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   2009| September-October  | Volume 75 | Issue 5  
    Online since September 3, 2009

 
 
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RESIDENTS CORNER
Autologous serum skin test: Methodology, interpretation and clinical applications
Surbhi Vohra, Nand Lal Sharma, Vikram K Mahajan
September-October 2009, 75(5):545-548
DOI:10.4103/0378-6323.55424  PMID:19736458
  31,474 1,748 4
CASE REPORTS
Cutaneous metastases from carcinoma breast: The common and the rare
Smitha Prabhu, Sathish B Pai, Sripathi Handattu, Mohan H Kudur, Vani Vasanth
September-October 2009, 75(5):499-502
DOI:10.4103/0378-6323.55395  PMID:19736431
Cancer metastasis is quite devastating to the patient as well as the physician and may herald the onset, dissemination or recurrence of malignancy. Breast carcinoma metastasis is the most common carcinoma encountered by dermatologists and it presents in various morphological and histological forms. Here, we present two varied cases, the first being the common nodular metastasis from a previously treated intraductal carcinoma and the second, the rarer variant, carcinoma erysipeloides as a heralder of the invasion of an incompletely treated disease.
  12,626 354 7
LETTERS TO THE EDITOR
Urticaria and masturbation
KV Godse
September-October 2009, 75(5):516-517
DOI:10.4103/0378-6323.55405  PMID:19736439
  12,455 395 -
REVIEW ARTICLE
Management of hyperlipidemias: An update
Nitin Ranjan
September-October 2009, 75(5):452-462
DOI:10.4103/0378-6323.55387  PMID:19736423
The discovery of the key enzymes, receptors, and transporters in cholesterol biosynthesis has enabled us to assemble fragments of knowledge concerning lipids and lipoproteins into dynamic pathways, leading to the development of a multitude of lipid-lowering drugs. After a brief recapitulation of the pathways of cholesterol metabolism and the dermatologic manifestations of lipid derangement, we shall review drugs which modify intestinal cholesterol and bile-acid reabsorption, and hepatic lipoprotein biosynthesis and catabolism. The current literature is examined to determine future therapeutic targets in lipid metabolism, as well as the role of traditional foods as lipid-lowering agents. The latest National Cholesterol Education Program guidelines for managing hypercholesterolemia are also discussed.
  8,719 1,191 3
NET LETTERS
Serum vitamin B12, folate, ferritin, and iron levels in Turkish patients with alopecia areata
Muzeyyen Gonul, Seray Kulcu Cakmak, Secil Soylu, Arzu Kilic, Ulker Gul
September-October 2009, 75(5):552-552
DOI:10.4103/0378-6323.55430  PMID:19736464
  8,295 349 4
CASE REPORTS
Sister mary joseph's nodule: A case of umbilical cutaneous metastasis with signet ring cell histology
Valid Bagher Zadeh, Randhir Kadyan, Adel Al-Abdulrazzaq, Sultan Al-Otaibi, Amr Sarhan, Nabeel Najem
September-October 2009, 75(5):503-505
DOI:10.4103/0378-6323.55396  PMID:19736432
The metastasis of a visceral malignancy to the umbilicus is known as "Sister Mary Joseph's nodule". It is a rare clinical sign indicating advanced, metastasizing intraabdominal cancer. We report a 50-year-old man who developed metastatic skin cancer in the form of semicircular indurated plaque on top of which was a firm mobile rounded nodule at the umbilical area. Histopathological examination demonstrated diastase-resistant periodic acid-Schiff and mucicarmine positive signet ring cells, suggesting gastric carcinoma. Immunohistochemical staining showed that these cells were positive for cytokeratins and epithelial membrane antigen, suggesting epithelial origin.
