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2001| July-August | Volume 67 | Issue 4
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ORIGINAL ARTICLE
Isotretinoin: An Indian experience
Rekha Sheth, Vera Poonevala
July-August 2001, 67(4):180-182
PMID
:17664733
In this study we retrospectively analysed the unique efficacy and incidence of potentially significant side-effects of a new drug which has claimed to be a major milestone in dermatotherapeutics-isotretnoin. We concluded that oral retinoids 'do things' that nothing else can in several skin disorders-especially recalcitrant acne vulgaris which can emotionally, physically and psychologically cripple an individual for life.
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HOW I MANAGE
Alopecia areata
DM Thappa, M Vijayikumar
July-August 2001, 67(4):188-188
PMID
:17664736
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CASE REPORT
Trachyonychia treated with oral mini pulse therapy
Rashmi Mittal, Binod K Khaitan, CS Sirka
July-August 2001, 67(4):202-203
PMID
:17664743
A 12-year-old girl presented with dull, opalescent, nails with a roughened surface. She was successfully treated with oral mini-pulse therapy, which consisted of 4mg betamethasone as a single oral dose with breakfast on two consecutive clays every week.
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Cutaneous metastatic adenocarcinoma
Arun Joshi, Shatrughan Prasad Sah
July-August 2001, 67(4):207-208
PMID
:17664746
A 5.5-year-old male presented with asymptomatic nodules and plaques on his scalp and pubic region of 2 months' duration. He was having productive cough, haemoptysis, chest pain, anorexia and weight loss and receiving antitubercular treatment for these symptoms for last 3 months. Clinical diagnosis of cutaneous metastatic disease was made. Chest x-ray revealed multiple coin shaped shadows on both sides with pleural effusion. Routine investigations were normal except for anemia and hyperuricemia. Biopsy of skin nodules showed features of metastatic adenocarcinoma. Features and significance of cutaneous metastases are discussed.
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CONTINUING MEDICAL EDUCATION
Advances in phototherapy
Pramod Kumar
July-August 2001, 67(4):172-176
PMID
:17664730
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[PubMed]
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CASE REPORT
Vitiligo and psoriasis: Coexistence with colocalization
Arun C Inamadar, VV Sampagavi, SB Athanikar, MN Patil, NS Deshmukh
July-August 2001, 67(4):214-215
PMID
:17664750
A 20-year-old male patient with vitiligo who developed psoriasis is reported here. There was co-existence of both diseases and co-habitation lesions at places. Clinical heterogenicity of both diseases and new conclusions are discussed.
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Blepharochalasis
Anil Kumar, GA Surwade, US Khaire, Reshakiran Shende
July-August 2001, 67(4):216-217
PMID
:17664751
Two cases of blepharochalasis, underwent cosmetic blepharoplasty, follow-up for 5 years revealed no progression.
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SHORT COMMUNICATION
Azathioprine as a therapeutic modality for the treatment of severe adult atopic dermatitis
Kaushal K Verma, Rashmi Mittal
July-August 2001, 67(4):189-191
PMID
:17664737
Atopic dermatitis is a difficult disease to treat. A few reports suggest that azathioprine may be effective in the treatment of atopic dermatitis. We therefore, evaluated the role of azathioprine in adult atopic dermatitis not adequately controlled with conventional therapy. Four patients of adult atopic dermatitis were treated with azathioprine 50 mg twice daily orally for 3-4 months. All the patients had complete remission after therapy. There were no significant side effects. Therefore, aeathioprinc can be considered a better and safer alternative drug in recalcitrant adult atopic dermatitis.
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ORIGINAL ARTICLE
Epidemic dropsy: A study of cutaneous manifestations with histopathological correlation
HK Kar, RK Jain, PK Sharma, RK Gautam, Pramod Kumar, Meenakshi Bhardwaj
July-August 2001, 67(4):178-179
PMID
:17664732
Clinical and histopathological features of epidemic dropsy were studied in 19 patients. Bilateral pitting pedal oedema, erythrocyanosis and tachycardia without fever were the predominant clinical features. Histology revealed deposition of hyaline material on the walls of dermal blood vessels.
