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Citation statistics : Table of Contents
2015| September-October | Volume 6 | Issue 5
Online since
September 4, 2015
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REVIEW ARTICLE
Livedo reticularis: A review of the literature
Vijaya Veeranna Sajjan, Snehal Lunge, Manjunathswamy Basavapuruda Swamy, Ashok Maharudrayya Pandit
September-October 2015, 6(5):315-321
DOI
:10.4103/2229-5178.164493
PMID
:26500860
Livedo reticularis (LR) is a cutaneous physical sign characterized by transient or persistent, blotchy, reddish-blue to purple, net-like cyanotic pattern. LR is a benign disorder affecting mainly middle-aged females, whereas livedo racemosa (LRC) is pathologic, commonly associated with antiphospholipid antibody syndrome. This article aims to review the causes of LR and LRC along with the evaluation and management.
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12,177
1,669
ORIGINAL ARTICLES
Role of C-reactive protein as a marker of disease severity and cardiovascular risk in patients with psoriasis
Asha Ramay Vadakayil, Sukumar Dandekeri, Srinath M Kambil, Neema M Ali
September-October 2015, 6(5):322-325
DOI
:10.4103/2229-5178.164483
PMID
:26500861
Background:
There is a paucity of studies addressing the elevation of C-reactive protein (CRP) among psoriatic patients and the role of this marker in assessment of disease severity and association with cardiovascular diseases (CVDs).
Objective:
To assess the difference in CRP levels between psoriatic patients and healthy population and to determine their role in disease severity. Also to compare CRP levels in psoriatic patients with and without the metabolic syndrome.
Materials and Methods:
A total of hundred patients with chronic plaque psoriasis and an equal number of age- and gender-matched healthy controls were enrolled in the study over a period of one year. Serum CRP levels of both cases and controls were estimated. Metabolic syndrome was identified among psoriasis patients using National Cholesterol Education Program's Adult Panel III (ATP III) guidelines. Clinical activity of psoriasis was evaluated using Psoriasis Area and Severity Index Score.
Results:
Patients with psoriasis reported significantly higher levels of CRP than healthy controls (
P
value 0.001). Patients with severe disease had significantly higher levels of CRP (
P
value < 0.003). Elevated level of CRP was observed among psoriatic patients with the metabolic syndrome than patients without the metabolic syndrome and the difference was statistically significant (
P
value = 0.001).
Conclusion:
CRP may be considered as a useful marker of psoriasis severity that could be used to monitor psoriasis and its treatment. Elevated levels of CRP may be an independent risk factor for CVD in patients with psoriasis.
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2,312
566
Narrowband UVB phototherapy in pityriasis rosea
Vijayeeta Jairath, Madan Mohan, Nidhi Jindal, Paritosh Gogna, Clarify Syrty, Priyadarshini Mookalamada Monnappa, Sarabjit Kaur, Manu Sehrawat
September-October 2015, 6(5):326-329
DOI
:10.4103/2229-5178.164480
PMID
:26500862
Objective:
Pityriasis rosea (PR) is an acute self-limiting disease. Despite vigorous efforts by generations of researchers since nearly 150 years, present treatment modalities for PR are not very gratifying. Ultraviolet radiation has been recommended in PR, although only a few studies validate this proposal. This study was conducted to explore the therapeutic effect of NBUVB on the symptoms, course, and severity of PR.
Materials and Methods:
This study involved a hundred patients who were randomly divided into two groups, using computer-generated randomization chart. Group A underwent treatment with fixed dose NBUVB of 250 mJ/cm
2
three times (nonconsecutive) a week for 4 weeks. Group B formed the placebo group who did not receive any treatment. The two groups were compared with each other for the intensity of pruritis, course and duration of disease, and PR severity score (PRSS).
Results:
The
t
values of improvement in PRSS score in Group A (
t
= 12.796) were higher as compared with that in Group B (
t
= 10.066). Similarly, the
t
value of the pruritus scale in Group A (
t
= 7.758) was higher than Group B (
t
= 5.754) indicating the symptomatic improvement in itching.
Conclusion:
Fixed-dose NBUVB phototherapy resulted in marked improvement in the severity and symptoms of the disease as quantitatively assessed by PRSS.
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CASE REPORTS
Linear Darier's disease: A case with bilateral presentation
Anal Jyoti Bordoloi, Khagendra Narayan Barua
September-October 2015, 6(5):345-347
DOI
:10.4103/2229-5178.164485
PMID
:26500868
Darier's disease is an autosomal dominant genodermatosis characterized by a persistent eruption of hyperkeratotic greasy papules mainly over the seborrheic sites of the body, usually associated with nail abnormalities and sometimes with mucous membrane lesions. The lesions typically occur in the younger age group and are associated with pruritus. We report here an atypical case of Linear Darier's disease with bilateral presentation in a middle-aged adult that could be confused with conditions such as lichen planus, inflammatory linear verrucous epidermal nevus, and wart.
