Six patients had tinea on their penile shaft. Observation of these 6 cases in a short span of 3 months suggeste that penile tinea is not as rare as is commonly thought.

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A case of Becker's naevus, reverting back to normal colour after a Tinea versicolor infestation, is described.

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Screening for cutaneous disorders was undertaken in 1,175 pregnant women attending ante-natal clinic. Skin disease or STD being encountered in 114 (9.7%). Pruritus was present in 7.1 percent and was mostly due to candidiadis. The physiological skin changes were frequently observed. Candidiasis was by far the commonest infection with a 2.9 percent incidence. Syphilis was the commonest STD followed by Donovanosis and condyloma acuminata. Specific pregnancy dermatoses were seen in 1.5 percent and included prurigo gestationis, pruritic urticarial papules and plaques (PUPPP) and pruritus gravidarum.

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A case of acrokeratosis verruciformis of Hopf with generalized hyperkeratotic, hyperpigmented lesions on unusual sites like face, trunk and extremities is reported. Similar changes in the milder form were noted in patient's sister.

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Five hundred unselected newborn babies delivered at the department of obstetrics and Gynaecology, command hospital, Air force, Bangalore, were examined from ,the first to the fifth day after birth and details of all cutaneous manifestations, both physiological and pathological were recorded. Of the 500 newborns studied, 262 (52.4 percent) were males and 238 (47.6 percent) were females. Physiological skin changes were observed in all and pathological skin changes in 206 (41.2 percent). The incidence of such changes being similar in both sexes except for the physiological change termed miniature puberty. The incidence of these manifestations and their comparison with other reports in the literature are presented.

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Lupus miliaris disseminatus faciei is an uncommon disease affecting face. Previously lupus miliaris disseminatus faciei was thought to be a tuberculid; but now it is considered as a granulomatuous variant fo acne rosacea. We report 4 cases; each having lesions on face but in 1 also on body. The cases had erythematous tiny popular lesions of varying chronicity of 4 months to 1 year. Investigations for tuberculosis were negative. Histopathology revealed tuberculoid granuloma. All patients responded to Erythromycin; except 1 required Chloroquine.

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An analysis of 100 cases of erythema nodosum (EN) is presented. Likely causative factors were : focal streptococcal infection in 56, oral contraceptives in 4, tuberculosis in 3, kerion (due to Trichophyton mentagrophytes) in 2, pregnancy in 2, Behcet's disease in 2 and amoebiasis in 1 patient. A definite cause could not be elicited in 30 patients. Clinical features were almost similar to previously reported studies, except unilateral distribution in 3 patients. An unusual association of subcutaneous emphysema of the chest with recurrent episode of EN was observed in 1 female patient. Forty-one patients with moderate and severe presentation, treated with indomethacin, showed quicker resolution of the lesions.

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A total of 120 patients of dermatophytoses were divided into two groups. One was treated with ketoconazole and other with griseofulvin for 4 weeks. In addition a placebo cream/lotion was applied locally. Ketoconazole produced 90 percent cure while with griseofulvin it was 76.7 percent. No significant adverse effect (s) were noticed in either group(s). Clinical response to ketoconazole was 13.3 percent better, however cost efficacy ratio vis a vis griseofulvin was 6:1.

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A total of 261 digits affected in 100 patients of chronic paronychia were studied for clinical features. The bacteriological and mycological flora have been examined in 25 cases of the above 100 cases which were most severely affected. Aerobic bacteria were found in all cases. Staphylococcus aureus was seen in 60 percent. Klebsiella in 16 percent, Escherichia coli in 12 percent, Pseudomonas aeruginosa in 12 percent, Proteus mirabillis in 8 percent, Staphylococcus epidermidis in 4 percent and Streptococcus viridans in 4 percent. Culture for fungus revealed Candida albicans in 64 percent and other species such as C. krusei, C. stellatoides, C. viswanathi, C. parapsilosis and C. tropicalis were present in 1 case each. No fungus was detected in 4 cases(16percent). The present investigation was designed to compare the bacterial and mycotic flora of the nail folds of patients of chronic paronychia with that of western countries.