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Clinical and bacteriological study of urethral discharge
CM Gupta, S Sanghi, SK Sayal, AL Das, GK Prasad
July-August 2001, 67(4):185-187
PMID
:17664735
A clinics-bacteriological study of 52 patients with urethritis was carried out. All the patients were evaluated clinically and bacteriologically at the beginning and end of the treatment. Majority of the patients belonged to the age group 21-30 years (58%). Incidence of gonococcal urethritis was 65% and Non gonococcal Urethritis (NGU) 35%. The common organisms causing NGU were chlamydia (28%) ureaplasma (11%) and mycoplasma (11%). Neisscria gonorrhoea was resistant to penicillin in (38%), ciprolloxacin in 67, and to noriloxaein in 6% cases. High incidence of HIV positivity was found in gonorrhoea (21%).
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CASE REPORT
Malignant syphilis (Leus maligna) in a HIV infected patient
P VS Prasad, T Paari, K Chokkalingam, V Vijaybushanam
July-August 2001, 67(4):192-194
PMID
:17664738
A 40-year-old promiscuous man presented with nodulo ulcerative lesions all over the body and a healing genital ulcer. Blood VDRL was reactive in 64 dilutions and HIV (Elisa) was positive. Patient was diagnosed to have malignant syphilis (leas inaligna) and was given appropriate treatment. Lesions healed with hypopigmented macules suggestive of 'Icukoderma colli'.
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ORIGINAL ARTICLE
Clinico- histopathological study of subacute cutaneous lupus erythematous
RR Mittal, Rupinder Walia
July-August 2001, 67(4):183-184
PMID
:17664734
Fourteen cases of sub acute cutaneous lupus erythematosus (SCLE) were selected from Dermato- Venereology outpatients during the last 2½ years. Clinically all patients revealed photosensitivity and annular plaques either covered with peripheral collarette of scale or EM - like or DLE - like lesions. Systemic associations were arthralgia in 4, hypertension in I. rheumatoid arthritis in I and pulmonary tuberculosis in L Histopathologically epidermal atrophy, interface dermatitis, basal cell degeneration, colloid bodies and mononuclear infiltrate of dermis were salient features. Good response to 15 mg prednisolonc, medium potency topical steroids and sunscreens was seen in all cases.
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CASE REPORT
Generalised recessive dystrophic epidermolysis bullosa in two sisters
Sanjiv Grover
July-August 2001, 67(4):205-206
PMID
:17664745
Two female siblings of a family presented with a mechanobullous disorder since birth. Both had retarded physical development, flaccid bullac, extensive cutaneous erosions and scars, mucosal erosions, milia, corneal haziness, deformed and carious teeth, dystrophic nails, cicatricial alopecia of scalp and positive Nikolsky's sign. Skin biopsy revealed subepidermal bulla. They were diagnosed as generalized recessive dystrophic epidermolysis bbllosa. They were given oral phcnytoin but failed to show significant response.
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Actinic lichen nitidus
Arun C Inamadar, SB Athanikar, W Sampagavi, BR Yelikar
July-August 2001, 67(4):209-210
PMID
:17664747
Many clinical variants of lichen nitidus (LN) have been reported. We describe two children with distribution of LN lesions on sun exposed areas with typical histological features of LN. We propose to add actinic LN as another clinical variant.
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Extensive unilateral nevus comedonicus with bilateral involvement of face
RP Sharma, SP Singh
July-August 2001, 67(4):195-196
PMID
:17664739
An extensive, non-familial, unilateral nevus comedonicus involving right half of the trunk and both sides of the face is being reported, because of its rarity and unusual presentation.
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ORIGINAL ARTICLE
The sign of leser-trelat
RR Mittal, Jindal Sonal
July-August 2001, 67(4):177-177
PMID
:17664731
Four cases of Leser-Trelat sign were studied in detail clinically and were investigated to establish their association with internal malignancy. One of them had papillary carcinoma of thyroid and the second had carcinoma of the body of pancreas. USG revealed mass in the gall bladder in the third case. He was lost before completion of other investigations. The fourth case was normal. So patients with Leser-Trclat sign must be carefully investigated in detail.
