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   2010| March-April  | Volume 76 | Issue 2  
    Online since March 10, 2010

 
 
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REVIEW ARTICLES
Diet in dermatology: Revisited
Sowmya Kaimal, Devinder Mohan Thappa
March-April 2010, 76(2):103-115
DOI:10.4103/0378-6323.60540  PMID:20228538
Diet has an important role to play in many skin disorders, and dermatologists are frequently faced with the difficulty of separating myth from fact when it comes to dietary advice for their patients. Patients in India are often anxious about what foods to consume, and what to avoid, in the hope that, no matter how impractical or difficult this may be, following this dictum will cure their disease. There are certain disorders where one or more components in food are central to the pathogenesis, e.g. dermatitis herpetiformis, wherein dietary restrictions constitute the cornerstone of treatment. A brief list, although not comprehensive, of other disorders where diet may have a role to play includes atopic dermatitis, acne vulgaris, psoriasis vulgaris, pemphigus, urticaria, pruritus, allergic contact dermatitis, fish odor syndrome, toxic oil syndrome, fixed drug eruption, genetic and metabolic disorders (phenylketonuria, tyrosinemia, homocystinuria, galactosemia, Refsum's disease, G6PD deficiency, xanthomas, gout and porphyria), nutritional deficiency disorders (kwashiorkar, marasmus, phrynoderma, pellagra, scurvy, acrodermatitis enteropathica, carotenemia and lycopenemia) and miscellaneous disorders such as vitiligo, aphthous ulcers, cutaneous vasculitis and telogen effluvium. From a practical point of view, it will be useful for the dermatologist to keep some dietary information handy to deal with the occasional patient who does not seem to respond in spite of the best, scientific and evidence-based therapy.
  46,324 2,849 10
ORIGINAL ARTICLES
Direct immunofluorescence of skin biopsy: Perspective of an immunopathologist
Ranjana Walker Minz, Seema Chhabra, S Singh, BD Radotra, Bhushan Kumar
March-April 2010, 76(2):150-157
DOI:10.4103/0378-6323.60561  PMID:20228544
Background: By direct immunofluorescence (DIF), presence of immune complexes in the skin biopsy at various locations such as the dermo-epidermal junction, dermal blood vessels, etc. help to arrive at a diagnosis. Aims: (1) To study the role of DIF in confirmation or exclusion of diseases involving skin vis-à-vis histopathology and clinical diagnosis, (2) to describe the annual spectrum of dermatologic conditions that present to a tertiary referral center and require DIF examination of skin biopsy for confirmation of diagnosis. Methods: A total of 267 biopsies received over a period of 16 months in the Department of Immunopathology were analyzed along with clinical and histopathological details and the correlation between them was studied. Results: DIF was positive in 204 skin biopsies. Of these, 127 biopsies showed good clinico-immuno-histopathological correlation. In 10 cases, only DIF could clinch the diagnosis. In another nine cases, immune deposits were noted, which were unexpected in light of clinical and histopathological diagnosis. The most common skin involvement was seen in vasculitides. DIF was, however, non-contributory in lesions like erythema multiformè, post Kala-azar dermal leishmaniasis, sarcoidosis, lupus vulgaris, pyoderma gangrenosum and prurigo nodularis. Conclusion: The DIF of skin in conjunction with histopathology gives the best diagnostic yield. It is invaluable in confirming the diagnosis of small vessel vasculitides and bullous lesions of skin and can be used as an additional tool to pinpoint the diagnosis of systemic and localized autoimmune diseases involving the skin.
