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Access statistics : Table of Contents
2016| May-June | Volume 7 | Issue 3
Online since
May 13, 2016
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REVIEW ARTICLE
Psychosexual disorders and dermatologists
Tarun Narang, Garima , Shubh M Singh
May-June 2016, 7(3):149-158
DOI
:10.4103/2229-5178.182349
PMID
:27294047
Sexual problems that are psychological in origin, rather than physiological, are called psychosexual disorders. Multiple factors, such as general health of the patient, chronic illnesses, psychiatric/psychological disorders, and socio-cultural factors, alone or in combination can be attributed to the development of psychosexual dysfunctions. The symptoms of these disorders vary for each individual and differ with gender. These disorders may be categorized as sexual dysfunction, paraphilias, and gender identity disorders. Dermatologists are sometimes consulted for sexual dysfunctions in their routine practice by the patients visiting sexually transmitted infections (STI) clinics because a majority of the patients believe that these problems are caused by dysfunctions in the sex organs, and because people are hesitant to go to sexuality clinics and psychiatrists for such problems. Sometimes these patients are referred from other specialties such as urology or gynecology; most often, we attempt to search for STIs or other dermatoses on the genitalia and refer them back. We often underestimate the prevalence of sexual concerns of the patients or feel uncomfortable discussing matters of sexuality with them. Dermatologists should understand basic sexual medicine and ask patients for sexual problems. They should be trained to manage such patients accordingly. In this review, we will be focusing on sexual dysfunctions, their etiopathogenesis, and management from a dermatologist's perspective.
[ABSTRACT]
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45,363
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ORIGINAL ARTICLES
Graying severity score: A useful tool for evaluation of premature canities
Archana Singal, Deepashree Daulatabad, Chander Grover
May-June 2016, 7(3):164-167
DOI
:10.4103/2229-5178.182372
PMID
:27294049
Background:
There is no uniform grading scale for objective assessment of premature canities that can serve as a reference. The aim of the study was to devise an objective and reproducible scoring system to assess the severity of premature canities.
Materials and Methods:
A cross-sectional study conducted from November 2011 to April 2013 in a tertiary care setup with 52 apparently healthy individuals with onset of premature graying of scalp hair before the age of 20 years. A new scoring system (Graying Severity Score, GSS) was devised to evaluate the extent of graying taking into account five representative sites from the scalp by two independent investigators and analysed for agreement. GSS ranged from 0 to 15 that was further graded as mild, moderate, and severe.
Results:
The highest total GSS attained was 13 and lowest was 4 (mean = 6.6 ± 1.97). Of the 52 patients 17 (32.69%) had mild, 32 (61.54%) moderate, and only 3 (5.77%) had severe GSS. Scores of both investigators were found to have good agreement. The intraclass correlation calculated by the two-way mixed model using the absolute agreement definition for the GSS was 0.967 (CI = 0.944–0.981;
P
= 0.000) and for GSS grade was 0.962 (
P
= 0.000). In the study subjects the frontal and the vertex regions were found to be the worst affected.
Conclusion:
GSS is a novel, numeric, objective, and reproducible tool for evaluation of premature canities that can be used to follow up and assess therapeutic response. Further large scale studies are recommended to optimize its utility.
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3,915
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CASE REPORTS
Inverted follicular keratosis successfully treated with imiquimod
Ayse Serap Karadag, Emin Ozlu, Tugba Kevser Uzuncakmak, Necmettin Akdeniz, Bengu Cobanoglu, Berkant Oman
May-June 2016, 7(3):177-179
DOI
:10.4103/2229-5178.182354
PMID
:27294052
Inverted follicular keratosis is a rare benign tumor of the follicular infundibulum characterized by exo-endophytic growing. It is thought to be a rare variant of the seborrheic keratosis. The diagnosis of inverted follicular keratosis is generally established histopathologically because clinical differentiation from other lesions is difficult. Herein, we present one such rare case, successfully treated with topical 5% imiquimod cream.
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4,069
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ORIGINAL ARTICLES
Clinical and epidemiological features of coryneform skin infections at a tertiary hospital
Malcolm Pinto, Ganesh Kamath Hundi, Ramesh Marne Bhat, Nanda Kishore Bala, Sukumar Dandekeri, Jacintha Martis, Srinath M Kambil
May-June 2016, 7(3):168-173
DOI
:10.4103/2229-5178.182351
PMID
:27294050
Background:
Skin infections caused by coryneform bacteria are common dermatological conditions. However, to the best of our knowledge, no studies are available on the clinical characteristics and epidemiological features of this group of disorders as one entity from India and abroad.
