Saswati Halder

Oral manifestations in human immunodeficiency virus infected patients

Background: Oral lesions are common among Human Immuno deficiency Virus (HIV)-positive patients. The pattern of oral features in these persons may differ in separate settings. Aims: To find out the spectrum of oral manifestations among a section of seropositive individuals attending the antiretroviral therapy (ART) centre of a referral hospital. Materials and Methods: A total of three hundred and twenty-one newly diagnosed seropositive patients were enrolled in this study. Of these, ninety-four patients who demonstrated lesions related to the oral cavity were examined intra-orally by a clinician. HIV testing was done with ELISA and CD4 counts were measured with the help of fluorescence activated cell sorter (FACS) system. Results: Fifty-four respondents presented exclusively with oral lesions. Candidiasis patients were the largest group (38.30%). Conclusion: HIV disease presents a plethora of oral manifestations, which provide valuable diagnostic and prognostic information.

Skin diseases in HIV-infected patients: Impact of immune status and histological correlation.

1. Siddappa K, Kumar VJ, Ravindra K. Pattern of STDs in Davangere. Indian J Sex Transm Dis 1990;11:39-42. 2. Jain VK, Dayal S, Aggarwal K, et al.. Changing trends of sexually transmitted diseases at Rohtak. Indian J Sex Trans Dis 2008;29:23-5. 3. Narayanan B. A retrospective study of the patterns of sexually transmitted diseases during a ten year study period. Indian J Dermatol Venereol Leprol 2005;71:333-7. 4. Choudhry S, Ramachandran VG, Das S, Bhattacharya SN, Mogha NS. Characterization of patients with multiple sexually transmitted infections: A hospital-based survey. Indian J Sex Trans Dis 2010;31:87-91. 5. Puri KJ, Madan A, Bajaj K. Incidence of various causes of vaginal discharge among sexually active females in age group 20-40 years. Indian J Dermatol Venereol Leprol 2003;69:122-5.

An Invasive Mole Presenting with Large Arteriovenous Malformation

Gestational trophoblastic diseases (GTD) presents most commonly as molar pregnancy or complete mole in the form of fluid filled vesicles, looking like a bunch of grapes and snow storm appearance on USG. The commonest symptom being irregular vaginal bleeding preceded by amenorrhoea. Uterine arteriovenous malformation with GTD is a very uncommon disorder and can be diagnosed by arteriography or color doppler. We present a case of GTD which was diagnosed as an invasive mole with a unique and unusual morphologic feature of arteriovenous malformation.

Massive fibrinoid debris in the uterus causing post partum hemorrhage.

Atonicity of the uterus is the commonest cause of primary PPH, while retained bits of placenta and membranes usually cause secondary PPH. We present a case of primary PPH during caesarean section due to massive fibrinoid debris over placental site.

Mid-trimester spontaneous uterine rupture

The rupture of a uterus is still an enigmatic episode in obstetrics. Obstetricians may have to face it unexpectedly if it occurs spontaneously. Here, we report a case of a 20-year-old woman who presented to our out-patients department with abdominal pain and vaginal bleeding, and was diagnosed with a ruptured uterus.