  18,401 685 5
NET LETTERS
A new approach to treating scarring alopecia by hair transplantation and topical minoxidil
Varun Tyagi, PK Singh
March-April 2010, 76(2):215-215
DOI:10.4103/0378-6323.60545  PMID:20228566
  17,929 292 -
FOCUS
Colchicine in dermatology
Chandana Konda, Angoori Gnaneshwar Rao
March-April 2010, 76(2):201-205
DOI:10.4103/0378-6323.60552  PMID:20228563
  16,431 1,003 4
ORIGINAL ARTICLES
Anti-nucleosome antibodies as a disease marker in systemic lupus erythematosus and its correlation with disease activity and other autoantibodies
Vandana D Pradhan, Manisha M Patwardhan, Kanjaksha Ghosh
March-April 2010, 76(2):145-149
DOI:10.4103/0378-6323.60558  PMID:20228543
Background: Detection of anti-nucleosome antibodies (anti-nuc) in patients with systemic lupus erythematosus (SLE) has been well established and it is claimed that their presence is associated with disease activity. Aims: The aim of this study is to evaluate the incidence of anti-nuc antibodies and to correlate them with disease activity and its association with other autoantibodies like anti-nuclear antibodies (ANA), anti-double stranded DNA (anti-dsDNA), anti-histone antibodies (AHA), as well as autoantibodies to histone subfractions like H1, (H2A-H4) complex, H2B, and H3. Methods: This cross-sectional study included 100 SLE patients referred from the Rheumatology, Dermatology, and Nephrology Departments. SLE disease activity was evaluated by using SLE-Disease Activity Index (SLEDAI) score. A patient was defined as having active SLE when the SLEDAI score was more than 5.0. Fifty normal controls were also tested as a healthy control group. Anti-nuc antibodies, anti-dsDNA, and AHA were tested by Enzyme-Linked Immunosorbent Assay (ELISA) and ANA was detected by an indirect immunofluorescence test. Results: All patients studied were in an active stage of disease and were untreated, of which 44 patients had renal biopsy-proven kidney involvement, which was categorized as lupus nephritis (LN) and 56 patients did not show any renal manifestations (SLE without LN). Anti-nuc antibodies were positive in 88%, anti-dsDNA in 80%, and AHA in 38% of the cases. ANA was positive in all SLE patients studied. None of the normal controls was found to be positive for these antibodies. Although a slightly higher incidence of autoantibodies were noted in LN, there was no statistical difference noted between LN and SLE without LN groups for anti-nuc and anti-dsDNA antibodies (p > 0.05). A higher incidence of autoantibodies to ANA specificities were noted in anti-nuc positive cases, but there was no statistical difference between anti-nuc positive and anti-nuc negative cases for ANA specificities among LN and SLE without nephritis groups (p > 0.05). Conclusions: Anti-nuc antibody detection could be a better tool for the diagnosis of SLE. Although there was no significant difference in LN and SLE without LN groups, this study suggests that anti-nuc detection can be useful as an additional disease activity marker to other laboratory tests.
  13,796 568 8
RESIDENTíS PAGE
Named bodies in dermatology
Fiona F Sequeira, Ambika Kumar, Usha Kini, Jayanthi
March-April 2010, 76(2):206-212
DOI:10.4103/0378-6323.60551  PMID:20228564
  11,487 1,757 -
REVIEW ARTICLES
Antiphospholipid syndrome in dermatology: An update
Reena Rai, C Shanmuga Sekar, M Kumaresan
March-April 2010, 76(2):116-124
DOI:10.4103/0378-6323.60541  PMID:20228539
Antiphospholipid syndrome (APS) is characterized by the presence of antiphospholipid antibodies, recurrent thrombosis, and fetal loss. Antiphospholipid antibodies are a family of autoantibodies that recognize various combinations of phospholipids, phospholipid-binding proteins, or both. APS can occur in the absence of underlying or associated disease (primary APS) or in combination with other diseases (secondary APS). The exact pathogenic mechanism by which these antibodies cause thrombosis is not known; however, several hypotheses, such as activation of platelet and endothelial cells and interference with the coagulation system, have been proposed. Diagnosis is based on the presence of at least one clinical and laboratory criterion each, according to International Consensus Statement on preliminary classification criteria. However, APS can be diagnosed in individuals even in the absence of some of the classification criteria. Clinical manifestations involve different organs and systems such as the blood vessels, central nervous system, skin, kidneys, gastrointestinal tract, heart, and placenta. The unifying mechanism of all these manifestations is thrombosis, either arterial or venous. Skin manifestations are varied and although not included in the diagnostic criteria, may be the presenting feature of this syndrome. Therefore all dermatologists should investigate the possibility of APS when cutaneous findings are related to venous or arterial thrombosis. The risk of thrombosis cannot be predicted, and therefore treatment is not initiated until a thrombotic event occurs. Indefinite anticoagulation is prescribed once a thrombotic event occurs. Prognosis depends on the severity of the clinical manifestations and so, knowledge of the presentation of this disease is important for early detection and prompt treatment to prevent life-threatening consequences of this catastrophic disease process.
