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This report deals with lichen simplex chronicus of the scrotum present in a 33-year-old male, with severe itching. Histopathological feature were suggestive of chronic dermatitis.

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Chemical peeling with 88% phenol was carried out on 142 siles of stable vitiligo (hairy-126, non hairy-16) and on 69 sites of alopecia areata (AA). After cleansing and defalting.phenol was applied on affected areas till a uniform frost appeared. On healing,all the lesions of vitiligo showed perifollicular pigmentation in hairy areas and perilesional repigmentation in non hairy areas. These were further treated with PUVA/PUVASOL. After the healing, 82.5% of hairy sites and 81.3% of non hairy sites showed repigmentation. In cases of AA, patients developed vellus hair. In AA, 72.5% had good regrowth and 27.5% had poor response. Side effects seen were hypopigmentation (58 AA), hyperpigmentation (11 AA), persistent erythema (42 vitiligo,28 AA), demarcation lines (4 AA), secondary bacterial infection (2 vitiligo, 5AA) and superficial scarring (2 vitiligo, 7AA). The wounding action of phenol is useful to repigment the vitiligo patches and for induction of regrowth of hair in alopecia areata.

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Seventy-five patients with Lichen Planus (LP) were enrolled from out- patient department for screening the therapeutic effect of dapsone. patients were divided into two groups of 50 and 25. In regimen-1 (RI) 25 patients were given local corticosteroids and oral chlorpheniramine maleate. In regimen-2 (R2) 50 patients were given oral dapsone and chlorpheniramine maleate and topical coconut oil. It was found that total efficacy of R2 was 18% higher than R1.

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A mycological study was undertaken in 250 cases of superficial mycotic infections, which included 210 cases of dermatophytosis, 18 cases of cutaneous candidiasis and 22 cases of tinea versicolor. The scrapings from all the cases were subjected to direct microscopic examination in 10% KOH solution and culture was done in case of candidiasis and dermatophytosis. Out of 250 cases direct microscopy was positive (KOH +ve) in 88 cases of dermatophytosis, 11 cases of candidiasis and all cases of tinea versicolor. Culture for dermatophytes and candida species in SDA medium were positive in 76 and 9 cases respectively. The diagnostic sensitivity, specificity, positive predictive value, negative predictive value and the overall efficiency of the direct microscopy in the diagnosis of superficial mycotic infections were calculated to be 89.41%, 83.90%, 76.76%, 93.02% and 85.96% respectively.

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A rare case of pseudoepitheliomatous, keratotic and micaceous balanitis (PEKMB) is described.

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Hemangioma of the shaft of the penis in a young man is presented for rarity of the growth and rarity of the site encountered in venereology practice.

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Development of sezary syndrome from Photodermatitis induced by atenolol in a 74-year-old lady is described

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A 8-year-old boy presented with scaly plaques of both soles and left palm of 4 year duration. The plaques were well defined scaly, fissured and hyperkeratotic resembling palmo-plantar psoriasis. KOH preparation of the scrapings revealed round, brown, thick-walled bodies with planate division. Grey black, velvety folded colonies were seen in culture on Sabouraud’s dextrose agar. Lacto phenol cotton blue preparation revealed Fonsecaea pedrosoi as the cause of chromoblastnmycosis.

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A 53-year-old woman presented with extensive pruritic hyperpigmented macules in interscapular area and extremities of four years duration. She was an established case of hypothyroidism on treatment for last four years.

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A 30-year-old man presented with multiple keratotic papules on palms and soles. The lesions started at the age of 15 from soles. Family history was positive with members in preceding two generations being affected. Cutaneous examination revealed multiple discrete hyperkeratotic papules of variable size on palms and soles. Parakeratosis was absent in histopathology and this ruled out the diagnosis of porokeratosis punctata palmaris et plantaris.

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One hundred children with primary pyoderma and fifty healthy children were included in the study. The swabs collected from the lesions were cultured on various media. The colonies were identified by conventional methods. Commonest isolate was Staph. aureus (45%), followed by Strept. pyogens (35%), E.coli (5%), Citrobacter (1%) and Staph and Strept. together (14%). Staphylococci showed highest resistance to ampicillin (85%), followed by penicillin (78%), tetracycline (40%) and ciprofloxacin (15%). Streptococci and other Gram-negative isolates were sensitive to most of the drugs. Most strains of staphylococci were nontypable (42.2%) suggesting the possible emergence of new strains. Among typable ones,. phage group-1 was commonest. All streptococcal isolates belonged to serogroup-A and a significant carriage of Staph.aureus in normal children ( 15%) was observed.

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A 35-year-old man with AIDS and pulmonary tuberculosis presented with lesions suggestive of dermatitis herpetiformis and intolerance to dapsone. He was managed successfully with a combination of nicotinamide 200 mg/day and indomethacin 75 mg/day, topical steroids and gluten free diet.

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A 6-year-old male child had linear scaly erythematous band on the penis, undersurface of penis, extending to the scrotum since birth. He was diagnosed clinically as well as histopathologically as a case of naevoid psoriasis.

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A rare case of bilateral retinoblastoma with cutaneous metastases in a 10-month-old male child with a rapidly fulminant course is being reported.

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Acquired cutis laxa following enteric fever has been described in a male in the neck region. Biopsy revealed fragmented elastic fibres in the dermis which were better visualised with special stain for elastic tissue. This case is reported for rarity of its occurrence at the localised site following febrile illness.

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