Erratum: The peculiar case of a blue man
Journal of Postgraduate Medicine 2020 66(2):118-118 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - April 1, 2020 Category: Internal Medicine Source Type: research

Erratum: Laron syndrome
Journal of Postgraduate Medicine 2020 66(2):118-118 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - April 1, 2020 Category: Internal Medicine Source Type: research

Erratum: Facial cutaneous metastases of advanced rectal malignancy masquerading as lip cancer
Journal of Postgraduate Medicine 2020 66(2):117-117 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - April 1, 2020 Category: Internal Medicine Source Type: research

Erratum: Systemic lupus erythematosus presenting as acute lupus pneumonitis in a young female
Journal of Postgraduate Medicine 2020 66(2):117-117 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - April 1, 2020 Category: Internal Medicine Source Type: research

Pharmacovigilance of biosimilars - Why is it different from generics and innovator biologics ?
Ranjan GuptaJournal of Postgraduate Medicine 2020 66(2):116-116 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - April 1, 2020 Category: Internal Medicine Authors: Ranjan Gupta Source Type: research

Discal cyst: A rare cause of low backache
SP Yadav, HA Kale, DD Roy, VB NakshiwalaJournal of Postgraduate Medicine 2020 66(2):114-115 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - April 1, 2020 Category: Internal Medicine Authors: SP Yadav HA Kale DD Roy VB Nakshiwala Source Type: research

Synovial chondromatosis of ankle in a child: A rare presentation
P Sathe, M Agnihotri, C VinchuJournal of Postgraduate Medicine 2020 66(2):112-113 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - April 1, 2020 Category: Internal Medicine Authors: P Sathe M Agnihotri C Vinchu Source Type: research

Phantom hernia following percutaneous nephrolithotomy
S Rajaian, M Pragatheeswarane, K KrishnamurthyJournal of Postgraduate Medicine 2020 66(2):110-111 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - April 1, 2020 Category: Internal Medicine Authors: S Rajaian M Pragatheeswarane K Krishnamurthy Source Type: research

Congenital absence of the left atrial appendage
P Vaideeswar, S KarandeJournal of Postgraduate Medicine 2020 66(2):108-109 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - April 1, 2020 Category: Internal Medicine Authors: P Vaideeswar S Karande Source Type: research

Multiple widespread fixed drug eruption caused by rabeprazole
S Gupta, S Gupta, A Mahendra, A YadavJournal of Postgraduate Medicine 2020 66(2):105-107 Fixed drug eruption is one of the most common forms of cutaneous adverse drug reactions. Analgesics and antibiotics are the most common drugs causing fixed drug eruption. Here, we report a case of multiple widespread fixed drug eruption caused by rabeprazole. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - April 1, 2020 Category: Internal Medicine Authors: S Gupta S Gupta A Mahendra A Yadav Source Type: research

Idiopathic CD4 & #43; T lymphocytopenia: A case report
S Umamaheshwari, MN Sumana, MS Shetty, S GopalJournal of Postgraduate Medicine 2020 66(2):102-104 Idiopathic CD4+ T lymphocytopenia (ICL) is a very rare immunodeficiency syndrome with an unexplained depletion of CD4+ T lymphocytes and no evidence of Human Immunodeficiency Virus (HIV) infection. Here we report a 29-year-old male patient who had severe ulcerative colitis with low level CD4+ count of 254 cells/mm3, and had no evidence of HIV or Human T cell Lymphotrophic virus type I or II infections. He had recurrent Candidiasis infection and his CD4 count was just 53 cells/mm3 after 3 months. The cause for the ...
Source: Journal of Postgraduate Medicine - April 1, 2020 Category: Internal Medicine Authors: S Umamaheshwari MN Sumana MS Shetty S Gopal Source Type: research

Fulminant amebic colitis: An unusual postoperative complication of intraabdominal malignancy
We report two cases of invasive amebiasis which developed a fulminant course in the immediate postoperative period after abdominal surgeries for visceral malignancies. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - April 1, 2020 Category: Internal Medicine Authors: S Misra P Sakhuja AK Agarwal A Javed Source Type: research

Aleatory and epistemic uncertainties can completely derail medical research results
This article highlights these uncertainties and shows with the help of an example how apparently valid and reliable findings can completely derail due to these uncertainties. We conclude that aleatory and epistemic uncertainties should get due consideration while drawing conclusions and before the results are put into practice. Methods to reduce their impact on results are also presented. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - April 1, 2020 Category: Internal Medicine Authors: A Indrayan Source Type: research

