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2009| March-April | Volume 75 | Issue 2
Online since
March 13, 2009
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ORIGINAL ARTICLES
Epidemiological survey of dermatophytosis in Tehran, Iran, from 2000 to 2005
Shahindokht Bassiri-Jahromi, Ali Asghar Khaksari
March-April 2009, 75(2):142-147
DOI
:10.4103/0378-6323.48658
PMID
:19293500
Background:
Cutaneous fungal infections are common in Tehran, Iran, and causative organisms include dermatophytes, yeasts and non-dermatophyte molds. The prevalence of superficial mycosis infections has risen to such a level that skin mycoses now affect more than 20-25% of the world's population, making them the most frequent form of infection.
Aims:
Our aim was to determine the prevalence of superficial cutaneous fungal infections especially dermatophytosis in our Medical Mycology Laboratory in the Pasteur Institute of Iran, Tehran.
Methods:
A total of 17,573 specimens were collected from clinically suspected tinea corporis, tinea cruris, tinea capitis, tinea faciei, tinea pedis, tinea manuum and finger and toe onychomycosis from 2000 to 2005. Patients were referred to our laboratory for direct examination, fungal culture and identification. The incidence of each species was thus calculated.
Results:
Dermatophytes remain the most commonly isolated fungal organisms, except from clinically suspected finger onychomycosis, in which case
Candida
species comprise >7% of the isolates. Epidermophyton floccosum remains the most prevalent fungal pathogen and increased incidence of this species was observed in tinea cruris.
Trichophyton tonsurans
continues to increase in incidence.
Conclusion:
This study identifies the epidemiologic trends and the predominant organisms causing dermatophytosis in Tehran, Iran. These data can be used to ascertain the past and present trends in incidence, predict the adequacy of our current pharmacologic repertoire and provide insight into future developments. Consideration of the current epidemiologic trends in the incidence of cutaneous fungal pathogens is of key importance to investigational effort, diagnosis and treatment.
[ABSTRACT]
[FULL TEXT]
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[CITATIONS]
[PubMed]
18
7,165
530
REVIEW ARTICLES
Relapse in leprosy
Sowmya Kaimal, Devinder Mohan Thappa
March-April 2009, 75(2):126-135
DOI
:10.4103/0378-6323.48656
PMID
:19293498
Leprosy is unique in terms of the nature of the causative organism (
Mycobacterium leprae
), the chronicity of the disease, its prolonged treatment and the definitions of "cure" and "relapse." The principal mode of assessing the efficacy of therapeutic regimens in leprosy is the "relapse rate." There are wide variations in estimates of relapse rates after the World Health Organization (WHO) multidrug therapy in different regions. The important predisposing factors for relapse include the presence of "persister" bacilli, monotherapy, inadequate/irregular therapy, presence of multiple skin lesions/thickened nerves and lepromin negativity. The conventional methods of confirming activity or relapse in an infectious disease (demonstration and/or culture of the etiologic agent) have limited utility in leprosy because of the difficulty in demonstrating bacilli in paucibacillary (PB) cases and absence of a method of
in vitro
cultivation of
M. leprae
. Bacteriological parameters are useful in multibacillary (MB) leprosy, whereas in PB leprosy, the criteria for relapse depend primarily on clinical features. Although there are no widely available serologic tests for leprosy other than in a research setting, various immunological tests may be useful for monitoring patients on chemotherapy as well as for confirming suspected cases of relapse. The main differential diagnoses for relapse are reversal reactions, erythema nodosum leprosum and reactivation/resistance/reinfection. The most reliable criteria for making an accurate diagnosis of relapse include clinical, bacteriological and therapeutic criteria. Additional ones that may be used, depending on the setting, are histopathological and serologic criteria. Relapsed cases of leprosy should be identified and put back on chemotherapy as soon as possible to prevent further disability and transmission of infection. Factors that should be considered in choosing an appropriate regimen are the type of leprosy (PB or MB), previous treatment and drug resistance. Occasionally, clinicians may need to use their judgement to modify the standard WHO treatment regimens according to the scenario in each patient.
