The Editor,

Sir,

A 32-year-old woman was admitted with inflammatory low back and hip pain for the last two weeks. In her medical history, she had been using systemic isotretinoin treatment for the last two months (first month 20 mg/d, second 30 mg/d) for acne vulgaris. On physical examination, she did not have decreased axial range of motion. Sacroiliac tests were negative. There were no enthesopathy, peripheral joint involvement, ocular findings, cutaneous lesions indicating seronegative spondyloarthritis or infection. 

The Editor,

Sir,

Slavin et al in 1983 described Congenital diffuse infiltrating lipomatosis of the face (CDIL-F), which is an unfamiliar clinical entity characterized by collections of nonencapsulated, mature adipocytes that infiltrate locally, leading to craniofacial deformities with a tendency for recurrence after surgery.

The Editor,

Sir,

Cysts adjacent to the renal pelvis (parapelvic cysts [PPCs]) are very rare in children (1).

The Editor,

Sir,

Abiotrophia defectiva previously classified as nutritionally variant streptococcus is a fastidious Gram-positive bacteria that was described in 1995 (1). Little is known about the pathogenesis and clinical presentation of this organism in children (2). Abiotrophia endocarditis (AE) is very rare in children without underlying heart disease (3).

The Editor,

Sir,

Treating adult patients with relapsed ALL is still difficult. Only 20 % to 30% of those patients acquired complete remission (CR). Those patients are always of short duration unless an allogeneic hematopoietic stem cell transplant (allo-HSCT) is feasible. 

The Editor,

Sir,

Systemic sclerosis (SSc) is a connective tissue disease that autoimmunity, vasculopathy, and fibrosis may play crucial handsome roles in the SSc aetiopathogenesis. Raynaud’s phenomenon (RP) is the major vascular involvement in SSc. Raynaud’s phenomenon is a vasospastic changes of the vascular system.

The Editor,

Sir,

The Editor,

Sir,

Lipoma is a benign, slow-growing neoplasm of the adipose tissue. It is one of the most common mesenchymal tumour in the body. However, its occurrence intraorally is rare. 

The Editor,

Sir,

Coma due to global anoxia of the brain most commonly following cardiopulmonary arrest continue to be one of the subject of intense scrutiny with recovery said to range from 20-30% in patients after 24 hours. 

The Editor,

Sir,

 In the present article, we want to share our experience with usage of ProSeal Laryngeal Mask Airway (LMA) with 45 cm H₂O cuff pressure in twelve adult patients undergoing inguinal hernia surgery under general anaesthesia.