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   2000| March-April  | Volume 66 | Issue 2  
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Facial dermabrasion in acne scars and genodermatoses-A study of 65 patients
SS Savant
March-April 2000, 66(2):79-84
bermabrasion is sequential planing of the raised skin/lesions to the desired depth. Facial dermabrasion was carried out in 65 patients (acne scars -48, adenoma sebaceum 12, multiple trichoepitheliomas 4, barier's diease-1). Preancillary acne scar revision in 34/48 patients and excision of larger papules and electrodesiccation was performed in 10/12 adenoma sebaceum. In acne scars, 35/48 showed good to excellent and 13/48 poor results. In adenoma sebaceum, 9/12 had excellent and 3 satisfactory results. Preancillary procedures enhanced results in both conditions. Excellent results were obtained in 3/4 multiple trichoepitheliomas and in barier's disease. Repeat dermabrasion was helpful in 7/65 patients. Side effects seen were persistent hypopigmentation 41, persistent erythema 30, milia 20, hyperpigmentation 15 and exacerbation of acne 3. Complications encountered were small deep scars 8, recurrence of adenoma sebaceum 3, gouging 2, secondary infection 2, oval large atrophic hypo-depigmented scar I and hypertrophic linear scar 1. Facial dermabrasion is a useful dermatosurgical modality to treat various skin disorders.
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Genital lesions following bestiality
A Mittal, Shrutakirthi D Shenoi, KB Kumar, Sharma
March-April 2000, 66(2):95-96
A 48-year-old man presented with painful genital lesions with history of bestiality and abnor­mal sexual behaviour. Examination revealed multiple irregular tender ulcers and erosions, with phimosis and left sided tender inguinal adenopathy. VDRL, TPHA, HIV-ELISA were negative. He was treated with ciprofloxacin 500mg b.d. along with saline compresses with complete resolution.
  13,207 0 -
An epidemiological study of sexually transmitted diseases
TV Gopalakrishnan Nair, LK Asha, PV Leelakumari
March-April 2000, 66(2):69-72
A retrospective data analysis of one thousand STD patients from 1994 to 1998 at Medical College, Trivandrum was carried out. Males constituted 61.1% and females 38.9% in the study. Most of the STD patients were married (68%). In this group, 44.9% of males and 15% of females had extra marital contact (EMC). Of the 155 male married patients who had EMC, 128 (82%) had history of pre marital contact (PMC) as well. Commercial sex workers (CSWs) were the partners for most of the patients for EMC and PMC. The commonest STD was syphilis, both in men and women followed by herpes genitalis and condylomata acuminata. Latent syphilis was the most common type (54%) followed by sec­ ondary. The prevalence of herpes genitalis and condylomata acuminata showed an increase with a def i­nite decline in the prevalence of gonorrhoea. HIV was detected in 3.2% of the patients.
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Adiposis dolorosa
Adarsh Chopra, Puneet Walia, Dimple Chopra, Jassal
March-April 2000, 66(2):101-102
Adiposis dolorosa, a rare condition characterised by painful subcutaneous plaques of fat as­sociated with obesity and emotional disturbances in menopausal females, is being reported
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An open trial of pentoxifylline in schamberg's disease
Leishiowon Kumrah, Renu George, Soshamma George
March-April 2000, 66(2):73-75
Fifteen patients with Schamberg's disease were enrolled in the study. Each patient was given 400mg of pentoxifylline once a day for 8 weeks. Skin biopsy was done in 6 patients to document the disease. Pretreatment and post treatment evaluation were made. There was no objective improvement in any of the patients though 4 reported subjective improvement in their pigmentation.
