Rakesh Kumar Jagdish

Abstract

Sleromyxedema is a rare disease characterised by extensive mucin deposition with fibrosis in dermis. It is often associated with monoclonal gammopathy. Its true prevalence and/or cause is unknown due to its rarity. Various extra-cutaneous manifestations can be associated with sleromyxedema such as dermoneuro syndrome, neuropathy, rheumatological problems or various malignancies. This case report showed that a patient with sleromyxedema and neuropathy had positive outcomes when treated with intravenous immunoglobulin (IVIg) and steroids pulses. The underlying cause of the patient’s condition was unknown. Keywords: Sleromyxedema, Immunoglobulin therapy, Dermoneuro syndrome, Sensory Motor Axonal Polyneuropathy, Monoclonal Gannopathey

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Abstract

Management of masks disposal in the COVID-19 era is a highly ignored segment in public health management and clinical care, which might be due to the unexpected emergence of pandemic and unpreparedness of the system. Meanwhile with over time newer information has evolved, now authorities should focus on adequate management of the masks wastes, especially at community levels. Some of the hurdles and suggestions are discussed here in this article. Keywords: Masks, Disposal, COVID­19, Pandemic, Environmental pollution

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