Rajesh Gupta

Hypersensitivity Pneumonitis Presenting with Spontaneous Pneumomediastinum and Pneumopericardium: A Case Report

Palaniappan Inbamuthiah, Rajesh Gupta, Imad Eldin Hamad, Osama Alian & Afra Osama Adam · Asian Journal of Case Reports in Medicine and Health · 2026

Background: The severity and length of exposure determine hypersensitivity pneumonitis (HP) clinical presentation, as symptoms can vary from acute flu-like symptoms to chronic fibrotic lung disease. Inhaling organic or chemical antigens can cause HP, which is an inflammatory lung...

Open access Research Article 10.9734/ajcrmh/2026/v9i1300

A Case Report of Severe Biotin Deficiency with Life Threatening Metabolic Acidosis in a Young Female

Palaniappan Inbamuthiah, Osama Alian, Imad Eldin Hamad, Rajesh Gupta, Mohamed Badawy & Ahmed Abdelhafiz · Asian Journal of Case Reports in Medicine and Health · 2026

Holocarboxylase synthetase deficiency is a rare inherited disorder of biotin metabolism that impairs the activity of multiple biotin-dependent carboxylases. Although it usually presents during the neonatal period or infancy, clinically significant metabolic decompensation may occ...

Open access Research Article 10.9734/ajcrmh/2026/v9i1338