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  Citation statistics : Table of Contents
   1990| March-April  | Volume 56 | Issue 2  
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Cutaneous, mucocutaneous and neurocutaneous cysticercosis
PN Arora, PC Sanchetee, KR Ramakrishnan, S Venkataram
March-April 1990, 56(2):115-118
Cutaneous cysticerci are often a pointer to the involvement of internal organs. A series of 33 patients including 5 vegetarians, between 10 to 48 years age, were investigated. Almost half the patients presented with cutaneous cysts of less than one month duration or were unaware of it. In the, other the duration varied upto 10 years. Cutaneous cysts were present in the case& Mental retardation, diminished vision and flashes of lights were, recorded in one case each, raised intracranial tension in 11 and seizures in 29 patients. Four, of the 6 patients with solitary cysts had no involvement of the internal- organs, whereas all the 27 patients with multiple had in nt of brain. Trunk was the commonest site in 16 patients. The other sites involved were scalp, eyelids, face, tongue neck, breast and limbs. Stool examination -for tapeworm segments/ eggs was positive in 2,calcification was seen on X-ray examination of skull in one and of soft tissues in 3, CT scan of skull was suggestive of cysticerci in 27 and skin biopsy for cysticercosis was confirmatory in all the 33 patients. Four patients with a solitary cutaneous cyst were treated by excision. One patients with neurocutaneous cysts was treated with albendazole without response. Out of 16patients with mucocutaneous and neurocutaneous cysticercosis treated with praziquantel, one did not respond. 7 responded partially and 8 had complete relief.
  3 7,738 0
Organisms causing pyoderma and their susceptibility patterns
RG Baslas, SK Arora, RD Mukhija, L Mohan, UK Singh
March-April 1990, 56(2):127-129
Five hundred and seventy cases of pyoderma were studied clinically and bacteriologically. Of these, 58.8% cases were of primary pyoderma, and the rest were secondary pyoderma. Primary pyoderma consituted impetigo contagiosa (21.4%), bullous impetigo (3.3%), ecthyma (4.4%), superficial folliculitis (12.3%), chronic folliculitis of legs (8.8%); forunculosis (3.7%) carbuncle (1.8%), folliculitis decalvans (0.4%), sycosis barbae (0.4%) and abscess (2.5%). Secondary pyderma cases were infected scabies (23.9%), infected wound (1.1%), infectious eczematoid dermatitis (12.6%), intertrigo (0.4%) and miscellaneous (3.3%). In 85 samples, no organism was isolated. Out of 485 samples, 75.9% grew a single organism and the rest (24.1%) gave multiple organisms. Among the 603 strains collected, 73.6% were staphylococcus aureus, 25.0% were beta-haemolytic streptococcus and 0.7% each were alpha-haemolytic streptococcus and Gram negative bacilli. Eighty eight per cent strains of Staphylococcus aureous were susceptible to cephaloridine and 27.4% to ampicillin while 97.4% beta haemolytic streptococcus were susceptible to cephaloridine and 23.2% to pencillin.
  3 4,447 0
Evaluation of the causes of physical urticarias
Mohan Singh, Surrinder Kaur, AJ Kanwar
March-April 1990, 56(2):109-111
Five hundred patients with urticaria were evaluated for physical factors. While 415 (83%) patients associated one or more physical factors in their history, only 37% were found to be suffering- from physical urticaria following tests. These included symptomatic dermographism (16.38%), cholinergic urticaria (10.84%), cold urticaria (8.43%). solar urticaria (0.72%), pressure urticaria (0-48%) and delayed cold urticaria (0.48%). The study stresses the, importance of doing physical challenge tests in all patients since historical iuivicions were not always confirmed on subsequ6nt tests. Moreover, some patients of cold chofinergic urticaria were not aware of the precipitating factors and did not provide any clue in the history.
  2 6,029 0
Plica neuropathica causing traction alopecia
K Pavithran
March-April 1990, 56(2):141-142
A middle aged woman developed matting of the hairs of the scalp following use of a home made shampoo that contained leaves of Hibiscus rosasiensis. The entangled and matted hair mass in the occipital region pulled hairs of the vertex region of the scalp, resulting in a patch of traction alopecia. Release of tension on the hairs by cutting them with scissors prevented further extension of alopecia.
