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Citation statistics : Table of Contents
2013| April-June | Volume 4 | Issue 2
Online since
April 17, 2013
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Vitamin C in dermatology
Pumori Saokar Telang
April-June 2013, 4(2):143-146
DOI
:10.4103/2229-5178.110593
PMID
:23741676
Vitamin C is a potent antioxidant drug that can be used topically in dermatology to treat and prevent changes associated with photoageing. It can also be used for the treatment of hyperpigmentation. Because it is unstable and difficult to deliver into the dermis in the optimum dosage, research is being directed to find stable compounds of Vitamin C and newer methods of delivery of Vitamin C into the dermis.
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24
14,884
1,862
CASE REPORTS
Morbihan syndrome
Stefano Veraldi, Maria Chiara Persico, Claudia Francia
April-June 2013, 4(2):122-124
DOI
:10.4103/2229-5178.110639
PMID
:23741671
We report a case of severe Morbihan syndrome (chronic erythematous edema of the upper portion of the face) in a 60-year-old man. The syndrome was characterized clinically by erythematous edema involving the forehead, glabella, and both eyelids, because of which the patient was not able to open completely his eyes. Furthermore, erythema and telangiectasiae were visible on the nose and cheeks. Laboratory and instrumental examinations were within normal ranges or negative. Histopathological examination showed dermal edema, perivascular and periadnexal lympho-histiocytic infiltrate, and sebaceous gland hyperplasia. Oral isotretinoin was ineffective despite the relatively long duration of the therapy (26 weeks).
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REVIEW ARTICLES
Achieving hemostasis in dermatology - Part 1: Preoperative, intraoperative, and postoperative management
Ravneet Ruby Kaur, Jaimie B Glick, Daniel Siegel
April-June 2013, 4(2):71-81
DOI
:10.4103/2229-5178.110575
PMID
:23741660
As dermatological procedures continue to become increasingly complex, improved methods and tools to achieve appropriate hemostasis become necessary. The methods for achieving adequate hemostasis are variable and depend greatly on the type of procedure performed and the unique characteristics of the individual patient. In Part 1 of this review, we discuss the preoperative, intraoperative, and postoperative management of patients undergoing dermatologic surgery. We address oral medications and supplements that affect hemostasis, hemostatic anesthesia, and intraoperative interventions such as suture ligation and heat-generating cautery devices. In Part 2 of this review, we will discuss topical hemostats. The authors conducted an extensive literature review using the following keywords: "hemostasis," "dermatology," "dermatological surgery," "dermatologic sutures," "electrosurgery," "hemostatic anesthesia," and "laser surgery." Sources for this article were identified by searching the English literature in the Pubmed database for the time period from 1940 to March 2012. A thorough bibliography search was also conducted and key references were examined.
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4,668
605
CASE REPORTS
Acute hemorrhagic edema of infancy-a rare entity
Saurabh R Jindal, Mahendra M Kura
April-June 2013, 4(2):106-108
DOI
:10.4103/2229-5178.110630
PMID
:23741666
A patient presenting with fever and purpura often presents a diagnostic challenge for the dermatologist. Acute hemorrhagic edema of infancy (AHEI) is a rare acute cutaneous leukocytoclastic vasculitic syndrome of infants leading to this presentation. We present an 18-month-old girl with AHEI who presented with fever, edema, and purpuric lesions involving the face, ears and extremities with uneventful complete recovery.
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341
ORIGINAL ARTICLES
Smokers' hair: Does smoking cause premature hair graying?
Ayman A Zayed, Awni D Shahait, Musa N Ayoub, Al Motassem Yousef
April-June 2013, 4(2):90-92
DOI
:10.4103/2229-5178.110586
PMID
:23741662
Aims:
To determine if there is a significant association between premature hair graying and cigarette smoking.
