Angina bullosa hemorrhagica (ABH) is a condition of the oral mucous membrane, characterized by the sudden appearance of blood-filled blister(s) within the oral cavity. In the majority of cases, these blisters occur on the oropharynx or palate. The blisters usually rupture in a day or two and heal spontaneously without any further scarring or discomfort. In rare cases, if a large lesion located in the throat does not rupture spontaneously, it may lead to airway obstruction. We present the case of a 64-year-old-female who presented with a recurrent manifestation of well-defined oral blood-filled blisters which ruptured and healed spontaneously. There were no identifiable risk factors. Angina bullosa hemorrhagica was diagnosed clinically. The main objective of this case report is to bring awareness and avoid unnecessary investigations and misdiagnosis.

Polyarteritis nodosa (PAN) is a medium vessel vasculitis that affects multiple organ systems except the lungs. It is transmural segmental necrotizing inflammation associated with fibrinoid necrosis. Hepatitis B virus (HBV) infection is strongly associated with PAN. It commonly affects medium-sized muscular arteries and typically involves renal, coronary, and mesenteric vessels, but not pulmonary arteries. Vascular lesions occur mostly at bifurcations in medium-sized muscular arteries. A case of polyarteritis nodosa was reported in a 21-year-old female who presented with blackish discoloration of feet, loss of appetite, loss of weight, colicky pain, and distension of the abdomen. Leukocytoclastic vasculitis was confirmed by skin biopsy; ascites was detected on computed tomography and chest and abdomen (erect) radiograph; and explorative laparotomy was done, but she died on the second postoperative day due to septicemic shock and acute renal and respiratory failure.

Background: Suicide or self-harm is an important public health issue; it may be due to multi-factorial life events affecting the lives that may trigger individuals to end their life. Mental health was severely affected by the COVID-19 pandemic leading to suicides. Poison consumption is one of the most common modes of suicide. In the present study, our objectives were to compare the number of reported poisoning cases before & during the COVID-19 pandemic and to describe the clinical profile & outcome of reported poisoning cases. Objectives: The objectives were to compare the number of poisoning cases reported before & during the COVID-19 pandemic, and also to describe the clinical profile and outcome of reported cases. Methodology: This is a retrospective observational and comparative study of poisoning cases reported to Emergency Medicine Department in PES institute of medical sciences and research, Andhra Pradesh, India, during the pre-pandemic & pandemic phases. A total of 122 cases were reported. Google forms were used to collect the data from the medical records section. Data was compiled & analyzed using the SPSS 20 version.

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