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  Citation statistics : Table of Contents
   1992| January-February  | Volume 58 | Issue 1  
 
 
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CASE REPORTS
Fixed cutaneous sporotrichosis from North Karnataka
BM Hemashettar, DS Kuchabal, Suman Hanchinamani, P
January-February 1992, 58(1):45-47
Sporotrichosis is a rare disease in the southern part of India. A typical, culture proved case of fixed cutaneous sporotrichosis is reported from North Karnataka.
  6 3,110 0
SHORT COMMUNICATION
Naevus lipomatosus cutaneous superficialis : Report of 2 cases
DM Thappa, RC Sharma, S Lal, KB Logani
January-February 1992, 58(1):27-29
Two cases of naevus lipomatosus cutaneous superficialis (NLCS) are reported. One of them was a case of multiple form of NLCS while other was having cutaneous lesions resembling solitary form of NLCS.
  1 3,401 0
STUDIES
Evaluation of oral ulcers appearing in pemphigus patients treated with dexamethasone-cyclophosphamide pulse therapy
JS Pasricha
January-February 1992, 58(1):20-22
Twenty cases of pemphigus with oral ulcers who were being treated with dexamethasone-cyclophosphamide pulse therapy were evaluated for the cause of ulcers. The lesions were first classified into pemphigus ulcers, aphthous ulcers, pyogenic infection and candidiasis on the basis of clinical characteristics. Smears from these ulcers were then stained with Giemsa stain to look for acantholytic cells and bacteria. Another smear was mounted in 10% KOH to look for candida. Seven patients were clinically diagnosed to have pemphigus ulcers, but acantholytic cells were seen in only 2 cases. Both these patients had superadded infection with candida and gram positive bacteria respectively. Of the 9 cases clinically diagnosed to have candidiasis, only 6 revealed candida in 10% KOH smears, while 1 patient revealed acantholytic cells. All the 3 cases clinically considered to have aphthous ulcers, revealed only normal looking epithelial cells. One patient clinically diagnosed to have pyogenic infection revealed pus cells and bacteria on gram stain. It is obvious that oral ulcers in a pemphigus patient may not always be pemphigus ulcers, and some of these may be super-infected with candida, pyogenic or other organisms. A proper evaluation is therefore necessary for appropriate treatment.
  1 3,223 0
CASE REPORTS
Incontinentia pigmenti
VK Jain, G Kalla, RA Bumb
January-February 1992, 58(1):39-40
A 10-week old female child of Incontinentia pigmenti with linear and bizarre slaty brown hyperpigmented and verrucous lesions on both lower extremities is reported.
  1 2,048 0
Relapse after PB and MDT
Rakesh Bharti, SK Malhotra
January-February 1992, 58(1):41-42
A case of relapse occuring in a patient of P B leprosy 1 year after regular MDT (WHO regimen) is reported. This suggests that 6 months of MDT may be too short.
  - 2,274 0
Unilateral palpebral colloid milia
Dilip Kachhawa, Kumar Ashok Khare, MK Singhi, Khull
January-February 1992, 58(1):43-44
A 55-year old male presented with innumerable lesions of colloid millium unilaterally over eyelids of left eye. This case is reported because of unilateral distribution of lesions on sun protected area.
  - 3,503 0
STUDIES
Comparative evaluation of topical corticosteroid creams
BSN Reddy, R Shantharaman
January-February 1992, 58(1):23-24
It is important to have reliable bioassay models for topical steroids and assess their comparative efficacy. In the present study, seven commonly prescribed commercial corticosteroid creams have been evaluated for their efficacy using histamine bioassay method. The results indicated that clobetasol propionate (Excel®) and betamethasone valerate (Betnovate®), fluocinolone acetonide (Supricort®), beclomethasone dipropionate (Beclate®), betamethasone benzoate (Topicasone ®), and dexamethasone trimethyl acetate (Millicortenol ®) in that order of priority.
  - 4,986 0
Patch test with preservatives
Sumit Kar, CR Srinivas, C Balachandran, SD Shenoi
January-February 1992, 58(1):25-26
Of the 705 patients patch tested between March 88 to March 91, 317 were tested for sensitivity to preservatives with antigens obtained from Chemo technique AB, Sweden. Paraben was the commonest sensitizer (22.4%) followed by Groton B K (8.1%) and Triclosan (6.5%). We stress the need to consider these allergens as source of dermatitis and advocate complete labelling of topical preparations marketed.