  8,082 232 6
Giant congenital melanocytic nevus (bathing trunk nevus) associated with lipoma and neurofibroma: Report of two cases
PV Bhagwat, RS Tophakhane, BM Shashikumar, Tonita M Noronha, Varna Naidu
September-October 2009, 75(5):495-498
DOI:10.4103/0378-6323.55394  PMID:19736430
Giant congenital melanocytic nevi are rare and occur in about one out of every 2,00,000 to 5,00,000 births. There is a significant association between bathing trunk nevus and neurofibromatosis and lipomatosis. Apart from this, association of bathing trunk nevus with abnormalities like spina bifida occulta, meningocele, club foot and hypertrophy or atrophy of deeper structures of a limb, have been described. We are herewith reporting two cases of bathing trunk nevi. In our first case, an eight-year-old girl presented with a bathing trunk nevus studded with multiple, large nodules. Histopathological examination of the biopsy taken from one nodule revealed features of both neurofibroma and lipoma. To the best of our knowledge, features of both these hamartomas in one nodule of a single patient are probably not reported in the literature. In our second case, a 12-year-old girl presented with bathing trunk nevus and she had spina bifida occulta. She also had lipoma in the lesion of bathing trunk nevus. Both of our patients had satellite melanocytic nevi over the face, forearm, upper back and legs. Our second patient, in addition, had small melanocytic nevi over the medial canthus and sclerocorneal junction of the right eye. By the time this girl presented to us, the melanocytic nevus started fading in color and it had become brownish. We are reporting these cases for their peculiarities and for their rare features.
  7,682 347 6
FOCUS
Superantigen
Jignesh Vaishnani
September-October 2009, 75(5):540-544
DOI:10.4103/0378-6323.55423  PMID:19736457
  7,065 942 2
EDITORIAL
Can we prevent skin aging?
Gurcharan Singh
September-October 2009, 75(5):447-451
DOI:10.4103/0378-6323.55386  PMID:19736422
  6,843 953 -
ORIGINAL ARTICLES
Randomized open comparative trial of dexamethasone-cyclophosphamide pulse and daily oral cyclophosphamide versus cyclophosphamide pulse and daily oral prednisolone in pemphigus vulgaris
Pradeep K Sethy, Sujay Khandpur, Vinod K Sharma
September-October 2009, 75(5):476-482
DOI:10.4103/0378-6323.55390  PMID:19736426
Background: In various case series, pulse therapy has shown good results in pemphigus vulgaris (PV), with long-term remissions. Aims: To compare the efficacy and side-effects of dexamethasone-cyclophosphamide pulse and daily oral cyclophosphamide (DCP+C) versus cyclophosphamide pulse and daily oral prednisolone (CP+P) in PV. Methods: Twenty-eight active PV patients were randomized to receive either DCP with daily oral cyclophosphamide (Group A, n = 15) or CP with tapering doses of daily oral prednisolone (Group B, n = 13) for 12 months and followed-up for at least 3 months after stopping therapy. They were compared for time taken to achieve mucocutaneous disease control, achieve remission, relapse during treatment period, relapse after stopping therapy and side-effects. Results: Of 28 cases, 25 (Group A - 15, Group B - 10) completed the study period and were analyzed. The time for initiation of cutaneous response and time to achieve complete disease remission were significantly lesser in group B. However, other efficacy parameters were comparable. In Group A, significant adverse events were dysgusea, hiccups, palpitation, nail discoloration, bone pain and urinary tract infection while in Group B, they included nausea, moon facies, flushing, secondary amenorrhea, steroid withdrawal symptoms and dyspnea due to weight gain. Conclusions: Early remission was achieved in group B but the relapse rates during the treatment phase or after stopping therapy were comparable. Both therapies had comparable side-effect profiles, although Group B showed greater steroid-induced adverse events.