Materials and Methods:
A cross-sectional observational study was conducted in a nonclinical setting on 207 participants on August 24 until 25, 2010. Participants were classified into two groups [premature hair graying (PHG) and normal hair graying]. PHG was defined as the first appearance of gray hair before the age of 30. Data were collected using an interview questionnaire and measurements of body mass index, waist circumference, fasting blood glucose and blood pressure. Collected data were statistically analyzed using SPSS 16, Chicago, IL.
Results:
Of the 207 subjects, 104 (50.2%) had first appearance of gray hair before the age of 30 (PHG group) while the other 103 (49.8%) were considered normal hair graying group. The prevalence of smokers in the "PHG" group was higher (40.2% vs. 24.7%,
P
= 0.031). Smokers had earlier onset of hair graying (smokers: 31 (7.4) vs. nonsmokers: 34 (8.6),
P
= 0.034). Using multiple logistic regression with conditional likelihood, smokers were two and half times (95% CI: 1.5-4.6) more prone to develop PHG.
Conclusion:
This study suggests that there is a significant relation (with adjusted odds ratio of two and half) between onset of gray hair before the age of 30 and cigarette smoking.
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4
3,746
538
Impact of hand eczema severity on quality of life
Ujwala Priya Charan, C. V. Dincy Peter, Susanne A Pulimood
April-June 2013, 4(2):102-105
DOI
:10.4103/2229-5178.110629
PMID
:23741665
Background:
Hand eczema is a common disease seen in dermatological practice comprising of a spectrum ranging from mild disease to a severe distressing and chronic course with a negative impact on the quality of life.
Aim:
To assess the impact of hand eczema severity on quality of life.
Materials and Methods:
Patients with hand eczema were enrolled in a prospective study. Disease severity was assessed by hand eczema severity index (HECSI) score and quality of life by dermatology life quality index (DLQI) questionnaire.
Results:
Forty-six patients participated of which 22 (47.8%) were males and 24 (52.2%) females. The commonest age group affected among men and women was 50-59 years (31.8%) and 40-49 years (41.7%) respectively. History of atopy was found in 23.9% and 63% had persistent disease. In 28 (60.9%), the trigger was washing soaps and detergents of which 21 (87.5%) were housewives. Of those employed, 27.7% reported loss of work days. The mean HECSI score was 14.46 (S.D = 20.98) and mean DLQI score was 9.54 (S.D = 5.62). Gender, age, occupation and duration of disease did not significantly affect the quality of life or disease severity. Increased episodes of eczema (>4 episodes/year) showed a statistically significant correlation with DLQI (
P
value = 0.021). There was no significant correlation between HECSI score and DLQI in this study.
Conclusion:
Majority of the patients with hand eczema had a significant impairment of their quality of life. The impairment of quality of life in this study was mainly dependent on increased frequency of the eruptions and not on hand eczema severity.
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577
CASE REPORTS
Coexistence of lip-tip vitiligo and disseminated discoid lupus erythematosus with hypothyroidism: Need for careful therapeutic approach
Sudhanshu Sharma, Rashmi Sarkar, Vijay Kumar Garg, Suchi Bansal
April-June 2013, 4(2):112-114
DOI
:10.4103/2229-5178.110636
PMID
:23741668
There have been rare published cases of discoid lupus erythematosus (DLE) with other autoimmune cutaneous and systemic disorders. We describe a 36 years old female patient with DLE lesions on the face and hands with coexistence of lip-tip vitiligo and hypothyroidism. We discuss how the treatment has to be modified and innovative in the presence of these three coexisting autoimmune disorders and how the dermatologist should do this to get a successful outcome.
