Epidemic dropsy--a clinical study of the Delhi outbreak.

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dc.contributor.authorSingh, N Pen_US
dc.contributor.authorAnuradha, Sen_US
dc.contributor.authorDhanwal, D Ken_US
dc.contributor.authorSingh, Ken_US
dc.contributor.authorPrakash, Aen_US
dc.contributor.authorMadan, Ken_US
dc.contributor.authorAgarwal, S Ken_US
dc.date.accessioned2000-09-24en_US
dc.date.accessioned2009-05-31T04:28:47Z
dc.date.available2000-09-24en_US
dc.date.available2009-05-31T04:28:47Z
dc.date.issued2000-09-24en_US
dc.description.abstractBACKGROUND: A major outbreak of epidemic dropsy occurred in Delhi, India, in August-September 1998, due to the consumption of contaminated mustard oil. METHODS: The clinical data of 212 adult patients of epidemic dropsy who presented to our hospital is analysed. RESULTS: Pitting pedal oedema (100%), skin erythema (75%), limb tenderness (63%), diarrhea (51%) and hepatomegaly (34%) were the prominent clinical manifestations observed in the patients. Superficial retinal haemorrhages and retinal venous dilatation was observed on fundus examination and 9% of patients developed an open angle glaucoma over a three month follow up period. Cardiac failure was present in 14% of patients. Most patients had mild disease which responded to cessation of mustard oil consumption, bed rest, diuretics and antioxidants. There were six deaths, all of whom had intractable cardiac failure. A unique feature of this outbreak was the documentation of acute renal failure in three patients, a phenomenon never described previously. CONCLUSIONS: Strict law enforcement to prevent the contamination of edible oils is essential to avoid the occurrence of future similar outbreaks.en_US
dc.description.affiliationDepartment of Medicine, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi-110002, India.en_US
dc.identifier.citationSingh NP, Anuradha S, Dhanwal DK, Singh K, Prakash A, Madan K, Agarwal SK. Epidemic dropsy--a clinical study of the Delhi outbreak. Journal of the Association of Physicians of India. 2000 Sep; 48(9): 877-80en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/94786
dc.language.isoengen_US
dc.source.urihttps://www.japi.orgen_US
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshChilden_US
dc.subject.meshDisease Outbreaksen_US
dc.subject.meshEdema --blooden_US
dc.subject.meshFemaleen_US
dc.subject.meshFood Contamination --prevention & controlen_US
dc.subject.meshHumansen_US
dc.subject.meshIndia --epidemiologyen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshMustard Planten_US
dc.subject.meshPlant Extracts --adverse effectsen_US
dc.subject.meshPlant Oilsen_US
dc.titleEpidemic dropsy--a clinical study of the Delhi outbreak.en_US
dc.typeJournal Articleen_US
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