Is routine pre-entry chest radiograph necessary in a high tuberculosis prevalence country ?
Conclusions: In a country where the prevalence of tuberculosis is high, the pre-employment chest radiograph may still have a role in detecting tuberculosis in the post-exposure group. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - April 1, 2020 Category: Internal Medicine Authors: A Jasper S Gibikote H Kirupakaran DJ Christopher P Mathews Source Type: research

Prevalence of hypertension among professional drivers: Evidence from 2000 to 2017 & #8212;A systematic review and meta-analysis
Conclusion: More than one-third of drivers have hypertension globally which is in excess of the general population. Hence, more focus needs to be given for allocating resources and developing workplace interventions for prevention and control of hypertension. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - April 1, 2020 Category: Internal Medicine Authors: Y Krishnamoorthy G Sarveswaran M Sakthivel Source Type: research

Morbidity profile of communities in Bhopal city (India) vis- & #224;-vis distance of residence from Union Carbide India Limited plant and drinking water usage pattern
Conclusion: By and large similar pattern of morbidities were recorded in the two strata suggesting that the communities, irrespective of the distance of their residences from UCIL plant or sources of their drinking water, are equally vulnerable to various morbidities. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - April 1, 2020 Category: Internal Medicine Authors: N Banerjee A Banerjee Y Sabde RR Tiwari A Prakash Source Type: research

The predictors of outcome and progression of pediatric sepsis and septic shock: A prospective observational study from western India
Conclusions: SIRS can progress to septic shock if not identified early. The predictors of mortality were positive blood cultures, multiorgan dysfunction, late hospital admissions, severe acute malnutrition, and requirement of supportive care. The predictors of progression to septic shock were abnormal leukocyte count, culture positivity, and severe acute malnutrition. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - April 1, 2020 Category: Internal Medicine Authors: S Shah CT Deshmukh MS Tullu Source Type: research

Idiopathic CD4 & #43; T lymphocytopenia: Still a long way to understand the disease
K GhoshJournal of Postgraduate Medicine 2020 66(2):65-66 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - April 1, 2020 Category: Internal Medicine Authors: K Ghosh Source Type: research

Predictors of outcomes of severe sepsis in children in the Indian subcontinent & #8211; What & #39;s the big picture ?
US BhalalaJournal of Postgraduate Medicine 2020 66(2):63-64 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - April 1, 2020 Category: Internal Medicine Authors: US Bhalala Source Type: research

Journal of Postgraduate Medicine 2016 & #8211;2020: The editor & #39;s report
S KarandeJournal of Postgraduate Medicine 2020 66(2):61-62 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - April 1, 2020 Category: Internal Medicine Authors: S Karande Source Type: research

Erratum: Esophageal perforation and death following glyphosate poisoning
Journal of Postgraduate Medicine 2020 66(1):60-60 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - January 13, 2020 Category: Internal Medicine Source Type: research

Erratum: Pulmonary choriostoma in a case of tuberous sclerosis complex
Journal of Postgraduate Medicine 2020 66(1):60-60 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - January 13, 2020 Category: Internal Medicine Source Type: research

Erratum: Chanarin-Dorfman syndrome: Clinical report and novel mutation in ABHD5 gene
Journal of Postgraduate Medicine 2020 66(1):59-59 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - January 13, 2020 Category: Internal Medicine Source Type: research

Erratum: Muckle & #8211;Wells syndrome in an Indian family associated with NLRP3 mutation
Journal of Postgraduate Medicine 2020 66(1):59-59 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - January 13, 2020 Category: Internal Medicine Source Type: research

Intramedullary osteoid osteoma in an 11-month-old child
S Gupta, S Sinha, A Narang, RK KanojiaJournal of Postgraduate Medicine 2020 66(1):57-58 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - January 13, 2020 Category: Internal Medicine Authors: S Gupta S Sinha A Narang RK Kanojia Source Type: research

Penile carcinoma with isolated expansile skull metastasis
S Rajaian, M Pragatheeswarane, P Boopesh, D JainJournal of Postgraduate Medicine 2020 66(1):55-56 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - January 13, 2020 Category: Internal Medicine Authors: S Rajaian M Pragatheeswarane P Boopesh D Jain Source Type: research