  1 4,114 0
A histopathological and electron microscopical observation of urticaria pigmentosa
Zhu Ke-jian, Zhu Tie-Cheng, Shi Yuan-he, Ge Zheng-Yi
March-April 1990, 56(2):152-155
In a case of urticaria pigmentosa, histopathological and electron microscopical observation of skin lesions before and after dermatographism were compared. The results showed that the shape, membranes, nuclei and granules of mast cells in the lesions before and after dermatographism are different. The prognosis, the clinical significance of dermato­graphism test and the pattern of degranulation in urticaria pigmentosa are discussed.
  1 4,229 0
Treatment of vitiligo with psoralen
PK Kar, PS Snehi, PK Jha
March-April 1990, 56(2):121-122
The outcome of treatment in 120 cases of vitiligo receiving psoralen was analyzed. Forty patients were treated with topical psoralen, another 40 patients were given oral psoralen and the remaining 40 patients used, both oral and topical psoralens. Treatment was given once daily followed by sun exposure for 6 months. Fourteen cases using topical psoralen, 22 patients receiving oral psoralen lvmg and 24 patients receiving combined treatment showed partial repigmentation. Only 15% cases using oral psoralen alone showed complete repigmentation. Combined treatment was the most effective, leading to complete repigmrntation in 30% patients.
  1 12,623 0
Study of thirty three cases of fixed drug eruption
KK Singh, CR Srinivas, DS Krupashankar, RPC Naik
March-April 1990, 56(2):123-124
Out of 33 patients, clinically diagnosed as FDE, 16 had positive provocation test. Eight patients had reacted to cotrimoxazole, 4 to oxyphenbutazone, 2 to both tetracycline and doxycycline and one each to rifampicin and griseofulvin. All genital FDE were exclusively caused by cotrimoxazole.
  1 3,512 0
Multiple angiolipomas
Sanjay Ghosh, B Haldar, A Biswas
March-April 1990, 56(2):143-144
A 26 year old male had multiple asymptomatic very slowly growing, subcutaneous nodules on the limbs and trunk for the last 11 years. Histopathology revealed an encapsulated neoplasm consisting of mature fat cells intermingled with numerous blood vessels containing erythrocytes and fibrin thrombi.
  - 7,927 0
Verrucous hemangioma
MJ Cyriac, Jacob Zachariah, KR Harilal
March-April 1990, 56(2):145-146
A 45 years old male had a warty growth on the thigh diagnosed as verrucous hemangioma histopathologically. Earlier he had received treatment under the clinical diagnoses of verruca vulgaris and tuberculosis verrucosa cutis. The lesion was treated with surgical excision and grafting.
  - 3,307 0
Henoch-schonlein purpura evolving into acute guttate psoriasis
K Pavithran
March-April 1990, 56(2):147-149
A 12 year old girl developed clusters of urticarial and palpable purpuric lesions on the extremities associated with abdominal pain, polyarthraloa and microscopic hematuria. A throat swab culture yielded streptococci and the ASO tire in her blood was raised. The palpable purpuric lesions on her extremities were, observed to evolve gradually into scaly papules of acute, guttate psoriasis. It seems possible that the streptococcal throat infection triggered both Henoch-Schonlein purpura and acute in this patient.
  - 6,360 1
Nail patela elbow syndrome
VK Jain, VB Dixit, Rama Jain
March-April 1990, 56(2):150-151
A 15 year old male having nail-patella elbow syndrome presented with deficient nail with pterygium formation rudimentry patellae, iliac horn, increased carrying angle of elbow joints and thickened ribs. Family history was suggestive of autosomal dominant inheritance.
  - 4,622 0
Favus in a Haryana village
PK Nigam, JS Pasricha, Uma Banerjee
March-April 1990, 56(2):137-138
A 26-year-old female, resident of a rural area of district Gurgaon (Haryana), had asymptomatic sulphur - yellow, cup-shaped lesions, typical of favus, on her scalp for the last 5 years. Some of the nails were also affected. KOH examination of scrapings from the scalp lesions and the nails were positive for fungus. Culture from both these sites showed T. Schoenleinii. This is a case of favus occurring in a non-enderaic area.
  - 3,104 0
Local and distant chemical burns due to cetrimide injection in a massive dose
S Kumar, S Thomas, BK Lal
March-April 1990, 56(2):139-140
Sixty ml of 20% cetrimide shampoo solution was injected subcutaneously around the left elbow by a drug addict to commit suicide. Edema, blisters with skip areas and, cellulitis were noted within 6 hours, not only around the site of the injection but also upto the wrist and the pectoral region. Muscles were protected by the tough deep fascia. There was no systemic toxidcity despite receiving at least 4 times the reported fatal dose. The patient was treated with multiple fasciotomies, broad spectrum antibiotics, an atory drugs, iunb elevation and daily dressings, followed by secondary suturing of fasciotomy wounds when the limb edema regressed. The cutaneous bums healed without needing skin grafts.
