The Indian Journal of Chest Diseases and Allied Sciences

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2013 | April-June | Volume 55 | Issue 2

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EDITORIAL

Challenges of Training in Pulmonary Medicine in India

[Year:2013] [Month:April-June] [Volume:55] [Number:2] [Pages:2] [Pages No:73 - 74]

   DOI: 10.5005/ijcdas-55-2-73  |  Open Access |  How to cite  | 

229

Original Article

P.K. Sharma, R. Bansal

Profile of Lung Cancer in Predominantly Bidi Smoking Rural Population of Northern Himachal Pradesh

[Year:2013] [Month:April-June] [Volume:55] [Number:2] [Pages:4] [Pages No:75 - 78]

Keywords: Lung cancer, Bidi smokers, Rural population, Northern Himachal Pradesh

   DOI: 10.5005/ijcdas-55-2-75  |  Open Access |  How to cite  | 

Abstract

Background. Lung cancer is a leading cause of morbidity and mortality among both genders. The histopathological patterns of lung cancer in different parts of India appear to be variable. Objective. To study the profile of lung cancer in northern Himachal Pradesh. Methods. Patients of all age groups and either gender with history and complaints suggestive of lung cancer were subjected to further investigations to study the histopathological types of lung cancer over a period of 14 months. Results. Out of 105 histopathologically confirmed patients with lung cancer (mean age 62.7±11.6 years; 96 males), 89.5% were “ever smokers” and 82.9% were “current smokers”; 92% of current smokers were bidi smokers. Most common presenting complaints were chest pain (46.7%) and cough (35.2%). Mean duration of longest presenting complaint was 64 days. The histopathological types included squamous cell carcinoma (37.1%), adenocarcinoma (36.2%), small cell carcinoma (8.6%), un-classifiable (16.2%), and other types (1.9%). Conclusions. Majority of the lung cancer patients in northern Himachal Pradesh were bidi smoking males from rural areas and the incidence of adenocarcinoma and squamous cell carcinoma is almost equal.

235

Original Article

Raj Kumar, Nitin Goel

Correlation of Atopy and FeNO in Allergic Rhinitis: An Indian Study

[Year:2013] [Month:April-June] [Volume:55] [Number:2] [Pages:5] [Pages No:79 - 83]

Keywords: Fractional exhaled nitric oxide, Allergic rhinitis, Atopy, Skin prick testing

   DOI: 10.5005/ijcdas-55-2-79  |  Open Access |  How to cite  | 

Abstract

Background. Fractional exhaled nitric oxide (FeNO) is a non-invasive marker of airway inflammation. Limited published data are available on the effect of atopy on FeNO in allergic rhinitis. Objectives. To investigate the relationship between atopy and FeNO in patients with allergic rhinitis. Methods. Patients with allergic rhinitis were assessed for atopy and exhaled breath analysis of nitric oxide. Atopy was assessed by skin prick testing (SPT) against 58 common aero-allergens; a wheal size of 3mm or more as compared to buffer saline was considered positive. Patients were labelled to be atopic if they had at least one positive SPT result. The measurement of FeNO level was done by using NIOX chemiluminescence analyser. Results. Forty-nine participants (26 males) aged between 8-50 years were studied and 31 of them were found to be atopic. The average value of FeNO in the subjects studied (n=49) was 26.0±22.7 parts per billion (ppb) with significantly higher values being observed in atopic group as compared to non-atopic group (34.2±24.3 versus 11.9±9.0 ppb; p<0.05). Conclusion. As FeNO is a marker of lower airway inflammation, significantly higher FeNO levels in atopic allergic rhinitis patients suggest that it may be a predictor for onset of asthma in these patients.

284

REVIEW ARTICLE

Anup Kumar Singh, Nick Patel, Kevin Leung, Arunabh Talwar

Manifestations of Pulmonary Disease in Adults with Congenital Heart Disease

[Year:2013] [Month:April-June] [Volume:55] [Number:2] [Pages:11] [Pages No:85 - 95]

Keywords: Congenital heart disease, Adults, Pulmonary manifestations

   DOI: 10.5005/ijcdas-55-2-85  |  Open Access |  How to cite  | 

Abstract

Children with congenital heart disease (CHD) are more frequently living into adulthood as their survival has improved due to availability of better medical and surgical management in recent times. Management of adults with CHD is emerging as new challenge in the field of medical science. Adults surviving with CHD for longer duration have been observed to develop more complications as compared to children. It is important to recognise and treat these complications early to reduce the morbidity. Pulmonary diseases are the most common systemic complications associated with adults having CHD. These individuals are presenting to clinics or emergency for pulmonary complaints, hence, pulmonologist must be aware about the pulmonary manifestations of CHD and their management.