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A boy of 17 years presented with bluish white atrophic macules on shaft of penis and on prepuce. Histopathological examination confirmed the diagnosis of lichen sclerosis et atrophicus.

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Pseudofolliculitis vibrissa is a rare type of psuedofolliculitis. First author developed a painful, erythematous and tender papule due to re-entry of a recently cut hair in anterior naris. The symptoms and lesion vanished on dislodging the ingrown hair from its tunnel. The distal cut end of the hair was beveled and had a sharp spearlike tip. Close cutting of nasal hair may produce such hair and pseudofolliculitis.

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One hundred and thirty two cases clinically labeled as acute gonorrhoea were investigated for gonococcal etiology. Smears were positive in 110 (83.3%) cases and among these N. gonorrhoeae could be identified in 102 (77.3%) cases by culture method. Strains were examined for serogrouping by monoclonal GC test which utilizes the principle of co-agglutination and detects the antigens of outer membrane protein. 96(94.1%) strains belonged to serogroup W II/III, showing it to be the major serogroup circulating in the community. The strains were tested for sensitivity against 7 antibiotics. The largest proportion (30.4%) of strains were resistant to penicillin (MIC>O. 125 IU/ml). Resistance to cotrimoxazole, erythromycin, cephalaxin and tetracycline was noted as 18.6, 17.6, 7.8 and 5.8 percent respectively. Strains showing resistance concurrently to two or more drugs were observed. All restrains were sensitive to gentamicin and norfloxacin. None of the strains was penicillinase producer.

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A 30-year -old man was seen for acquired anhidrosis. There was no systemic disease. Vasomotor functions were normal. Biopsy showed normal sweat glands and ducts. Intravenous injection of neostigmine could produce profuse sweating on the face, trunk and arms. The disorder is likely to be due to a peripheral dysautonomia selectively affecting the sudomotor function.

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Four infertile patients were examined in this study and followed up for 5 years from October, 1980 to February, 1986. All the semen samples were examined at monthly interval and were analysed for circannual rhythm. A trend was noted for high sperm count (but subnormal) in December and nil counts during June to October. These patients did not improve in sperm counts even with best treatment provided and showed improvement in counts even without any treatment in winter months, showing a strong circannual rhythm. Hence, all such cases of infertility should be examined at least twice a year for circannual rhythm and to explore the possibility of treatment in such cases.

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A case of angiolymphoid hyperplasia with eosinophilia, presenting as a subcutaneous mass over the face in a 25-years-old woman is presented. The lesion was treated by surgical excision. There was no recurrence after a follow up of 2 months.

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A case of vitiligo who subsequently developed the lesions of lichen planus is described. Both types of lesions occurred on sun exposed areas, aggravated on photochemotherapy and showed improvement on para aminobenzoic acid cream application with avoidance of sun exposure. The possibility of common aetiological background is discussed.

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A preliminary report on follow up of 15 patients treated with Methotrexate (MTX) is presented. All 5 cases where MTX was discontinued after achieving remission and giving maintenance therapy for 8 to 12 weeks have relapsed within 10 weeks of stoppage of MTX. No major toxicity was seen in any patient.

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A case of angiokeratoma circumscriptum in 55-year old female involving both breasts and intermammary area is reported. Late onset, unusual site, bilateral involvement and associated extensive telangiectasia are interesting features in this case.

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Naevus comednicus is a rare form of epidermal naevus commonly seen on face and neck. Much rare is the occurrence of lesions over the glans. Reported cases of this developmental abnormality of pilosebaceous apparatus are few. Here we report a case with lesions over cheek and glans penis.

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A case of Paplillon-Lefevere syndrome is reported in a 12-year old boy. He had palmo-plantar keratoderma extending on to the pressure points of the body, early loss of deciduous and permanent teeth with Periodontosis and recurrent pyogenic infection of skin.

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