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Authors are the souls of any journal, and deserve much respect. To publish a journal manuscripts are needed from authors. Authors have a great responsibility for producing facts of their work in terms of number and results truthfully and an individual honesty is expected from authors in this regards. Both ways its true "No authors-No manuscripts-No journals" and "No journals–No manuscripts–No authors". Reviewing a manuscript is also a very responsible and important task of any peer-reviewed journal and to be taken seriously. It needs knowledge on the subject, sincerity, honesty and determination. Although the process of reviewing a manuscript is a time consuming task butit is expected to give one's best remarks within the time frame of the journal.
Salient features of the JCDR: It is a biomedical, multidisciplinary (including all medical and dental specialities), e-journal, with wide scope and extensive author support. At the same time, a free text of manuscript is available in HTML and PDF format. There is fast growing authorship and readership with JCDR as this can be judged by the number of articles published in it i e; in Feb 2007 of its first issue, it contained 5 articles only, and now in its recent volume published in April 2011, it contained 67 manuscripts. This e-journal is fulfilling the commitments and objectives sincerely, (as stated by Editor-in-chief in his preface to first edition) i e; to encourage physicians through the internet, especially from the developing countries who witness a spectrum of disease and acquire a wealth of knowledge to publish their experiences to benefit the medical community in patients care. I also feel that many of us have work of substance, newer ideas, adequate clinical materials but poor in medical writing and hesitation to submit the work and need help. JCDR provides authors help in this regards.
Timely publication of journal: Publication of manuscripts and bringing out the issue in time is one of the positive aspects of JCDR and is possible with strong support team in terms of peer reviewers, proof reading, language check, computer operators, etc. This is one of the great reasons for authors to submit their work with JCDR. Another best part of JCDR is "Online first Publications" facilities available for the authors. This facility not only provides the prompt publications of the manuscripts but at the same time also early availability of the manuscripts for the readers.
Indexation and online availability: Indexation transforms the journal in some sense from its local ownership to the worldwide professional community and to the public.JCDR is indexed with Embase & EMbiology, Google Scholar, Index Copernicus, Chemical Abstracts Service, Journal seek Database, Indian Science Abstracts, to name few of them. Manuscriptspublished in JCDR are available on major search engines ie; google, yahoo, msn.
In the era of fast growing newer technologies, and in computer and internet friendly environment the manuscripts preparation, submission, review, revision, etc and all can be done and checked with a click from all corer of the world, at any time. Of course there is always a scope for improvement in every field and none is perfect. To progress, one needs to identify the areas of one's weakness and to strengthen them.
It is well said that "happy beginning is half done" and it fits perfectly with JCDR. It has grown considerably and I feel it has already grown up from its infancy to adolescence, achieving the status of standard online e-journal form Indian continent since its inception in Feb 2007. This had been made possible due to the efforts and the hard work put in it. The way the JCDR is improving with every new volume, with good quality original manuscripts, makes it a quality journal for readers. I must thank and congratulate Dr Hemant Jain, Editor-in-Chief JCDR and his team for their sincere efforts, dedication, and determination for making JCDR a fast growing journal.
Every one of us: authors, reviewers, editors, and publisher are responsible for enhancing the stature of the journal. I wish for a great success for JCDR."
Thanking you
With sincere regards
Dr. Rajendra Kumar Ghritlaharey, M.S., M. Ch., FAIS
Associate Professor,
Department of Paediatric Surgery, Gandhi Medical College & Associated
Kamla Nehru & Hamidia Hospitals Bhopal, Madhya Pradesh 462 001 (India)
E-mail: drrajendrak1@rediffmail.com
On May 11,2011
Dr. Shankar P.R.
"On looking back through my Gmail archives after being requested by the journal to write a short editorial about my experiences of publishing with the Journal of Clinical and Diagnostic Research (JCDR), I came across an e-mail from Dr. Hemant Jain, Editor, in March 2007, which introduced the new electronic journal. The main features of the journal which were outlined in the e-mail were extensive author support, cash rewards, the peer review process, and other salient features of the journal.