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275
LETTERS TO THE EDITOR
Koebnerization and generalized spread of vitiligo following radiotherapy
Swapnil A Sanghavi, Atul M Dongre, Uday S Khopkar
April-June 2013, 4(2):147-148
DOI
:10.4103/2229-5178.110594
PMID
:23741677
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3
2,077
245
Nicolau syndrome following intramuscular diclofenac injection
Sillan Nayci, Mehmet S Gurel
April-June 2013, 4(2):152-153
DOI
:10.4103/2229-5178.110642
PMID
:23741679
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3
3,519
333
REVIEW ARTICLES
The scope of teledermatology in India
Jayakar Thomas, Parimalam Kumar
April-June 2013, 4(2):82-89
DOI
:10.4103/2229-5178.110579
PMID
:23741661
Telemedicine describes the application of information and communication technologies in the entire range of functions that involve the health sector. Several medical and surgical specialties utilize tele-consultation. Dermatology is the best clinical specialty in the use of communications technology because of its inherently visual nature in both diagnosis and follow-up, which makes it easily applicable to virtual medicine. Teledermatology embraces great potential for revolutionizing the delivery of dermatologic services to remote and distant locations by means of telecommunications and information technology. It encompasses consultations between a patient (and the primary healthcare provider) and a dermatologist for diagnosis and management advice. Teledermatology also covers dermatological education for health professionals and for consumers. Teleconsultations reduce time and increase the chances of access to one or more consultants as the patient or referring doctor desires, irrespective of the distance between the two. Its usefulness in the field of surgery and aesthetic surgery is immeasurable as there are only a few experts in the field of aesthetic surgery available currently in comparison to the dermatology population and the ever growing awareness and demand of the patients towards aesthetics. As the field of teledermatology is advancing in leaps and bounds the day is not far off when an aesthetic surgeon will be able to perform his skill from his own office on a patient in a distant locality with the help of a qualified and trained assistant. By adopting high-tech medical communication, high-performance computers, high-resolution cameras, and fiber-optic equipment's the entire world shrinks!
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5,715
640
ORIGINAL ARTICLES
Outcome of wide local excision in dermatofibrosarcoma protuberans and use of radiotherapy for margin-positive disease
Raashid Hamid, Adil Hafeez, Mohd A Darzi, Inaam Zaroo, Altaf Rasool, Haroon Rashid
April-June 2013, 4(2):93-96
DOI
:10.4103/2229-5178.110591
PMID
:23741663
Purpose:
Wide local excision (WLE) is the preferred treatment of dermatofibrosarcoma protuberans (DFSP). The aim is to achieve negtive margins. We followed the impact of radiotherapy used postoperatively for both margin-negative and margin-positive DFSP tumors.
Materials and Methods:
Outcome of treatment of 36 patients of DFSP treated at our hospital was assessed. Thirty patients received radiotherapy postoperatively and six patients received radiotherapy alone. The maximum dimension of the lesion was 15 cm
2
. Patients were followed up for varying periods of time for any recurrence.
Results:
10-year actuarial local control rate was determined. Local control was realized in six patients who were treated with radiotherapy alone. 30 patients were treated by radiotherapy and surgery. Out of these 30 patients, there were 6 local failures (failure rate 10%). Actuarial control rate was 82%. The failures were among patients who had positive margins.
Conclusion:
Radiotherapy is effective, and it decreases the recurrence rate in the treatment of DFSP. It is especially helpful in margin-positive disease. This appears true for patients treated with radiotherapy alone or radiotherapy used postoperatively.
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343
Nerve damage in leprosy: An electrophysiological evaluation of ulnar and median nerves in patients with clinical neural deficits: A pilot study
Sumit Kar, Ajay Krishnan, Neha Singh, Ramji Singh, Sachin Pawar
April-June 2013, 4(2):97-101
DOI
:10.4103/2229-5178.110625
PMID
:23741664
Background
: Leprosy involves peripheral nerves sooner or later in the course of the disease leading to gross deformities and disabilities. Sadly, by the time it becomes clinically apparent, the nerve damage is already quite advanced. However, if the preclinical damage is detected early in the course of disease, it can be prevented to a large extent.
Materials and Methods:
We conducted an electrophysiological pilot study on 10 patients with clinically manifest leprosy, in the Dermatology Department of Mahatma Gandhi Institute of Medical Sciences, Sewagram. This study was done to assess the nerve conduction velocity, amplitude and latency of ulnar and median nerves.
