Browsing by Author "Neupane, S"
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Publication An ultrasonographic evaluation of solitary muscular and soft tissue cysticercosis(Kathmandu University, 2010) Sharma, P; Neupane, S; Shrestha, M; Dwivedi, R; Paudel, KAbstract Background: Cysticercosis in humans is infection with the larval form (cysticercus cellulosae) of the pork tapeworm T. solium. Encystment of larvae can occur in almost any tissue. The location of cysts in order of frequency is the central nervous system, subcutaneous tissue and striated muscle, vitreous humour of the eye and, rarely, other tissues. High resolution ultrasound can be used in the diagnosis of muscular and soft tissue cysticercosis. Objective: The aim of this study is to evaluate the ultrasonographic findings in cases of muscular and soft tissue cysticercosis. Materials and methods: It was a retrospective review of the cases of muscular and soft tissue cysticercosis which were diagnosed by ultrasound during June 2007 to May 2009 in the department of Radiology and Imaging, Nepalgunj Medical College Teaching Hospital. A total of six patients were evaluated. Result: There were four males and two females. Age of the patient ranged from 18 to 50 years. All of the patients presented with a swelling with pain in five of them. There was a wide variation in the location of the cysts. In all cases ultrasound revealed a cystic lesion with an echogenic eccentric pedunculated nodule attached to the wall. The mean diameter of the cyst was 6mm. Smooth wall was present in five cases whereas one of the cysts revealed irregular wall. Pericystic inflammatory changes were seen in the adjacent muscles. Conclusion: Ultrasound is a safe and non-invasive method that can be used in the diagnosis of muscular and soft tissue cysticercosis. Key words: Muscular and soft tissue cysticercosis, ultrasound.Publication Profile of Vitiligo in Western Nepal(Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON), 2010) Kumar, A; Neupane, S; Parajuli, S; Gurung, DAbstract Background Vitiligo is common worldwide. The highest incidence is reported from Indian subcontinent. However, there are only few studies available on epidemiology of vitiligo from Nepal Objective To determine the clinical patterns of vitiligo, the associated sociodemographic factors and its associated disorders among patients attending dermatology outpatient department of Manipal Teaching Hospital, Gandaki Medical College Teaching Hospital and Fishtail Hospital and Research Center Pokhara. Methods All patients presenting with signs and symptoms suggestive of vitiligo over a period of one-year (from march 2009 to march 2010 ) at the out-patient clinics in the Dermatology Department of Manipal Teaching Hospital, Gandaki Medical College Teaching Hospital and Fishtail Hospital and Research Center, Pokhara were included in the study. Socio-demographic details regarding age, sex, marital status, education and occupation were recorded .A detailed clinical history related to the presenting complain and clinical examination findings were recorded. Relevant available investigations were ordered based on signs and symptoms to determine if any associated disorders. Results Two hundred and twenty four patients with clinical diagnosis of vitiligo were studied. Males constituted 102 (45%) patients and females 122 (55%) of the total number of patients. Duration of disease at the time of presentation ranged from two weeks to 40 years. The lower limb was the initial site of onset of vitiligo in majority 77 (34.37%) of the patients, followed by the upper limbs, head and neck, trunk and mucosae in decreasing order of frequency. The commonest clinical pattern found was vitiligo vulgaris followed by acrofacial, segmental and mucosal types. Lesions showing leukotrichia were observed in 40 (18.87%) patients and koebnerization was observed in 42 (18.75%) patients. Eleven children had halo nevi. Associated abnormalities included alopecia areata (13 patients), diabetes mellitus (12 patients) and one patient had atopic dermatitis. A positive family history was obtained in 14(6.25%) of the patients. Conclusion Vitiligo vulgaris is on of the common clinical-type skin disorder observed in Nepal. There w e re associated disorders/abnormalities in some patients such as alopecia areata , diabetes mellitus and atopic dermatitis. Keywords Clinical Profile; Vitiligo; Western Nepal.Publication Spectrum of Dermatoses among Paediatric Patients in a Teaching Hospital of Western Nepal(Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON), 2012) Neupane, S; Pandey, PNA Keywords: Impetigo, Nepal, paediatric dermatosesPublication Two interesting cases of left atrial myxoma(Kathmandu University, 2010) Alurkar, VM; Neupane, SAbstract Atrial myxoma is the most common type of benign primary heart tumours. Most of these tumours are sporadic in origin occurring at 3rd to 6th decade of life, while hereditary forms do exist. They are mostly found in the left atrium followed by right atrium and ventricles. A left atrial myxoma may present with features of mitral valve obstruction, embolic phenomenon or systemic disease. On diagnosis, prompt surgical removal is necessary which usually gives a complete cure, though recurrences have been reported. We hereby present two cases of solitary left atrial myxoma. Key words: atrial myxoma, echocardiography, tumour impaction