Over a span of over four years, we (I and my colleagues) have published around 25 articles in the journal. In this editorial, I plan to briefly discuss my experiences of publishing with JCDR and the strengths of the journal and to finally address the areas for improvement.
My experiences of publishing with JCDR: Overall, my experiences of publishing withJCDR have been positive. The best point about the journal is that it responds to queries from the author. This may seem to be simple and not too much to ask for, but unfortunately, many journals in the subcontinent and from many developing countries do not respond or they respond with a long delay to the queries from the authors 1. The reasons could be many, including lack of optimal secretarial and other support. Another problem with many journals is the slowness of the review process. Editorial processing and peer review can take anywhere between a year to two years with some journals. Also, some journals do not keep the contributors informed about the progress of the review process. Due to the long review process, the articles can lose their relevance and topicality. A major benefit with JCDR is the timeliness and promptness of its response. In Dr Jain's e-mail which was sent to me in 2007, before the introduction of the Pre-publishing system, he had stated that he had received my submission and that he would get back to me within seven days and he did!
Most of the manuscripts are published within 3 to 4 months of their submission if they are found to be suitable after the review process. JCDR is published bimonthly and the accepted articles were usually published in the next issue. Recently, due to the increased volume of the submissions, the review process has become slower and it ?? Section can take from 4 to 6 months for the articles to be reviewed. The journal has an extensive author support system and it has recently introduced a paid expedited review process. The journal also mentions the average time for processing the manuscript under different submission systems - regular submission and expedited review.
Strengths of the journal: The journal has an online first facility in which the accepted manuscripts may be published on the website before being included in a regular issue of the journal. This cuts down the time between their acceptance and the publication. The journal is indexed in many databases, though not in PubMed. The editorial board should now take steps to index the journal in PubMed. The journal has a system of notifying readers through e-mail when a new issue is released. Also, the articles are available in both the HTML and the PDF formats. I especially like the new and colorful page format of the journal. Also, the access statistics of the articles are available. The prepublication and the manuscript tracking system are also helpful for the authors.
Areas for improvement: In certain cases, I felt that the peer review process of the manuscripts was not up to international standards and that it should be strengthened. Also, the number of manuscripts in an issue is high and it may be difficult for readers to go through all of them. The journal can consider tightening of the peer review process and increasing the quality standards for the acceptance of the manuscripts. I faced occasional problems with the online manuscript submission (Pre-publishing) system, which have to be addressed.
Overall, the publishing process with JCDR has been smooth, quick and relatively hassle free and I can recommend other authors to consider the journal as an outlet for their work."
Dr. P. Ravi Shankar
KIST Medical College, P.O. Box 14142, Kathmandu, Nepal.
E-mail: ravi.dr.shankar@gmail.com
On April 2011 Anuradha
Dear team JCDR, I would like to thank you for the very professional and polite service provided by everyone at JCDR. While i have been in the field of writing and editing for sometime, this has been my first attempt in publishing a scientific paper.Thank you for hand-holding me through the process.
Dr. Anuradha
E-mail: anuradha2nittur@gmail.com
On Jan 2020
Case report
Full Version
Leprosy in Chronic Lymphocytic Leukaemia: Rare Case Report
Correspondence Address :
Sudhakar Rao K.M.
C-9 staff quarters, SN Medical College,
Bagalkot, Karnataka - 587101.
Phone: 9972315388.
E-mail: address:drkmsudhakarrao@gmail.com.
