http://www.ijdvl.com/currentissue.asp Indian J Dermatol Venereol Leprol 2011 - 77(1) Indian Journal of Dermatology, Venereology, and Leprology Medknow Publications0378-6323 Devinder Mohan Thappa Editorial Report Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):1-2doi:10.4103/0378-6323.74962 Indian Journal of Dermatology, Venereology, and Leprology 10.4103/0378-6323.74962 http://www.ijdvl.com/text.asp?2011/77/1/1/74962 http://www.ijdvl.com/text.asp?2011/77/1/1/74962771 1 2 http://www.ijdvl.com/text.asp?2011/77/1/1/74962 Devinder Mohan Thappa

Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):1-2

]]> Thu,6 Jan 2011http://www.ijdvl.com/text.asp?2011/77/1/1/74962 Sanjiv Grover Editorial Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):3-6doi:10.4103/0378-6323.74963 Indian Journal of Dermatology, Venereology, and Leprology 10.4103/0378-6323.74963 http://www.ijdvl.com/text.asp?2011/77/1/3/74963 http://www.ijdvl.com/text.asp?2011/77/1/3/74963771 3 6 http://www.ijdvl.com/text.asp?2011/77/1/3/74963 Sanjiv Grover

Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):3-6

]]> Thu,6 Jan 2011http://www.ijdvl.com/text.asp?2011/77/1/3/74963 Rashmi Kumari Dependra K Timshina Devinder Mohan Thappa Review Article Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):7-15doi:10.4103/0378-6323.74964 Indian Journal of Dermatology, Venereology, and Leprology 10.4103/0378-6323.74964 http://www.ijdvl.com/text.asp?2011/77/1/7/74964 http://www.ijdvl.com/text.asp?2011/77/1/7/74964771 7 15 http://www.ijdvl.com/text.asp?2011/77/1/7/74964 Rashmi Kumari, Dependra K Timshina, Devinder Mohan Thappa

Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):7-15

Drug hypersensitivity syndrome (DHS) is an adverse drug reaction commonly associated with the aromatic antiepileptic drugs (AEDs), viz., phenytoin (PHT), carbamazepine (CBZ), phenobarbital (PB), lamotrigine, primidone, etc. It can also be caused by other drugs, such as sulfonamides, dapsone, minocycline, gold derivatives, cyclosporine, captopril, diltiazem, terbinafine, azathioprine and allopurinol. Diagnosis of DHS may be difficult because of the variety of clinical and laboratory abnormalities and manifestations and because the syndrome may mimic infectious, neoplastic or collagen vascular disorders. The risk for developing hypersensitivity within 60 days of the first or second prescription in new users of PHT or CBZ was estimated to be 2.3-4.5 per 10,000 and 1-4.1 per 10,000, respectively. The syndrome is defined by the fever, skin rash, lymphadenopathy and internal organ involvement within the first 2-8 weeks after initiation of therapy. Internal manifestations include, among others, agranulocytosis, hepatitis, nephritis and myositis. Insufficient detoxification may lead to cell death or contribute to the formation of antigen that triggers an immune reaction. Cross-reactivity among PHT, CBZ and PB is as high as 70%-80%. Management mainly includes immediate withdrawal of the culprit drug, symptomatic treatment and systemic steroids or immunoglobulins.]]> Thu,6 Jan 2011http://www.ijdvl.com/text.asp?2011/77/1/7/74964 Engin Senel Review Article Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):16-22doi:10.4103/0378-6323.74966 Indian Journal of Dermatology, Venereology, and Leprology 10.4103/0378-6323.74966 http://www.ijdvl.com/text.asp?2011/77/1/16/74966 http://www.ijdvl.com/text.asp?2011/77/1/16/74966771 16 22 http://www.ijdvl.com/text.asp?2011/77/1/16/74966 Engin Senel

Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):16-22

Dermatoscopy is a cheap and non-invasive diagnostic technique that improves the diagnostic accuracy of non-pigmented benign and malignant skin tumors. Dermatologist should be aware of dermatoscopic features of non-melanocytic skin tumors to reach the correct diagnosis.]]> Thu,6 Jan 2011http://www.ijdvl.com/text.asp?2011/77/1/16/74966 Kurtulus D Yazganoglu Esen Ozkaya Original Article Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):23-27doi:10.4103/0378-6323.74969 Indian Journal of Dermatology, Venereology, and Leprology 10.4103/0378-6323.74969 http://www.ijdvl.com/text.asp?2011/77/1/23/74969 http://www.ijdvl.com/text.asp?2011/77/1/23/74969771 23 27 http://www.ijdvl.com/text.asp?2011/77/1/23/74969 Kurtulus D Yazganoglu, Esen Ozkaya

Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):23-27

Background: Hanifin and Rajka's criteria (HRC) are the gold standard for the diagnosis of atopic dermatitis (AD). Apart from the age-related distribution and typical morphology of the lesions as defined in one of the major criteria of HRC, patients may also show nontypical morphology and localization. Aim: The aim of this study was to find the frequency of nontypical morphology and localization in Turkish AD patients with onset before the age of 18 years, who were diagnosed according to HRC. Methods: This was a methodological study based on the analysis of patients' data derived from the checklists of HRC and precise clinical documentation of each patient. A total of 321 Turkish patients diagnosed between 1996 and 2004 with the onset of AD before the age of 18 years were allocated to the study group. Results: 49.5% of patients had nontypical localization of AD, the majority being infants or children who had flexural involvement rather than the typical cheek or extremity lesions. Lichenified/exudative eczematous pattern was the most frequent morphologic type (45.5%); however, 54.5% of the patients showed combined or isolated variants, e.g. nummular and seborrheic patterns, in particular. Conclusions: A considerable amount of Turkish patients with AD before the age of 18 years presented with nontypical morphology and/or localization according to their age group. The confirmation of our findings in a multicentric prospective study would further allow a completion and correction of the diagnostic criteria of AD for age groups.]]> Thu,6 Jan 2011http://www.ijdvl.com/text.asp?2011/77/1/23/74969 R Rajalakshmi Devinder Mohan Thappa Telanseri J Jaisankar Amiya Kumar Nath Original Article Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):28-36doi:10.4103/0378-6323.74970 Indian Journal of Dermatology, Venereology, and Leprology 10.4103/0378-6323.74970 http://www.ijdvl.com/text.asp?2011/77/1/28/74970 http://www.ijdvl.com/text.asp?2011/77/1/28/74970771 28 36 http://www.ijdvl.com/text.asp?2011/77/1/28/74970 R Rajalakshmi, Devinder Mohan Thappa, Telanseri J Jaisankar, Amiya Kumar Nath

Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):28-36

Background: Lichen simplex chronicus (LSC) of the anogenital region, is a benign, extremely uncomfortable disease. Aims: As very little is known about the cause of anogenital LSC (AGLSC), we undertook this study to determine various clinico-etiological factors involved in it and to assess the frequency of AGLSC. Methods: This was a descriptive study, including 105 patients with AGLSC, who attended the Dermatology clinic in our institute from September 2007 to June 2009. Detailed history, physical examination, and relevant investigations were done. The collected data were tabulated and analyzed. Results: The frequency of AGLSC among patients presenting with anogenital pruritus was 2.54%. Primary AGLSC was more common than secondary AGLSC (69.5% vs. 30.5%). AGLSC manifested more commonly in males than in females (56.2% vs. 43.8%). The mean duration of the disease was 30.6 months. The common triggering factors for itching were sweating (41.9%), rubbing of thighs while walking for long distances (9.5%), and mental stress (5.7%). Pruritus of AGLSC was related to the intake of various food items in 37.1% of patients. In males, scrotum was the predominant site involved (89.8%), whereas in females, labia majora was the predominant site involved (78.2%). Nearly one-third of cases (30.5%) of AGLSC had some other dermatoses in the anogenital region. Conclusions: Though psychological factors are thought to play an important role in disease causation and perpetuation among AGLSC patients, their significance could not be ascertained by us.]]> Thu,6 Jan 2011http://www.ijdvl.com/text.asp?2011/77/1/28/74970 T Mahalakshmy KC Premarajan Hamide Abdoul Original Article Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):37-41doi:10.4103/0378-6323.74972 Indian Journal of Dermatology, Venereology, and Leprology 10.4103/0378-6323.74972 http://www.ijdvl.com/text.asp?2011/77/1/37/74972 http://www.ijdvl.com/text.asp?2011/77/1/37/74972771 37 41 http://www.ijdvl.com/text.asp?2011/77/1/37/74972 T Mahalakshmy, KC Premarajan, Hamide Abdoul

Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):37-41

Background: The current adult prevalence of HIV in India is 0.34%. HIV infected persons should have adequate knowledge about the modes of transmission of infection. This is essential for reducing the risk of secondary infection, preventing coinfection from other viruses such as hepatitis B and for protecting the uninfected. Identification of the correlates of poor knowledge among HIV positive subjects will aid in planning effective measures to improve their health knowledge about HIV. Aims: To explore HIV related knowledge among HIV positive subjects and to determine the correlates of their knowledge. Methods: The study was conducted between November 2005 and May 2007. Two hundred HIV positive subjects attending a tertiary care hospital and three non-governmental organizations in Puducherry, South India, were recruited for the study. They were interviewed using a pre-tested structured questionnaire regarding their knowledge about HIV and were divided into those with HIV knowledge score >90% and those with score ≤90%. The data were analyzed using Chi-square test and logistic regression. Odds ratio (OR) and 95% confidence intervals were also calculated. Results: The median knowledge score was 90%. Knowledge on the modes of HIV transmission was better than that on the modes by which it does not spread. Subjects who had received counseling (OR: 16.78), studied above class 10 (OR: 4.13), and those with duration of more than 1 year since diagnosis (OR: 3.12) had better HIV knowledge score (>90%). Persons counseled by HIV positive peers had a better knowledge. Conclusion: This study revealed the importance of counseling in improving the HIV related knowledge among HIV positive individuals. It also highlights the beneficial effect of peer counseling.]]> Thu,6 Jan 2011http://www.ijdvl.com/text.asp?2011/77/1/37/74972 Sanjay K Rathi Leishiwon Kumrah Original Article Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):42-46doi:10.4103/0378-6323.74974 Indian Journal of Dermatology, Venereology, and Leprology 10.4103/0378-6323.74974 http://www.ijdvl.com/text.asp?2011/77/1/42/74974 http://www.ijdvl.com/text.asp?2011/77/1/42/74974771 42 46 http://www.ijdvl.com/text.asp?2011/77/1/42/74974 Sanjay K Rathi, Leishiwon Kumrah

Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):42-46

Background: Prolonged and continuous use of topical steroids leads to rosacea-like dermatitis with variable clinical presentations. Aims: To study the various clinical presentations of patients with topical corticosteroid-induced rosacea-like dermatitis (TCIRD), who had a history of prolonged and repeated use of topical steroids for reasons other than the known disease entities. Methods: A total of 110 patients were enrolled for the study over a period of 2 years, excluding all those with the known disease entity in which topical steroids were commonly used. Detailed history which also included the source and the type of topical steroid use was taken along with clinical examination. Results: There were 12 males and 98 females with their age ranging from 18 to 54 years. The duration of topical steroid use ranged from 4 months to 20 years. The most common clinical presentation was diffuse erythema of the face. Most of the patients had rebound phenomenon on discontinuation of the steroid. The most common topical steroid used was Betamethasone valerate, which could be due to its easy availability and low cost. Conclusion: Varied clinical presentations are seen with prolonged and continuous use of topical steroids. The treatment of this dermatitis is difficult, requiring complete cessation of the offending steroid, usually done in a tapering fashion.]]> Thu,6 Jan 2011http://www.ijdvl.com/text.asp?2011/77/1/42/74974 VK Sharma PK Sethy PN Dogra Urvashi Singh P Das Case Report Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):47-50doi:10.4103/0378-6323.74979 Indian Journal of Dermatology, Venereology, and Leprology 10.4103/0378-6323.74979 http://www.ijdvl.com/text.asp?2011/77/1/47/74979 http://www.ijdvl.com/text.asp?2011/77/1/47/74979771 47 50 http://www.ijdvl.com/text.asp?2011/77/1/47/74979 VK Sharma, PK Sethy, PN Dogra, Urvashi Singh, P Das

Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):47-50

A 55-year-old male with carcinoma in situ of urinary bladder was treated with weekly intravesical injections of Bacillus Calmette Guerin (BCG) vaccine. Three days after the sixth injection, he developed low grade fever and multiple grouped punched out, 2-3 mm ulcers around meatus and corona glandis. In addition, multiple, firm, indurated, nontender papules and few deeper nodules were present on the proximal part of glans penis, along with bilateral enlarged, matted and nontender inguinal lymph nodes. There was no history suggestive of sexually transmitted diseases and high risk behavior. Chest X-ray was within normal limits, and Mantoux, Venereal Disease Research Laboratory (VDRL) and HIV antibody tests were negative. The biopsy from the penile ulcer revealed epithelioid cell granuloma with Langhans giant cells. Fine needle aspiration cytology from the lymph node also revealed epithelioid cell granuloma and acid fast bacilli on Ziehl Neelsen's stain. The tissue biopsy grew Mycobacterium tuberculosis. The BCG immunotherapy was stopped and patient was treated with four drug antitubercular therapy with isoniazid, rifampicin, ethambutol, and pyrazinamide in standard daily doses along with pyridoxine. The edema resolved and the ulcers started healing within 2 weeks, and at 6 weeks after starting antitubercular therapy almost complete healing occurred. To the best of our knowledge, we describe the first case of an Indian patient with BCG induced primary tuberculosis of penis after immunotherapy for carcinoma urinary bladder and review the previously described cases to increase awareness of this condition in dermatologists and venereologists.]]> Thu,6 Jan 2011http://www.ijdvl.com/text.asp?2011/77/1/47/74979 G Raghurama Rao BK Durga Prasad A Amareswar KT Vijaya Sujatha Case Report Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):51-54doi:10.4103/0378-6323.74980 Indian Journal of Dermatology, Venereology, and Leprology 10.4103/0378-6323.74980 http://www.ijdvl.com/text.asp?2011/77/1/51/74980 http://www.ijdvl.com/text.asp?2011/77/1/51/74980771 51 54 http://www.ijdvl.com/text.asp?2011/77/1/51/74980 G Raghurama Rao, BK Durga Prasad, A Amareswar, KT Vijaya, Sujatha

Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):51-54

Large congenital melanocytic nevi (>20 cm in greatest diameter) are very rare and are seen in approximately 1 in 20,000 newborns. The major risk these patients face is the development of neurocutaneous melanosis or malignant melanoma. We report a rare case of large congenital melanocytic nevus with metastatic melanoma in a 40-year-old woman. In this case, though the primary was not established with certainty, on the basis of clinical course and radiological evaluation of various organs, we presume that the primary could be in the lung.]]> Thu,6 Jan 2011http://www.ijdvl.com/text.asp?2011/77/1/51/74980 Swapna S Khatu Rachita S Dhurat Chitra S Nayak Rickson R Pereira Rucha B Kagne Case Report Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):55-58doi:10.4103/0378-6323.74982 Indian Journal of Dermatology, Venereology, and Leprology 10.4103/0378-6323.74982 http://www.ijdvl.com/text.asp?2011/77/1/55/74982 http://www.ijdvl.com/text.asp?2011/77/1/55/74982771 55 58 http://www.ijdvl.com/text.asp?2011/77/1/55/74982 Swapna S Khatu, Rachita S Dhurat, Chitra S Nayak, Rickson R Pereira, Rucha B Kagne

Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):55-58

Four types of elastosis perforans serpiginosa (EPS) have been described in literature: 1) idiopathic EPS, 2) reactive perforating elastosis associated with connective tissue disorders, 3) in some instances of pseudoxanthoma elasticum (PXE), disease-specific calcified elastic tissue is extruded, producing a clinical picture indistinguishable from other types, may also be seen in patients undergoing hemodialysis and 4) EPS induced by long-term treatment with D-penicillamine is observed in patients suffering from Wilson's disease. Long term D-penicillamine therapy causes an alteration in the dermal elastic tissue. D-penicillamine induced EPS has a distinctive histopathologic feature - serrated appearance of elastic fibers due to perpendicular budding from their surface giving a "lumpy-bumpy" look. D-penicillamine induced elastic fiber alteration may not always manifest clinically as EPS. We report a case of D-penicillamine induced widespread alteration in skin elastic tissue with distinct histopathologic features.]]> Thu,6 Jan 2011http://www.ijdvl.com/text.asp?2011/77/1/55/74982 Ashok Krishnarao Ghorpade Case Report Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):59-61doi:10.4103/0378-6323.74984 Indian Journal of Dermatology, Venereology, and Leprology 10.4103/0378-6323.74984 http://www.ijdvl.com/text.asp?2011/77/1/59/74984 http://www.ijdvl.com/text.asp?2011/77/1/59/74984771 59 61 http://www.ijdvl.com/text.asp?2011/77/1/59/74984 Ashok Krishnarao Ghorpade

Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):59-61

An Indian patient of histoid leprosy presenting de novo, having numerous solid staining bacilli inside the intact epidermis and eliminating bacilli from the intact and the eroded epidermis, is reported. The diagnosis, suggested by the clinical features, was confirmed histopathologically. This unusual report indicates possible participation of skin in leprosy transmission.]]> Thu,6 Jan 2011http://www.ijdvl.com/text.asp?2011/77/1/59/74984 Sanjiv V Choudhary Shazia Bisati Sankha Koley Images in Clinical Practice Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):62-63doi:10.4103/0378-6323.74986 Indian Journal of Dermatology, Venereology, and Leprology 10.4103/0378-6323.74986 http://www.ijdvl.com/text.asp?2011/77/1/62/74986 http://www.ijdvl.com/text.asp?2011/77/1/62/74986771 62 63 http://www.ijdvl.com/text.asp?2011/77/1/62/74986 Sanjiv V Choudhary, Shazia Bisati, Sankha Koley

Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):62-63

]]> Thu,6 Jan 2011http://www.ijdvl.com/text.asp?2011/77/1/62/74986 Sreedhar K Krishna Letter to the Editor Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):64-64doi:10.4103/0378-6323.74987 Indian Journal of Dermatology, Venereology, and Leprology 10.4103/0378-6323.74987 http://www.ijdvl.com/text.asp?2011/77/1/64/74987 http://www.ijdvl.com/text.asp?2011/77/1/64/74987771 64 64 http://www.ijdvl.com/text.asp?2011/77/1/64/74987 Sreedhar K Krishna

Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):64-64

]]> Thu,6 Jan 2011http://www.ijdvl.com/text.asp?2011/77/1/64/74987 Sirin Yasar Zehra Asiran Serdar Fatih Goktay Nurhan Doner Ceyda Tanzer Deniz Akkaya Pembegul Gunes Letter to the Editor Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):64-66doi:10.4103/0378-6323.74989 Indian Journal of Dermatology, Venereology, and Leprology 10.4103/0378-6323.74989 http://www.ijdvl.com/text.asp?2011/77/1/64/74989 http://www.ijdvl.com/text.asp?2011/77/1/64/74989771 64 66 http://www.ijdvl.com/text.asp?2011/77/1/64/74989 Sirin Yasar, Zehra Asiran Serdar, Fatih Goktay, Nurhan Doner, Ceyda Tanzer, Deniz Akkaya, Pembegul Gunes

Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):64-66

]]> Thu,6 Jan 2011http://www.ijdvl.com/text.asp?2011/77/1/64/74989 Vipin Gupta Devraj Dogra Nishu Gupta Shagufta Parveen Letter to the Editor Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):66-68doi:10.4103/0378-6323.74991 Indian Journal of Dermatology, Venereology, and Leprology 10.4103/0378-6323.74991 http://www.ijdvl.com/text.asp?2011/77/1/66/74991 http://www.ijdvl.com/text.asp?2011/77/1/66/74991771 66 68 http://www.ijdvl.com/text.asp?2011/77/1/66/74991 Vipin Gupta, Devraj Dogra, Nishu Gupta, Shagufta Parveen

Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):66-68

]]> Thu,6 Jan 2011http://www.ijdvl.com/text.asp?2011/77/1/66/74991 Yan Lu Mei-Hua Zhang Wen-Yuan Zhu Letter to the Editor Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):69-70doi:10.4103/0378-6323.74992 Indian Journal of Dermatology, Venereology, and Leprology 10.4103/0378-6323.74992 http://www.ijdvl.com/text.asp?2011/77/1/69/74992 http://www.ijdvl.com/text.asp?2011/77/1/69/74992771 69 70 http://www.ijdvl.com/text.asp?2011/77/1/69/74992 Yan Lu, Mei-Hua Zhang, Wen-Yuan Zhu

Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):69-70

]]> Thu,6 Jan 2011http://www.ijdvl.com/text.asp?2011/77/1/69/74992 Mary Thomas Sheela Daniel Letter to the Editor Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):70-72doi:10.4103/0378-6323.74994 Indian Journal of Dermatology, Venereology, and Leprology 10.4103/0378-6323.74994 http://www.ijdvl.com/text.asp?2011/77/1/70/74994 http://www.ijdvl.com/text.asp?2011/77/1/70/74994771 70 72 http://www.ijdvl.com/text.asp?2011/77/1/70/74994 Mary Thomas, Sheela Daniel

Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):70-72

]]> Thu,6 Jan 2011http://www.ijdvl.com/text.asp?2011/77/1/70/74994 Joana Dias Coelho Filipa Diamantino Sara Lestre Ana Macedo Ferreira Letter to the Editor Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):72-74doi:10.4103/0378-6323.74996 Indian Journal of Dermatology, Venereology, and Leprology 10.4103/0378-6323.74996 http://www.ijdvl.com/text.asp?2011/77/1/72/74996 http://www.ijdvl.com/text.asp?2011/77/1/72/74996771 72 74 http://www.ijdvl.com/text.asp?2011/77/1/72/74996 Joana Dias Coelho, Filipa Diamantino, Sara Lestre, Ana Macedo Ferreira

Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):72-74

]]> Thu,6 Jan 2011http://www.ijdvl.com/text.asp?2011/77/1/72/74996 Antonella Fioravanti Maria Laura Flori Giacomo Maria Guidelli Nicola Giordano Letter to the Editor Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):74-76doi:10.4103/0378-6323.74999 Indian Journal of Dermatology, Venereology, and Leprology 10.4103/0378-6323.74999 http://www.ijdvl.com/text.asp?2011/77/1/74/74999 http://www.ijdvl.com/text.asp?2011/77/1/74/74999771 74 76 http://www.ijdvl.com/text.asp?2011/77/1/74/74999 Antonella Fioravanti, Maria Laura Flori, Giacomo Maria Guidelli, Nicola Giordano

Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):74-76

]]> Thu,6 Jan 2011http://www.ijdvl.com/text.asp?2011/77/1/74/74999 Sageerabanoo A Malini P Oudeacoumar C Udayashankar Letter to the Editor Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):76-77doi:10.4103/0378-6323.75001 Indian Journal of Dermatology, Venereology, and Leprology 10.4103/0378-6323.75001 http://www.ijdvl.com/text.asp?2011/77/1/76/75001 http://www.ijdvl.com/text.asp?2011/77/1/76/75001771 76 77 http://www.ijdvl.com/text.asp?2011/77/1/76/75001 Sageerabanoo , A Malini, P Oudeacoumar, C Udayashankar

Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):76-77

]]> Thu,6 Jan 2011http://www.ijdvl.com/text.asp?2011/77/1/76/75001 Vishalakshi Viswanath Seema Nair Nisarg Chavan Raghunandan Torsekar Letter to the Editor Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):78-79doi:10.4103/0378-6323.75002 Indian Journal of Dermatology, Venereology, and Leprology 10.4103/0378-6323.75002 http://www.ijdvl.com/text.asp?2011/77/1/78/75002 http://www.ijdvl.com/text.asp?2011/77/1/78/75002771 78 79 http://www.ijdvl.com/text.asp?2011/77/1/78/75002 Vishalakshi Viswanath, Seema Nair, Nisarg Chavan, Raghunandan Torsekar

Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):78-79

]]> Thu,6 Jan 2011http://www.ijdvl.com/text.asp?2011/77/1/78/75002 Minzhi Wu Yan Wang Dawei Zhang Guoquan Jia Wenbo Bu Fang Fang Liang Zhao Letter to the Editor Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):79-81doi:10.4103/0378-6323.75005 Indian Journal of Dermatology, Venereology, and Leprology 10.4103/0378-6323.75005 http://www.ijdvl.com/text.asp?2011/77/1/79/75005 http://www.ijdvl.com/text.asp?2011/77/1/79/75005771 79 81 http://www.ijdvl.com/text.asp?2011/77/1/79/75005 Minzhi Wu, Yan Wang, Dawei Zhang, Guoquan Jia, Wenbo Bu, Fang Fang, Liang Zhao

Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):79-81

]]> Thu,6 Jan 2011http://www.ijdvl.com/text.asp?2011/77/1/79/75005 Xiu-Jun Liu Meng-Hua Huo Letter to the Editor Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):81-82doi:10.4103/0378-6323.75007 Indian Journal of Dermatology, Venereology, and Leprology 10.4103/0378-6323.75007 http://www.ijdvl.com/text.asp?2011/77/1/81/75007 http://www.ijdvl.com/text.asp?2011/77/1/81/75007771 81 82 http://www.ijdvl.com/text.asp?2011/77/1/81/75007 Xiu-Jun Liu, Meng-Hua Huo

Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):81-82

]]> Thu,6 Jan 2011http://www.ijdvl.com/text.asp?2011/77/1/81/75007 Narendra Patwardhan Uday Kelkar Dermatosurgery Specials Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):83-93doi:10.4103/0378-6323.74965 Indian Journal of Dermatology, Venereology, and Leprology 10.4103/0378-6323.74965 http://www.ijdvl.com/text.asp?2011/77/1/83/74965 http://www.ijdvl.com/text.asp?2011/77/1/83/74965771 83 93 http://www.ijdvl.com/text.asp?2011/77/1/83/74965 Narendra Patwardhan, Uday Kelkar

Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):83-93

Modern day dermatologists conduct different esthetic and surgical procedures, with risk of infective complications. Hence, infection control practices need to be established in dermatological practice to minimize the risk of exogenous infections. These practices include hand washing, cleaning, sterilization, disinfection, operation theater sterilization and specifications. Proper hand washing after examination of each patient and prior to any surgery with a formulation containing alcohol alone or as a combination with other agents reduces the chances of transferring infections to and from patients. Sterilization and disinfection constitute the most important aspect of infection control. Disinfectants and disinfecting procedures vary according to the environment and equipment. Proper knowledge of different processes/agents for sterilization and disinfection is essential. Disinfectants for use in hospitals should always be freshly prepared and should be of adequate strength. Sterilization is carried out most commonly using steam sterilizers or ethylene dioxide sterilizers. The waste generated during practice is a potential source of nosocomial infections and should be treated as per the proper protocol and guidelines. Trained staff to carry out these practices is essential.]]> Thu,6 Jan 2011http://www.ijdvl.com/text.asp?2011/77/1/83/74965 Somesh Gupta VK Sharma Dermatosurgery Specials Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):94-100doi:10.4103/0378-6323.74968 Indian Journal of Dermatology, Venereology, and Leprology 10.4103/0378-6323.74968 http://www.ijdvl.com/text.asp?2011/77/1/94/74968 http://www.ijdvl.com/text.asp?2011/77/1/94/74968771 94 100 http://www.ijdvl.com/text.asp?2011/77/1/94/74968 Somesh Gupta, VK Sharma

Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):94-100

Keloids and hypertrophic scars (HTS) are the result of overgrowth of fibrous tissue, following healing of a cutaneous injury, and cause morbidity. There are several treatment modalities which are useful for the management of keloids, though no single modality is completely effective. The most commonly used modalities are pressure, silicone gel sheet, intralesional steroids, 5-fluorouracil (5 FU), cryotherapy, surgical excision, and lasers. They may be used either singly or, as is done more commonly, in combinations. Any qualified dermatologist who has attained postgraduate qualification in dermatology can treat keloids and HTS. Some procedures, such as cryosurgery and surgical excision, may require additional training in dermatologic surgery. Most modalities for keloids, including intralesional injections and mechanical therapies such as pressure and silicone gel based products, can be given/prescribed on OPD basis. Surgical excision requires a minor operation theater with the facility to handle emergencies. It is important to counsel the patient about the nature of the problem. One should realize that keloid will only improve and not disappear completely. Patients should be informed about the high recurrence rates. Different modalities carry risk of adverse effects and complications and the treating physician needs to be aware of these and patients should be informed about them.]]> Thu,6 Jan 2011http://www.ijdvl.com/text.asp?2011/77/1/94/74968 Devinder Mohan Thappa Ramassamy Sivaranjini Suresh P Joshipura Deep Joshipura History Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):101-103doi:10.4103/0378-6323.74973 Indian Journal of Dermatology, Venereology, and Leprology 10.4103/0378-6323.74973 http://www.ijdvl.com/text.asp?2011/77/1/101/74973 http://www.ijdvl.com/text.asp?2011/77/1/101/74973771 101 103 http://www.ijdvl.com/text.asp?2011/77/1/101/74973 Devinder Mohan Thappa, Ramassamy Sivaranjini, Suresh P Joshipura, Deep Joshipura

Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):101-103

]]> Thu,6 Jan 2011http://www.ijdvl.com/text.asp?2011/77/1/101/74973 Smitha Prabhu Shrutakirthi D Shenoi Susma Pandey Kirthilatha M Pai Resident's Page Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):104-106doi:10.4103/0378-6323.74975 Indian Journal of Dermatology, Venereology, and Leprology 10.4103/0378-6323.74975 http://www.ijdvl.com/text.asp?2011/77/1/104/74975 http://www.ijdvl.com/text.asp?2011/77/1/104/74975771 104 106 http://www.ijdvl.com/text.asp?2011/77/1/104/74975 Smitha Prabhu, Shrutakirthi D Shenoi, Susma Pandey, Kirthilatha M Pai

Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):104-106

]]> Thu,6 Jan 2011http://www.ijdvl.com/text.asp?2011/77/1/104/74975 C Soni Das S Pradeep Nair V Sreedevan Lissy Skaria Rani Mathew Rony Mathew Quiz Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):107-109doi:10.4103/0378-6323.74977 Indian Journal of Dermatology, Venereology, and Leprology 10.4103/0378-6323.74977 http://www.ijdvl.com/text.asp?2011/77/1/107/74977 http://www.ijdvl.com/text.asp?2011/77/1/107/74977771 107 109 http://www.ijdvl.com/text.asp?2011/77/1/107/74977 C Soni Das, S Pradeep Nair, V Sreedevan, Lissy Skaria, Rani Mathew, Rony Mathew

Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):107-109

]]> Thu,6 Jan 2011http://www.ijdvl.com/text.asp?2011/77/1/107/74977 Levent Tasli Oya Oguz Net Study Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):110-110doi:10.4103/0378-6323.74981 Indian Journal of Dermatology, Venereology, and Leprology 10.4103/0378-6323.74981 http://www.ijdvl.com/text.asp?2011/77/1/110/74981 http://www.ijdvl.com/text.asp?2011/77/1/110/74981771 110 110 http://www.ijdvl.com/text.asp?2011/77/1/110/74981 Levent Tasli, Oya Oguz

Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):110-110

Background: Dermoscopy is a useful method that allows dermal and epidermal structures to be easily analysed non-invasively. Aim: In this study, immersion oil, which is widely used in dermoscopy, and ultrasound gel, which is less preferred, are evaluated comparatively in terms of displaying structural parameters and number of air bubbles in the image. Methods: A total of 71 nevomelanocytic or non-melanocytic pigmented lesions were taken up for this study. Structural characteristics of the obtained images were assessed by an experienced observer who scored the images in terms of color, pigment network, globule, vascular structure, number of air bubbles and other pigmentation parameters. Results: In the images obtained through immersion oil or ultrasound gel from all of the lesions, no statistical difference was found between the average values of air bubbles and in the evaluation of structural components (t=1.09, P=0.2). In the identification of pigment network in melanocytic lesions, immersion oil was observed to be more appropriate than ultrasound gel (t=0.01, P=0.02). Conclusions: Ultrasound gel may be preferred in the assessment of mucosa and nail bed lesions. Ultrasound gel is a good alternative compared to immersion oil in pigmented skin lesions as it is cheap and easily removable.]]> Thu,6 Jan 2011http://www.ijdvl.com/text.asp?2011/77/1/110/74981 Jignesh B Vaishnani Net Case Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):110-110doi:10.4103/0378-6323.74985 Indian Journal of Dermatology, Venereology, and Leprology 10.4103/0378-6323.74985 http://www.ijdvl.com/text.asp?2011/77/1/110/74985 http://www.ijdvl.com/text.asp?2011/77/1/110/74985771 110 110 http://www.ijdvl.com/text.asp?2011/77/1/110/74985 Jignesh B Vaishnani

Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):110-110

Malaria is an infectious disease caused by protozoa of the genus Plasmodium. Cutaneous lesions in malaria are rarely reported and include urticaria, angioedema, petechiae, purpura, and disseminated intravascular coagulation (DIC). Here, five malaria cases associated with cutaneous lesions have been described. Out of the five cases of malaria, two were associated with urticaria and angioedema, one case was associated with urticaria, and other two were associated with reticulated blotchy erythema with petechiae. Most of the cutaneous lesions in malaria were nonspecific and reflected the different immunopathological mechanism in malarial infection.]]> Thu,6 Jan 2011http://www.ijdvl.com/text.asp?2011/77/1/110/74985 Goncagul Babuna Nesimi Buyukbabani K Didem Yazganoglu Can Baykal Net Case Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):110-111doi:10.4103/0378-6323.74988 Indian Journal of Dermatology, Venereology, and Leprology 10.4103/0378-6323.74988 http://www.ijdvl.com/text.asp?2011/77/1/110/74988 http://www.ijdvl.com/text.asp?2011/77/1/110/74988771 110 111 http://www.ijdvl.com/text.asp?2011/77/1/110/74988 Goncagul Babuna, Nesimi Buyukbabani, K Didem Yazganoglu, Can Baykal

Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):110-111

Annular elastolytic giant cell granuloma (AEGCG) is a rare granulomatous and elastolytic skin disease of unknown pathogenesis. Therapy for AEGCG is controversial. The data about the effectiveness of chloroquine in the treatment of AEGCG are also variable. Here, we report a case of AEGCG with significant improvement after a total treatment period of 22 weeks with hydroxychloroquine. Although a possibility of spontaneous remission cannot be ruled out, we think that chloroquine can be considered as an effective treatment of this chronic disorder.]]> Thu,6 Jan 2011http://www.ijdvl.com/text.asp?2011/77/1/110/74988 Murugan Sundaram TP Vetrichevvel Shobana Subramanyam Anandan Subramaniam Net Case Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):111-111doi:10.4103/0378-6323.74990 Indian Journal of Dermatology, Venereology, and Leprology 10.4103/0378-6323.74990 http://www.ijdvl.com/text.asp?2011/77/1/111/74990 http://www.ijdvl.com/text.asp?2011/77/1/111/74990771 111 111 http://www.ijdvl.com/text.asp?2011/77/1/111/74990 Murugan Sundaram, TP Vetrichevvel, Shobana Subramanyam, Anandan Subramaniam

Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):111-111

Cutaneous epithelioid angiosarcoma is a rare malignant vascular tumor, most commonly affecting elderly men, and is usually located on the extremities. We report a case of an 81-year-old lady who presented with two ulcerated plaques over the right temporal and parietal scalp of 1 year duration. The right submaxillary and submandibular lymph nodes were enlarged and tender. Computed tomography (CT) scan of the head showed soft tissue swelling over parietal and temporal areas and there was no intracranial extension. Ultrasonogram of the abdomen showed hyperechoic areas in liver suggestive of secondaries. Histopathology of the skin lesion showed the dermis and subcutis composed of clusters of atypical epithelioid cells with vesicular nuclei, prominent nucleoli and eosinophilic cytoplasm with increased mitotic figures. Immunohistochemical staining revealed CD-31, 33, 34 and vimentin positivity, while cytokeratin was negative confirming the diagnosis of epitheloid angiosarcoma. This case report highlights the unusual occurrence of multicentric epitheloid angiosarcoma on the scalp with secondaries in the liver.]]> Thu,6 Jan 2011http://www.ijdvl.com/text.asp?2011/77/1/111/74990 PK Nigam PK Patra PK Khodiar Jyotsna Gual Net letter Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):111-111doi:10.4103/0378-6323.74993 Indian Journal of Dermatology, Venereology, and Leprology 10.4103/0378-6323.74993 http://www.ijdvl.com/text.asp?2011/77/1/111/74993 http://www.ijdvl.com/text.asp?2011/77/1/111/74993771 111 111 http://www.ijdvl.com/text.asp?2011/77/1/111/74993 PK Nigam, PK Patra, PK Khodiar, Jyotsna Gual

Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):111-111

]]> Thu,6 Jan 2011http://www.ijdvl.com/text.asp?2011/77/1/111/74993 G Raghurama Rao S Sandhya M Sridevi A Amareswar Betsy L Narayana Shantisri Net letter Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):111-111doi:10.4103/0378-6323.74997 Indian Journal of Dermatology, Venereology, and Leprology 10.4103/0378-6323.74997 http://www.ijdvl.com/text.asp?2011/77/1/111/74997 http://www.ijdvl.com/text.asp?2011/77/1/111/74997771 111 111 http://www.ijdvl.com/text.asp?2011/77/1/111/74997 G Raghurama Rao, S Sandhya, M Sridevi, A Amareswar, Betsy L Narayana, Shantisri

Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):111-111

]]> Thu,6 Jan 2011http://www.ijdvl.com/text.asp?2011/77/1/111/74997 Ilknur Kivanc-Altunay Hilal Kaya Erdogan Semra Kayaoglu Net letter Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):112-112doi:10.4103/0378-6323.75000 Indian Journal of Dermatology, Venereology, and Leprology 10.4103/0378-6323.75000 http://www.ijdvl.com/text.asp?2011/77/1/112/75000 http://www.ijdvl.com/text.asp?2011/77/1/112/75000771 112 112 http://www.ijdvl.com/text.asp?2011/77/1/112/75000 Ilknur Kivanc-Altunay, Hilal Kaya Erdogan, Semra Kayaoglu

Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):112-112

]]> Thu,6 Jan 2011http://www.ijdvl.com/text.asp?2011/77/1/112/75000 Atul Dongre Uday Khopkar Net Quiz Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):112-112doi:10.4103/0378-6323.75003 Indian Journal of Dermatology, Venereology, and Leprology 10.4103/0378-6323.75003 http://www.ijdvl.com/text.asp?2011/77/1/112/75003 http://www.ijdvl.com/text.asp?2011/77/1/112/75003771 112 112 http://www.ijdvl.com/text.asp?2011/77/1/112/75003 Atul Dongre, Uday Khopkar

Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):112-112

]]> Thu,6 Jan 2011http://www.ijdvl.com/text.asp?2011/77/1/112/75003 Jasleen Kaur Sunil Dogra Current Best Evidence Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):113-117Indian Journal of Dermatology, Venereology, and Leprology http://www.ijdvl.com/text.asp?2011/77/1/113/75006 http://www.ijdvl.com/text.asp?2011/77/1/113/75006771 113 117 http://www.ijdvl.com/text.asp?2011/77/1/113/75006 Jasleen Kaur, Sunil Dogra

Indian Journal of Dermatology, Venereology, and Leprology 2011 77(1):113-117

]]> Thu,6 Jan 2011http://www.ijdvl.com/text.asp?2011/77/1/113/75006