Hospital Medicine 1999;60:908-9 Arpandev Bhattacharyya, Subramaniam Jagadeshan, Roger j Wolstenholme, D James Tymns. Acute Adrenocortical crisis is often the first presentation of Addison’s disease. The combination of pigmentation, peripheral circulatory failure and the electrolyte abnormality usually lead to suspicion and early treatment with corticosteroids is the key to the success in such cases. Failure of […]

Postgraduate Medical Journal 1999;75:291-2 A Bhattacharyya, PG Wiles We report two patients with type 1 diabetes mellitus, previously well controlled with good compliance, presenting with unexplained diabetic ketoacidosis. Following initial correction of the metabolic disorder, persisting tachycardia lead to the diagnosis of thyrotoxicosis. In both cases, treatment propranolol and carbimazole helped in the stabilization of […]

International Journal of clinical practice 1999;53:273-6 A BHATTACHARYYA, SC SHARMA. Atrial fibrillation (AF) is an important risk factor for ischaemic stroke, and anticoagulation is now indicated in many patients, particularly those with congestive cardiac failure, hypertension a history of transient ischaemic attacks or embolic stroke. In a retrospective study (and audit), we examined 280 cases […]