  - 2,677 0
SHORT COMMUNICATION
Hypomelanosis of ITO
Sanjay Singh, Vineet Kaur, SS Pandey
January-February 1992, 58(1):30-32
Three Indian children developed lesions of hypomelanosis of ITO since the age of 1 year, 9 months and 5 years respectively. Cases 1 and 3 had borderline intellectual functioning and case 1 showed diminished sweat response. There were no other associated abnormalities. Several recent reports have suggested that hypomelanosis of Ito is a nonspecific marker of chromosomal mosaicism.
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CASE REPORTS
Oral hairy leukoplakia of the lips with CMV retinitis in a woman with AIDS
R Ganesh, Jeyakumar Williams, AS Krishnaram, Sethur
January-February 1992, 58(1):33-35
A female prostitute, seropositive for HIV by ELISA and Western blot, presenting with mucous lesions of tongue and lower lip and also with unilateral loss of vision of the right eye is discussed. The tongue and lip lesions were confirmed by histopathological examination to be hairy leukoplakia, and the loss of vision was found to be due to retinitis-probably due to cytomegalovirus infection. The patient also had candidiasis, both oral and genital and lymphopaenia.
  - 6,407 0
Scalp invovlement by Molluscum contagiosum in a child
RG Baslas, SK Arora
January-February 1992, 58(1):36-36
Molluscum contagiosum in a 15-month old child was seen over the scalp alongwith other sites. Younger age and rare site involved are interesting features of this case.
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Herpes zoster with ipsilateral limb oedema and arthritic changes
Kumar Ashok Khare, Dilip Kachhawa, R Khullar, Sing
January-February 1992, 58(1):37-38
A 60-year old female who developed herpes zoster in the distribution of C 6 - 7 on the left upper arm, is reported because of some unusual features. With onset of herpes zoster, she developed ipsilateral painful limb oedema. After healing of cutaneous lesions of herpes zoster the limb oedema was associated with marked restriction of joint movements in the same limb for about 4 months. Roentgenogram of the involved part showed soft tissue swelling with arthritic changes.
  - 3,704 0
LETTER TO EDITOR
Genital skin lesion in tuberculoid Hansen's disease
G Kumar Krishna
January-February 1992, 58(1):49-49
  - 2,539 0
REVIEWS
What`s new in paediatric dermatology
E James Rasmussen
January-February 1992, 58(1):5-14
  - 4,951 0
LETTER TO EDITOR
Post herpes zoster motor deficit
NR Nagabhushana, BG Ashakiran, DA Satish, Sumathy
January-February 1992, 58(1):50-50
  - 2,343 0
Irritant property of soaps
Sanjay Singh, SS Pandey, Vineet Kaur
January-February 1992, 58(1):51-51
  - 2,046 0
Biochemical abnormality in sjogren-larsson syndrome

January-February 1992, 58(1):52-52
  - 1,522 0
Phenytoin induced pseudolymphoma syndrome
C Balachandran
January-February 1992, 58(1):53-54
  - 2,109 0
Allergic contact dermatitis to antibacterial agents
VK Sharma
January-February 1992, 58(1):53-53
  - 1,646 0
Neurofibromatosis in association with vitiligo
KK Singh, Arvind Kumar, Lalit Mohan, RD Mukhija, S
January-February 1992, 58(1):55-55
  - 2,149 0
SJS-TEN overlap
C Arun Inamadar
January-February 1992, 58(1):55-56
  - 2,158 0
STUDIES
Methotrexate-puvasol combination in treatment of psoriasis
S Talwar
January-February 1992, 58(1):15-19
Patients with severe psoriasis were divided into 2 groups. In group A, consisting of 30 patients, remissions were induced by short term use of combination therapy consisting of methotrexate (5 mg every 12 hours x 3 doses per week) + psoralen (30 mg on alternate days) and sun exposure (PUVASOL). Thereafter, remission was maintained by use of minimal possible PUVASOL treatment alone. However, flare-ups during maintenance-phase were controlled by short term addition of methotrexate. Remission was induced in all these cases after a mean of 5.1 weeks (range, 3 - 9 weeks) of treatment using a mean total dose of 74.6 mg of methotrexate along with PUVASOL. During maintenance phase, recurrence was observed in 19 of these patients after a mean of 4.6 months. These recurrences were again controlled by clearance courses of methotrexate. On an average 1 - 6 (mean, 4) clearance courses were required during a period of 2 years. In group B, consisting of 10 patients, remission was induced by use of methotrexate alone and after achievement of remission methotrexate was withdrawn. Comparatively I did not find any significant advantage of adding PUVASOL for clearance of the lesions. However, during follow-up all patients in group b reported with recurrence much earlier. I recommend the use of methotrexate alone for clearance of lesions in severe psoriasis and PUVASOL alone in maintenance phase to prevent relapse.
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