[ABSTRACT]
[FULL TEXT]
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[CITATIONS]
[PubMed]
16
21,975
2,088
BRIEF REPORTS
Evaluation of narrow-band UVB phototherapy in 150 patients with vitiligo
Y Hari Kishan Kumar, G Raghu Rama Rao, K.V.T Gopal, G Shanti, K Veerabhadra Rao
March-April 2009, 75(2):162-166
DOI
:10.4103/0378-6323.48662
PMID
:19293504
Background:
Very few studies have been performed to evaluate the efficacy and safety of narrow-band ultraviolet B (NBUVB) therapy in Indian patients with vitiligo and are of small sample size.
Aims:
The purpose of this study is to know the efficacy and safety of NBUVB in 150 vitiligo patients of various age groups.
Methods:
One hundred fifty patients (69 males, 81 females), aged 3-70 years, with vitiligo were treated twice weekly with NBUVB. The starting dose was 250 mJ/cm
2
in adults and 150 mJ/cm
2
in children, with 20% dose increments at each subsequent visit given for a maximum period of 1 year and were followed-up for 6 months for stability of repigmentation. Statistical methods were employed to establish the relation between the response and the number of exposures, duration of treatment, cumulative dose and the compliance.
Results:
Analysis of our study showed that a majority of our cases, about 73, achieved 25-75% repigmentation, with an average of 51 ± 19 exposures, 51 had <25% repigmentation, with an average of 19 ± 11 exposures and 26 had >75% repigmentation, with an average of 74 ± 24 exposures. Good response to therapy was directly associated with good compliance, more number of exposures and increasing cumulative dose, which was statistically significant (
P
< 0.01). Adverse effects were minimal. Only three patients developed depigmentation of repigmented sites during follow-up.
Conclusion:
Our study proves that NBUVB therapy is an effective and safe tool in the management of vitiligo, with good stability of repigmentation and cosmetic appearance.
[ABSTRACT]
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[CITATIONS]
[PubMed]
12
28,958
721
CASE REPORTS
Two unusual cases of histoplasmosis in human immunodeficiency virus-infected individuals
PV Bhagwat, K Hanumanthayya, RS Tophakhane, RM Rathod
March-April 2009, 75(2):173-176
DOI
:10.4103/0378-6323.48665
PMID
:19293507
Histoplasmosis, also called as Darling's disease, is caused by the dimorphic fungus,
Histoplasma capsulatum
. In India, several cases of histoplasmosis have been reported since 1954, but in only a few cases could the diagnosis be confirmed by fungal culture. Disseminated histoplasmosis in adults is often associated with immunosuppression, as in human immunodeficiency virus (HIV) infection. Oral lesions are seen in 30-50% of the patients. Here, we are reporting two histoplasmosis cases, one with disseminated histoplasmosis with extensive skin and oral lesions in a known HIV-positive patient and the second case presenting with ulcer of the tongue, found to be HIV positive on investigation. It is important to consider histoplasmosis as one of the differential diagnosis of oral lesions in HIV-infected individuals.
[ABSTRACT]
[FULL TEXT]
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[CITATIONS]
[PubMed]
12
6,783
382
LETTERS TO THE EDITOR
Effect of warfarin on chronic idiopathic urticaria
PA Mahesh, Vedanthan K Pudupakkam, Amrutha D Holla, Tejaswini Dande
March-April 2009, 75(2):187-189
DOI
:10.4103/0378-6323.48673
PMID
:19293513
[FULL TEXT]
[PDF]
[CITATIONS]
[PubMed]
9
5,793
251
EDITORIAL
Leprosy: A disease with diagnostic and management challenges!
