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  Citation statistics : Table of Contents
   2011| January-June  | Volume 2 | Issue 1  
    Online since April 21, 2011

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Malignant syphilis with human immunodeficiency virus infection
Jiby Rajan, P. V. S. Prasad, K Chockalingam, PK Kaviarasan
January-June 2011, 2(1):19-22
DOI:10.4103/2229-5178.79864  PMID:23130209
Malignant syphilis or Lues maligna, commonly reported in the pre-antibiotic era, has now seen a resurgence with the advent of human immunodeficiency virus (HIV). Immunosuppression and sexual promiscuity set the stage for this deadly association of HIV and Treponema pallidum that can manifest atypically and can prove to cause diagnostic problems. We report one such case in a 30-year-old female who responded favorably to treatment with penicillin.
  5 4,227 541
Acne: Diet and acnegenesis
F William Danby
January-June 2011, 2(1):2-5
DOI:10.4103/2229-5178.79851  PMID:23130204
Acne is a manifestation of hormonal overstimulation of the pilosebaceous units of genetically susceptible individuals. Endogenous reproductive and growth hormones, exogenous reproductive hormones, insulin and endogenous insulin-like growth hormone-1, sourced from and stimulated by dairy and high glycemic load foods, all appear to contribute to this overstimulation. A postulated molecular mechanism linking food and acne is reported and integrated into the clinical picture.
  5 10,529 1,592
Fibrous hamartoma of infancy
Rohan S Vinayak, Sumit Kumar, Sudhir Chandana, Priti Trivedi
January-June 2011, 2(1):25-27
DOI:10.4103/2229-5178.79867  PMID:23130211
Fibrous hamartoma of infancy (FHI) is a rare, benign tumor of the subcutis and lower dermis, which usually occurs within the first 2 years of life. Ninety one percent of the tumors occur in the first year of life. The histogenesis of FHI is unclear. The clinical course is typically benign and prognosis excellent. The physical characteristics of the subcutaneous mass in a child may suggest a malignant process; however, FHI should be included in the differential diagnosis. The prognosis of FHI is excellent with local surgical excision and it rarely recurs.
  4 2,777 404
Nonablative facelift in Indian skin with superpulsed radiofrequency
Jaishree Sharad
January-June 2011, 2(1):6-9
DOI:10.4103/2229-5178.79855  PMID:23130205
Aims: To evaluate the effect of nonablative superpulsed radiofrequency used for skin tightening and improvement of skin folds in Indian patients. Settings and Design: One hundred patients in the age group of 35-65 years with laxity of skin over face and neck were taken up for study using superpulse radiofrequency. Methods and Materials: Superpulsed radiofrequency is a biterminal, monopolar device which delivers current at the frequency of 1.75 MHz. In this study, current was delivered to the tissue with a capacitive electrode with a diameter of 25 mm. Power of 100-120 W, frequency of 18 Hz and pulse width of 50 ms was used. Statistical Analysis Used: Chi-square test, nonparametric Friedman test. Results: Evaluation was done by two independent observers on the basis of comparative photographs taken before treatment and then monthly after treatment for up to 6 months. A quartile grading scale was used. Patient satisfaction scores matched the clinical improvements observed. Ninety four patients completed a 6 month follow up. The age groups taken were 31-40 years, 41-50 years, 51-60 years, and >60 years and various areas were studied. The difference in improvement in all areas except glabellar folds across all age groups was found to be statistically significant. Conclusions: Nonablative face lift with a superpulsed radiofrequency machine is a safe, convenient and quick office procedure with excellent cosmetic results. It is noninvasive and there is no downtime. It can be used in all skin types and is safe on Indian skin. Longterm studies of effect of nonablative radiofrequency treatment on Indian skin is required.