  9,678 994 3
BRIEF REPORT
Prevalence of different Malassezia species in pityriasis versicolor in central India
Rahul Chaudhary, Sanjay Singh, Tuhina Banerjee, Ragini Tilak
March-April 2010, 76(2):159-164
DOI:10.4103/0378-6323.60566  PMID:20228545
Background: In the last 10 years, different studies have shown interesting geographical variations in the prevalence of different Malassezia species in pityriasis versicolor. Aim: Identification of Malassezia species isolated from patients with pityriasis versicolor. Methods: In 100 patients with pityriasis versicolor, Malassezia species were identified by culture in Sabouraud's dextrose agar containing cycloheximide with olive oil overlay and modified Dixon agar and by doing biochemical tests (catalase reaction, assimilation of glycine, and Tween utilisation tests). Results: In 10 patients, 10% KOH smear was negative, while in 90 patients the smear showed characteristic "spaghetti and meatball" appearance. Of these 90 cases, growth was obtained on modified Dixon's agar in 87 cases. Fifty of the isolates (57.5%) were M. globosa, 15 (17.2%) were M. sympodialis, seven (8.0%) were suspected M. sympodialis, 6 (6.9%) each of the isolates were M. furfur and M. obtusa, and three (3.4%) isolates were M. restricta. Conclusion: M. globosa was the most common species, followed by M. sympodialis, M. furfur, M. obtusa, and M. restricta.
  8,034 391 8
BOOK REVIEWS
Skin Diseases and Sexually Transmitted Infections- Uday Khopkar
Sanjiv Grover
March-April 2010, 76(2):218-218
  7,775 231 -
CASE REPORTS
Blue rubber bleb nevus syndrome: Prominent oral findings
GN Suma, SM Ravi Prakash, Dayashankara Rao, Sumit Goel
March-April 2010, 76(2):168-171
DOI:10.4103/0378-6323.60570  PMID:20228547
Blue rubber bleb nevus syndrome is a rare disorder characterized by multiple cutaneous venous malformations in association with visceral lesions, most commonly affecting the gastrointestinal tract. Oral cavity lesions occur in 59 to 64% of cases. We report a unique presentation of this syndrome in a 25-year-old male patient with prominent oral findings. This is a sporadic case, started during early childhood, progressively increasing in number and size. Oral vascular lesions were part of gastrointestinal involvement. Associated cardiac abnormalities were also observed. An early diagnosis of this syndrome is required as it gets complicated with bleeding, anemia and other systemic complications.
  6,802 204 1
Primary cutaneous adenoid cystic carcinoma with distant metastasis: A case report and brief literature review
Avninder Singh, V Ramesh
March-April 2010, 76(2):176-179
DOI:10.4103/0378-6323.60573  PMID:20228549
Primary adenoid cystic carcinoma (PCACC) of skin is a rare tumor, and those who show distant metastasis are even rarer. We report a case of PCACC on the face of a 55-year-old man who showed bilateral lung metastasis and on palliative chemotherapy showed significant regression of the primary tumor. The patient was alive at a 15-month follow-up. A brief literature review of the eight cases including ours is described.