Results and Conclusion:
We found reduced conduction velocities besides changes in latency and amplitude in the affected nerves. Changes in sensory nerve conduction were more pronounced. Also, sensory latencies and amplitude changes were more severe than motor latencies and amplitude in those presenting with muscle palsies. However, further studies are going on to identify parameters to detect early nerve damage in leprosy.
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4,365
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CASE REPORTS
Linear IgA disease in an adult with unusual clinical features
Rajesh Verma, Biju Vasudevan, Vijendran Pragasam, Disha Dabbas
April-June 2013, 4(2):115-118
DOI
:10.4103/2229-5178.110637
PMID
:23741669
A 19-year-old male presented with complaints of fluid-filled lesions on the body of 2 weeks duration. On examination, he was found to have multiple tense bullae distributed on the flexures, face, and genitalia with associated oral ulcers and "cluster of jewels" sign. The diagnosis was confirmed by histopathology and direct immunofluorescence. There are very few reports of linear IgA earlier from India according to the literature available so far, that too from the Southern part of the country. The patient had bullous pemphigoid-like lesions typically seen in adults, but the distribution of lesions was akin to that of the "chronic bullous disease of childhood variant" found in children. This case has been reported for rarity in this region and also because the patient had atypical morphology and distribution of lesions.
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2,547
309
Melanoacanthoma: Uncommon presentation of an uncommon condition
Resham J Vasani, Swapna S Khatu
April-June 2013, 4(2):119-121
DOI
:10.4103/2229-5178.110638
PMID
:23741670
Melanoacanthoma is very rare variant of seborrheic keratosis presenting as a deeply pigmented benign proliferation of melanocytes and keratinocytes usually presenting over the head, neck and trunk of elderly people. A sixty-two-years-old male was presented with a solitary slow growing asymptomatic hyperpigmented verrucous outgrowth with cerebriform surface measuring 15 cm by 8 cm present over the left inguinal region extending on to the scrotum since past 8 years. There was no associated lymphadenopathy. The histopathology revealed hyperkeratosis, papillomatosis, acanthosis with presence of melanocytes at all levels of epidermis with abundant melanin giving the diagnosis of melanoacanthoma. The patient further underwent surgical excision of the lesion. The case is being reported for its rarity, unusual location, massive size and clinical resemblance to a verrucous carcinoma.
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1
3,961
373
Holocord syrinx presenting as hemi anhidrosis
Sunil Kumar, Anuj Verma
April-June 2013, 4(2):109-111
DOI
:10.4103/2229-5178.110632
PMID
:23741667
We present a 41-year-old man with Chiari type 1 malformation and syrinx up to tenth thoracic level who presented with left side hemi anhidrosis. Neurological findings of syrinx were absent in this case. Though Horner's syndrome is reported, this report is probably first.
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1
1,678
218
A rare case of malignant acanthosis nigricans in a lady with ovarian cancer
Satyendra Kumar Singh, Tulika Rai
April-June 2013, 4(2):125-127
DOI
:10.4103/2229-5178.110640
PMID
:23741672
"Tripe palms" or pachydermatoglyphy is a descriptive term of acanthosis nigricans of the palms and is associated with internal malignancy. It often precedes the diagnosis of a new or recurrent tumor. Malignant acanthosis nigricans is most commonly associated with intra-abdominal malignancies. In patients with both tripe palms and acanthosis nigricans, gastric carcinoma is the most common followed by lung carcinoma. There are very few reports in the literature of malignant acanthosis nigricans associated with gynecological malignancies. We report this case because of its rarity. A 47-year-old lady presented with lower abdominal swelling and progressive hyperpigmentation which preceded the abdominal swelling by 6 months. On investigations, she was found to have ovarian cancer. The presence of acanthosis nigricans in conjunction with tripe palms in a female patient is highly suggestive of an internal malignancy including an ovarian cancer and demands an extensive search for the hidden ovarian cancer.
