Seven cases of erythema chronicum migrans are presented. An unusal case with acute course, purpurice and bullous reaction is highlighted. A terminology of acute erythema migrans is suggested for such cases. No organism or vector could be isolated.

Two cases of larva migrans which were treated with mebendazole are presented. The drug was found very effective in this condition and was well tolerated.

To find out the incidence of k6ratosis punctata of the palmar creases among Indians, 700 consecutive patients add their attendants were surveyed for typical lesions. Fifteen patients were discovered to have characteristic keratotic masses or pits limited to the flexural creases of their palms and fingers. The lesions in each case were asymptomatic. Histologically, they consisted of concentric masses keratin formed in crater-like depressions of the epidermis. Serial sections showed that the epidermis was intact throughout and special stains did not reveal any dermal components in the keratin mases.

Seventy one patients suspected to be having contact dermatitis exclusively of the hands were patch tested with various antigens and 57 of them showed positive reaction to one or more substances. Females outnumbered males and housewives were the commonest victims. Vegetables were the most frequent contactants followed by soaps and detergents, medicaments, metals and others. Amongst the vegetables, garlic and onion were the most potent sensitizers. In majority of the patients occupational substances were the causative allergens leading to hand dermatitis.

303 randomly selected skin out-door patients were assessed with P.G.I.Health questionnaire N-2 and an open-ended life event schedule. Functional group of skin patients were found to be remarkably different from organic group with regard to the consistency in the neuroticism score within diagnostic categories of each group, effect of duration and site of lesion, and emlotlo-disturbing situations on neuroticism score. In the organic group, these variables seem to effect the N-score as a reaction to illness, whereas functional group remains unaffected. stance of pre-disposed persona pattern in functional group of skin patients could explain these findings.

A cfinicopathological study of 50 cases of genital ulcers has been undertaken with a view to. identify cases of donovanosis. The diagnosis of donovanosis was established either by tissue smear examination or through histopathological study.26 cases were found to be of donovanosis and biopsy examination was found to be more reliable than smear examination . The pitfalls in the diagnosis of donovanosis in partially treated cases and the epidemiological aspects are being highlighted.

A case of occupational leucoderma is reported. The patient showed positive patch p test with adhesives used by him. Depigmentation appeared at the site of positive patch test with one of the adhesives. The disease became generalized in due course of time.

A solitary skin lesion of juvenile xanthogranuloma appearing at the age of five years is reported.

Trichophyton rubrum is the most common dermatophyte encountered in our

Hyperbaric oxygen (HBO) therapy is presently used in clinical practice as a primary mode of treatment or as an adjunct to conventional therapy. In recent years, a number of bewildering array of skin disorders are being treated with HBO. HBO is found useful in chronic non healing ulcers, bacterial infections and fungal infections. Contra indications and possible toxic effecas of HBO have been described.

Various old and new modalities available for the treatment of psoriasis are discussed. Advantages and disadvantages of various preparations are highlighted to help