Megaloblastic anaemia is known to cause elevated lactate dehydrogenase (LDH) levels due to increased cell turn over with ineffective erythropoiesis in the bone marrow, a laboratory parameter which can help in the diagnosis and monitoring the response to treatment with vitamin B12...
We present a rare case of a 42 year old lady who presented initially with hypertensive emergency and episodes of transient ischemic attacks who was later diagnosed to have Moyamoya disease (MMD). She continued to have hypertension after left external carotid-internal carotid bypa...
Primary Sjögren’s syndrome is a rare autoimmune condition affecting the exocrine glands. However, extra-glandular manifestations are not uncommon and may present as the initial symptoms of this disorder. Such cases offer a great challenge to clinicians. Here we present a case of...
The word yoga originates from the Sanskrit for union and aims to harmonize mind, body, and spirit. Patanjali, the father of philosophy of Yoga, wrote a Yoga Sutras in which he formalized this discipline. Traditional yoga incorporates the eight limbs. Physical health is the well-b...
Mucormycosis is a rare life-threatening fungal infection. It occurs usually in immunocompromized patients. We present a case of pulmonary mucormycosis in patient with poorly controlled diabetes. The diagnosis was suspected on radiological finding showing a right upper lobe cavita...
Peri-operative euglycaemic diabetic ketoacidosis is under-recognized and difficult to diagnose due to variable triggers and absence of hyperglycaemia. We report a case of a 58 years old type -2 diabetic female who developed refractory post-operative metabolic acidosis caused by s...
Clonal eosinophilia with FIP1L1-PDGFRA rearrangement is a rare disorder which is almost exclusively seen in males. Targeted therapy with Imatinib has led to successful achievement of molecular remission of this disorder but no evidence exists for continuous or maintenance therap...
Aims: To illustrate abdominal migraine as a possible and often unrecognized cause of recurrent abdominal pain in children. Study design: Case report. Place and duration of study: Department of Propaedeutics of internal diseases, “Heratsi” N1 University Hospital Complex, Yerevan,...
Ischaemic Heart Disease (IHD) accounts for the highest mortality rate among the non-communicable diseases across the globe. In the developed countries the incidence of IHD has shown a slow decline over the past two decades. It is traditionally considered as a disease of the elder...
Background: Sudden sensorineural hearing loss (SSNHL) is an otolaryngological emergency that requires early diagnosis and management. In most cases, the cause is unknown; however, viral infection is the most likely causative factor. The early start of steroids is a cornerstone of...
Background: Spontaneous spinal epidural hematoma is a rare condition which can have disabling neurological complications. Prompt timely surgical management may promote recovery even in severe cases. Timely recognition and diagnosis is essential for proper treatment. Objective: To...
Immunoglobulin G4-related disease is a very rare and little known sclerosing inflammatory disease. This pathology has been reported in various organs. Of these, there are only 9 reports describing pleuritis as IgG4-related disease with no other organ involevement. We report the...
The purpose of this paper is to present a rare case of a young female who was diagnosed with gastric diffuse large B-cell lymphoma (DLBCL) and was successfully treated with concomitant eradication therapy and immunochemotherapy. The importance of Helicobacter pylori (HP)-eradicat...
This is the first reported death from brain damage resulting from hypernatraemic dehydration caused by a laxative administered by a non-medical therapist to a patient. In this case study, the author describes the clinical features, post-mortem features of death due to hypernatrae...
Primary adult hypertrophic pyloric stenosis is an uncommon cause of gastric outlet obstruction in adults [1]. It is a benign condition caused by hypertrophy of the muscularis propria and resembles the congenital pyloric stenosis seen in infants. We report a case of a middle-aged...