  - 3,308 0
Plasmapheresis in dermatology
AJ Kanwar, Surrinder Kaur, Murlidhar Rajagopalan
March-April 1990, 56(2):101-106
  - 17,626 0
Evaluaton of vinca rosea for the threatment of warts
SP Chattopadhyay, PK Das
March-April 1990, 56(2):107-108
Nineteen cases of warts of various types (flat 3, veffuca vulgaris 8, planter warts.3 and genital warts 5) were treated with applications of Vinca rosea cream twice a day 1-2 hours after application of an ointment containing equal parts of 5% salicylic acid and 0.0.5% tretinoin (1:1). The response after 6 weeks of treatment when compared with a control group of 14 cases of various types of warts applying only 5% saliylic acid and 0.05% tretinoin (1:1) was found to be better in clearing the warts and also preventing recurrences.
  - 6,055 0
Charysanthemum contact dermatitis: Clinical patterns and patch testing with ethanolic extracts
RC Tanwar, SC Sharma, S Kaur
March-April 1990, 56(2):112-114
Forty patients with suspected chrysanthemum contact dermatitis and 20 age and sex matched controls were patch tested with ethanolic extracts of Chrysanthemum morifolium. Eighteen (45%) patients demonstrated positive patch tests. Out of these 10 (56%) patients gave a history of photoaggravation and 9 (50%) of seasonal variation. Dermatitis involving hands and face only, widespread dermatitis and airborne contact dermatitis were the common clinical patterns seen. Patients with occupational exposure to chrysanthemums demonstrated the maximum positive reactions. All the 18 patients showed positive patch tests with the extracts of flowers, 17 with leaves, 16 with whole plant and only 4 with the stem.
  - 3,923 0
17-ketosteroid levels in striae cutis distensae
K Pramod Nigam, V Ramesh, RS Mishra
March-April 1990, 56(2):125-126
Eighteen patients with striae cutis distensae were studied. The, most common site of the lesion was shoulder. Acne vugaris was e,d in 27.7% cases. History (if weight l athletics or attaining rapid growth was presenters 94% of patients. The 24-hour urinary 17-ketosteroid excretion was normal in all he patients.
  - 4,214 0
Erythema ab igne
Kumar Anil Gaikwad, MY Khedker, AP Ban
March-April 1990, 56(2):119-120
Fifteen females cooking in front of 'Chulha' developed erythema ab igne on the legs and hands. the patients were exposed to the heat for variable periods. Clinical and histo-pathological regression was seen after protective covering with clothes in two patients.
  - 4,284 0
Comparative efficacy of two commonly used antifungal agents and a topical steriod with chinoform against dermatophytoses
C Rajendran, S Kandhari, PK Prabhakaran
March-April 1990, 56(2):130-131
Two topical antifungal agents (toinaftate and miconazole nitrate) and one topical corticosteroid antifungal (betamethasone with 3% chinoform) cream were evaluated in 58 patients of tinea cruris and tinea corporis to study their comparative clinical efficacy. Miconazole nitrate was found to be more efficaceous than toinaftate while betamethasone chinoform cream had no appreciable therapeutic effect on tinea cruris and tinea corporis.
  - 36,331 0
Phagocytic activity and the response to autovaccines in recurrent staphylococcal boils
AC Karnik, R Vijayvargiya, DS Chitnis, NC Sethi
March-April 1990, 56(2):133-135
The present study was aimed to see the relationship between the phagocytic function as determined by NBT reduction test and the response to the staphylococal boils. Of the 34 cases of recurrent staphylococcal cutaneous infections, 19 showed normal phagocytic activity while 2 had marginally diminished and 13 had grossly diminished phagocytic activity. Sixteen of the vaccines (84%) with normal phagocytic funetion responded well to the vaccine therapy while only 3 of the 13 (23%) with poor phagocytic function showed the beneficial effects of the autovaccines. Thus the findings recommend the use of staphyloccoccal autovaccines in the cases with adequate phagocytic activity as seen by NBT reduction test but not as much for those with inadequate phagocytic function.
  - 5,043 0
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