Conference on metabolic, genetic
and chromosomal disorders

KARACHI: The departments of Pediatrics& Neurology, DOW Medical College (DMC) &Civil Hospital Karachi (CHK) in collaboration with Professional Development Centre, DUHS and Pakistan Pediatric Association (PPA) organized a conference on Metabolic, Genetic and Chromosomal disorders on 11-12th March 2016. The team of organizers included Prof. Ayesha Mehnaz, Prof. Faheema  Arif, Prof. Ghulam Murtaza, Dr. Naila Shahbaz, Dr. Yusuf Yahya, Dr. Abid Hussain and  Prof. Saleem Ilyas.

Prof. Arif Herekar said that Pakistan has a large proportion of rare disorders that have never actually been explored. He emphasized that with the advent of modern equipment and gadgetry, the modern imaging and the biochemical labs have started more advanced investigations which are currently able to diagnose some very rare diseases both in children and adults which had remained a mystery for long in Pakistan. These rare disorders when diagnosed can often be treated. Some of the deficiency diseases in children like metabolic disorders can now be addressed. Most deficiency diseases that can be evaluated and assessed at modern centers like the AKU and DOW Labs are now able to distinguish between the various disorders.

He further explained that not many studies have been undertaken especially on rare diseases in children in Pakistan. Many pediatricians at DOW, AKU and in collaboration with others have now formed forums and associations that are addressing these diseases like Lysosomal Storage Disorders and those causing mental retardation. Prof. Arif was of the view that such conferences which not only help the young generation to become aware of the presence of such diseases should take place more often. Through these important meeting and gatherings, the young minds are made aware of the presence of tests which can detect and treat especially the treatable diseases.(PR)

Diagnosing sinister Headaches

KARACHI: Prof. Arif Herekar talked about managing various types of headaches at a meeting held at Baqai Medical University recently which was very well attended. He was of the opinion that the diagnosis and the information about various types of headaches is of utmost significance.

He was of the view that knowledge about the presence of various types of headaches and its management was extremely important for fresh medical graduates. Headache is one of the commonest symptoms one encounters both in general practice and in Neurology OPDs. He was of the opinion that until and unless you don’t know the cause of the headaches, you are very liable to miss one of the most sinister of headaches especially brain tumor. He related many incidences of how people had missed brain tumors labelling them as migraine and tension type headaches.

Prof. Arif explained in details the various symptoms and signs of raised intracranial pressure that were the first indications that the sufferer had a mass lesion in the brain. These signs and symptoms must all be remembered so that such sinister headaches are diagnosed and addressed at the very outset. He also explained the difference between diagnosing migraine and differentiating with the tension type headaches. Migraine according to him was the commonest headaches that reports to the neurology OPD because it disables the afflicted individual. It is agonizing and there is loss of quality of life. Tension type headaches are mild and the patient continues to carry out his routines of life. He also referred to cluster headaches and informed the youngsters as to how to differentiates between the two.

During the interactive discussion, various other vascular headaches also came under discussion. He also explained how to react and address subarachnoid hemorrhage.(PR)