Bhushan Kumar, Sunil Dogra
March-April 2009, 75(2):111-115
DOI
:10.4103/0378-6323.48653
PMID
:19293495
[FULL TEXT]
[PDF]
[CITATIONS]
[PubMed]
8
12,339
1,090
CASE REPORTS
Syringocystadenoma papilliferum on the thigh: An unusual location
Purnima Malhotra, Avninder Singh, V Ramesh
March-April 2009, 75(2):170-172
DOI
:10.4103/0378-6323.48664
PMID
:19293506
A 28-year-old man presented with a partially eroded growth on the back of his right thigh for the last 15 years. Tuberculosis verrucosa cutis and pyogenic granuloma were suspected on clinical examination. Histopathological examination revealed syringocystadenoma papilliferum (SCAP). SCAP is rare on the thigh and a review of the English literature revealed eight cases. Non-descript clinical presentation in an unusual location and the rare linear and segmental variants lead to misdiagnosis. Onset at puberty should alert one to the possibility of the unusual location of SCAP.
[ABSTRACT]
[FULL TEXT]
[PDF]
[CITATIONS]
[PubMed]
7
5,004
222
REVIEW ARTICLES
Targeted phototherapy
Venkataram Mysore
March-April 2009, 75(2):119-125
DOI
:10.4103/0378-6323.48655
PMID
:19293497
Phototherapy is one of the most important therapeutic modalities in dermatology. This field has seen several major advances in the recent years, the most recent being targeted phototherapy. Targeted phototherapy, which includes laser and nonlaser technologies, delivers light/laser in the ultraviolet spectrum, of specific wavelength, specifically targeted at the affected skin and thereby avoids many of the side effects of conventional phototherapy. The treatment has been claimed to be effective, quick, and needing fewer treatment sessions. The article reviews this new mode of phototherapy.
[ABSTRACT]
[FULL TEXT]
[PDF]
[CITATIONS]
[PubMed]
7
13,402
1,415
NET STUDY
Impact of psoriasis on quality of life in Iran
Shahin Aghaei, Ahmad Moradi, Gholamreza Safaee Ardekani
March-April 2009, 75(2):220-220
DOI
:10.4103/0378-6323.48689
PMID
:19293529
Background:
The Psoriasis Disability Index (PDI) questionnaire is a widely used instrument to measure psychological morbidity in plaque-type psoriasis patients.
Aims:
This study aimed to validate the Persian version of the PDI and to evaluate the impact of psoriasis on quality of life (QOL).
Methods:
The English language version of the PDI was translated into Persian (Iranian official language) and was used in this study. The questionnaire was administered to a consecutive sample of 125 chronic plaque-type psoriasis patients and statistical analysis was performed to evaluate the impact of psoriasis on QOL. The other health-related QOL assessment tool included the Persian version of the Dermatology Life Quality Index (DLQI).
Results:
Overall, 125 patients who had received the PDI and DLQI completed all the questions. Reliability analysis showed a satisfactory result (Cronbach's a coefficient = 0.92 and 0.79 for PDI and DLQI, respectively). There was a strong statistical correlation between mean PDI and DLQI scores, with mean Psoriasis Area and Severity Index (PASI) (
P
= 0.005 and 0.02). Also, a significant correlation coefficient existed between DLQI and PDI (r = 0.94). The higher the PASI index, the higher the PDI and DLQI scores, which indicated greater impact on QOL. In the patients with lesions on visible exposed skin areas, the correlation was statistically significant (
P
= 0.002 and 0.01).
Conclusion:
The Persian PDI is an acceptable, reliable and valid measure of psychological distress, with more suitable content validity than DLQI for assessment of impact of psoriasis on QOL among psoriasis patients. Data provided may improve the physicians' awareness of the importance of the patients' QOL.
[ABSTRACT]
[FULL TEXT]
[PDF]
[CITATIONS]
[PubMed]
6
6,000
354
LETTERS TO THE EDITOR
Plagiarism, copyright violation, duplication, fabrication, false statements, breach of research and publication ethics
Khalid Raja Mahmood
March-April 2009, 75(2):182-183
DOI
:10.4103/0378-6323.48668
PMID
:19293510
[FULL TEXT]
[PDF]
[CITATIONS]
[PubMed]
5
6,116
275
BRIEF REPORTS
Electronic medical records in dermatology: Practical implications
Feroze Kaliyadan, S Venkitakrishnan, Jayasree Manoj, AD Dharmaratnam
March-April 2009, 75(2):157-161
DOI
:10.4103/0378-6323.48661
PMID
:19293503
Background:
Electronic medical records (EMRs) can be of great use in dermatological data recording. Unfortunately, not many studies have been carried out in this specific area.
