1.EEC Syndrome: A rare entity.
Aftab Ahmed RANA ; Suresh CHANDRAN ; Joshua GEORGE
Brunei International Medical Journal 2011;7(4):220-224
Ectrodactyly, Ectodermal dysplasia and Cleft lip/palate (EEC) syndrome is a rare combination of multiple congenital anomalies. Although the anomalies are diverse, the underlying problem arise from early embryonic ectodermal tissue defects or insults. We report a case of a baby boy who was born at 33 weeks of gestation with EEC syndrome. He died five months later of aspiration pneumonia. The management requires a multidisciplinary approach and proper parental counseling which should include risk of recurrence in future pregnancies. Prenatal diagnosis is possible by antenatal ultrasound scan at 14-16 weeks of gestation.
2.Use of propanolol for treatment of large infantile haemangiomas-a report of two cases and review of the literature.
Suresh CHANDRAN ; Dinesh ARI ; Jessie JOSE
Annals of the Academy of Medicine, Singapore 2013;42(5):253-256
Antineoplastic Agents
;
therapeutic use
;
Child, Preschool
;
Facial Neoplasms
;
drug therapy
;
Female
;
Follow-Up Studies
;
Forearm
;
pathology
;
Hand
;
pathology
;
Hemangioma
;
drug therapy
;
Humans
;
Infant
;
Male
;
Propranolol
;
therapeutic use
;
Skin Neoplasms
;
drug therapy
;
Wrist
;
pathology
3.Persistent Anxiety Is Associated with Higher Glycemia Post-Transition to Adult Services in Asian Young Adults with Diabetes
Ling ZHU ; Suresh Rama CHANDRAN ; Wee Boon TAN ; Xiaohui XIN ; Su-Yen GOH ; Daphne Su-Lyn GARDNER
Diabetes & Metabolism Journal 2021;45(1):67-76
There is little longitudinal information on psychological burden and metabolic outcomes in young adults with diabetes (YAD) in Asia. We aimed to evaluate the association between psychological status and glycemia at baseline and 2 years following transition in a cohort of YAD in Singapore. Subjects with type 1 diabetes mellitus (T1DM) and type 2 diabetes mellitus (T2DM), aged 17 to 25 years, were recruited from the YAD clinic in Singapore General Hospital. The Hospital Anxiety and Depression and Problem Areas for Diabetes scales were administered at transition (baseline) and at 18 to 24 months. Glycosylated hemoglobin (HbA1c) assessed during routine visits was tracked longitudinally. A total of 98 T1DM (74.8%) and 33 T2DM (25.2%) subjects were recruited between January 2011 and November 2017. At baseline, mean HbA1c was 8.6%±1.7%. Only 26.0% achieved HbA1c of ≤7.5% and 16.8% achieved HbA1c of <7%. At baseline, prevalence of anxiety was 29.8%. At 24 months, 14.1% had persistent anxiety. Those with persistent anxiety had the highest mean HbA1c, particularly at 6 months (persistently anxious vs. persistently non-anxious: 9.9%±1.2% vs. 8.2%±1.9%, The majority of YAD in Singapore have suboptimal glycemia. Psychological distress is a critical harbinger of poorer metabolic outcomes.