Bilateral involvement of the breast with tuberculosis is extremely rare. It most commonly affects young lactating multiparous females, although rarely it may be reported in prepubescent males also. We present a case of a 27-year-old nulliparous female who presented with a history of multiple pus discharging sinuses around both areolae and was diagnosed as a case of bilateral tubercular mastitis. Tubercular mastitis being a paucibacillary disease, diagnosis is often difficult. Treatment consists of antitubercular therapy with or without surgery.​

AIMS:This study examined the hematological effect of acute malaria. METHODS AND MATERIAL: This observational study was conducted in MLB medical college, Jhansi, U.P. over the period of two years. 200 patients were studied who were QBC or peripheral smear positive for malaria. Blood samples were examined by automatic counter and data was compared. STATISTICAL ANALYSIS: Paired and Unpaired t-test. RESULTS: In our study of 200 patients, anemia was found in 94% of patients, RBC counts and Hematocrit was reduced in about 90% (p value <0.0001), thrombocytopenia in 85%, leucopenia in 27%, RDW remains normal, MCV remains normal, MCH and MCHC was decreased in 15% and 25% respectively. MPV is increased in 25%, PDW was increased in 50% and PCT is decreased in 83% of our patients. CONCLUSION: Anemia, Thrombocytopenia is the major hallmark of malaria. Decrease in MCH, MCHC, PCT, WBC and raised MPV and PDW can be important predictors of malaria and can be used in diagnosis along with clinical manifestation.

Situs inversus totalis is a rare genetic disorder. Single-incision laparoscopic cholecystectomy (SILC) in situs inversus totalis has been reported rarely. SILC has an advantage of being easier than conventional laparoscopic cholecystectomy in addition to better cosmesis and reduced postoperative pain. We report a case of single-incision laparoscopic cholecystectomy done in a young woman with situs inversus totalis using conventional laparoscopic instruments.

Aggressive digital papillary adenocarcinoma (ADPA) is a rare tumour of eccrine origin. They present as asymptomatic nodules with flattened and thickened surface skin, most commonly on fingers and toes. It mimics many benign entities and tumours, hence leading to a delay in diagnosis. It has a high metastasizing potential, but is slowly progressive. Histopathologically, it has both a nodular and a cystic component with papillary projections into cystic spaces. We present a 54-year man with a tumorous mass on right heel, which was diagnosed by histopathology and immunohistochemistry as ADPA. Our case had ADPA lesion, a rarely reported malignancy on an uncommon site with distant metastasis.

Dyskeratosis congenita (DKC) also known as Zinsser-Cole-Engman syndrome is a progressive genetic disease with a classical presentation characterised by a triad of reticulate pigmentation of skin, nail dystrophy and leukoplakia. It may be a multisystem disease with the involvement of haematological, gastrointestinal, genitourinary, neurological, ophthalmic, pulmonary and skeletal system. We report a sporadic case of DKC presenting with poikiloderma, nail dystrophy and oral leukoplakia.