Aims:
To study the clinical and epidemiological features of coryneform skin infections
Methods:
A total of 75 patients presenting with clinically distinctive lesions of pitted keratolysis, erythrasma and trichobacteriosis to our hospital were included in the study. Cases were interviewed with particular emphasis on epidemiological features and the various clinical findings were recorded. Investigations like Gram's stain, Wood's light examination, 10% KOH scrapings, were done in selected cases to ascertain the diagnosis.
Results:
Pitted keratolysis was more common in the age group of 31-40 years (40%) with a male preponderance (76.7%), most commonly affecting pressure bearing areas of the soles with malodour (86.7%) and frequent contact with water (58.3%) constituting the most important presenting symptom and provocating factor respectively. Erythrasma affected both male and female patients equally and was more commonly detected in patients with a BMI > 23kg/m
2
(62.5%) and in diabetics (50%). All patients with trichobacteriosis presented with yellow coloured concretions in the axillae. Bromhidrosis (71.4%) and failure to regularly use an axillary deodorant (71.4%) were the most common presenting symptom and predisposing factor respectively.
Conclusion:
Coryneform skin infections are common dermatological conditions, though epidemiological data are fragmentary. Hyperhidrosis is a common predisposing factor to all three coryneform skin infections. Asymmetrical distribution of pits has been reported in our study. Diabetic status needs to be evaluated in all patients with erythrasma. Woods lamp examination forms an indispensible tool to diagnose erythrasma and trichobacteriosis.
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2
LETTERS TO THE EDITOR
Diclofenac gel may be a new treatment option for seborrheic keratosis
Habibullah Aktas, Can Ergin, Havva Ozge Keseroglu
May-June 2016, 7(3):211-212
DOI
:10.4103/2229-5178.182363
PMID
:27294065
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3,033
374
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CASE REPORTS
Keratoelastoidosis marginalis of the hands: A report in two farmers
Mayur Bhobe, Swagata Tambe, Hemangi Jerajani, Pooja Parulkar
May-June 2016, 7(3):195-197
DOI
:10.4103/2229-5178.182364
PMID
:27294058
Keratoelastoidosis marginalis of the hands (KEMH) is a distinct solar elastotic dermatosis belonging to the group of marginal keratoderma. It is characterized by linear plaques on the hand and calcified dermal elastotic masses predominantly affecting the radial side of the index finger, first web space, and ulnar side of the thumb. It is predominantly seen in the middle-aged and elderly age group. We report the occurrence of KEMH in two farmers with other cutaneous features of chronic actinic damage.
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3,077
242
2
Granuloma faciale: An unusual diascopic finding
Shilpashree P Ravikiran, Ashok Kumar Jaiswal, Clarify Syrti, NT Madan Mohan, Sujala S Aradhya
May-June 2016, 7(3):174-176
DOI
:10.4103/2229-5178.182358
PMID
:27294051
Granuloma faciale (GF) is a benign, chronic inflammatory disorder, characterized by reddish brown plaques with prominent follicular orificesand telangeictasia, usually occurring over the face. The condition often presents a problem in differential diagnosis. Herein we describe a case of GF with an unusual diascopic finding of an apple jelly appearance on diascopy.
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3,002
242
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A rare association of scleromyxedema with cutis verticis gyrata
Savita Koregol, Ramesh V Yatagiri, Sidramappa R Warad, Nasiruddin R Itagi
May-June 2016, 7(3):186-189
DOI
:10.4103/2229-5178.182365
PMID
:27294055
Cutis verticis gyrata (CVG) is characterized by redundant skin on the scalp that exhibits deep furrows and convolutions. We report a 58-year-old male who presented with multiple raised asymptomatic skin-colored lesions over the chest and abdomen and features of CVG. Biopsy from the lesion confirmed the diagnosis of scleromyxedema. Scleromyxedema presents as diffuse thickening of the skin which underlies the papules. The hypertrophy and folding of the skin produces a gyrate appearance.
