Browsing by Author "Verma, Sudhir Kumar"

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    Concurrent hepatitis B and autoimmune hepatitis a rare presentation of acute liver failure: a case report
    (Medip Academy, 2018-05) Verma, Sudhir Kumar; Singh, Ajay Pratap; Daga, Prachi; Kulraj, Seetaram Singh
    Acute liver failure with concurrent Hepatitis b and autoimmune hepatitis is an extremely rare case. We report a 25 year female presenting to our emergency with fatigue and somnolence, distention of abdomen, jaundice, melena and increased hair loss leading to alopecia. Physical examination revealed jaundice, an enlarged liver, ascites and tenderness of upper right abdomen. Laboratory tests revealed an increased level, bilirubin, GGT, increased INR and prothrombin time with elevated IgG levels, and the presence of anti-smooth muscle antibodies, Anti-nuclear antibodies and HBV infection markers. The patient was diagnosed with liver failure resulting from chronic active hepatitis B with an autoimmune component. The treatment consisted of steroids, azathioprine, vitamin K, low-protein diet and lactulose enemas. After undergoing a molecular test (HBV DNA 3.23 × 10 IU/mL and HBeAg reactive), the treatment was modified by adding tenofovir disoproxil fumarate. After one month the patient was discharged in good clinical condition, with the recommendation of continued tenofovir disoproxil fumarate and prednisone. In subsequent follow-ups, no clinical deterioration or abnormal biochemical liver function test results were found.
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    Paradise under siege: Healthcare elusive under Kashmir lockdown
    (Forum for Medical Ethics Society, 2020-01) Verma, Sudhir Kumar; Nigam, Nitu; Gupta, Harish
    The famous poet, Amir Khusro, said of Kashmir: “If there is heaven on earth, it is here, it is here, it is here”. That heaven and crown of India has been under siege now for over four months