  4 5,447 901
Faun tail nevus
M Yamini, KS Sridevi, N Prasanna Babu, Nanjappa G Chetty
January-June 2011, 2(1):23-24
DOI:10.4103/2229-5178.79865  PMID:23130210
Faun tail nevus is a posterior midline cutaneous lesion of importance to dermatologists as it could be a cutaneous marker for its underlying spine and spinal cord anomaly. We report a 13-year-old girl with excessive hair growth over the lumbosacral region since birth. There was associated spinal anomaly with no neurological manifestation affecting the lower spinal cord. The diagnosis was made on clinical basis. The patient reported for cosmetic disability. This case is reported for its clinical importance.
  3 9,424 467
Localized psoriasis herpeticum: Case report and review of literature
Mamatha George, Jaheersha Pakran, Uma Rajan, Sandhya George, Sumi Thomas
January-June 2011, 2(1):16-18
DOI:10.4103/2229-5178.79863  PMID:23130208
Kaposi's varicelliform eruption (KVE) is a widespread cutaneous eruption caused by viruses, especially herpes simplex virus in patients with pre-existing dermatoses. ''Psoriasis herpeticum'' refers to the rare occurrence of KVE in patients with psoriasis. We report a case of KVE localized to the face in a patient with exfoliative dermatitis secondary to psoriasis. This case is being reported to make the treating clinician aware of the possibility of KVE in patients with psoriatic erythroderma.
  3 3,395 498
Sjogren-Larsson syndrome: A case report of a rare disease
SP Gupta, Amit Mittal, Baljeet Maini, Sanjeev Gupta
January-June 2011, 2(1):31-33
DOI:10.4103/2229-5178.79866  PMID:23130213
We report a case of Sjogren-Larsson syndrome with clinical profile (spastic diplegia, icthyosis, mental retardation) and imaging findings on magnetic resonance imaging.
  3 6,023 572
Oxcarbazepine-induced Stevens Johnson syndrome: A rare case report
SR Sharma, Nalini Sharma, ME Yeolekar
January-June 2011, 2(1):13-15
DOI:10.4103/2229-5178.79861  PMID:23130207
Although carbamazepine is the most common cause of Stevens Johnson syndrome (SJS) a new antiepileptic drug, oxcarbazepine which is structurally related to carbamazepine, has also been rarely shown to induce SJS. Here we report a case with SJS, which was induced by oxcarbazepine.
  2 4,896 515
Erythema elevatum diutinum associated with scleritis
Smitha Prabhu, Shrutakirthi D Shenoi, Pallav S Kishanpuria, Sathish B Pai
January-June 2011, 2(1):28-30
DOI:10.4103/2229-5178.79868  PMID:23130212
Erythema elevatum diutinum (EED) is a chronic and rare variant of leukocytoclastic vasculitis that is being reported nowadays frequently in association with HIV infection. It clinically manifests as asymptomatic to tender erythematous papules, plaques and nodules, usually with acral distribution and is rarely accompanied by systemic complaints other than arthralgia. The reported associations include preceding upper respiratory infections, hematological malignancies, lymphomas and monoclonal gammopathies. Here we report a 45 year old man with multiple joint pains, tender nodules over palms and soles and ocular pain and congestion, who was subsequently diagnosed as a case of EED and scleritis following histopathological examination. Skin as well as ocular complaints completely subsided with Dapsone monotherapy.