Aims:
We attempt to evaluate the use of an EMR system in dermatology, comparing it with a conventional paper-based system.
Methods:
Two hundred patient records of patients attending the dermatology outpatient department were studied over a 3-month period. Half the reports were entered in the conventional paper-based format while the other half was entered in an EMR system. The time taken for each consultation was recorded and the same was carried out for the first subsequent follow-up visit.
Results:
The average time taken for the completion of the EMR-based consultation for new cases was 19.15 min (range, 10-30 min; standard deviation, 6.47). The paper-based consultation had an average time of 15.70 min (range, 5-25 min; standard deviation, 6.78). The
P
-value (T-test was used) was 0.002, which was significant. The average time taken for consultations and entering progress notes in the follow-up cases was slightly less than 10 min (9.7) for EMR while it was slightly more than 10 min (10.3) for the paper format. The difference was not statistically significant. The doctors involved also mentioned what they felt were the advantages and disadvantages of the system along with suggestions for improvement.
Conclusion:
The use of an EMR system in dermatology (or for that matter in any specialty) may overawe most users at the beginning, but once a comfort level is established, EMR is likely to outscore conventional paper recording systems. More time-motion-case studies are required to ascertain the optimal usage of EMR systems.
[ABSTRACT]
[FULL TEXT]
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[CITATIONS]
[PubMed]
4
5,388
250
CASE REPORTS
Spitz nevus of the genital mucosa
Mualla Polat, Mehmet Ata Topcuoglu, Yasemin Tahtaci, Asli Hapa, Fahri Yilmaz
March-April 2009, 75(2):167-169
DOI
:10.4103/0378-6323.48663
PMID
:19293505
We herein report an 11-year-old girl who came to our clinic with a swelling on the genital area of 2 months duration. Dermatological examination of the patient was performed and a pigmented lesion was found on the inner surface of the labium majus of the mucosa. The lesion was well circumscribed and approximately 1 cm in diameter, with homogenous color distribution. The patient was diagnosed as Spitz nevus on the basis of clinical and histopathological findings. Our case is probably the first reported case of Spitz nevus localized to the genital mucosa in the English literature.
[ABSTRACT]
[FULL TEXT]
[PDF]
[CITATIONS]
[PubMed]
4
5,412
193
FOCUS
Criteria for authorship
Sanjay Singh
March-April 2009, 75(2):211-213
DOI
:10.4103/0378-6323.48685
PMID
:19293525
[FULL TEXT]
[PDF]
[CITATIONS]
[PubMed]
4
2,523
146
LETTERS TO THE EDITOR
Eccrine angiomatous hamartoma in an adult
Karthika Natarajan, Reena Rai, Vanita Sundararajan, Sandhya Venkatchala
March-April 2009, 75(2):193-194
DOI
:10.4103/0378-6323.48677
PMID
:19293517
[FULL TEXT]
[PDF]
[CITATIONS]
[PubMed]
4
3,786
163
Rupioid syphilis in a HIV patient
PV Bhagwat, RS Tophakhane, RM Rathod, BM Shashikumar, Varna Naidu
March-April 2009, 75(2):201-202
DOI
:10.4103/0378-6323.48682
PMID
:19293522
[FULL TEXT]
[PDF]
[CITATIONS]
[PubMed]
3
3,529
217
Halobetasol versus clobetasol: A study of potency
Soumya Mohandas, Reena Rai, CR Srinivas
March-April 2009, 75(2):186-187
DOI
:10.4103/0378-6323.48672
PMID
:19293512
[FULL TEXT]
[PDF]
[CITATIONS]
[PubMed]
2
12,712
392
Enhancing digital images using unsharp-mask
Atul Taneja
March-April 2009, 75(2):191-193
DOI
:10.4103/0378-6323.48676
PMID
:19293516
[FULL TEXT]
[PDF]
[CITATIONS]
[PubMed]
2
3,099
156
ORIGINAL ARTICLES
Ocular abnormalities in atopic dermatitis in Indian patients
Radhika Kaujalgi, Sanjeev Handa, Arun Jain, Amrinder J Kanwar
March-April 2009, 75(2):148-151
DOI
:10.4103/0378-6323.48659
PMID
:19293501
Background and Aims:
Atopic dermatitis (AD) is a common skin disease. Long-standing, severe AD with repeated scratching and rubbing of the face, which requires continuous dermatologic care, predisposes the patient to various ocular complications. The knowledge of the frequency and significance of these ocular complications may allow their early diagnosis and treatment. The present study assesses the ocular complications in Indian children suffering from AD.
