Background: Stroke or cerebrovascular accident (CVA) is noted as the second cause of mortality, especially in the elderly population. Recent studies indicated that higher concentrations of uric acid are involved in various vascular diseases. The findings of previous investigations suggest that, elevated serum alkaline phosphatase (ALP) levels may have a pathophysiological character in the occurrence of atherosclerotic vascular disease (AVD) of the heart and brain. This study evaluated the association between serum uric acid (SUA) levels, serum lipid levels, serum alkaline phosphatase (ALP) levels, and changes in ischemic cerebrovascular accident patients.Methods: All patients with Ischemic cerebrovascular accident age >50 years were included based on their clinical, laboratory, and radiological findings (including computed tomography (CT)/magnetic resonance imaging (MRI)) those admitted in our hospital. As control group 200 healthy individuals matched for sex and age were recruited from the same demographic area.Result: Multiple logistic regression analysis findings proposed four components as significant predictors in ischemic cerebrovascular accident (serum uric acid, serum ALP, LDL and HDL. In this study, it was found, that patients with ischemic cerebrovascular accident had significant difference (p<0.001) in serum uric acid and serum ALP than normal patients (non-ischemic cerebrovascular accident patients).Conclusions: Patients with ischemic cerebrovascular accident had significant difference (p<0.001) in SUA and serum ALP than normal patients (non-ischemic cerebrovascular accident patients). High SUA levels were observed to be associated significantly with ischemic stroke. On the basis of our study design, we cannot clarify that the elevated levels are the risk of ischemic stroke and it requires further studies.
Duchenne muscular dystrophy (DMD) is commonest X-linked syndrome muscular dystrophy in the children, present in early childhood and characterized by the proximal muscle weakness and the calf hypertrophy in exaggerated boys. There is generally delay in the motor development and ultimately wheelchair confinement leading to premature death from cardiac or the respiratory complications. For treatment we use various modalities like corticosteroid therapy. We also used intermittent positive pressure ventilation that could help in developments in function, quality of life, ambulation and life expectancy though novel therapies still focus to provide the cure for this disease. Clinically, it is categorized by the progressive muscle wasting ultimately leading to the premature death. Here we presented a case of Duchene muscular dystrophy in a 13 year old boy with clinical presentation.
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