  6,835 700 11
LETTERS TO THE EDITOR
Successful treatment of nevus comedonicus with ultrapulse CO 2 laser
Kabir Sardana, Vijay K Garg
September-October 2009, 75(5):534-535
DOI:10.4103/0378-6323.55419  PMID:19736453
  7,016 220 4
ORIGINAL ARTICLES
Modeling signaling pathways leading to wrinkle formation: Identification of the skin aging target
Pallavi Chauhan, Madhvi Shakya
September-October 2009, 75(5):463-468
DOI:10.4103/0378-6323.55388  PMID:19736424
Background: In the present scenario, wrinkle formation, prominent sign of skin ageing, is one of the most demanding areas of research. This burgeoning research demand to reduce, delay and restore the effects of skin ageing has led to the study of various signaling pathways leading to wrinkle formation. Wrinkles appear on skin due to influence of intrinsic and extrinsic factors on mitogenic reactions and signal transduction pathways. Aim: The aim of the present study is to analyze each protein involved in the signaling pathway leading to dilapidation of collagen and an attempt has been made to compare different signal transduction pathways to identify a common target for skin ageing. Methods: In the present work, bioinformatics tools have been used to extract information from already existing experimental data. The statistical techniques are used for further analysis and make useful predictions for skin ageing. Results: Stressors like UV irradiation, osmotic stress and heat shock have been reported to activate epidermal growth factor receptor, interleukin 1 receptor, tumor necrosis factor receptor, platelet-derived growth factor receptor and platelet activation factor receptor signaling pathways, which lead to the production of matrix metalloproteinases, collagen degradation and, consequently, wrinkle formation. When all the five signaling pathways were modeled, the c-jun part of the AP-1 transcription factor was found to be a common intermediate protein involved in all the signaling cascades. Moreover, it shows differential expression in the skin on response to stressors. Conclusion: We proposed c-jun to be the most potent target for drug designing against wrinkle formation.
  6,700 530 2
NET STUDY
The relationship between symptoms and patient characteristics among psoriasis patients
Cemal Bilac, Aylin Turel Ermertcan, Dilek Bayraktar Bilac, Artuner Deveci, Gonul Dinc Horasan
September-October 2009, 75(5):551-551
DOI:10.4103/0378-6323.55426  PMID:19736461
Background: Pruritus is a common symptom of many dermatological and systemic diseases. It is a common complaint among patients with psoriasis of the chronic plaque type. Patients with pruritus suffer from more severe psoriasis although some authors did not find a significant relationship between pruritus intensity and psoriasis severity. Aims: In this study, we aimed to investigate the relationship between clinical features and symptoms among psoriasis patients. And also we aimed to evaluate whether the severity of disease, depression and quality of life scores could effect these symptoms or not. Methods: Eighty seven patients with psoriasis were enrolled in this study. Epidemiological data of patients were noted. Clinical symptoms, such as pruritus, pain, burning, exudation, bleeding, weakness, etc. were interrogated. The answers to these questions were classified as 'never', 'rare', 'sometimes', 'often' and 'all the time'. Psoriasis Area and Severity Index (PASI), Dermatology Life Quality Index (DLQI), Hamilton Anxiety-Depression Scale (HAD) were calculated for each patient. PASI and DLQI scores were classified as ≥ and <10. Results: We found that the most frequent symptom was pruritus (96.6%). Other frequent symptoms were burning (56.3%), exudation (56.3%) and bleeding (49.4%). Hurting, sensitiveness and bothering were more frequent in women. Percentages of hurting, pain, exudation and weakness symptoms had been increasing with age. Frequency of weakness was significantly high in PASI ≥ 10 patients. Conclusion: Pruritus is a very common symptom in psoriasis. Burning, exudation and bleeding are also common symptoms seen in psoriasis. New scoring systems including symptoms of psoriasis patients may be developed for evaluating the severity of the disease.
  6,426 413 4
LETTERS TO THE EDITOR
Eruptive vellus hair cysts: An alternative diagnosing method
Ayse Serap Karadag, Ebru Cakir, Aylin Pelitli
September-October 2009, 75(5):537-538
DOI:10.4103/0378-6323.55421  PMID:19736455
  6,213 212 4
NET CASE
Familial disseminated plaque type porokeratosis with multiple horns and squamous cell carcinoma involving anal skin
Nilendu Sarma, Anup Kumar Boler, Sneha Ranjan Bhattacharya
September-October 2009, 75(5):551-551
DOI:10.4103/0378-6323.55427  PMID:19736460
Porokeratosis is a disorder of keratinization showing a well-defined lesion with a hyperkeratotic ridge on the border that contains the coronoid lamella. We report familial (autosomal dominant with reduced penetrance) disseminated plaque type (Mibelli's type) porokeratosis in a father and son. In the father, there were multiple horns and a large squamous cell carcinoma in a large lesion over the perianal region that reached up to the squamo-columnar junction of the anal mucosa and even invaded the anal sphincteric muscles. Disseminated lesions of the Mibelli's type, development of horns, and malignancy in this unusual location have not been previously reported.