Methods:
In order to study the ocular complications in AD, 100 patients (61 male and 39 female) between the ages of 1 and 14 years were recruited. All the patients had complete dilated fundus examination with indirect ophthalmoscopy. The lid, conjunctiva and cornea were examined. Also, any evidence of cataract formation and retinal disorders were recorded.
Results:
The mean age of the children was 5.4 years. Forty-three (43.0%) AD patients showed ocular abnormalities in the form of lid and conjunctival changes. Of these, 18 (41.9%) patients showed only lid involvement, 16 (37.2%) only conjunctival involvement and both conjunctival and lid changes were seen in nine (20.9%) patients. Conjunctival changes were mostly in the form of a cobblestone appearance of the papillae, with mild to moderate papillary reaction and papillary hypertrophy. Variables observed to have a significant impact on the development of ocular abnormalities were age more than 5 years, duration of illness >12 months, positive family history of atopy, presence of palmar hyperlinearity and a combination of both xerosis and Dennie-Morgan fold.
Conclusions:
The present study is the first of its kind from India to document an association between AD in children and various ocular manifestations. The ocular manifestations observed in our cohort were not associated with significant ocular morbidity or visual impairment possibly because of a less-severe disease in Indians.
[ABSTRACT]
[FULL TEXT]
[PDF]
[CITATIONS]
[PubMed]
2
4,488
297
VIEW POINT
Vitiligo and diet: A theoretical molecular approach with practical implications
MR Namazi, G.O.H Chee Leok
March-April 2009, 75(2):116-118
DOI
:10.4103/0378-6323.48654
PMID
:19293496
[FULL TEXT]
[PDF]
[CITATIONS]
[PubMed]
2
36,953
942
LETTERS TO THE EDITOR
Dexamethasone-cyclophosphamide pulse therapy in pemphigus
Sheikh Manzoor, Yasmeen Bhat, Shabir Ahmad, Andleeb , Inam
March-April 2009, 75(2):184-186
DOI
:10.4103/0378-6323.48671
PMID
:19293511
[FULL TEXT]
[PDF]
[CITATIONS]
[PubMed]
1
22,291
646
Doctor I am on fire: Eosinophilic folliculitis in HIV negative
MS Suresh, Sandeep Arora, R.R.K Nair
March-April 2009, 75(2):194-196
DOI
:10.4103/0378-6323.48678
PMID
:19293518
[FULL TEXT]
[PDF]
[CITATIONS]
[PubMed]
1
8,751
187
Verruca plana following eyebrow threading
Saswati Halder, Atin Halder
March-April 2009, 75(2):196-197
DOI
:10.4103/0378-6323.48679
PMID
:19293519
[FULL TEXT]
[PDF]
[CITATIONS]
[PubMed]
1
4,763
224
Becker's nevus with ipsilateral breast hypoplasia
CS Sirka, MR Puhan, S Behera, P Mohanty, M Nanda
March-April 2009, 75(2):202-203
DOI
:10.4103/0378-6323.48683
PMID
:19293523
[FULL TEXT]
[PDF]
[CITATIONS]
[PubMed]
1
4,168
159
Tumor d'emblee responding to methotrexate and prednisolone
Rajeswari Aghoram, Devinder Mohan Thappa, Rashmi Kumari, VS Negi, RP Swaminathan, S Jayanthi
March-April 2009, 75(2):199-201
DOI
:10.4103/0378-6323.48681
PMID
:19293521
[FULL TEXT]
[PDF]
[CITATIONS]
[PubMed]
1
2,840
130
ORIGINAL ARTICLES
Contact sensitization in venous eczema: Preliminary results of patch testing with Indian standard series and topical medicaments
Rashmi Jindal, Nand Lal Sharma, Vikram K Mahajan, Gita Ram Tegta
March-April 2009, 75(2):136-141
DOI
:10.4103/0378-6323.48657
PMID
:19293499
Background and Aims:
Elimination of allergens/topical medications causing contact dermatitis in venous eczema, which poses a significant problem in its chronicity and treatment, provides the basis for better therapeutic outcome. Our objective was to determine the pattern of contact sensitization in venous eczema patients in Himachal Pradesh (India).
