by SC Sharma , A Bhattacharyya Journal of Royal Society of Medicine 1998:Vol 91;34-5 Diabetic ketoacidosis can have devastating consequences if not managed promptly and effectively. Usually it is regarded as a complication of insulin-dependent diabetes mellitus. Here we report its development in two patients with longstanding non-insulin-dependent diabetes mellitus.
Autoimmune Thrombocytopenic Pupura in a Splenectomized Patient
by A Bhattacharyya, SC Sharma International Journal of Clinical Practice 1998:52;508-9 Splenectomy remains a treatment in patients with autoimmune thrombocytopenic purpura (ATP) who fail to respond adequately to conservative treatment. We report on a 78 year old man who developed ATP after splenectomy performed six years earlier for iatrogenic injury to the spleen during hemicolectomy. […]
Heart failure with fludro-cortisone in Addison’s disease
by A Bhattacharyya, DJ Tymms Journal of Royal society of Medicine 1998:91;433-4 Autoimmune destruction of adrenal cortex causes Addison’s disease and demands lifelong replacement of glucocorticoids and mineralocorticoids. We report a patient with a normal heart who developed heart failure on replacement fludrocortisone.
Mitochondrial defects and Endocrine dysfunction
by A Bhatatcharyya, DJ Tymms Quaternary Journal of Medicine 1998:91:375-6. Hypoparathyroidism is referred as a recently-described endocrinopathy associated with mitochondrial disorders. We have seen a patient with proven MELAS syndrome who has NIDDM, bilateral optic atrophy, and sensorineural deafness, stroke like episode, myoclonic seizure, short stature, intestinal pseudo-obstruction, lactic acidaemia, and primary hypoparathyroidism.
Sexual Dysfunction in diabetes Mellitus
by ARPANDEV BHATTACHARYYA and PHILIP G. WILES Diabetes Annual, 1998; Chapter 12: pp 195-219. The diagnosis of diabetes mellitus places a burden not only on the diabetic patient, but also on his or her family. Restrictions, of varying intrusiveness, are placed on former habits and lifestyle, affecting both patient and family. The spectre of long […]