  5,101 205 3
LETTERS TO THE EDITOR
Current scenario of leprosy at tertiary care level hospital of rural central India
Adarsh Lata Singh, SJ Vagha, Amit Agarwal, SR Joharapurkar, Brij Raj Singh
September-October 2009, 75(5):520-522
DOI:10.4103/0378-6323.55409  PMID:19736443
  4,541 350 1
ORIGINAL ARTICLES
Occurrence of plant sensitivity among patients of photodermatoses: A control-matched study of 156 cases from New Delhi
Hemanta Kumar Kar, Sonali Langar, Tarlok Chand Arora, Pankaj Sharma, Alok Raina, Meenakshi Bhardwaj
September-October 2009, 75(5):483-487
DOI:10.4103/0378-6323.55391  PMID:19736427
Background: Photodermatitis is an abnormal response to ultraviolet radiation (UVR). The photoallergic contact dermatitis caused by plant allergens is a serious cause of morbidity in India. Airborne contact dermatitis is the classical presentation of plant-induced dermatosis, which may become difficult to differentiate from chronic actinic dermatitis in chronic cases. The rapid growth of parthenium weed in India and its ill effects on the population make it important to detect all cases of parthenium sensitivity, which in some cases might simulate photodermatitis. Aims: This study aims to detect the occurrence of plant sensitivity and photosensitivity in idiopathic-acquired photodermatoses, airborne contact dermatitis and general population taken as controls. Methods: One hundred and fifty six consecutive patients suffering from polymorphic light eruption (PMLE), chronic actinic dermatitis (CAD) and airborne contact dermatitis (ABCD) were enrolled in the study over a period of three years (June 2004 to May 2007). An equal number of age and sex matched healthy subjects were enrolled in the study as controls. All the patients were subjected to detailed history taking, clinical examination and histopathological examination for diagnosis. Patch and photopatch testing were perfomed in all the patients and healthy controls for detection of allergic and photoallergic reactions to parthenium, xanthium and chrysanthemum plant antigens and control antigens. Results: Out of 156 patients enrolled in the study, 78 (50%) had CAD, 67 (42.9%) had PMLE and 11 (7.05%) had ABCD. The occurrence of parthenium/xanthium allergy and photoallergy, either to parthenium or both was most commonly found in ABCD (72.7%), followed by CAD (32%). In PMLE 4.5% cases showed photoallergy. Only 1.9% in the control group showed sensitivity to parthenium and xanthium. Conclusion: This study indicates that parthenium (and possibly xanthium) may act as important environmental factors in the initiation and perpetuation of not only ABCD but of CAD as well. Photoexacerbation to UVA at positive parthenium/xanthium sensitivity sites in ABCD and CAD indicates that ABCD with photosensitivity to compositae can lead to CAD.
  4,516 363 4
LETTERS TO THE EDITOR
Verrucous hemangioma
Ali Yasar, Aylin Turel Ermertcan, Cemal Bilac, Dilek Bayraktar Bilac, Peyker Temiz, Serap Ozturkcan
September-October 2009, 75(5):528-530
DOI:10.4103/0378-6323.55415  PMID:19736449
  4,634 231 1
BRIEF REPORTS
Evaluation of ID-PaGIA syphilis antibody test
Paul Naaber, Ene Makoid, Anneli Aus, Krista Loivukene, Airi Poder
September-October 2009, 75(5):492-494
DOI:10.4103/0378-6323.55393  PMID:19736429
Background: Laboratory diagnosis of syphilis is usually accomplished by serology. There are currently a large number of different commercial treponemal tests available that vary in format, sensitivity and specificity. Aim: To evaluate the ID-PaGIA Syphilis Antibody Test as an alternative to other specific treponemal tests for primary screening or confirmation of diagnosis. Methods: Serum samples from healthy adults (n = 100) were used for detection of specificity of ID-PaGIA. To evaluate sensitivity of ID-PaGIA serum samples (n = 101) from patients with confirmed or suspected syphilis were tested for syphilis antibodies with FTA-Abs IgM, ID-PaGIA, ELISA IgM and TPHA tests. Results: No false-positive results were found with ID-PaGIA. Sensitivity of various treponemal tests was the following: FTA-Abs IgM: 95.5%, ID-PaGIA and ELISA IgM: 94%, and TPHA 75%. The positive and negative predictive values of ID-PaGIA were 100 and 89.5%, respectively. Conclusions: Compared with other treponemal tests ID-PaGIA has excellent sensitivity and specificity.