  6,669 149 6
QUIZ
Leonine facies in an old man
Atul Dongre, Swati Gondse, Sumit Kar
March-April 2010, 76(2):213-214
DOI:10.4103/0378-6323.60549  PMID:20228565
  6,282 228 -
CASE REPORTS
Pityriasis lichenoides with ulceronecrosis and hyperthermia: A rare variant of pityriasis lichenoides et varioliformis acuta
Sarvjit Kaur Virdi, Amrinder Jit Kanwar, Uma Nahar Saikia
March-April 2010, 76(2):172-175
DOI:10.4103/0378-6323.60572  PMID:20228548
Pityriasis lichenoides with ulceronecrosis and hyperthermia (PLUH) is a severe variant of pityriasis lichenoides et varioliformis acuta that is characterized by high fever and papulo-necrotic skin lesions. We report the case of a 49-year-old male with typical features of PLUH along with an unusual manifestation of extensive skin necrosis including involvement of the intertriginous regions. Systemic administration of corticosteroids and antibiotics did not help to control the disease and the patient succumbed to death due to its fulminant nature.
  6,031 149 2
LETTERS TO THE EDITOR
Dermatoglyphic patterns in psoriasis, vitiligo and alopecia areata
Pramod Kumar, Atula Gupta
March-April 2010, 76(2):185-186
DOI:10.4103/0378-6323.60556  PMID:20228553
  5,818 349 -
NET LETTERS
A case of inflammatory breast carcinoma: Carcinoma erysipeloides
Filiz Canpolat, Hatice Akpinar, Fatma Eskioglu, Nebiye Genel, Murat Oktay
March-April 2010, 76(2):215-215
DOI:10.4103/0378-6323.60543  PMID:20228568
  5,805 131 -
ORIGINAL ARTICLES
A retrospective study of intravenous sodium stibogluconate alone and in combinations with allopurinol, rifampicin, and an immunomodulator in the treatment of Indian post-kala-azar dermal leishmaniasis
V Ramesh, Joginder Kumar, Dhiraj Kumar, Poonam Salotra
March-April 2010, 76(2):138-144
DOI:10.4103/0378-6323.60553  PMID:20228542
Background and Aims: A retrospective analysis of treatment outcome using recommended dose of sodium stibogluconate (SSG) alone and in combination with other antileishmanial drugs in adults with post-kala-azar dermal leishmaniasis (PKDL) attending as outpatients. Methods: A total of 61 patients seen over ten years were included in the report. All had polymorphic lesions. Diagnosis was based on clinical picture, hailing from kala-azar (KA) endemic area, exclusion of other dermatoses, histopathology, and therapeutic response. Patients were distributed into two groups: Group I (n = 32), where SSG was given intravenously; in Group II (n = 29), they were allocated to one of four categories using SSG in combination with other drugs. In the first category, SSG was given along with allopurinol (n = 10); in second with rifampicin (n = 6); and in third with both allopurinol and rifampicin (n = 5). In the fourth category, SSG was administered with an immunomodulator (n = 8), Mw vaccine, known to enhance host Th1 response. Results: Only 12 out of 61 patients completed treatment till histopathologic evidence of cure, five in Group I and seven in Group II, no patient being from third category. None had taken SSG without interruptions. Time taken for papulonodules to subside was similar in both groups, but erythema and induration subsided earlier in Group II. Group I patients attained cure after 120 injections while in Group II it took 95 injections in SSG + allopurinol and Mw vaccine categories respectively, and 110 with SSG + rifampicin. Nevertheless this was insufficient to facilitate compliance. Poor performance and high dropouts related to long duration of therapy, thrombophlebitis, difficulty in accessing veins, disabling rheumatic side-effects and practical problems. Liver, renal and pancreatic functions and ECG remained normal. Conclusion: No major advantage was obtained using allopurinol, rifampicin or Mw vaccine along with SSG as compared to SSG alone.