  5,019 0 -
An immunopathological study of lichen planus
Anita Nangia, Vijay Kumar, KB Logani
March-April 2000, 66(2):76-78
Twenty-five patients with clinically diagnosed lichen planus were examined for direct immunof­luorescence patterns in biopsies. The male to female ratio was 1:1.77. The peak incidence was observed in 11-20 years age group. Most (96%) of the patients presented with moderate to severe itching within two months of onset of symptoms. Sixty percent of the patients had violaceous papules; 20% had both papules and plaques. Simultaneous oral involvement was seen in 4% of cases; 8% showed nail changes. Thirteen patients had classical LP, 9 had lichen planus hypertrophicus, 2 had lichen planus actinicus, and one had lichen planopilaris. Direct immunofluorescence revealed fibrin deposition in 64% of cases as a linear pattern at dermo-epidermal junction, as coarse granular deposits of IgM sub-epidermally in 24 of cases and at the dermo-epidermal junction as C 3 in20% of cases. Civatte bodies were seen in 5 cases with H&E staining, but direct immunofluorescence for IgM, fibrin and C 3 was observed only in two cases. This suggests activation of complement and fibrinogen cascade. Whether this is the cause or effect of pathological processes in lichen planus remains to be determined
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Loratadine and cetirizine in urticaria

March-April 2000, 66(2):106-107
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Nail changes after carbamazepine
Adarsh Chopra, manjit Kaur, Jastinder Kular, Chopr
March-April 2000, 66(2):103-103
Antiepileptics are known to produce different types of side effects including nail changes. A 20-year-old epileptic man had yellowish discolouration followed by dystrophy and onycholysis of his 15 nails after taking carbamazepine for 3 months which cleared within six months after discontinuation of the drug. This type of change has not been reported earlier with carbamazepine
  4,041 0 -
Naevus depiomentosus treated with suction blister grafting
BC Ravikumar, L Sabitha, C Balachandran
March-April 2000, 66(2):89-90
Naevus depigmentosus is a congenital hypomelanotic condition in which the off white lesions are permanent and cosmetically embarassing. There has been no effective treatment reported so for for this condition. Here we are reporting a patient of naevus depigmentosus on whom we performed suction blister grafting and the resultant pigmentation was satisfactory
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Transition of pemphigus vulgaris to pemphigus foliaceus
Vibhu Mendiratta, Rashmi Sarkar, RC Sharma, Korann
March-April 2000, 66(2):85-86
We report a case of pemphigus vulgaris in a 46-year-old woman who presented with scaly and crusted erosions over erythematous base associated with itching and burning mainly over the chest, submammary folds, face, abdomen and the back. Histopathology was consistent with pemphigus foliaceus. The patient responded to oral prednisolone (60 mg/day). The above findings suggest that pemphigus vulgaris showed a transition to the pemphigus foliaceus variant.
  3,960 0 -
Onychomycosis caused by trichosporon beigelii
D Vijaya, BH Kumar Anand, T Nagarathamma, M Joseph
March-April 2000, 66(2):93-94
Onychomycosis is caused primarily by dermatophytes, candida sp and nondermatophytic moulds. Trichosporon beigelii is an inhabitant of soil and occasionally is part of the normal flora of human skin. A 38- year- old male presented with brown discolouration of both big toes since one year. Repeated KOH preparation and culture of nail scrapings and clippings yielded Trichosporon beigelii, which was identified by standard techniques.
  3,919 0 -
Multiple keratoacanthomas of hands simulating discoid lupus erythematosus
Adarsh Chopra, Manjit Kaur, Dimple Chopra
March-April 2000, 66(2):91-92
A 38-year-old woman presented with multiple, well-defined, erythematous, scaly, slightly pain­ful nodules progressing to plaques on the palms, dorsa of fingers of both hands since 6 years. Healed lesions had well-defined hyperpigmented margins with slight central atrophy. Clinical diagnosis of dis­coid lupus erythematosus was made, but histopatholgoy confirmed the diagnosis of keratoacanthomas
  3,748 0 -
Bilateral nevus of ota
Kumar Asok Gangopadhyay
March-April 2000, 66(2):104-105
Nevus of Ota affecting bilaterally on the face is being reported in two women
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Chromomycosis: Subcutaneous cystic type
PR Bhise, PR Sony
March-April 2000, 66(2):99-100
A 38-year -old male farmer presented with a solitary, asymptomatic, cystic lesion on the palm since last four years. He underwent excision of this cyst two times during this period but the lesion recurred near the same site. The histopathology and the microbiological examination led to the diagnosis of the rare subcutaneous cystic type of chromomycosis.
  3,197 0 -
Congenital naevoid psoriasis
RA Bumb, RD Mehta
March-April 2000, 66(2):88-88
A 1 1/2sub - year-old child who had typical linear psoriatic plaques since birth is being reported.
  3,060 0 -
Morphoea with mucin deposits masquerading as scleromyxoedema
Apra Sood, Sandeep Sharma
March-April 2000, 66(2):109-109
  3,034 0 -
Dexamethasone pulse for generalized lichen planus
JS Pasricha
March-April 2000, 66(2):107-107
  2,878 0 -
Rit Jaiswal
March-April 2000, 66(2):97-98
Two cases of cutaneous sarcoidosis with itchy lesions are reported. Both patients had systemic involvement and were successfully treated with glucocorticoids
  2,797 0 -
Acute contact urticaria to rice
Rani Radha Mittal, Sonal Jindal
March-April 2000, 66(2):108-108
  2,716 0 -
How I manage
K Pavithran
March-April 2000, 66(2):87-87
  2,705 0 -
Online since 15th March '04
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