  4,542 268 1
CASE REPORTS
Pigmented trichoblastoma with sebaceous hyperplasia
Girish Kamat, Balasab Yelikar, Savita Shettar, Mahesh H Karigoudar
September-October 2009, 75(5):506-508
DOI:10.4103/0378-6323.55397  PMID:19736433
Trichoblastoma is a rare benign trichogenic tumour with epithelial and mesenchymal components recapitulating the germinal hair bulb and associated mesenchyme. A 50- year- old male patient presented with slowly enlarging circumscribed solid nodule measuring 4x3x4.5 cm over the tip of the nose. Microscopy of tumour revealed nodular tumour spanning the entire dermis with collection of mesenchymal cells resembling follicular papilla. Areas of pigmentation and sebaceous hyperplasia were noted. There is a need for differentiation of this tumor which is benign, from other pigmented tumors having basaloid arrangement of cells such as basal cell carcinoma.
  4,447 249 3
LETTERS TO THE EDITOR
Neuropathic hand pruritus
Amr Gohar
September-October 2009, 75(5):531-532
DOI:10.4103/0378-6323.55417  PMID:19736451
  4,423 215 -
ORIGINAL ARTICLES
Operational barriers to the implementation of multidrug therapy and leprosy elimination in Cameroon
Dickson S Nsagha, Elijah A Bamgboye, Alain B.O.O Oyediran
September-October 2009, 75(5):469-475
DOI:10.4103/0378-6323.55389  PMID:19736425
Background: The World Health Organization targeted to eliminate leprosy from the world with multidrug therapy (MDT) by 2000. But, leprosy remains a problem in Essimbiland of Menchum Division of Cameroon, with a prevalence of 1.7/10,000 and high rate of case detection in children. Aims: To assess knowledge and practices on the cure of leprosy, treatment duration, drug availability and problems faced by leprosy patients acquiring drugs in order to enhance MDT implementation and leprosy elimination in Menchum and Boyo divisions. Methods: Observational study in which a structured questionnaire was administered to leprosy patients, their contacts and a control group. Results: 480 respondents were interviewed and 405 (84.8%) (95% confidence interval [CI]: 81.6-87.2%) knew that leprosy can be cured. These respondents comprised 166 (92.2%) of 180 contacts, 129 (93.5%) of 138 patients and 110 (67.9%) of 162 controls. Two hundred and fourteen (44.6%) (95% CI: 40.1-48.9%) respondents knew that leprosy treatment is free, comprising of 110 (51.4%) patients, 99 (46.3%) contacts and five (2.3%) controls. A statistically significant difference in the knowledge on free treatment of leprosy was found to exist between leprosy patients, contacts and controls, with leprosy patients having a better knowledge (79.71%) (95% CI: 73-86.42%), followed by contacts (55.0%) (95% CI: 47.73-62.26%) and controls (3.1%) (95% CI: 0.43-5.77%) (P = 0.00). Pertinent problems faced by patients in getting MDT included distant health facilities and poor road network (91[19.0%]), lack of confidence in treatment (56 [11.7%]), MDT shortage (45 [9.4%]), few health facilities (52 [10.8%]), gratification demands (25 [5.2%]), disturbance from other illnesses (24 [5.0]), ignorance (21 [4.4%]) and poor relationship with nurses (24 [5.0%]). Conclusion: Patients still face problems in getting free MDT. Better MDT implementation and leprosy elimination strategies are proposed.