  5,680 213 5
CASE REPORTS
Severe inflammatory and keloidal, allergic reaction due to para-phenylenediamine in temporary tattoos
Suhan Gunasti, Varol Lutfu Aksungur
March-April 2010, 76(2):165-167
DOI:10.4103/0378-6323.60569  PMID:20228546
Hair coloring with henna has been popular in Turkey for years. In recent years since the tattoos are applied by the street vendors in most of the beach places in Turkey, skin coloring with henna has also increased. Henna can be used alone or in combination with other coloring agents. Henna alone can be safe but due to additives such as para-phenylenediamine (PPD), p-toluenediamine and various essential oils, allergic contact reactions may occur. We report a 22-year-old man who developed severe inflammatory and keloidal, moderately bullous allergic reaction after henna paint-on tattoo. We did a patch test separately with these painting products (henna powder, PPD) and with the European standard series. PPD was strongly positive (+++) on day 2 and remained positive for following days. After treating with topical clobetasol-17 butyrate, resolution was obtained in two weeks. But some keloidal reaction remained.
  5,717 145 7
BOOK REVIEWS
Textbook of Dermatology Venereology and Leprology- Devinder Mohan Thappa
Vinod K Sharma
March-April 2010, 76(2):219-219
  5,322 153 -
ORIGINAL ARTICLES
Cutaneous metastases of internal malignancies: A clinicopathologic study
Rajan Chopra, Seema Chhabra, Spinderjeet Gill Samra, Gurvinder Pal Thami, Raj Pal Singh Punia, Harsh Mohan
March-April 2010, 76(2):125-131
DOI:10.4103/0378-6323.60548  PMID:20228540
Background: Secondary tumor deposits in the skin represent advanced malignancy and are of uncommon occurrence. The clinical presentation of these lesions is variable, and the clinical impression is rarely correct, except in cases of known primary malignancies. Aim: To summarize the clinical and histopathological findings in biopsy-proven cutaneous metastases. Methods: The present study has analyzed 14 cases of cutaneous metastases from internal malignant neoplasms, excluding hematolymphoid neoplasms. The clinical parameters analyzed include presentation of deposits and their relation to the primary tumor. The histological features of cutaneous metastases were compared with the primary tumors and the frequency of common features in them were evaluated. Results: Cutaneous metastases from internal organ malignancies showed a prevalence rate of approximately 2%. Eight cases (56%) presented as primary manifestations of the tumor; biopsy evaluation in these cases suggested the possible primary tumor site and triggered further evaluation and imaging studies. Four patients, undergoing treatment for a known malignant tumor, had recurrence of the tumor in the form of cutaneous metastatic deposits. In the remaining two patients, cutaneous metastases of the tumor appeared simultaneously with the primary neoplasm and represented a higher stage of malignancy. Conclusions: Skin biopsy findings were significant in all cases. The morphological patterns of cutaneous metastases corresponded with the primary tumors and their evaluation helped localize unknown primary malignancies. In cases with known primaries, cutaneous metastases upstaged the malignancy and affected the prognosis.
  5,156 307 7
NET CASE
Kaposi's sarcoma: A presenting sign of HIV
Jignesh B Vaishnani, Sanjay S Bosamiya, Anjum M Momin
March-April 2010, 76(2):215-215
DOI:10.4103/0378-6323.60542  PMID:20228569
Kaposi's sarcoma (KS) is a multifocal cutaneous and extra cutaneous vascular proliferative disorder. In India, there are only a few cases of HIV-associated KS in published literature. A 26-year-old married man presented with asymptomatic elevated skin lesions over the face, trunk, both upper limbs and lower limbs with a duration of one-and-a-half months. Cutaneous examination revealed multiple violaceous papules and nodules, on the face (right upper and lower eyelids, upper lip), trunk and proximal part of both limbs. Oral cavity showed erythematous plaques, two in number, on the hard palate. Skin biopsy showed proliferation of thin walled capillaries with formation of slit like spaces, spindle cell proliferation, abundant extravasation of RBCs and moderately dense inflammatory infiltrate in the dermis. Thus a clinical diagnosis of cutaneous KS was confirmed. On testing with ELISA for HIV, the patient was for the first time diagnosed as HIV reactive. Thus KS was the presenting manifestation of HIV disease.