Doxycycline-induced staining of teeth and malar rash in a child
G Joshi, D Dhingra, SS Pandav, S KaushikJournal of Postgraduate Medicine 2020 66(1):54-54 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - January 13, 2020 Category: Internal Medicine Authors: G Joshi D Dhingra SS Pandav S Kaushik Source Type: research

Anesthetic management of a patient with Sheehan & #39;s syndrome and twin pregnancy while undergoing a cesarean section
G Arora, N SahniJournal of Postgraduate Medicine 2020 66(1):51-53 Sheehan's syndrome (SS) is caused by infarction of the pituitary gland usually precipitated by hypotension due to massive uterine hemorrhage during the peripartum period. Once SS develops, it becomes a major comorbidity for the young females and predisposes them to further medical, obstetric, and anesthetic complications. Herein, we report the perioperative anesthetic management of a 28-year-old female, already diagnosed with SS precipitated by urosepsis and septicemic shock in a previous pregnancy, now presenting with twin pregnancy for elective cesare...
Source: Journal of Postgraduate Medicine - January 13, 2020 Category: Internal Medicine Authors: G Arora N Sahni Source Type: research

Mucormycosis-induced ileocecal perforation: A case report and review of literature
R Poyuran, BS Dharan, S Sandhyamani, D NarasimhaiahJournal of Postgraduate Medicine 2020 66(1):48-50 Gastrointestinal mucormycosis is a rare form of invasive mucormycosis with high fatality rate due to difficulty in establishing its diagnosis. The classic risk-factors include immunosuppression and metabolic derangement. A case of ileocecal mucormycosis following intracardiac repair of congenital heart disease in a 17-year-old boy is described here who lacked the typical risk-factors for mucormycosis. Ileocecal mucormycosis affecting an individual without the classic risk-factors is uncommon. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - January 13, 2020 Category: Internal Medicine Authors: R Poyuran BS Dharan S Sandhyamani D Narasimhaiah Source Type: research

Seeing beyond the gut: An unusual cause of massive hematemesis
We report the clinical details, imaging findings, and management of a 74-year-old male who had recurrent episodes of massive hematemesis secondary to rupture of a cavernous internal carotid artery (ICA) aneurysm. Ruptured ICA aneurysms may present with epistaxis. However, intracranial aneurysmal rupture with hematemesis as the presenting complaint has not been described previously in the literature. In this case report we describe the pathophysiology of cerebral aneurysm as a cause of hematemesis and its management. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - January 13, 2020 Category: Internal Medicine Authors: S Giragani AR Kasireddy MV Rao CR Deevaguntla Source Type: research

Atrial tachycardia from an unusual site & #8212;Left atrial appendage tachycardia: Challenges in ablation
SA Deshpande, AR UdyavarJournal of Postgraduate Medicine 2020 66(1):42-44 Left atrial appendage (LAA) tachycardia are rarely encountered in clinical practice (2.1% of focal atrial tachycardia). Out of these, the ones arising from the distal part of LAA are difficult to ablate due to higher risk of LAA perforation and thromboembolism. We hereby present a patient with LAA tachycardia mapped to the tip of LAA with the help of the CARTO system and ablated. This case highlights the inherent challenges faced in such a scenario. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - January 13, 2020 Category: Internal Medicine Authors: SA Deshpande AR Udyavar Source Type: research

Calvarial involvement in disseminated rhinosporidiosis & #8211; A case report and literature review
B Dewangan, R Naik, R Membally, M DewanganJournal of Postgraduate Medicine 2020 66(1):38-41 Rhinosporidiosis is a chronic granulomatous infection caused by Rhinosporidium seeberi and mainly involves nasal and ocular mucosa. Bony involvement in rhinosporidiosis is very rare. A young male, previously operated for nasal rhinosporidiosis, presented with two bony swellings on the forehead and multiple subcutaneous lesions on the right lower limb. The diagnosis of disseminated cutaneous rhinosporidiosis with frontal bone involvement was made with the help of fine needle aspiration cytology (FNAC), histopathology, and computed t...
Source: Journal of Postgraduate Medicine - January 13, 2020 Category: Internal Medicine Authors: B Dewangan R Naik R Membally M Dewangan Source Type: research

