ABSTRACT
The association of elevated pancreatic lipase during chronic end-stage renal disease is poorly studied in the literature. We report the case of a 51-year-old female patient which has an hyperlipasemia associated with chronic end-stage renal disease outside of acute pancreatitis. Knowledge of this association will help the clinician in the management of this patients.

ABSTRACT
Background and Aim: Oral Lichen Planus is a relatively common mucocutaneous disorder with autoimmune etiology. Considering its malignant potential, diagnosing and treating this disorder from all dimensions is crucial. One such multi-dimensional aspect of OLP was aimed to be put forth through our study of the correlation of anxiety, depression, and xerostomia using questionnaires. Materials and Methods: A group of 15 Oral Lichen Planus patients included in this study from outpatients in a college in Uttar Pradesh. The symptoms of Anxiety-Depression disorder and salivary gland disorders in oral lichen planus were recorded using two standard questionnaires, and their correlation was assessed using student’s t-test analysis. Results: The co-occurrence of symptoms of both disorders in Oral Lichen Planus patients was statistically significant. The results demonstrate an association between anxiety, depression, and xerostomia in Oral Lichen Planus patients. Conclusion: Most patients showed the simultaneous occurrence of all three parameters in the same patients, thus indicative of a positive correlation between themselves.

ABSTRACT
Abruptio placentae is a dire obstetric emergency and is associated with adverse foeto-maternal outcomes. This study aimed to assess the risk factors and foeto-maternal outcomes of abruptio placentae at the Rivers State University Teaching Hospital, Port Harcourt, Nigeria. Methods: This was a descriptive cross-sectional study of all cases of abruptio placentae managed at RSUTH from 1st January 2016 to 31st December 2021. Data were analysed using IBM, Statistical Product and Service Solutions (SPSS) version 25.0 Armonk, New York. Results: Over the period reviewed, there were sixty-eight (68) cases of abruptio placentae and 14,195 deliveries recorded. The prevalence of abruptio placentae was 4.8/1000 deliveries or 0.48%. The mean (SD) age of study participants was 32.7 (4.8), 95% Confidence Interval (CI):31.5,33.9. The majority 66 (97.1%) had formal education, 65 (95.6%) were Christians and 63(92.6%) had emergency caesarean section. The risk factors identified in order of decreasing occurrence were hypertensive heart diseases (55.9%), Abdominal massage (17.6%), retroplacental fibroid (14.7%), polyhydramnios (7.4%) and Premature rupture of foetal membranes (4.4%). There was no maternal death. The most common maternal complication was the need for blood transfusion (43.9%), followed by preterm delivery (30.4%). Forty- three (60.6%) of the foetuses were males while 28(39.4%) were females. The commonest foetal complication was admission into Special Care Baby Unit (SCBU) 37(47.4%). The stillbirth rate was 5.1%. Conclusion: Abruptio placentae is not uncommon at the RSUTH and hypertensive heart disease was the most common risk factor observed. The commonest foetal and maternal complications were need for blood transfusion and admission into Special Care Baby Unit (SCBU). Knowledge of this would be helpful in the management of patient with placental abruption for improved foeto-maternal outcome.

ABSTRACT
Tumor lysis syndrome is a metabolic emergency in oncology. It is the direct outcome of the massive destruction of tumor cells, with the release of their components in quantities that exceed the body's homeostatic regulatory capacity. Often observed following the initiation of cytotoxic treatment, we report the observation of a 13-year-old Moroccan female who developed a spontaneous tumor lysis syndrome, in the absence of any cytotoxic treatment, which led to the diagnosis of hematological malignancy, later confirmed and characterized as acute lymphoblastic leukemia.