727

Radiology Forum

Julpikar Ali Sarkavas, Vinaya S. Karkhanis, Jyotsna M. Joshi

Pulmonary Fibrosis and Emphysema

[Year:2013] [Month:April-June] [Volume:55] [Number:2] [Pages:3] [Pages No:97 - 99]

   DOI: 10.5005/ijcdas-55-2-97  |  Open Access |  How to cite  | 

199

CASE REPORT

Raja Saravanan Elumalai, Ganesh Somasundaram, Kirthivasan Vaidyanathan, Rajesh Venkatraman, Madhusankar Nainar, Vijil Rahulan

Single Lung Transplantation in India: An Initial Experience

[Year:2013] [Month:April-June] [Volume:55] [Number:2] [Pages:3] [Pages No:101 - 103]

Keywords: Lung transplant, Cardiothoracic surgery, Pulmonology

   DOI: 10.5005/ijcdas-55-2-101  |  Open Access |  How to cite  | 

Abstract

The science of lung transplantation has evolved from an experimental procedure, to be accepted as a legitimate mainstream therapy for patients with end-stage pulmonary disease. Now lung transplantation offers patients with end-stage lung disease acceptable quality of life and matches a 5-year survival rate of other solid organ transplants. In the present report, we present our initial experience in performing two single lung transplantations done in our centre.

306

CASE REPORT

Vinod Kaura, Neil V. Kaura, Bobby N. Kaura, Claire S. Kaura

Angiotensin-converting Enzyme Inhibitors in the Treatment of Sarcoidosis and Association with ACE Gene Polymorphism: Case Series

[Year:2013] [Month:April-June] [Volume:55] [Number:2] [Pages:3] [Pages No:105 - 107]

Keywords: Angiotnesin-converting enzyme, ACE gene polymorphism, Sarcoidosis

   DOI: 10.5005/ijcdas-55-2-105  |  Open Access |  How to cite  | 

Abstract

Angiotensin-converting enzyme (ACE) is used as a marker for sarcoid disease activity.1 We present an observational study of four African-American patients all of whom demonstrated improvement in their sarcoidosis after treatment with ACE inhibitors for hypertension.

479

CASE REPORT

Vinod Bhan, P. Rajagopal, Kiran Kumar, K.H. Raghavendra

Agenesis of the Hemidiaphragm: A Rare Presentation in an Adult

[Year:2013] [Month:April-June] [Volume:55] [Number:2] [Pages:3] [Pages No:109 - 111]

Keywords: Diaphragm, Agenesis, Thoracotomy

   DOI: 10.5005/ijcdas-55-2-109  |  Open Access |  How to cite  | 

Abstract

Unilateral diaphragmatic agenesis is a rare finding in adult patients. We report a case of unilateral agenesis of diaphragm in a 22-year-old male patient to highlight the fact that a rare entity of agenesis of diaphragm can have a misleading presentation in adulthood due to both pulmonary and abdominal symptoms.

293

CASE REPORT

S.N.R. Wijesinghe, B.M.G.D. Yasaratne, D. Madegedara

Silent Rupture of Aortic Aneurysm Mimicking Lung Malignancy

[Year:2013] [Month:April-June] [Volume:55] [Number:2] [Pages:3] [Pages No:113 - 115]

Keywords: Aortic aneurysm, Leak, Lung cancer

   DOI: 10.5005/ijcdas-55-2-113  |  Open Access |  How to cite  | 

Abstract

Extra-pulmonary diseases may mimic pulmonary lesions on chest radiography. We report a case of a silent rupture of an atherosclerotic thoracic aortic aneurysm with peripheral thrombus formation, that closely mimicked a complicated lung malignancy.

285

BRIEF COMMUNICATION

P.R. Gupta

Stepping Down in Asthma

[Year:2013] [Month:April-June] [Volume:55] [Number:2] [Pages:3] [Pages No:117 - 119]

Keywords: Ashtma, β2-agonists, Inhaled corticosteroids

   DOI: 10.5005/ijcdas-55-2-117  |  Open Access |  How to cite  | 

Abstract

Beta-2-agonists continue to find a dominant role in all the current guidelines on the management of chronic persistent bronchial asthma. However, the safety of the drugs remains doubtful. Thus, there is a case for review of the “Step up-Step down” approach in the management of chronic persistent bronchial asthma. Based on the currently available experimental and clinical data on bronchial asthma, the authors are of the opinion that chronic persistent bronchial asthma is best managed by a modified “Step I-Step II” approach.

290

Correspondence

Manoj Kumar Panigrahi

Association of Levels of N-Terminal-Pro-BNP-Type Natriuretic Peptide with Localisation of Thrombus in Acute Pulmonary Embolism

[Year:2013] [Month:April-June] [Volume:55] [Number:2] [Pages:2] [Pages No:121 - 122]

   DOI: 10.5005/ijcdas-55-2-121  |  Open Access |  How to cite  | 

306

Abstracts' Service

Abstracts' Service

[Year:2013] [Month:April-June] [Volume:55] [Number:2] [Pages:3] [Pages No:123 - 125]

   DOI: 10.5005/ijcdas-55-2-123  |  Open Access |  How to cite  | 

230

Guidelines to Authors

Guidelines to Authors

[Year:2013] [Month:April-June] [Volume:55] [Number:2] [Pages:6] [Pages No:127 - 132]

   DOI: 10.5005/ijcdas-55-2-127  |  Open Access |  How to cite  | 

342

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