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2
2,614
312
LETTERS TO EDITOR
Phaeohyphomycosis presenting as a solitary nodulocystic lesion in a renal transplant patient
Gopinathan Nanda Kumar, Sukumaran Pradeep Nair
September-October 2015, 6(5):359-361
DOI
:10.4103/2229-5178.164468
PMID
:26500874
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175
CASE REPORTS
Lichen striatus with onychodystrophy in an infant
Shilpa Y Krishnegowda, Sudhir Kumar Ninga Reddy, Periswamy Vasudevan
September-October 2015, 6(5):333-335
DOI
:10.4103/2229-5178.164489
PMID
:26500864
Lichen striatus with nail involvement is rare and is often unnoticed. Nail changes are often nonspecific but they are usually localized to one portion of the nail. Also single nail involvement and presence of skin lesions near the nail are often noticed. We report the case of an infant with lichen striatus and nail involvement.
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1,545
220
Ecthyma gangrenosum in a previously healthy patient
Ilkay Bozkurt, Esra Pancar Yuksel, Mustafa Sunbul
September-October 2015, 6(5):336-338
DOI
:10.4103/2229-5178.164479
PMID
:26500865
Ecthyma gangrenosum is a rare skin infection caused by
Pseudomonas aeruginosa
. It is usually seen in immunocompromised and critically ill patients. We report one such case in a previously healthy 20-year old male. Ecthyma gangrenosum can occur in healthy patients without bacteremia.
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5,030
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Extragenital lichen sclerosus et atrophicus along the lines of Blaschko
Nilofar G Diwan, Pragya A Nair
September-October 2015, 6(5):342-344
DOI
:10.4103/2229-5178.164486
PMID
:26500867
Lichen sclerosus et atrophicus (LSA) is a chronic inflammatory dermatosis of unknown etiology. Extragenital involvement is uncommon and commonly affects the neck, shoulders, and upper portion of the trunk. It is predominant in women with a male-to-female ratio of 1:6 and occurs at any age. Linear pattern along the lines of Blaschko are seen. There is no cure for LSA. Topical corticosteroids and calcineurin inhibitors, such as tacrolimus, pimecrolimus, PUVA antimalarial agents, and topical retinoids have been tried with varying results. A case of a 33-year-old man with LSA over right lower limb along the lines of Blasckho is reported here.
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2,527
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LETTERS TO EDITOR
Nevus depigmentosus with unilateral bluish sclera, a rare entity
Abhijeet Kumar Jha, Rajesh Sinha, Smita Prasad
September-October 2015, 6(5):358-359
DOI
:10.4103/2229-5178.164491
PMID
:26500873
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1
2,063
201
Neutrophilic dermatosis of the dorsal hands: A rare unilateral presentation
Sarvesh S Thatte, Asok Aggarwal
September-October 2015, 6(5):361-362
DOI
:10.4103/2229-5178.164490
PMID
:26500875
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1,082
172
THROUGH THE LENS
Crab louse
Arun Prasath Palanisamy, Kamalakannan Kutuwa Kanakaram, Sivasubramanian Vadivel, Srivenkateswaran Kothandapany
September-October 2015, 6(5):375-375
DOI
:10.4103/2229-5178.164475
PMID
:26500883
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204
CASE REPORTS
Penoscrotal porokeratosis: A distinct entity
Rajiv Joshi, Yatin Jadhav
September-October 2015, 6(5):339-341
DOI
:10.4103/2229-5178.164487
PMID
:26500866
A 26-year-old man presented with five months history of redness associated with itching and burning over the scrotum and shaft of the penis with a persistent rash on those sites. There had been no response to topical steroid and antifungal creams. Clinical examination revealed a large well-circumscribed erythematous plaque with a thready raised border with a tiny groove at its summit that involved almost two-thirds of the ventral part of the shaft of the penis. Ill-defined erythema with a granular surface was seen over the anterior scrotal skin. A 4 mm punch biopsy of the plaque on the penile shaft revealed multiple cornoid lamellae located adjacent to one another. The patient was treated with topical emollients. Follow up after four months revealed almost complete resolution of the plaque on the penile shaft. Penoscrotal porokeratosis appears to be a distinct entity in the family of porokeratotic diseases, described only in young males in their twenties with involvement of the penile shaft and anterior scrotum with severe burning and itching and histologically associated with multiple cornoid lamellae. It may represent an unusual epidermal porokeratotic reaction pattern and may be a self-resolving condition.