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4,445
276
LETTERS TO THE EDITOR
Paederus
dermatitis among residents of nursing hostel in central India: An outbreak investigation
Neelam Anupama Toppo, Ajeet Singh Bhadoria, Pradeep Kumar Kasar, Anshuli Trivedi
April-June 2013, 4(2):153-155
DOI
:10.4103/2229-5178.110643
PMID
:23741680
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1
2,897
316
Herpes zoster in pregnancy leading to keloids and post herpetic neuralgia: A double whammy?
Shyam B Verma, Uwe Wollina
April-June 2013, 4(2):158-159
DOI
:10.4103/2229-5178.110646
PMID
:23741683
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1,248
221
THROUGH THE LENS
Mid-borderline leprosy
Suchitra M Shenoy, Manjunath M Shenoy
April-June 2013, 4(2):162-162
DOI
:10.4103/2229-5178.110647
PMID
:23741685
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1
2,255
290
CASES FROM THE ACKERMAN ACADEMY OF DERMATOPATHOLOGY
Dermpath Quiz
Viktoryia Kazlousakaya, Karan Lal, John Franzone, Dirk Elston
April-June 2013, 4(2):128-130
DOI
:10.4103/2229-5178.110581
PMID
:23741673
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1,071
246
ERRATUM
Erratum
April-June 2013, 4(2):164-164
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563
149
LETTERS TO THE EDITOR
Hyperpigmentary disorders in children: A hospital-based study in a tertiary care center
Tukaram Sori, TJ Jaisankar, Devinder Mohan Thappa, Amiya Kumar Nath
April-June 2013, 4(2):148-152
DOI
:10.4103/2229-5178.110641
PMID
:23741678
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3,640
305
Acral steatocystoma multiplex
Manjula Jain, Vandana Puri, Yogita Katiyar, Shivali Sehgal
April-June 2013, 4(2):156-157
DOI
:10.4103/2229-5178.110644
PMID
:23741681
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225
A rare case of cutaneous actinomycosis
Pragya A Nair, Nishit A Bodiwala, Shivang A Patel, Keyuri B Patel
April-June 2013, 4(2):157-158
DOI
:10.4103/2229-5178.110645
PMID
:23741682
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1,159
220
MUSINGS, OPINIONS, TIPS AND EXPERIENCES
Transillumination: A simple tool to assess subungual extension in periungual warts
KT Ashique, Feroze Kaliyadan
April-June 2013, 4(2):131-132
DOI
:10.4103/2229-5178.110582
PMID
:23741674
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5,205
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Paradoxes in dermatology
Keshavmurthy A Adya, Arun C Inamadar, Aparna Palit
April-June 2013, 4(2):133-142
DOI
:10.4103/2229-5178.110589
PMID
:23741675
Many paradoxical phenomena related to clinical, immunological, and therapeutic dermatology have been described. While some of them can be explained logically, the cause for others can only be speculated. Whenever encountered in clinical practice, background knowledge of such paradoxes may be useful to the clinician.
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OBITUARY
In Memoriam: Prof. Karl Holubar (1936-2013)
Amiya Kumar Mukhopadhyay
April-June 2013, 4(2):165-166
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Editor's Walk Down Memory Lane with Prof. Karl Holubar
Shyam Verma
April-June 2013, 4(2):166-166
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824
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SKINDIA QUIZ
SkIndia Quiz 9: Solitary cystic nodule with a horn on the thigh of elderly male
Rameshwar M Gutte
April-June 2013, 4(2):160-161
DOI
:10.4103/2229-5178.105497
PMID
:23741684
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2,671
238
THROUGH THE LENS
Erythematous, firm, papular lesions over the face
Bela J Shah, Sonia Mangal
April-June 2013, 4(2):163-164
DOI
:10.4103/2229-5178.110648
PMID
:23741686
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1,332
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