  4,335 296 4
LETTERS TO THE EDITOR
Awareness of STDs and HIV/AIDS among the adolescent girls of classes IX-XII in Amritsar, Punjab: An interventional study
Suminder Kaur, AS Padda, Tejbir Singh, SS Deepti
September-October 2009, 75(5):519-520
DOI:10.4103/0378-6323.55408  PMID:19736442
  4,104 284 -
CURRENT BEST EVIDENCE
Current Best Evidence
Savita Yadav, Sunil Dogra
September-October 2009, 75(5):556-560
  4,011 316 -
LETTERS TO THE EDITOR
Systemic sclerosis and dexamethasone cyclophosphamide pulse therapy
JS Pasricha
September-October 2009, 75(5):510-511
DOI:10.4103/0378-6323.55399  PMID:19736435
  3,946 370 1
Erythroderma: Clinical and laboratory follow up of 66 Mexican patients
Paula Torres-Camacho, Andres Tirado-Sanchez, Rosa Maria Ponce-Olivera
September-October 2009, 75(5):522-523
DOI:10.4103/0378-6323.55410  PMID:19736444
  3,977 266 2
Pattern of skin diseases among patients attending a tertiary care teaching hospital in Kerala
N Asokan, Priya Prathap, K Ajithkumar, Betsy Ambooken, VG Binesh, Sandhya George
September-October 2009, 75(5):517-518
DOI:10.4103/0378-6323.55406  PMID:19736440
  3,929 300 1
A case report of tinea nigra from North India
Ragini Tilak, Sanjay Singh, Pradyot Prakash, Dharmendra P Singh, Anil K Gulati
September-October 2009, 75(5):538-539
DOI:10.4103/0378-6323.55422  PMID:19736456
  3,975 224 -
BOOK REVIEW
Sexually Transmitted Diseases and HIV/AIDS, Second edition - Vinod K. Sharma, Editor-in-Chief
DG Saple
September-October 2009, 75(5):554-555
  3,994 176 -
BRIEF REPORTS
Accuracy of references cited in articles published in Indian Journal of Dermatology, Venereology and Leprology: A pilot study
Sanjay Singh, Rahul Chaudhary
September-October 2009, 75(5):488-491
DOI:10.4103/0378-6323.55392  PMID:19736428
Background: Progress in science takes place when investigators build on the work of others. Therefore, in scientific communications, it is very important that others' work is correctly noted and understood. Cited references have been found to be inaccurate in every journal in which they have been examined. Aim: To analyze references cited in articles published in Indian Journal of Dermatology, Venereology and Leprology for their citation and quotation precision as an indicator of the quality of articles. Methods: Twelve citation and five quotation errors were identified and defined. Fifty cited references were selected randomly from the May-June 2008 issue of the journal. For these citations, we obtained 44 full texts of papers and two abstracts. In one case, only citation errors could be verified from the Internet. Three citations of books could not be verified. Thus, citation errors were examined in 47 and quotation errors in 46 citations. Results: Thirteen cited references (28.3%; 95% confidence interval [CI] 15.3-41.3%) were error-free. Twenty-eight citations (59.6%; 95% CI 45.5-73.6%) contained citation errors and 20 (43.5%; 95% CI 29.2-57.8%) quotation errors. Conclusion: Results of this pilot study suggest that improving accuracy of the references is important. Solutions to this problem are suggested.
