Dr. Kadam Nagpal

A challenging case of Erythroderma in a young male patient.

A 31-year-old male presented to our dermatology OPD with severe redness and flakiness of skin all over the body. The symptoms had been present for two months, with a marked worsening in the last 15 days. After a detailed history, examination, and workup, the patient was diagnosed with Erythroderma – a serious condition where there is erythema and scaling over more than 90% of the body surface area. Despite having experienced similar skin problems in the past, the patient had never received a correct diagnosis and was unaware of the underlying disorder that could have led to Erythroderma.

Given the extensive nature of skin involvement and risk of serious complications, he was admitted for detailed evaluation and prompt management. A thorough workup was performed, and appropriate medical treatment was initiated. Over the course of 7–10 days, the patient showed remarkable clinical improvement; the skin lesions resolved significantly, systemic parameters stabilized, and he was safely discharged.

Most importantly, after nearly 3–4 years of recurrent but undiagnosed skin issues, the patient was finally diagnosed with atopic dermatitis. This accurate diagnosis not only explained his longstanding symptoms but also enabled the initiation of targeted treatment and counseling regarding long-term care and preventive measures. With this approach, the patient was able to move beyond temporary symptom relief toward effective disease control and an improved quality of life.

Treatment By:
Dr. Kriti Maheshwari

A 4-year-old male child with congenital Pelvi-Ureteric Junction (PUJ) Obstruction underwent Robot-Assisted Pyeloplasty at Yashoda Medicity. The child had an excellent postoperative recovery and was discharged on postoperative day 2.

Robotic surgery offers superior precision and control, providing a significant advantage not only in cancer surgeries but also in pediatric minimally invasive procedures.

The benefits of robotic surgery over conventional techniques include smaller incisions, minimal intraoperative blood loss, enhanced surgical precision and dissection, reduced postoperative pain, and faster recovery and discharge.

The Department of Urology at Yashoda Medicity is committed to providing the highest standard of care to every patient, with special expertise in Robotic Surgery, Reconstructive Urology, Uro-Oncology, Stone Diseases, and Renal Transplant Surgeries.

Treatment By:
Dr. Vaibhav Saxena

The Department of Urology at Yashoda Medicity, Indirapuram, headed by Dr. Vaibhav Saxena, a pioneer in Robotic Urological Surgeries, has successfully performed a wide range of robotic procedures in both Urology and Uro-Oncology. Patients from across India have been successfully treated for various cancers and other urological conditions.

Among his recent notable cases was a Robotic Radical Cystectomy with Pelvic Lymph Node Dissection and Intracorporeal Urinary Diversion, performed on a patient who had travelled from Mathura for treatment. The patient had previously received neoadjuvant chemoradiation but developed a recurrence in the urinary bladder. Curative robotic surgery was deemed the best option. The patient underwent a successful procedure and was discharged on the fifth postoperative day.

Treatment By:
Dr. Vaibhav Saxena

Total Hip Replacement in a Young Adult with Secondary Osteoarthritis of the Hip due to Sequelae of Childhood Septic Arthritis

Early and effective treatment of childhood hip septic arthritis is crucial to prevent or minimize long-term complications such as avascular necrosis, hip dislocation, osteoarthritis, and leg length discrepancy.

We present a case of a 30-year-old male patient suffering from secondary osteoarthritis of the left hip, with complete destruction of the joint over the past 20 years. He had septic arthritis of the left hip at the age of 9, which was only partially treated, resulting in long-term sequelae.

This was a challenging case due to the chronic arthritic hip and associated soft tissue contractures. We performed an uncemented total hip replacement with subtrochanteric osteotomy. The procedure proceeded as planned: the limb length discrepancy was corrected, and the patient was mobilized within 24 hours. He was discharged after four days, pain-free, and walking with support.

He is expected to achieve full weight-bearing and return to all activities of daily living within eight to ten weeks.

Treatment By:
Dr. Amit Sharma

A new life donated to daughter-in law by mother in law

A 30-year-old female was diagnosed with chronic kidney disease after presenting with generalised weakness, loss of appetite, and intermittent vomiting. Investigations revealed impaired renal function, and she was started on haemodialysis through a catheter placed in the right side of her neck. She was advised maintenance haemodialysis three times a week.

She consulted our expert team of doctors including Dr Prajit Mazumdar, Dr Inderjit G. Momin, Dr Vaibhav Saxena, and Dr Kuldeep Agarwal at Yashoda Superspeciality Hospital, Kaushambi. They recommended renal transplantation as the most effective form of renal replacement therapy. Her transplant workup was initiated, with her mother considered as the first donor option.

However, her mother was found to have diabetes, her father had a cardiac condition, and her husband was not a compatible blood group. With limited donor options, her mother-in-law, who had a matching blood group, came forward to donate a kidney and save her daughter-in-law’s life.

After obtaining clearance from cardiology, pulmonology, gynaecology, and psychiatry, along with approval from the authorisation committee, the transplant was successfully carried out with ATG induction. Post-transplant, she maintained good urine output with steadily improving creatinine levels. She was discharged with a creatinine of 1.2 mg/dl. The donor also recovered well and continues to do fine.

Treatment By:
Dr Prajit Mazumdar, Dr Inderjit G. Momin, Dr Vaibhav Saxena, and Dr Kuldeep Agarwal