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Unilateral hypertrophic skin lesions, hemimegalencephaly, and meningioma: The many faces of Proteus syndrome
Niharika R Lal, Debabrata Bandyopadhyay, Asim K Sarkar
September-October 2015, 6(5):348-351
DOI
:10.4103/2229-5178.164477
PMID
:26500869
Proteus syndrome is a rare condition with a wide spectrum of abnormalities. It is characterized by hamartomatous malformations involving multiple organs. Serious complications may ensue, such as pulmonary embolism, cystic lung disease, and various neoplasms such as parotid adenomas, ovarian cystadenomas, and meningiomas. We report here a case of Proteus syndrome in a 21-year-old woman who had facial hemihypertrophy, cerebriform plantar hyperplasia, hemimegalencephaly, and meningioma for the rarity of the entity.
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2,359
242
Atrichia congenita
Chandraprakash Chouhan, Rajeev Khullar, Pankaj Rao, Ramesh Raidas
September-October 2015, 6(5):352-353
DOI
:10.4103/2229-5178.164478
PMID
:26500870
Atrichia congenita is a rare genodermatoses is characterized by a mutation of the human hairless (HR) gene on chromosome 8p22. There is loss of scalp hair between one to six months of age, after which no growth occurs. Eyebrow, eyelash, and body hair may also be sparse or absent; patients may have a few pubic and axillary hairs. The condition may present in isolation or along with other defects.
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1,108
166
Kindler syndrome with palmoplantar hyperhidrosis and blonde hair
Anshul Maheshwari, Daulat Ram Dhaked, Deepak K Mathur, Puneet Bhargava
September-October 2015, 6(5):330-332
DOI
:10.4103/2229-5178.164482
PMID
:26500863
Kindler syndrome (KS) is a very rare genodermatosis characterized by acral blistering starting in infancy along with photosensitivity, progressive poikiloderma, cutaneous atrophy, and a variable degree of mucosal involvement. A large number of other cutaneous and extracutaneous features have been described, which aid in diagnosing it. Generally KS has been found to be associated with hypohidrosis/anhidrosis. We herein present a rare case of KS with unique features.
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1,796
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CASES FROM ACKERMAN ACADEMY
A rubbery dermal nodule
Soren Craig-Muller, Dirk M Elston
September-October 2015, 6(5):354-355
DOI
:10.4103/2229-5178.164464
PMID
:26500871
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1,327
186
An indurated plantar plaque with surface nodularity
Soren Craig-Muller, Dirk M Elston
September-October 2015, 6(5):356-357
DOI
:10.4103/2229-5178.164466
PMID
:26500872
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1,654
165
LETTERS TO EDITOR
Pronounced skin folds with finger clubbing
Sweta Rambhia, Bhanu Prakash
September-October 2015, 6(5):362-364
DOI
:10.4103/2229-5178.164492
PMID
:26500876
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945
171
Kaposi varicelliform eruption
Rita V Vora, Abhishek P Pilani, Nidhi B Jivani, Rahul K Kota
September-October 2015, 6(5):364-366
DOI
:10.4103/2229-5178.164484
PMID
:26500877
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1,224
220
Liposomal doxorubicin-induced palmoplantar erythrodysthesia syndrome
Nidhi Yadav, Bhushan Madke, Sumit Kar, Kameshwar Prasad
September-October 2015, 6(5):366-368
DOI
:10.4103/2229-5178.164488
PMID
:26500878
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1,081
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SKINDIA QUIZ 20
SkIndia Quiz 20: A case of multiple nodules on forearm
Ruby Venugopal, Michael John, Rajesh Verma, Biju Vasudevan, Prabal Deb, Anuj Bhatnagar
September-October 2015, 6(5):369-370
DOI
:10.4103/2229-5178.160324
PMID
:26500879
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1,904
229
THROUGH THE LENS
Vulval elephantiasis
Arun Prasath Palanisamy, Kamalakannan Kutuwa Kanakaram, Sivasubramanian Vadivel, Srivenkateswaran Kothandapany
September-October 2015, 6(5):371-371
DOI
:10.4103/2229-5178.164470
PMID
:26500880
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3,897
241
Sister Mary Joseph's nodule
Shikha Goyal, Pramod K Julka
September-October 2015, 6(5):372-372
DOI
:10.4103/2229-5178.164472
PMID
:26500881
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781
164
Soft pink nodules on the scalp
S Pradeep Nair
September-October 2015, 6(5):373-374
DOI
:10.4103/2229-5178.164473
PMID
:26500882
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1,522
183
Axillary syringomas mimicking Fox–Fordyce disease
Gillian Roga, Ishwar Bhat
September-October 2015, 6(5):376-377
DOI
:10.4103/2229-5178.164476
PMID
:26500884
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-
2,048
196
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Online since 1
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