  2 4,425 376
Lymphangiectasias of vulva
Nayeem Sadath Haneef, S Ramachandra, Arun Kumar Metta, K Haritha
January-June 2011, 2(1):40-42
DOI:10.4103/2229-5178.79854  PMID:23130218
  2 5,496 402
Hailey-Hailey disease: A case treated with topical tacrolimus
Tejinder Kaur, Samarjit Kaur Sandhu
January-June 2011, 2(1):43-45
DOI:10.4103/2229-5178.79857  PMID:23130220
  2 2,580 380
Cutaneous larva migrans (creeping eruption)
Rameshwar Gutte, Uday Khopkar
January-June 2011, 2(1):48-48
DOI:10.4103/2229-5178.79848  PMID:23130223
  2 2,398 968
Atypical presentation of Becker's melanosis
Jayasree Manoj, Feroze Kaliyadan, KR Hiran
January-June 2011, 2(1):42-43
DOI:10.4103/2229-5178.79856  PMID:23130219
  1 2,897 394
Perifollicular pigmentation in bullous pemphigoid: A diagnostic sign
M Kumaresan, CR Srinivas
January-June 2011, 2(1):36-37
DOI:10.4103/2229-5178.79862  PMID:23130215
  1 2,105 340
Dexamethasone- cyclophosphamide pulse in collagen vascular diseases: An observation
Sudip Das, Parag Prasun Giri, Aloke Kr Roy
January-June 2011, 2(1):10-12
DOI:10.4103/2229-5178.79858  PMID:23130206
Background: Treatment of collagen vascular diseases like systemic sclerosis, dermatomyositis, systemic lupus erythematosus (SLE) and even overlap syndromes has been difficult since long. Monumental success of dexamethasone-cyclophosphamide pulse (DCP) in pemphigus has prompted many a dermatologist to try it in other autoimmune diseases. Materials and Methods: DCP was given as per standard regimen for six to nine pulses. Immunosuppressives were given for 12-18 months in dermatomyositis, SLE, and overlap syndrome, and for 12 months in systemic sclerosis. Daily dose of steroid was tapered off gradually. Results: The treatment resulted in 90% improvement in skin binding in systemic sclerosis, 80% in exertional dyspnea, 40% in dysphagia, but minimum improvement was seen in Raynaud"s and digital tip ulcerations. No improvement in pigmentation was noted. In SLE, malar rash cleared in 70%, joint pain in 80%, oral ulcerations reduced in 80%, fever in 98%, and photosensitivity improved in one-third of patients. In dermatomyositis, improvement in muscle tenderness was seen in 100%, improvement in proximal myopathy and heliotrope rash in 80%, and improvement of shawl sign was observed in 80% of the patients. Some flattening of Gottron papules and plaques was noted in some patients. Both overlap patients improved significantly. Out of 24 patients, three were lost to follow-up, one resorted to homeopathic medicine and two expired (one dermatomyositis, one SLE). Side effects like hypertension, hyperglycemia, pyoderma, fungal infections, obesity, psychosis, etc. were seen in 25-30% of patients. Conclusions: We conclude that DCP is relatively safe, effective as well as cheap compared to methylprednisolone pulse. Side effects are also less compared to daily regimen of steroids. We also observed that patients who reported early and put on pulse early responded better.
  1 3,398 531
From the desk of the Editor
Shyam B Verma
January-June 2011, 2(1):1-1
DOI:10.4103/2229-5178.79849  PMID:23130203
  - 2,167 399
Netherton syndrome: A rare genodermatosis
Vivek Kumar Dey
January-June 2011, 2(1):38-39
DOI:10.4103/2229-5178.79852  PMID:23130216
  - 3,888 513
Bullous oral lichen planus: An unusual variant
Rashmi Jindal, Dipankar De, Amrinder J Kanwar
January-June 2011, 2(1):39-40
DOI:10.4103/2229-5178.79853  PMID:23130217
  - 4,483 611
Panniculitis as the first sign of systemic lupus erythematosus
Suzan Sanavi, Reza Afshar
January-June 2011, 2(1):45-46
DOI:10.4103/2229-5178.79859  PMID:23130221
  - 2,496 340
Steroid card: A simple practice to avoid catastrophe
Ashish Singh, S Ambujam
January-June 2011, 2(1):34-35
DOI:10.4103/2229-5178.79860  PMID:23130214
  - 4,344 591
SkIndia Quiz 2 - Asymptomatic skin coloured nodules in a pregnant lady
Satyaki Ganguly, Kranti C Jaykar, Rajesh Kumar
January-June 2011, 2(1):47-47
DOI:10.4103/2229-5178.79850  PMID:23130222
  - 2,154 361
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