Asian Journal of Pediatric Practice
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Information Technology and Healthcare Education: Scope and Opportunities
Get PDFInformation Technology and Healthcare Education: Scope and Opportunitie
Congenital Juvenile Xanthogranuloma of Foot, a Nodular Lesion: An Unusual Case in 2-month-old Infant
Get PDFA 2-month-old infant presented with a circumscribed nodule on left foot since birth. Excision biopsy showed juvenile xanthogranuloma, an uncommon diagnosis in an unusual site; common sites being head and neck. Uncommon sites are groin, genital organs, limbs and even internal organs. It carries a favorable prognosis
Right to Avail Health Insurance is an Integral Part of the Right to Healthcare and the Right to Health, as Recognised in Article 21 of the Constitution of India, 1950
Get PDFRight to Avail Health Insurance is an Integral Part of the Right to Healthcare and the Right to Health, as Recognised in Article 21 of the Constitution of India, 1950 
Sudden Blindness in Children Passing Roundworm Per Oral
Get PDFBackground: Ascaris lumbricoides infestation is the most prevalent parasitic infection among the children in tropical and developing countries but the incidence of sudden blindness after passing the worm per oral is undocumented. The lag period depends on the prodromes. Investigations reveal mere raised eosinophilic count and decreased hemoglobin with normal CT scan and CSF examination. Materials: Ten cases of sudden blindness investigated and treated at various centers without any positive response attending our center after 30-45 days of incidence from January 2018 to March 2019, were selected. Methods: Selected patients’ parents were interrogated for the course of disease, treatment taken and their response. Patients were clinically examined, investigated for basic bioparameters, vision and were treated with the prescribed regime-containing pyridoxine, methylcobalamin, nicotinamide, pantothenic acid and herbal neurovitalizer composite. Results: All patients had progressive vision gain and attained complete vision after 6 months therapy without any adversity and residual effect or any alteration in hepatorenal profile. Conclusion: Sudden blindness in children after passing roundworm or with history of roundworm must be suspected for photoreceptor blockade by roundworm toxin and be treated with pyridoxine and herbal neurovitalizer to assure complete recovery
Clinical, Laboratory and Neuroimaging Profile of Children with Infantile Tremor Syndrome at a Tertiary Care Center
Get PDFIntroduction: Infantile tremor syndrome (ITS) is characterized by coarse tremors, anemia, pigmentary skin changes, regression of developmental milestones, muscle hypotonia and multiple micronutrient deficiencies. We studied clinical, laboratory and Neuroimaging profile of children with ITS. Material and methods: This hospital-based prospective observational study was conducted in the Dept. of Pediatrics, SMS Medical College, Jaipur, Rajasthan. Fifty cases of pre-ITS or ITS, 4 months to 3 years of age, admitted in the department were included in the study and assessed at the time of admission in hospital and at follow-up after 3 months of discharge with detailed clinical, hematological and neuroimaging examination. Results: We noted a female preponderance. About 96% children were from rural background, 88% from poor socioeconomic status and 12% children were from lower middle socioeconomic status. Eighteen (36%) children presented with leukocytosis. Only 24 (48%) children had normal serum iron level, and 24 (48%) children had normal serum vitamin B12 at presentation. Six (12%) children had decreased level of serum folate (<3 ng/dL). All the parameters improved at follow-up after 3 months. Magnetic resonance imaging (MRI) brain was normal in 10% children, while MRI brain in 32 (64%) children revealed cortical atrophy. In 24 (92% of 26) follow-up MRI brain, 17 (70%) MRIs showed normal findings when compared with previous MRI done on admission but 7 MRIs out of 24 showed improvement on follow-up, compared to the MRI done on admission; however, changes in MRI were still seen and had not completely resolved. Conclusions: The encouraging results of nutritional rehabilitation suggest that supplementing mother with vitamin B12 during pregnancy or fortifying complementary feeds with vitamin B12 may be considered. As the infants with vitamin B12 deficiency show neuroregression and features similar to ITS and the fact that vitamin B12 is involved in evolution of DNA and myelinating changes, vitamin B12 deficiency may be implicated as etiology. 
