Browsing by Author "Gautam, Arun"
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Publication Autoimmune Hemolytic Anemia with Autoimmune Hypothyroidism: A Case Report(Nepal Medical Association, 2023) Karki, Prakriti; Prasai, Parikshit; Chetri, Vivek Acharya; Gautam, Arun; Maskey, RobinAbstract Autoimmune hemolytic anaemia is a relatively rare disorder caused by autoantibodies directed against self-red blood cells. Though autoimmune thyroid disease is associated with other autoimmune diseases, only a few cases of Hashimoto's thyroiditis with autoimmune hemolytic anaemia have been reported. We present a case of a 22-year-old woman, a known case of Hashimoto’s thyroiditis whose serum demonstrated antibodies against red blood cells. Blood investigations were done which showed findings suggestive of hemolytic anemia. She was managed with blood transfusion, thyroxine and steroids. Our study may guide physicians toward possible hemolytic anaemia while treating Hashimoto thyroiditis.Publication Misuse of Antipyretic Amid Fear of COVID-19 Vaccine(Nepal Medical Association, 2022) Gautam, Arun; Bhattarai, UrzaAbstract: The COVID-19 vaccination campaign is going on in Nepal through different phases of immunisation. It has been observed that people are misusing antipyretics and analgesics with the fear of adverse events following immunisation. The possibility of antipyretics and analgesics blunting the antibody response of the human body can be a potential cause for lower immune response and thus a reason for lower efficacy of the vaccine. Prophylactic use of over-the-counter analgesics and antipyretics is to be discouraged until the data for or against its use is available.