Methods:
Thirty-four patients (M:F, 31:3) and 10 controls (M:F, 6:4) were patch tested with Indian standard series and 10 commonly used topical medicaments.
Results:
Positive patch test results were seen in 50% (M:F, 16:1) of the patients. Common allergens were Fragrance mix (15%), p-phenylendiamine (15%), nickel (9%), wool alcohol (9%), chinoform (9%), balsum of Peru (5%), cobalt chloride (5%), potassium dichromate (3%), epoxy resin (3%), thiuram mix (3%) and formaldehyde (3%). Only sisomycin and miconazole among the topical medications elicited a positive patch test reaction in 3 and 5% patients, respectively. Neomycin contact sensitivity was not seen in any of the patients. One patient who had exacerbation of venous eczema following accidental application of topical diclofenac showed a positive patch test reaction to it.
Conclusions:
Patch test should be used to identify the topical agents that may be responsible for perpetuation or aggravation of eczema, especially in patients who do not improve despite adequate treatment of other underlying cause(s).
[ABSTRACT]
[FULL TEXT]
[PDF]
[CITATIONS]
[PubMed]
1
5,622
343
QUIZ
Asymptomatic papular lesions on the trunk
Raghavendra Rao, C Balachandran
March-April 2009, 75(2):217-219
DOI
:10.4103/0378-6323.48687
PMID
:19293527
[FULL TEXT]
[PDF]
[CITATIONS]
[PubMed]
1
3,415
227
CASE REPORTS
Relapse of leprosy presenting as nodular lymph node swelling
KU Kiran, KV Krishna Moorthy, Vani Meher, P Narasimha Rao
March-April 2009, 75(2):177-179
DOI
:10.4103/0378-6323.48666
PMID
:19293508
Lymphadenopathy is known to be associated with lepromatous leprosy and has also been observed as a feature of type-2 lepra reaction. However, nodular lymph node enlargement is not commonly reported in leprosy patients or as a feature of relapse. We herewith are presenting a case of bacteriological relapse in a patient of lepromatous leprosy treated 22 years before till smear negativity with WHO multidrug therapy (MDT) multibacillary type (MB). She presented with prominent nodular swelling of the cervical group of lymph nodes along with generalized lymphadenopathy, which was mistakenly treated as tubercular lymphadenopathy. A diagnosis of late bacteriological relapse of lepromatous leprosy presenting with prominent lymphadenopathy and ENL was made after relevant investigations. The patient was started on treatment with WHO MDT MB (daily dapsone and clofazimine and monthly rifampicin) and thalidomide (200 mg/day). Nerve pain regressed within 2 weeks of therapy. The lymph nodal swelling regressed within 3 months of starting treatment.
