Psychological needs of 20 adult male patients with neurodermatitis circumscripta(lichen simplex chronicus) and 50 matched controls were studied using ten TAT cards.Need affiliation(100%) need achievement (95%),need superiority (55%) and need dominance(40%) were the predominant needs.In contrast to the findings in other studies where aggressive needs were high in patients with atopic dermatitis our study showed that it was a prominent need in only one patient with neurodermatitis circumscripta.

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Topical vitamin A acid 0.05 % in lotion and cream forms were tried in 55 patients. All of them except one had some form of local reaction, which started usually after a week and showed maximum intensity in between second and third week. Improvement started after 4-6 weeks and clearing of lesions were noticed in 8 weeks time. The occurrence of local reaction was often beneficial to the patient and served as a guide for effective therapy. The single patient without any reaction did not improve at all. Lotion seemed to be more effective than the cream preparations. 83.6% patients showed excellent response with papulo-pustular and comedone acne, whereas response was poor in nodules and cystic lesions. Vitamin A acid improved the complexion in majority of patients indicating its mild demelanising property observed in this study.

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Nineteen cases of ulnar nerve abscess were subjected to evacuation and later on to extraneural decompression with medical longitudinal epineurotomy. Excellent sensory recovery was seen and was earlier than motor recovery. Sensory recovery was seen more in younger than in elder age group. Evacuation of abscess and "traneural and intraneural decompression reduces the pressure effects on nerve and recovery is seen which can be explained on the basis of increased vascularity postoperatively.

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Two patients with a peculiar variant of erythema multiforme are described. The classical iris lesions, appearing seasonally in response to as yet unidentifiable agents, resolved leaving behind persistent depigmentation. Although, the EM lesions aborted on cordcosteroid therapy, the latter seemed to have no effect on the depigmented spots. The histopathological features were characteristic of EM. The depigmentafion perhaps is the result of a permanent damage to the melanocytes. This variant of EM may be tentatively designated as depigmenting erythema multifome - DEM.

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A case of metastatic deposits of adenocarcinoma in skin is reported. The importance of biopsy in the diagnosis of a patient presenting with subcutaneous nodules is stressed.

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In 30 cases skin biopsy from vitiliginous areas were studied for dopa reaction and in routine sections with H & E. Dopa reaction was completely absent in 24 cases. Epidermal changes were present in 23 cases, and dermal changes in 27 cases. Epidermal changes were hyperkeratosis, thinning of stratum malpighi, spongiosis and dissolution of the basal cell layer. Dermal changes Were round cell in the upper demis as well as hyalinisation, dema and fragmentation of collagen.

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Seven cases having cold urticaria and showing whealing response to the cryo-stimulation test were tested again after adjusting the temperature of the exposure surface at 0, 5, 10, 15, 20, 25 and 30 degree C. to determine the maximum temperature capable of producing a wheal in the patient (CTW). It was 25 degree C. in 2 patients and 20 degree C. in 3. In the remaining 2 patients, whealing at the test site was absent with 30 degree C., incomplete with 25 degree C. and complete with 20 degree C. On repeating the CTW in 5 patients within 7 days, it was found to be the same.

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A case of Ramsay-Hunt syndrome in a young soldier is described. Importance of early institution of systemic corticosteroids in such cases is stressed on the basis of treatment results obtained in this case.

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Electrocardiographic (ECG) changes were studied in twenty one of secondary syphilis, before and after treatment. Abnormal electrocardiograms so detected are reported.

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The school boys of class VIII and X from urban and rural schools were surveyed for presence of acne lesions. Acne was found to be significantly more frequent and more severe in urban boys than rural ones (p < 0.05). There was no difference in the two groups as regard to the age, height, weight, skin fold thickness (SFT) and haemoglobin (Hb) level. Some other factors which might be responsible for this significant bias of acne for urbanites are discussed.

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A case of relapsing polychondritis is reported which showed depression of nose and flattening of both pinnae. Erythrocyte sedimentation rate was high but rheumatoid factor was negative.

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