Supplements to increase trainee-authored publications pertaining to medical education: A graduate & #39;s viewpoint
A Abu-ZaidJournal of Postgraduate Medicine 2020 66(1):35-37 Medical trainees (i.e., students and residents) provide relevantly insightful perspectives pertaining to their 'medical education' at both undergraduate (i.e., medical school) and graduate (i.e., residency training) levels. Therefore, promoting related trainee-authored publications about such matters is critically important. However, unfortunately, not many medical trainees are able to voice their important education-related research findings in peer-reviewed journals. 'Journal-level' proposals to increase trainees' scientific scholarship are ...
Source: Journal of Postgraduate Medicine - January 13, 2020 Category: Internal Medicine Authors: A Abu-Zaid Source Type: research

Over-the-counter medicines: Global perspective and Indian scenario
This article describes concept of OTC medicines and practices in India against the background of globally prevalent regulations and practices. A recognized category of OTC medicines by law, patient awareness programs, and support of pharmacists and pharmaceutical companies are required to optimize the use of OTC medicines in India. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - January 13, 2020 Category: Internal Medicine Authors: PA Marathe SK Kamat RK Tripathi SB Raut NP Khatri Source Type: research

A cross-sectional study of alexithymia in patients with relapse remitting form of multiple sclerosis
Conclusions: Alexithymia was found in a relatively high percentage in patients with relapse remitting type of multiple sclerosis. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - January 13, 2020 Category: Internal Medicine Authors: J Stojanov A Stojanov Source Type: research

Introduction of case-based learning aided by WhatsApp messenger in pathology teaching for medical students
Conclusion: CBL aided by WhatsApp helped students acquire knowledge, discuss and learn actively, score more, and retain better than DL. Using WhatsApp as a platform helped them to interact at their ease and seek guidance from their mentors without resistance and hesitation. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - January 13, 2020 Category: Internal Medicine Authors: S Grover B Garg N Sood Source Type: research

Maternal anthropometric determinants as risk markers of suicidality and severity of illness in women with postnatal depression
Conclusions: The study concludes that anthropometric determinants can be used effectively as risk markers for suicidality and severity of illness in women with postnatal depression. The most significant risk factor was found to be waist-to-hip ratio in both the models. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - January 13, 2020 Category: Internal Medicine Authors: AS Nayak HB Nachane Source Type: research

Towards competency-based learning in medical education: Building evidence in India
N RegeJournal of Postgraduate Medicine 2020 66(1):9-10 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - January 13, 2020 Category: Internal Medicine Authors: N Rege Source Type: research

Maternal risk markers of postnatal depression
MS BhatiaJournal of Postgraduate Medicine 2020 66(1):7-8 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - January 13, 2020 Category: Internal Medicine Authors: MS Bhatia Source Type: research

Peer reviewing an original research paper
MS Tullu, S KarandeJournal of Postgraduate Medicine 2020 66(1):1-6 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - January 13, 2020 Category: Internal Medicine Authors: MS Tullu S Karande Source Type: research

Endovascular management of persistent sciatic artery occlusion
GG Gowda, S Kr, MP TiggaJournal of Postgraduate Medicine 2019 65(4):253-254 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - October 14, 2019 Category: Internal Medicine Authors: GG Gowda S Kr MP Tigga Source Type: research

Occult scar carcinoma of the lung with overt liver metastases and high serum CA 19-9 levels
YY Lin, SF ChoJournal of Postgraduate Medicine 2019 65(4):251-252 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - October 14, 2019 Category: Internal Medicine Authors: YY Lin SF Cho Source Type: research

Carotidynia
DA Sanghvi, VB Nakshiwala, TP RautJournal of Postgraduate Medicine 2019 65(4):249-250 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - October 14, 2019 Category: Internal Medicine Authors: DA Sanghvi VB Nakshiwala TP Raut Source Type: research

Retroperitoneal gossypiboma mimicking renal tumor in a postrenal transplant patient: A diagnostic challenge
S Rajaian, P Murugavaithianathan, K Krishnamurthy, L MurugasenJournal of Postgraduate Medicine 2019 65(4):247-248 (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - October 14, 2019 Category: Internal Medicine Authors: S Rajaian P Murugavaithianathan K Krishnamurthy L Murugasen Source Type: research

