TNF inhibitor in AS

TNF inhibitor in AS

A man with backache of inflammatory character, limited flexion and difficulty in daily job. RA negative. HLA B27 positive. Lumbar spine xray show syndesmophytes and early bamboo spine: TNF inhibitors have shown efficacy in AS. Five drugs approved by FDA are:...
ICTAL VOMITING

ICTAL VOMITING

A young boy with recurrent vomiting followed by headache for four years. Repeatedly evaluated for gastric, liver and kidney diseases. Neurological examination normal. No history of fits. MRI brain showed hyper intense frontal cortex on DWI. EEG showed frontal spike...
TINNITUS

TINNITUS

AUDITORY SEIZURE A young boy with cochlear implant complaint of tinnitus on the side of implant. Repeated ENT exam and implant verification revealed no abnormality. Considering the theoretical possibility of focal ictal development , EEG was performed with...
RESVERATROL

RESVERATROL

A young boy wheel chair bound, brought with complaints of multiple nodular swelling, bone pain and recurrent osteomyelitis. He had many antibiotics and local surgeries for last 07 yrs. For some reason he had splenectomy in the past. Bone marrow was asked to confirm...