A 23 year male presented with the chief complaint of a pedunculated growth over the corona giandularis for the last about two months. The patient gave history of exposure four months prior to the eruption. Examination revealed an umbrella shaped tumour 1.5 cms in diameter showing proliferating cauliflower like growth with verrucuous surface and a small pedicle, the lesion was moderately firm. There was no evidence of any associated pyogenic infection, there was no other significant finding clinically. The growth was excised after ligaturing the pedicle and the base was cauterized by electric coagulation. The wound healed well and the follow-up has not shown any recurrence.

In the present study 141 cases of dermatophytosis were examined clincally and then subjected to mycological study. Total 97 cases of dermatophytosis showed evidence of fungus either by KOH or culture or both. 23 patients had T. versicolor due to M. furfur while 5 cases of vulvovaginitis and perianal dermatitis in children were due to C. albicans. Clinically analysis of 97 cases of dermatophytosis showed T. corporis to be the commonest type, next in frequency was T. cruris. T. unguium constituted 6.34 per cent of the total cases. Age and sex incidence were recorded. On mycological study of 105 cases, T. rubrum (90), T. violaceum (4), T. tonsurans (2) and E. floccosum (1) were the dermatophytes isolated.

A case of cutis - verticis gyrata with no systemic association has been reported. Even though it is reported in association with various internal disorders, its occurrence with them in practice is in very low proportions. Treatment consists of underlying disease whenever it is associated with and correcting deformities by plastic surgery.

Certain interesting observations have been made during the reconstructive surgical work on cured leprosy patients. Healing of wounds: the operation wounds in post-leprosy patients healed as well as in normal subjects. This is contrary to the belief that healing of wounds is delayed in leprosy. Post- operative scar: there is no tendency at all in these patients to form hypertrophic scars or keloids. Wound infection: This is rare in the post-operative period This may be explained by the hypothesis of increased resistance of these patients to infection, or by the fact that the possibility of cross, infection as in hospital wards is eliminated in those operated in isolated homes or huts. Malignancy in chronic leprotic ulcers : there are patients who have had chromic ulcers of the foot or hand for over 1 0 to 14 years and it is astonishing to find not a single case of malignant change in these ulcers. One peculiarity of these ulcers is that they are painless. Tetanus: If the number of open wounds in the leprosy patient is taken into account and the careless way these patients move about in dirty places, tetanus should be an everyday occurrence among them. But luckily for them, the occurrence of tetanus is rare, and a majority among them who get tetanus survive it.