This is a case report of a rare chronic lymphocytic leukaemia with lepromatous leprosy. A fifty nine year old male presented with epistaxis and abdominal pain. Investigations revealed high leucocyte count of 72,600cells/cmm, a differential count of 89% lymphocytes and 11% polymorphs and a platelet count 13,000cells/cmm. The case was diagnosed as chronic lymphocytic leukaemia and pulse chemotherapy was started. Three months after the chemotherapy, the patient developed a painful, non-pruritic, tender nodule, which on biopsy, showed histiocytic granulomas in the dermis. AFB staining showed globi and fragmented baciili. The patient received treatment for both leukaemia and leprosy. After six months, the lesions are becoming faint. On follow up, the patient has been found to be recovering.
Leprosy, Chronic lymphocytic leukaemia (CLL)
Introduction
This is a case report of chronic lymphocytic leukaemia with lepromatous leprosy. The association between malignancies and leprosy is rare. The commonest associations of leprosy with carcinoma which have been reported, are carcinoma of the internal organs, squamous cell carcinoma in trophic ulcer, lymphoma and leukaemia (1),(2),(3). This is the second case of leprosy with chronic lymphocytic leukaemia, which has been noted so far in the literature (1).
A fifty nine year old male presented with bleeding from nose, abdominal pain, fever and malaise to the physician. Investigations revealed Hb of 10.9%, a total leucocyte count of 72,600cells/cmm, a differential count of 89% lymphocytes and 11% polymorphs and a platelet count of 13,000cells/cmm. The case was diagnosed as chronic lymphocytic leukaemia. The physician started with pulse chemotheraphy (chlorambucil and prednisolone). Three months after the chemotherapy, he noticed painful, non-pruritic rashes over the trunk and the extremities, which were associated with fever, joint pain and pedal oedema. So, the patient was referred to the dermatological section. Examination of the skin revealed multiple tender nodules over the trunk and over the extensor aspect of the upper and lower limbs, madorosis, epistaxis and pedal oedema. No patches or mucosal involvement or peripheral nerve thickening were seen.
A differential diagnosis of leprosy with the type II reaction, erythema nodusum (tuberculids) and sweet syndrome was given.
A biopsy of the skin was taken and it was sent to HPR. The histopathological examination of the skin showed thinning of the epidermis, thus revealing a grenz zone with sheets of macrophage in the dermis. Acid fast bacilli staining showed globi and fragmented AFB bacilli. The histopathological diagnosis which was made was lepromatous leprosy.
The patient was then given treatment for leukaemia and leprosy simultaneously. The skinlesion then became faint(Table/Fig 1),(Table/Fig 2),(Table/Fig 3),(Table/Fig 4),(Table/Fig 5).
Skin manifestations in chronic lymphocytic leukaemia are common and include non-specific leukaemids (these are the rashes which are intensely pruritic and the biopsy fails to show any leukaemic infiltration) (4), exfoliative dermatitis, urticaria, hyperpigmentation and non-specific eczematous eruptions (5)(6).
In our case, tender nodules were noticed over the trunk and the extremities, whereas in erythema nodosum, the nodules are commonly noticed over the pretibial region (7).
The histopathological sections which were studied in our case showed histiocytic granuloma with plenty of AFB bacilli on special staining, whereas in erythema nodosum, there could have been panniculities (8). So, the diagnosis of erythema nodosum was ruled out.
The presence of AFB globi and the grenz zone and the absence of secondary epidermal changes ruled out other forms of cutaneous tuberculosis (9).
In sweets syndrome, the patients present with tender nodules anywhere over the body and dermal neutrophilic infiltration, which were not seen in our case (10), (11).
In cases of drug reactions, the patients present with itching, mucosal involvement and eosinophilia, whereas in our case, there was no itching, mucosal involvement, or eosinophilia . The patient was taking steroids for CLL and so the chances for drug reactions were less (12).
Leprosy has rarely been reported with chronic lymphocytic leukaemia. The occurrence of leprosy in this patient with chronic lymphocytic leukaemia was probably coincidental. It appears that the administration of corticosteroids and chlorambucil had resulted in the exacerbation of the leprosy lesions. Only two cases of leprosy with chronic lymphocytic leukaemia have been reported so far in the literature (1).
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