1.A Review on biological and phytochemical investigation of plant genus Callistimon
Goyal Kumar Praveen ; Jain Renuka ; Jain Shweta ; Sharma Archana
Asian Pacific Journal of Tropical Biomedicine 2012;(z3):1906-1909
Objective: The large flowering plant genus Callistemon is belongs to family Myrtaceae and reported for its medical importance. Various parts of different species exhibit different medicinal importance and yet to be phytochemically investigated. In the different time various scientist have investigated the genus and reported the chemical constituents. A survey of literature on genus Callistemon reported the isolation of triterpenoids and steroids from leaves, seeds and stem bark of different species.
2.p40 in metastatic pulmonary trophoblastic tumour: potential diagnostic pitfall on histopathology
Archana George Vallonthaiel ; Ritika Walia ; Raja Pramanik ; MC Sharma ; Deepali Jain
The Malaysian Journal of Pathology 2017;39(2):175-179
p40, one of the two isomers of p63, is nowadays widely used for diagnosis of squamous cell
carcinoma, especially in subtyping non-small cell carcinoma on lung biopsies. We describe a case
in which lung tumour was misdiagnosed as squamous cell carcinoma due to p40 immunopositivity.
A 36-year-old lady presented with cough and left sided chest pain of 2 months duration. Chest
imaging revealed a lesion in left lower lobe of the lung and biopsy was suggestive of squamous
cell carcinoma. However, past history revealed amputation of great toe for non-healing discharging
ulcer which on histopathology was diagnosed as choriocarcinoma. She also had a history of
hysterectomy five years ago, details of which were not available. Post-amputation β-hCG levels
were high and she had been treated with multimodality chemotherapy for choriocarcinoma. She
had good response to chemotherapy initially, however became resistant later on. Review of the
lung biopsy in the light of the past history along with extensive literature review led to the final
diagnosis of metastatic trophoblastic tumour to lung. Hence, awareness that p40 immunopositivity
can be seen in trophoblastic tumours is essential to avoid misdiagnosis, especially in sites like the
lung where squamous cell carcinoma is common.
4.Red cell alloimmunization in pregnancy: a study from a premier tertiary care centre of Western India
Meenakshi GOTHWAL ; Pratibha SINGH ; Archana BAJPAYEE ; Neha AGRAWAL, ; Garima YADAV ; Charu SHARMA
Obstetrics & Gynecology Science 2023;66(2):84-93
Objective:
The study was conducted to determine the frequency of alloimmunization to various blood group antibodies in pregnant women, and the risk of hemolytic disease in the fetus and newborn.
Methods:
All antenatal women, irrespective of the period of gestation or obstetric history, were included, whereas those taking anti-D immune-prophylaxis or with a history of blood transfusion were excluded. Antibody screening and identification were performed using a Bio-Rad ID microtyping system.
Results:
Of 2,084 antenatal females, 1,765 were D‐antigen positive and 319 D‐antigen negative. Sixty-five (3.119%) women alloimmunized. Out of 54 (2.591%) who had sensitized to D-antigen, 11 (0.527%) also sensitized to other antibodies. These 11 alloantibodies identified included: anti-M (n=6; 9.23%), anti-C (n=1; 3.076%), anti-E (n=1; 1.538%), anti-e (n=1; 1.538%), anti-Lewis (a) (n=1; 1.538%), and unspecified antibodies (n=1; 1.538%). Multiple antibodies were seen in four patients that combined: anti-D and anti-C (n=2; 3.076%), anti-e and anti-c (n=1; 1.538%), and anti-D and anti-G (n=1; 1.538%).
Conclusion
The rate of alloimmunization in D-antigen-negative women was high. Apart from this, the alloimmunization rate in women with bad obstetric history was very high, at 8.1%. In developing countries such as India, universal antenatal antibody screening, though desirable, may not be justified at present, as the cost and infrastructure required would be immense because of the lower alloimmunization rates in RhD antigen-positive women. However, it is necessary to impose properly formulated protocols to screen pregnant women with bad obstetric history.