Indian Journal of Diabetes and Endocrinology

Pancreatitis is a condition characterized by inflammation of the pancreas. The pancreas is a large organ behind the stomach that produces digestive enzymes and a number of hormones. About 80% of the attacks are mild, 20% are severe and they are commonly accompanied by necrosis of the pancreas and or organ failure. It is reported that the Southern states of India have highest incidences of Pancreatitis, ranging from 114-200/100,000 population. Rest of the globe reports 1.6-27 cases per 100,000 populations.

Wound is a common problem following burn, trauma or infection. Decreased blood supply to the wound bed is an important cause for non-healing of wound. These chronic wounds are often difficult to manage. Botulinum toxin type A (Botox) improves blood flow by action on vascular smooth muscle to decrease vasoconstriction. In this article, we share our experience of using Botox for wound bed preparation in non-healing ulcer

Hypoparathyroidism is a combination of symptoms that occur due to inadequate parathyroid hormone (PTH) production. It is very rare and most commonly occurs because of damage to or removal of parathyroid glands during parathyroid or thyroid surgery. Less commonly, it can be caused by a defect present at birth (congenital) in which a person is born without parathyroid glands. Decreased secretion or activity of parathyroid hormone leads to decreased blood levels of calcium (hypocalcemia) and increased levels of blood phosphorus (hyperphosphatemia).

Chronic ulcer of foot is a commonproblem whichputs burden on the healthcare facilities all over the world. The cost that the chronic wound imparts on the healthcare system is ridiculously huge. Multiple etiologies play role in making one wound chronic, especially in patients with Diabetes Mellitus. The decreased blood flow to the foot is one of the causes which if detected early may influence the course of the disease. The perfusion deficit in the initial period may not be that evident to be detected in the conventional methods of vascularity assessment in such subset of patients, the Perfusion scan can help in finding the perfusion status of the foot and help making an eftreatment plan. In this article we share our experience of treating such a patient successfully with help of perfusion scan.