  5,152 215 2
LETTERS TO THE EDITOR
Use of amniotic membrane in dermatology
Annamma John, John Oommen
March-April 2010, 76(2):196-197
DOI:10.4103/0378-6323.60565  PMID:20228560
  4,747 265 4
NET LETTERS
Carcinoma en cuirasse of the breast with zosteriform metastasis
Chembolli Lakshmi, Suma B Pillai, Chetna Sharma, CR Srinivas
March-April 2010, 76(2):215-215
DOI:10.4103/0378-6323.60544  PMID:20228567
  4,719 112 -
EDITORIAL
Duplicate publication: What an editor can do?
Sunil Dogra, Savita Yadav
March-April 2010, 76(2):99-102
DOI:10.4103/0378-6323.60537  PMID:20228537
  4,445 226 3
NET LETTERS
Hirsutism with virilization in a postmenopausal woman due to a rare ovarian steroid cell tumor
Sanjiv V Choudhary, Pankaj J Banode, Arvind Bhake, Sankalp Dwivedi, Sumit Gupta, Sankha Koley, Adarshlata Singh
March-April 2010, 76(2):216-216
DOI:10.4103/0378-6323.60546  PMID:20228571
  4,489 113 -
IMAGES IN CLINICAL PRACTICE
Lupus vulgaris: An atypical presentation
Iffat Hassan, Mashkoor Ahmad, Qazi Masood
March-April 2010, 76(2):180-181
DOI:10.4103/0378-6323.60571  PMID:20228550
  4,357 207 3
LETTERS TO THE EDITOR
Slit-skin smear in diagnosis of cutaneous mastocytomas
Mehmet Harman, Sedat Akdeniz, Bulent Mizrak
March-April 2010, 76(2):187-189
DOI:10.4103/0378-6323.60559  PMID:20228555
  4,246 134 -
Pityriasis rubra pilaris with Koebner's isomorphic phenomenon
Jayanta K Das, Asok Kr Gangopadhyay, Sujata Sengupta
March-April 2010, 76(2):194-196
DOI:10.4103/0378-6323.60564  PMID:20228559
  3,526 132 1
ORIGINAL ARTICLES
The influence of training on the recognition of gross features of dermoscopy images
Aydin Yucel, Suhan Gunasti, Varol Lutfu Aksungur
March-April 2010, 76(2):132-137
DOI:10.4103/0378-6323.60550  PMID:20228541
Background: In a dermoscopic examination, besides structural components, inexperienced clinicians should also be able to recognize the gross features of the images. Aim: The aim of this study is, whether or not an inexperienced clinician has problems in the recognition of gross features of the images on dermoscopic examination. Methods: Two dermatologists, of whom one was experienced in the field of dermoscopy and the other was not, examined 161 dermoscopic images of melanocytic lesions in the gross features of their borders. Inner and outer borders were defined for each lesion. Both dermatologists separately evaluated the borders of the lesions for irregularity, asymmetry, and wideness of fading. For subjective image analysis they scored each lesion by using the four-point ordinal scale. For computerized image analysis they manually marked borders with dots, by using a computer program. We used quadratic-weighted kappa for interobserver reliability assessments for subjective scores and intraclass correlation coefficients (ICC) for automatically calculated scores. Results: In a subjective evaluation the inexperienced observer used a higher score than the experienced observer and the kappa values were between 0.241– 0.286. ICC for the automatically calculated scores were between 0.357 and 0.522. According to both the outer and the inner borders, the concordance between experienced and inexperienced observers was almost perfect in measurements of diameter, perimeter, and area (ICC scores were between 0.948 and 0.990). Conclusions: An inexperienced person, in comparison with an experienced person, sees lesions in the same sizes, but in different shapes on dermoscopy. Therefore, it is advisable that making learners familiar with the borders of lesions should be included in the training on dermoscopy.