[ABSTRACT]
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[PubMed]
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5,444
292
CURRENT BEST EVIDENCE
Current best evidence from dermatology literature
Savita Yadav, Sunil Dogra
March-April 2009, 75(2):221-224
[FULL TEXT]
[PDF]
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2,503
208
HISTORY
Establishment of IADVL and its present day status
Devinder Mohan Thappa, Rashmi Kumari
March-April 2009, 75(2):204-210
DOI
:10.4103/0378-6323.48684
PMID
:19293524
[FULL TEXT]
[PDF]
[PubMed]
-
4,104
194
IMAGES IN CLINICAL PRACTICE
Calcinosis cutis on the face
Tuba Celebi Kayhan, Peyker Temiz, Aylin Turel Ermertcan
March-April 2009, 75(2):180-181
DOI
:10.4103/0378-6323.48667
PMID
:19293509
[FULL TEXT]
[PDF]
[PubMed]
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5,313
245
LETTERS TO THE EDITOR
Authors' reply
Arfan Ul Bari, Simeen Ber Rahman
March-April 2009, 75(2):184-184
DOI
:10.4103/0378-6323.48669
[FULL TEXT]
[PDF]
-
1,966
99
Editor's remarks
DM Thappa
March-April 2009, 75(2):184-184
DOI
:10.4103/0378-6323.48670
[FULL TEXT]
[PDF]
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1,961
100
Blepharochalasis
Polavarapu Mercy, Ashok Ghorpade, Manabendra Das, Abdulla Soud, Shruti Agrawal, Ashok Kumar
March-April 2009, 75(2):197-199
DOI
:10.4103/0378-6323.48680
PMID
:19293520
[FULL TEXT]
[PDF]
[PubMed]
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3,849
152
Our experience of the use of thalidomide in the steroid-dependent severe erythema nodosum leprosum
Nidhi S Chaudhry, Swapnil R Rath, Vishalakshi Visvanath, RG Torsekar
March-April 2009, 75(2):189-190
DOI
:10.4103/0378-6323.48674
PMID
:19293514
[FULL TEXT]
[PDF]
[PubMed]
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4,667
258
Leprosy in the era of integration
Bijal Mehta, Chitra Nayak, Shankar Savant, Sangeeta Amladi
March-April 2009, 75(2):190-191
DOI
:10.4103/0378-6323.48675
PMID
:19293515
[FULL TEXT]
[PDF]
[PubMed]
-
2,493
238
NET LETTER
Chylomicronemia syndrome
A Gnaneshwar Rao, Chandana Konda, Kamal K Jhamnani
March-April 2009, 75(2):220-220
DOI
:10.4103/0378-6323.48690
PMID
:19293528
[FULL TEXT]
[PDF]
[PubMed]
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3,962
154
ORIGINAL ARTICLES
Analysis on value of household contact survey in case detection of leprosy at a low endemic situation in China
Jianping Shen, Yaofei Wang, Min Zhou, Wenzhong Li
March-April 2009, 75(2):152-156
DOI
:10.4103/0378-6323.48660
PMID
:19293502
Background:
Leprosy is at a low endemic situation in China, the value of house contact survey in case detection of leprosy becoming a dispute.
Aims:
To evaluate the value of household contact survey in the case detection of leprosy at a low endemic situation in China.
Methods:
A study was carried out using a designed questionnaire in a retrospective method to analyze the value of household contact survey in case detection in Southwest and East China.
Results:
A total of 2135 index leprosy patients were collected from January 1, 1996 to December 31, 2005 in six provinces of China. The number of index patients accounted for 22.0 and 14.1% of newly registered patients in the Southwest and East of China, respectively. The household contact survey (36.1%) and the skin clinic (62.0%) ranked first in methods of case detection in Southwest and East China, respectively. Within 5 years after primary leprosy patients were detected, 24.8 and 16.1% of the index patients in Southwest China and East China had been detected, respectively.
Conclusion:
The authors conclude that at the time of a low leprosy endemic situation, the household contact survey is still a useful method for case detection in China.
[ABSTRACT]
[FULL TEXT]
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RESIDENT’S PAGE
Pap smear
Vandana Mehta, Vani Vasanth, C Balachandran
March-April 2009, 75(2):214-216
DOI
:10.4103/0378-6323.48686
PMID
:19293526
[FULL TEXT]
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[PubMed]
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5,843
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