Bullous pemphigoid associated with dipeptidyl peptidase-4 inhibitor & #8211; A case report
S Karthik, PE Joseph, T BabuJournal of Postgraduate Medicine 2019 65(4):244-246 Dipeptidyl peptidase-4 inhibitors (DPP-4i) are one of the mainstay drugs in the management of type 2 diabetes mellitus. It has been well-documented that these class of drugs cause allergic reactions. Bullous pemphigoid (BP) is a blistering skin condition commonly associated with many drugs. Here, we report a case of probable DPP-4i-induced BP in an elderly man, which resolved on discontinuation of the drug. Although this adverse drug reaction has been documented in Western world and Japanese ethnicity, this seems to be the first case report of...
Source: Journal of Postgraduate Medicine - October 14, 2019 Category: Internal Medicine Authors: S Karthik PE Joseph T Babu Source Type: research

Heterozygous lys169Glu mutation of glucokinase gene in a Chinese family having glucokinase-maturity-onset diabetes of the young (GCK-MODY)
This report describes GCK-MODY in a Chinese family and stresses that in managing this condition it is important to avoid unnecessary drug treatment and excessive anxiety about mild hyperglycemia. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - October 14, 2019 Category: Internal Medicine Authors: W Zhou M Chen H Zhou Z Zhang Source Type: research

Retropharyngeal ectopic parathyroid adenoma versus lymph node: Problem solving with CT neck angiogram
PP Batchala, PK RehmJournal of Postgraduate Medicine 2019 65(4):237-240 A 66-year-old female underwent preoperative evaluation for primary hyperparathyroidism. Ultrasound (US) neck and technetium (Tc)-99m-sestamibi planar scintigraphy were negative, but single photon emission computed tomography/computed tomography (SPECT/CT) demonstrated a tracer-avid retropharyngeal nodule compatible with parathyroid adenoma (PTA). A retrospective review of CT neck angiogram (CTA) and neck magnetic resonance imaging (MRI) performed 4 months earlier for stroke evaluation revealed arterial phase hyperenhancing retropharyngeal tissue, whic...
Source: Journal of Postgraduate Medicine - October 14, 2019 Category: Internal Medicine Authors: PP Batchala PK Rehm Source Type: research

Pigmented villonodular synovitis: Four pediatric cases and brief review of literature
S Turkucar, B Makay, H Tatari, E UnsalJournal of Postgraduate Medicine 2019 65(4):233-236 Pigmented villonodular synovitis (PVNS) is a rare benign disorder of a joint which affects its synovium, tendon sheaths and bursas. While most cases of PVNS are adult patients aged between 20-50 years, few afflicted children have also been reported. Clinical signs of PVNS are insidious and non-specific. Pain, swelling and stiffness are the major symptoms. Magnetic Resonance Imaging (MRI) is the best radiological method for diagnosis of PVNS, as the initial X-ray is normal in early phase of disease in most cases. Therefore, diagnosis ...
Source: Journal of Postgraduate Medicine - October 14, 2019 Category: Internal Medicine Authors: S Turkucar B Makay H Tatari E Unsal Source Type: research

Pharmacovigilance of biosimilars & #8211; Why is it different from generics and innovator biologics ?
B Oza, S Radhakrishna, P Pipalava, V JoseJournal of Postgraduate Medicine 2019 65(4):227-232 Biosimilars are being marketed in India since 2000. Like biologics, biosimilars have a large size, complex structure, and complicated manufacturing process, and they are produced in a living organism. It requires specialized delivery devices for administration and needs tighter temperature control to prevent degradation. As biosimilar development follows abbreviated pathway, adverse events (AEs) previously unknown during a clinical trial may be detected postmarketing. In India, the awareness on pharmacovigilance has increased sign...
Source: Journal of Postgraduate Medicine - October 14, 2019 Category: Internal Medicine Authors: B Oza S Radhakrishna P Pipalava V Jose Source Type: research

Economic burden of slow learners: A prevalence-based cost of illness study of its direct, indirect, and intangible costs
Conclusion: The economic burden of slow learners is enormous (intangible > indirect > direct costs). Tuitions are the most costly component of direct costs. Parental loss of earnings is the most costly component of indirect costs. (Source: Journal of Postgraduate Medicine)
Source: Journal of Postgraduate Medicine - October 14, 2019 Category: Internal Medicine Authors: S Karande D Ramadoss N Gogtay Source Type: research