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CASE REPORT
Cicatricial pemphigoid - A case report
C Ramanan, A Ghorpade, MN Das, Utpal Bose, AK Banerjee
July-August 2001, 67(4):212-213
PMID
:17664749
Cicatricial pemphigoid (CP) occurring in a 60-year-old male is described. He had involvement of conjunctival, nasal and oral mucosae, in addition to skin lesions. Diagnosis was confirmed by histopathology. He responded well to oral steroids and dapsone. However, vision in one eye was lost.
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3,901
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Cellular blue naevus
RR Mittal, Rajan Gupta, PS Sethi
July-August 2001, 67(4):200-201
PMID
:17664742
A 31-year-old man had asymptomatic, stationary, 1.5X2 cm, shiny, smooth, dark blue nodule on dorsum of right hand since 12-14 years. In addition he had developed extensive eruption of yellow to orange papulonodular lesions on extensors of limbs and buttocks since one and half months. Investigations confirmed that yellow papules were xanthomatosis and he had associated diabetes mellitus and hyperlipidaemia. Biopsy of blue nodule confirmed the clinical diagnosis of cellular blue naevus. Cellular blue naevus is rare and its association with xanthomatosis and diabetes mellitus were interesting features of above patients which is being reported for its rarity.
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3,793
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Lichen striatus with nail involvement
Arun C Inamadar
July-August 2001, 67(4):197-197
PMID
:17664740
A 13 - year-old boy of lichen striatus (LS) with nail changes is reported. Nail involvement in LS is rare. Nail LS is to be considered if - longitudinal ridges and splitting localized to one portion of the nail, single nail involvement and presence of skin lesions near the nail.
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Cysticercosis cellulose cutis
Arun C Inamadar, BR Yelikar
July-August 2001, 67(4):198-199
PMID
:17664741
A woman aged 30 years with solitary lesion of cysticercosis cellulose cutis is reported. Cutaneous cysticerci are often a pointer to the involvement of internal organs. Our patient was a pure vegetarian so, probable mode of infection may be ingestion of contaminated vegetables, where the practice of using pig feces as manure is prevalent.
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3,717
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LETTER TO EDITOR
Direct fluorescence on tzanck smears: A rapid test to confirm pemphigus
G Swarnalatha, JS Reddy
July-August 2001, 67(4):218-218
PMID
:17664752
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3,697
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CASE REPORT
Multiple lichen striatus-An unusual presentation
Rashmi Mittal, Binod K Khaitan, M Ramam, Kaushal K Verma, M Manchanda
July-August 2001, 67(4):204-204
PMID
:17664744
A 2-year-old mare child presented with multiple hypopigmented, flat topped papules with a bilateral distribution along the lines of Blaschko. A 7-year-old girl presented with multiple hypopigmented macules arranged linearly along the left upper and lower limb and also on the back along the lines of Blaschko. Three discrete lines in three distinct anatomical areas in a case of lichen striatus do not appear to have been described.
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3,646
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LETTER TO EDITOR
Familial hypercholesterolemia
Koushik Lahiri, Bhabesh Chandra Lahiri
July-August 2001, 67(4):219-219
PMID
:17664753
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[PubMed]
3,478
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CASE REPORT
Gottron's syndrome
NS Walia, R Raj, CS Tak
July-August 2001, 67(4):211-211
PMID
:17664748
An 18-year-old man presented with erythematous hyperkcratotic plaques symmetrically distributed on the extremities of 12 years duration. Histopathology confirmed the clinical diagnosis of symmetrical progressive erythrokeratoderma.
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3,329
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LETTER TO EDITOR
Rifampicin monotherapy for acute guttate psoriasis-better avoided
V Usha, Sree Gomathy
July-August 2001, 67(4):220-220
PMID
:17664755
[FULL TEXT]
[PubMed]
2,885
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Epidermolysis bullosa pruriginosa
S Veeranna
July-August 2001, 67(4):220-220
PMID
:17664754
[FULL TEXT]
[PubMed]
2,058
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