No abstract

Above mentioned commonly available investigations can ascertain diagnosis in most of the cases in the aetiological evaluation of exudative effusions and they are relatively safe procedures.

We are reporting two cases of bilateral extensive lower leg deep vein thrombosis in young male patients without any risk factors. First case was diagnosed as left sided tuberculous pleural effusion and second case was sputum smear positive pulmonary tuberculosis. In both patients, deep vein thrombosis developed during first month of treatment and inguinal pain was the first symptom. The second case had an attack of pulmonary thromboembolism. The cause effect relationship between deep vein thrombosis and tuberculosis or anti-tubercular drug (particularly rifampicin) has been discussed as such association may have significant therapeutic implications.DOI: http://dx.doi.org/10.3329/jom.v13i1.8843 JOM 2012; 13(1): 106-108

Chronic arsenic exposure causes cutaneous effects like hyperkeratosis, peripheral vascular disease, hypertension, ischemic heart disease, non-cirrhotic portal hypertension, hepatomegaly, peripheral neuropathy, respiratory involvement, bad obstetrical outcome, hematological disturbances, and diabetes mellitus. Here we present a case of a 24-year-old lady, with chronic exposure to arsenic, presenting to us with progressive dyspnea. We found pulmonary arterial hypertension (PAH) as a cause of her dyspnea. PAH can occur in arsenicosis, secondary to arsenic-induced chronic obstructive pulmonary disease (COPD), lung fibrosis, and portal hypertension, which we excluded by appropriate investigations in our case. We also excluded a familial or heritable form of PAH. Thus, with the exclusion of all these secondary causes of PAH, as well as a hereditary cause, we came to a conclusion that this PAH might be due to chronic arsenic exposure. To the best of our knowledge, no case of PAH in chronic arsenicosis has been reported to date.

Adenocarcinoma and squamous cell carcinoma are the most frequently diagnosed histological subtype of bronchogenic carcinomas. Though metastatic lesions in lung are common in both the varieties, cavity formation has been documented only with squamous cell type. Here we are going to report a case of pulmonary adenocarcinoma with multiple nodular metastases in both lungs which show central necrosis mimicking cavities. DOI: http://dx.doi.org/10.3329/bjms.v13i1.13037 Bangladesh Journal of Medical Science Vol. 13 No. 01 January2014: 70-72