  3,936 230 4
NET LETTERS
Localized lipoatrophy after intramuscular amikacin
Vishal Kumar, Manish Kumar, Chander Grover
September-October 2009, 75(5):552-552
DOI:10.4103/0378-6323.55431  PMID:19736463
  3,902 197 1
LETTERS TO THE EDITOR
Subcutaneous and intramuscular cysticercosis: High-resolution sonography
Amit Mittal, Sanjeev Gupta, Sunita Gupta, Vinod Mehta
September-October 2009, 75(5):515-516
DOI:10.4103/0378-6323.55404  PMID:19736438
  3,785 260 3
Dexamethasome-cyclophosphamide pulse therapy for systemic sclerosis
Ramji Gupta
September-October 2009, 75(5):511-511
DOI:10.4103/0378-6323.55400  PMID:19736436
  3,653 316 1
QUIZ
Violaceous discoloration around the eyes
Biju Vasudevan, MPS Sawhney
September-October 2009, 75(5):549-550
DOI:10.4103/0378-6323.55425  PMID:19736459
  3,655 257 -
NET LETTERS
Klippel-Trenaunay syndrome in a new born with multiple congenital anomalies
Kamal Aggarwal, Sanjeev Gupta, Vijay Kumar Jain, Jyotsna Sen, Smiti Nanda
September-October 2009, 75(5):552-552
DOI:10.4103/0378-6323.55428  PMID:19736465
  3,692 198 4
LETTERS TO THE EDITOR
Lichen planus associated with imatinib mesylate
Feroze Kaliyadan, TS Ganesan
September-October 2009, 75(5):527-528
DOI:10.4103/0378-6323.55414  PMID:19736448
  3,419 245 -
Co-localization of lichen planus and porokeratosis of Mibelli
Sudip Kumar Ghosh, Debabrata Bandyopadhyay, Gobinda Chatterjee, Arghya Prasun Ghosh
September-October 2009, 75(5):532-534
DOI:10.4103/0378-6323.55418  PMID:19736452
  3,337 201 3
Neuro cysticercosis with subcutaneous nodules
Sanjay Singrodia, RG Joshi, Rekha B Solanki, Rajan C Rawal
September-October 2009, 75(5):524-525
DOI:10.4103/0378-6323.55412  PMID:19736446
  3,265 216 -
Dermatopathology of 400 skin biopsies from Sarawak
Felix Boon Bin Yap
September-October 2009, 75(5):518-519
DOI:10.4103/0378-6323.55407  PMID:19736441
  3,166 230 2
A case of congenital ectopic nails on the bilateral second fingers without bone deformity
Amir Feily, Arash Ayoobi, Reza Yaghoobi, Parvin Kheradmand
September-October 2009, 75(5):525-527
DOI:10.4103/0378-6323.55413  PMID:19736447
  3,041 193 2
IMAGES IN CLINICAL PRACTICE
Reticulate eruption on thighs
Vandana Mehta, C Balachandran
September-October 2009, 75(5):509-509
DOI:10.4103/0378-6323.55398  PMID:19736434
  2,849 229 -
NET QUIZ
Large annular plaque with central atrophy on nose
Raju G Chaudhary, Freny Bilimoria, SK Katare
September-October 2009, 75(5):552-553
DOI:10.4103/0378-6323.55432  PMID:19736462
  2,740 222 2
LETTERS TO THE EDITOR
Keratoacanthoma like secondaries on the scalp
V Sreedevan, S Pradeep Nair, G Nanda Kumar, Lissy Skaria, Rani Mathew, Anitha Sanker
September-October 2009, 75(5):523-524
DOI:10.4103/0378-6323.55411  PMID:19736445
  2,707 165 -
Topical immunotherapy with dinitro-chlorobenzene: Safety concerns
Gurcharan Singh, MS Lavanya
September-October 2009, 75(5):513-514
DOI:10.4103/0378-6323.55402  PMID:19736437
  2,601 216 1
Authors' reply
Mohan Kudur, C Balachandran, SD Shenoi, Ragavendra Rao, H Sripathi, Smitha Prabhu
September-October 2009, 75(5):514-514
DOI:10.4103/0378-6323.55403  
  2,657 140 -
Bilateral pilomatricomas of the brow region in a female
Fatemeh Shafikhani, Sarah Hashemzadeh, Arash Ayoubi
September-October 2009, 75(5):535-537
DOI:10.4103/0378-6323.55420  PMID:19736454
  2,576 159 2
Authors' reply
Kabir Sardana, VK Garg
September-October 2009, 75(5):511-513
DOI:10.4103/0378-6323.55401  
  2,202 215 -
Pigmented basal cell carcinomas treated with photodynamic therapy
Jose J Pereyra-Rodríguez, Jose J Bernabew-Wittel, Purificacion Gacto-Sanchez, Julian Conejo-Mir
September-October 2009, 75(5):530-531
DOI:10.4103/0378-6323.55416  
  1,756 72 -
Online since 15th March '04
Published by Wolters Kluwer - Medknow