Autogolous split thickness punch grafting is being increasingly used as an effective technique in the management of refractory vitiligo by dermatosurgeons as an office procedure. Refinements in the technique of punch grafting has been described with special attention to the junctional areas and graft interspaces. Based on the experience of 55 cases treated with this technique careful selection of patients and recipient sites has been suggested.

A clinicopathological study of 50 cases of cutaneous tuberculosis was carried out. Majority of patients (30%) belonged to the age group 11-20 years. Male to female ratio was 3 : 2. In our study commonest type of cutaneous tuberculosis was lupus vulgaris (36%) followed by tuberculosis verrucosa cutis (32%) and scrofuloderma (28%). Face and neck were the commonest sites (36%) affected. All the patients showed significant response to antituberculosis treatment within a period of 9 months.

50 male patients, diagnosed to have chronic folliculitis of legs (CFL), were included in a clinico epidemiological study. CFL affected predominantly young adults of the age group of 16 - 25 years. Severe pruritus was associated in 86% of patients with CFL, and this symptom preceded the onset of new lesions. Follicular papules were seen more often than pustules in 58% of patients. Staphylococcus aureus was isolated in 72.5%. The lesions were confined to both legs in 50%, extending upto thigh in 28% and in legs, thighs and forearms in 10% of individuals studied.

20 patients, 12 males and 8 females with chronic palque psoriasis, not responding to conventional therapy were treated with methotrexate (MTX) in the dose of 15 mg/week, 3 doses, 12th hourly apart, for 4 - 12 weeks. All the cases in which MTX was stopped after attaining remission and giving maintenance therapy of 5 mg/week for 8 weeks had relapsed within 6 weeks to 12 weeks. Premethotrexate or postmethotrexate laboratory investigations were within normal limits. No significant side effects were noted.

A 24-year old female developed late onset solitary mastocytoma on the left forearm. She complained of intense pruritus off and on which was not associated with flushing of face and blister formation over the nodule. Darier's sign was positive. Excisional biopsy was done and histopathology confirmed the diagnosis.

Three cases of acrokeratoelastoidosis of Costa are reported. All the patients were females with marginal keratodermas composed of cornified papules, some of which were umbilicated, distributed along the borders of the hands and feet. A positive family history was present in all the cases.

A patient with pityriasis lichenoides chronica (PLC) during the course of her skin disease developed tuberculosis of cervical lymph nodes. Anti-tuberculosis treatment resulted in remission of PLC. Mycobacterium tuberculosis could be one of the triggering agent in pityriasis lichenoides.

A 40-year old male presented with typical features of leprosy borderline tuberculoid (BT) type. During the course of treatment, he developed neurological features which were initially attributed to neuritis. However, these features progressed despite antileprosy treatment. Detailed investigations revealed compressive myelopathy due to cervical canal stenosis. He was managed successfully with appropriate surgical treatment.

A 50-year old fisherman presented with multiple polypoid cutaneous and globoid subcutaneous swellings of four years duration. There was history of surgical excision of a nasal polyp in the past. Aspiration cytology and histopathology confirmed the diagnosis of cutaneous and subcutaneous rhinosporidiosis.

A 60-year old house-wife presented with mildly pruritic, over crusted, greasy, follicular and non-follicular papules over the forehead, retroauricular region and abdomen on the right side. There were numerous discrete hypopigmented macules scattered over the mammary region, abdomen, thigh and leg on the right side. Histopathological study of one of the papules over the forearems showed features of acrokeratosis verruciformis of Hopf.

A 45-year female presented with a sudden eruption of multiple brownish black nodular lesions since 5 months over the face, trunk and extremities which were clinically diagnosed as a case of nodular malignant melanoma. Histopathologically, they revealed the secondaries from carcinoma rectum.