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Out of all the haematological aberrations associated with Primary hypothyroidism, anemia is found in 25% of hypothyroid patients. There are few reports of multiple autoimmune diseases co-existing with Hashimoto’s thyroiditis and Grave’s disease, however associations with primary hypothyroidism have not been reported yet. We report patient with primary hypothyroidism who presented with Immune thrombocytopenic purpura.

Anal fistula in infants is a common disease. Although many are recovered by conventional treatment, there are some patients who are not repaired easily. We performed the Ksharsutra method to an anal fistula and report the good result that we obtained.

Cerebellar disorders associated with HIV infection are typically the result of discrete cerebellar lesions resulting from opportunistic infections such as toxoplasmosis and progressive multifocal leukoencephalopathy or primary CNS lymphoma. Clinical symptoms and pathologic abnormalities related to the cerebellum may also be observed with HIV dementia. A primary cerebellar degeneration with HIV is rare. In our case the patient presented with progressively unsteady gait, slurred speech, and limb clumsiness. Examination revealed gait ataxia, impaired limb coordination, dysarthria, and abnormal eye movements. CD4 lymphocyte counts was very low 26 cells/mm3. Neuroimaging studies showed prominent cerebellar atrophy. We report a syndrome of unexplained, isolated degeneration of the cerebellum occurring in association with HIV infection.