  3,403 224 -
LETTERS TO THE EDITOR
Pulse therapy - Credibility of evidence
Amrinder J Kanwar, Dipankar De
March-April 2010, 76(2):182-183
DOI:10.4103/0378-6323.60554  PMID:20228551
  3,297 276 1
CURRENT BEST EVIDENCE
Current best evidence from dermatology literature
Rishu Sarangal, Sunil Dogra
March-April 2010, 76(2):221-224
  3,340 168 -
LETTERS TO THE EDITOR
Mutilating lupus vulgaris of face: An uncommon presentation
Binodini Behera, Basanti Devi, Nibedita Patra
March-April 2010, 76(2):199-200
DOI:10.4103/0378-6323.60568  PMID:20228562
  3,273 151 3
Self-healing juvenile cutaneous mucinosis manifesting with subcutaneous nodules
Arti Nanda, Mohamed K Selim, Humoud Al-Sabah, Vivek Singhal, Kusum Kapila
March-April 2010, 76(2):198-199
DOI:10.4103/0378-6323.60567  PMID:20228561
  3,187 83 2
Do Mycobacterium marinum infections occur in India?
Kidangazhiyathmana Ajithkumar, GK Madhavilatha, Bhageerathy Sulekha, Sylvain Godreuil, AK Anilkumar, K Girija, Sathish Mundayoor
March-April 2010, 76(2):191-192
DOI:10.4103/0378-6323.60562  PMID:20228557
  3,036 134 2
Bullous icthyosiform erythroderma with rickets in child of a parent with naevus unius lateralis
Yasmeen J Bhat, Asif Nazir Baba, Sheikh Manzoor, Seema Qayoom, Sheikh Mushtaq Ahmed
March-April 2010, 76(2):192-194
DOI:10.4103/0378-6323.60563  PMID:20228558
  3,014 113 -
NET QUIZ
Fatigue, macroglossia, xanthomatous papules and bullae
Sanjay Singh, Surendra Kumar, Rahul Chaudhary
March-April 2010, 76(2):216-216
DOI:10.4103/0378-6323.60547  PMID:20228570
  2,806 146 -
LETTERS TO THE EDITOR
Non-occupational contact dermatitis to cigarette
Prashant K Palwade
March-April 2010, 76(2):189-191
DOI:10.4103/0378-6323.60560  PMID:20228556
  2,812 94 -
BOOK REVIEWS
Management of Pediatric HIV - A Physician's Handbook- Vinay Kulkarni, Ritu Parchure, Gayatri Bhide and Sanjeevani Kulkarni
B Vishnu Bhat
March-April 2010, 76(2):220-220
  2,721 76 -
LETTERS TO THE EDITOR
Hyperhomocysteinemia: Can't it account for retinoid-induced fracture proneness?
Mohammad Reza Namazi, Amir Feily
March-April 2010, 76(2):186-187
DOI:10.4103/0378-6323.60557  PMID:20228554
  2,308 70 -
Pulse therapy - Evidence versus faith and unconditional other acceptance
Sanjay Singh
March-April 2010, 76(2):183-184
DOI:10.4103/0378-6323.60555  PMID:20228552
  2,197 176 1
BOOK REVIEWS
Comprehensive Dermatology and Sexually Transmitted Diseases- Ramji Gupta
Bhushan Kumar
March-April 2010, 76(2):217-217
  2,211 77 -
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