“En Coup de Sabre in a Young Female: A Rare Presentation of Localized Scleroderma

Dr Varsha v s, Dr Suma Balan(Aims Paed Rheumato), Dr Jayakumar. Amrita Institute Of Medical Sciences. Seventeen year old girl presented with non itchy hyperpigmented skin lesions on the face and neck,first appeared over the face which was initially hypopigmented of one month duration.There was no h/o fever, joint pains, lip puckering, cough, chest pain or raynauds Read More …

WHEN TO SUSPECT METABOLIC MYOPATHIES?!

Dr. Terencia/ Dr. Vinayan(Dept of Pediatric Neurology), Dr. C Jayakumar AIMS, KOCHIEleven year girl from a non consanguineous parentage presented with body pain and generalised myalgia of 20 days duration. No other relevant history On 2nd day of illness she developed fever and was treated with oral antbiotics and anti-pyretics for 2 days. Child continued to be Read More …

When genetics take the stage !!Navigating Morquio Syndrome: Challenges and Breakthroughs”

Dr. Sree Lekshmy, Dr. Sheela Nampoothiri, Dr. Dhanya Yashodharan, Dr. C Jayakumar Two old male child, only child of non consanguineous parentage presented with complaints of raised chest wall which was noticed recently mother. Vitals were stable and PICCLE was normal.Auxology: Weight:9.5kgHeight:79cm (3rd centile)Head circumference:49cmLower segment(LS)-35cmUS:LS -1.2:1 General examination showed short neck, pectus carinatum, bilateral Read More …

A case of Mycoplasma pneumonia with Cerebral venous thrombosis!!

Dr Joepaul Joy, Dr Sajith Kesavan(Ped pulmonologist and intensivist), Dr Greeshma(Pediatric intensivist), Dr C Jayakumar, AIMS Kochi Nine year old male child, first born of non consanguineous marriage, developmentally normal and immunized for age with uneventful perinatal historyreferred from outside hospital was admitted with complaints of high grade fever, cough and generalized tiredness since 5 days. Read More …

Henoch-Schönlein Purpura (HSP) with Bowel Vasculitis

Authors:Dr. Jerin K. John, Dr. Suma Balan (Pediatric Rheumatology,Dr. Sabin George (Pediatric Rheumatology), Dr. C. Jayakumar  A seven year-old boy, presented with a 6-day history of acute-onset diffuse abdominal pain, occasional vomiting, generalized body aches, and joint pain with swelling, in the feet and ankles. The mother reported reddish rashes over the both legs and Read More …

PREMATURE FUSION!!

Dr Anakha V Ajay  Dr Suhas Udaykumar (Aims Paed Neurosurgery) Dr C Jayakumar(Dept of Pediatrics) AIMS, KochiFour months old presented with abnormal head shape. He was born term via emergency Cesarean section with birth weight of 2.5kg. Antenatal scan showed distorted skull shape with frontal widening and occipital narrowing. Fetal ECHO and microarray done were normal. Read More …

BASAL EXUDATES AND OBSTRUCTIVE HYDROCEPHALUS ON MRI – IS IT A TUBERCULOUS MENINGITIS OR SOMETHING ELSE?

Dr.Venkatesh Kumar M , Dr. Suhas Udayakumar (Neurosurgery), Dr.Praveena(Pediatrics ID), Dr.C.Jayakumar, AIMS, Kochi. Two year old male child , first born who was apparently normal three months back presented with  vomiting followed ataxia and then seizures was managed with symptomatic measures then got admitted after 2 weeks of symptoms onset .The child had a cardiac Read More …

Case of Burkitts Lymphoma

Dr Theresa, Dr Rema (pediatric hematology), Dr C Jayakumar Amrita Institute of Medical Sciences, Kochi Five year old male child was referred fro due to an abdominal mass. He was admitted in outside hospital in view of sever abdominal pain and constipation since 3 days. As , blood investigations showed anaemia with elevated LDH referral was madeUSG Read More …

Case of Fibroadenoma

Dr.Shobika,Dr.Naveen Viswanathan (Paed surgery)DrPreethi ,DrPraveena DrC Jayakumar Seventeen year old female child was brought with swelling in both breasts left>right for 2 months duration which is painless,mobileand with no discharge.Past history:No previous hospital admission in past Birth history-2nd child of NCMAntenatal history-uneventfulNatal history- Term normal vaginal B.w-3kg/CIABPostnatal history-uneventfulLocal examination- Multiple Masses palpable in both breastsLargest mass (3×3cm) palpable Read More …

Whats white and not yellow?

Dr. Rithwik Sunil, Dr Sathyajith G Nair, Dr C JayakumarThree month old male child presented with complaints of passing pale colored stools since birth 1st child of NCMAntenatal History- Mother had PIH and was on medications.USG scan at 8th month showed pelvi calyceal dilation.Natal History- Preterm LSCS at 34 weeks/Birth Weight-2 kg/(Ind:leaking PV)/CIAB Postnatal History- Read More …