Enam Med Col 2021; 11(1): 18-23","PeriodicalId":30472,"journal":{"name":"Journal of Enam Medical College","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43168791","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}
N. Ahamed, D. Saha, A. R. Rahman, M. Khadga, Sharmin Akter, Md Rukunuzzaman
{"title":"Caroli’s Syndrome in a 5½-Year-Old Bangladeshi Girl: A Case Report","authors":"N. Ahamed, D. Saha, A. R. Rahman, M. Khadga, Sharmin Akter, Md Rukunuzzaman","doi":"10.3329/jemc.v11i1.63175","DOIUrl":"https://doi.org/10.3329/jemc.v11i1.63175","url":null,"abstract":"Caroli’s syndrome is a rare inherited disorder characterized by multiple segmental cystic or saccular dilatation of the intrahepatic bile duct associated with congenital hepatic fibrosis. Symptoms of Caroli’s syndrome may appear early or late during life and its presentation is highly variable. Portal hypertension followed by development of oesophageal varices is the main consequence of congenital hepatic fibrosis. Up to 60% of Caroli’s syndrome patients are associated with renal involvement. The diagnosis of Caroli’s syndrome mainly depends on histology and imaging method that can show the communication between bile ducts and saccule. Important complication is cholangitis and later may progress to cholangiocarcinoma. For symptomatic Caroli’s syndrome, liver transplantation is the only curative treatment. Here, we report a case of Caroli’s syndrome in a 5½ year old girl admitted in the department of Pediatric Gastroenterology and Nutrition, BSMMU with the complaints of abdominal distension since birth. Her CT scan report showed type V choledochal cyst with large cyst in right lobe of liver and polycystic kidney disease. Endoscopy of upper GIT revealed grade II oesophageal varices and MRCP also suggested Caroli’s disease (Type V choledochal cyst). Finally, she was diagnosed as a rare case of Caroli’s syndrome (Type V choledochal cyst with grade II oesophageal varices with polycystic kidney disease).\u0000J Enam Med Col 2021; 11(1): 55-58","PeriodicalId":30472,"journal":{"name":"Journal of Enam Medical College","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43329027","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":"From the desk of Editor-in-Chief Vol.11(1)","authors":"Md Aminul Haque Khan","doi":"10.3329/jemc.v11i1.63166","DOIUrl":"https://doi.org/10.3329/jemc.v11i1.63166","url":null,"abstract":"Abstract not available\u0000J Enam Med Col 2021; 11(1): 3","PeriodicalId":30472,"journal":{"name":"Journal of Enam Medical College","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42446517","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":"Unusual Site of Metastasis of Renal Cell Carcinoma","authors":"Mohammad Israt Faisal","doi":"10.3329/jemc.v11i1.63174","DOIUrl":"https://doi.org/10.3329/jemc.v11i1.63174","url":null,"abstract":"Renal cell carcinoma (RCC) usually metastasizes to lung, liver, bone and brain. We report a case of an elderly man who underwent radical nephrectomy for renal cell carcinoma and developed a metastasis in the plane between contralateral psoas muscle and quadratus lumborum muscle 11 years after the operation\u0000J Enam Med Col 2021; 11(1): 52-54","PeriodicalId":30472,"journal":{"name":"Journal of Enam Medical College","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41535509","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}
Md. Rezaul Karim Chowdhury, Mahbub Hossain, Shafayet Hossain Riyan, Mohammad Al Tarique
{"title":"Diagnostic Evaluation of Haematological Diseases Based on Bone Marrow Examination","authors":"Md. Rezaul Karim Chowdhury, Mahbub Hossain, Shafayet Hossain Riyan, Mohammad Al Tarique","doi":"10.3329/jemc.v11i1.63171","DOIUrl":"https://doi.org/10.3329/jemc.v11i1.63171","url":null,"abstract":"Background: Bone marrow examination is a safe invasive procedure and can provide sufficient explanation for unexplained cytopenias, leukaemia and other haematological disorders including metastases to the marrow by detailed morphological description of the marrow elements.\u0000Objective: To see the importance of bone marrow examination for the diagnosis of haematological disorders.\u0000Materials and Methods: It was a descriptive cross-sectional study comprising 196 patients who underwent bone marrow examination for evaluation of haematological disorders in the Department of Haematology, Enam Medical College and Hospital during the period of July 2012 to December 2019.\u0000Results: Total number of cases were 196, male to female ratio was 1.56:1 and majority of the patients were >18 years of age (84.69%). Common indications for bone marrow examination were pancytopenia (33.67%) and diagnosis of leukaemia/ myeloproliferative neoplasm (23.98%). In our study, haematological conditions were 79.08%. Among these malignant conditions were 55.10% and nonmalignant conditions were 23.98%. Aplastic anaemia (14.29%) and immune thrombocytopenia (7.65%) were the most common nonmalignant disorders. Common malignant disorders were acute myelogenous leukaemia (20.41%) and multiple myeloma (9.69%).\u0000Conclusion: Bone marrow examination is a simple and effective procedure in reaching the final diagnosis of haematological diseases.\u0000J Enam Med Col 2021; 11(1): 34-38","PeriodicalId":30472,"journal":{"name":"Journal of Enam Medical College","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44584907","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":"Solitary Rectal Ulcer Syndrome: An Unusual Cause of Per Rectal Bleeding in Children","authors":"K. Fathema, M. Benzamin, M. Sayeed, K. Nahid","doi":"10.3329/jemc.v11i1.63173","DOIUrl":"https://doi.org/10.3329/jemc.v11i1.63173","url":null,"abstract":"Solitary rectal ulcer syndrome (SRUS) is a relatively uncommon but troublesome chronic benign disorder more in young adults and less in children. It is usually presented as rectal bleeding, constipation, copious mucous discharge, prolonged excessive straining, tenesmus, lower abdominal pain, localized pain in the perineal area, feeling of incomplete defecation and rarely rectal prolapse.The underlying etiology is not well known. It is diagnosed based on symptoms and endoscopic and histological findings.\u0000J Enam Med Col 2021; 11(1): 47-51","PeriodicalId":30472,"journal":{"name":"Journal of Enam Medical College","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43171544","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":"Cancer Phobia","authors":"Md Khalilur Rahman","doi":"10.3329/jemc.v11i1.63167","DOIUrl":"https://doi.org/10.3329/jemc.v11i1.63167","url":null,"abstract":"Abstract not available J Enam Med Col 2021; 11(1): 4-5","PeriodicalId":30472,"journal":{"name":"Journal of Enam Medical College","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135360406","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":"Cancer Phobia","authors":"M. Rahman","doi":"10.1056/nejm192807261990408","DOIUrl":"https://doi.org/10.1056/nejm192807261990408","url":null,"abstract":"Abstract not available\u0000J Enam Med Col 2021; 11(1): 4-5","PeriodicalId":30472,"journal":{"name":"Journal of Enam Medical College","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1056/nejm192807261990408","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47837277","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}