North Bengal Medical College

About: North Bengal Medical College is a other organization based out in Darjeeling, India. It is known for research contribution in the topics: Population & Cancer. The organization has 624 authors who have published 691 publications receiving 5492 citations.

Nevoid sebaceous hyperplasia mistaken as nevus sebaceous: Report of four cases.

Abstract: Sir, Sebaceous gland hyperplasia is a benign hamartoma composed of epidermal appendages with sebaceous differentiation. This condition is mostly seen in adults and is characterized by multiple asymptomatic yellowish to skin‐colored papules on the face. Rare variants include linear, diffuse, familial and giant forms. Here, we report a case series of four children with nevoid (linear) sebaceous hyperplasia since birth. The extreme rarity of this entity and its clinical resemblance to nevus sebaceous prompted the present report.

A Study on Deliberately Self-Poisoned In-Hospital Patients in a Tertiary Health Care Center in Northeast India: A Cross-Sectional Review

Abstract: Background The nature and profile of different modes of poisoning vary significantly in different parts of India. The assessment of the magnitude of suicidal poisoning is an area of paramount importance not only for appropriate management but also for raising social awareness and framing government policies for the prevention of same. Objectives We aimed to determine the pattern of poisoning, the sociodemographic profile of patients who poison themselves, and the in-hospital outcome of self-poisoned patients over a 1-year period. Methods This was a cross-sectional observational study conducted between May 2015 and April 2016 that included 492 patients >12 years of age who were admitted to our hospital after consuming poison with the intention of deliberate self-harm. Relevant history with respect to the nature and amount of poison ingested were taken and recorded, and the patients’ sociodemographic profiles and outcome (as either discharge or death) were noted. Results Most of the patients were 13–28 years of age (69%). Males (n = 293 [59.55%]) predominated over females and the majority were farmers (n = 193 [39.23%]). Rural cases (n = 373 [75.81%]) outnumbered urban cases. The major causes of deliberate self-harm attempts were impulsive actions (n = 442 [89.84%]). Pesticides (n = 393 [79.88%]) were the most commonly consumed poison. The overall mortality rate was 12%, with paraquat (94.74%) topping the list of fatal substances. Conclusion Young adults and males constitute majority of the population in this study. Agricultural poisons made up the bulk of the cases, mostly taken by rural population. Paraquat, an herbicide banned in several countries, had the highest mortality rate in this study.

Fine‐needle sampling provides appreciable diagnostic yield in lesions of post kala azar dermal leishmaniasis: Analysis of four cases from North Eastern India

Abstract: Post-kala-azar dermal leishmaniasis (PKDL) is a sequel of visceral leishmaniasis (VL), usually occurring 6 months to 3 years after VL. Spectrum of cutaneous lesions in PKDL can be hypopigmented macules, nodules, plaques, or erythema. It is usually diagnosed clinically, supplemented by ancillary techniques like skin smear examination, histopathology, polymerase chain reaction, and monoclonal antibody test. Literature on the role of cytology in the diagnosis of PKDL is extremely limited. Here we highlight the appreciable yield of fine-needle sampling in four cases of PKDL, which may be considered as a useful diagnostic aid.

Penile strangulation: A case report of a potentially serious emergency condition in a young male.

Abstract: A 19‐year‐old man presented to us with redness, swelling, and pain of the penis since the day before the presentation. Examination revealed that a white plastic ring‐like thing entangled on the proximal end of the penile shaft. Distal to the ring, there were edema, tenderness, and erythema of the shaft of the penis [Figure 1]. The overlying skin was shiny and stretched with a few dilated superficial blood vessels. There was no feature of urinary retention. History revealed the use of multiple objects for masturbation in the past. For this time, he used a plastic ring for sexual pleasure and ended up in entrapment of the penis. The boy was referred to the surgery department where the plastic ring was removed by cutting it. The patient recovered shortly without any sequel. Afterward, psychological evaluation of the patient was done. With confidentiality, he admitted that since the age of 14 years, he has started to masturbate and often used objects such as metallic and plastic rings for it. He had a very frequent act of masturbation, and often, it was very difficult to control his urge. He had no substance addiction or abuse. He had no special friend and never experienced sexual intercourse. Except high sexual curiosity and compulsive masturbation, he had no other psychiatric problem and his intelligence quotient (IQ) was average (full‐scale IQ = 90). Strangulation of the penis is a distinctive but rare clinical entity first reported by Gauthier in 1755.[1] Till then, a few cases have been reported in the literature.[1‐9] In adolescence and young adults, the cause is sexual pleasure, curiosity, and masturbation, whereas in middle‐aged and elderly people, it is used to increase sexual performance or because of autoerotic intensions. Sometimes, strangulation of the penis also happens accidentally in infants because of tying string or hair around the shaft of the penis.[4,5] The foreign bodies leading to strangulation of the penis may include metallic and nonmetallic objects including iron rings, ball bearings, spokes, plastic bottles, rubber rings, nuts, pipes, and wedding rings among others.[2,3,6].These objects can cause a wide range of injuries such as simple edema, ulceration, necrosis, urinary fistula, and gangrene leading to autoamputation. Bhat et al. proposed a grading system of these injuries based on their findings in eight patients.[7] The strangulation injuries were graded as Grade 1 (distal penile edema and no evidence of skin ulceration or urethral injury), Grade 2 (injury to skin and constriction of corpus spongiosum but no evidence of urethral injury and decreased penile edema with decreased penile sensation), Grade 3 (injury to skin and urethra but no urethral fistula and loss of distal penile sensation), Grade 4 (complete division of the corpus spongiosum leading to urethral fistula and constriction of the corpora cavernosa with loss of distal penile sensation), and Grade 5 (gangrene necrosis and complete amputation of the distal penis). The clinical assessment of penile strangulation may be done by noting the local temperature, sensation, color, ability to void, distal pulsations, and local tissue injury at the site of constriction.[8]