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2,974
186
1
Key messages from a rare case of annular sarcoidosis of scalp
Premanshu Bhushan, Sarvesh S Thatte, Avninder Singh
May-June 2016, 7(3):192-194
DOI
:10.4103/2229-5178.182359
PMID
:27294057
Sarcoidosis, a multisystem disease of obscure etiology, is characterized by the formation of noncaseating epithelioid cell granulomas in several organs or tissues. The diagnosis of sarcoidosis requires a compatible clinical picture, histologic demonstration of noncaseating granulomas, and exclusion of other diseases capable of producing similar histology or clinical features. The lung is the most commonly affected organ, but the skin is frequently involved. Sarcoidosis occurs worldwide and affects all ages and races with female predominance. Scalp involvement is decidedly rare among the myriad cutaneous manifestations of sarcoidosis. Alopecia is common in sarcoidosis and is generally scarring in nature. Annular sarcoidosis is a rare morphology and annular sarcoid of scalp is seldom reported. Herein we present a case of annular scalp sarcoid with systemic involvement and without alopecia.
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2,738
274
2
THROUGH THE LENS
Type B pigmentary demarcation lines
Lalit Kumar Gupta, Ankita Srivastava, Ashok Kumar Khare, Asit Mittal, Manisha Balai, Sharad Mehta
May-June 2016, 7(3):224-225
DOI
:10.4103/2229-5178.182366
PMID
:27294071
[FULL TEXT]
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2,691
240
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ORIGINAL ARTICLES
A study of community-associated methicillin-resistant
Staphylococcus aureus
in patients with pyoderma
Prasanth V Venniyil, Satyaki Ganguly, Sheela Kuruvila, Sheela Devi
May-June 2016, 7(3):159-163
DOI
:10.4103/2229-5178.182373
PMID
:27294048
Background:
Health care–associated methicillin-resistant
Staphylococcus aureus
(HA-MRSA) are resistant to multiple antibiotics, therefore infections caused by them are difficult to treat resulting in high morbidity and mortality. While most of the research activities and public health initiatives are focused on HA-MRSA, the newly emerging pathogen, community-associated methicillin-resistant
Staphylococcus aureus
(CA-MRSA) is gaining in significance in respect to patient morbidity. There is a significant paucity of data regarding CA-MRSA in the developing parts of the world.
Aim:
To study the proportions of HA-MRSA and CA-MRSA infections among patients with culture-proven
S. aureus
infection and to find out how many of these patients showed presence of MRSA in nasal cultures of healthy contacts.
Materials and Methods:
Clinical details of 227 patients were recorded in the study, such as the duration and recurrence of the infection, history of antibiotic intake, and the presence of other medical illnesses. A pus swab was taken from each lesion and sent for culture and sensitivity. If the culture grew
S. aureus
, they were screened for methicillin resistance. A swab from the anterior nares of the healthy contact of each patient, whenever available, was collected and it was screened for MRSA.
Results:
Furunculosis was most common among the primary pyodermas (53/134; 39. 5%). Out of 239 pus culture samples obtained from 227 patients, 192 (84.58%) grew
S. aureus
; of these 150 (78.12%) were methicillin-sensitive
S. aureus
(MSSA), whereas 42 (21.98%) were MRSA. Out of the 42 MRSA isolated, 33 turned out to be CA-MRSA (78%) and 9 (22%) were HA-MRSA. Nasal swabs of healthy contacts of 34 MRSA patients were cultured. Out of them, two grew MRSA in the culture.
Conclusion:
The isolation rate of
S. aureus
was high in our study. Furthermore, our study, although hospital based, clearly indicated the substantial magnitude of the CA-MRSA problem in the local population.
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2,192
489
1
CASE REPORTS
Pigmented purpuric dermatosis or mycosis fungoides: A diagnostic dilemma
Najeeba Riyaz, Sarita Sasidharanpillai, Ettappurath N Abdul Latheef, Hena Davul, Febin Ashraf
May-June 2016, 7(3):183-185
DOI
:10.4103/2229-5178.182361
PMID
:27294054
Pigmented purpuric dermatoses (PPD), a group of vascular disorders with variable clinical picture is reported in all races and age groups with a male predilection. There are reports of mycosis fungoides manifesting as pigmented purpura as well as progression of PPD to cutaneous T-cell lymphoma. The diagnostic dilemma is compounded by PPD manifesting histological similarity to mycosis fungoides. Currently, it is believed that PPD with monoclonal T-cell population is more likely to progress to malignancy. We report a 31-year-old male patient who presented with the lichenoid clinical variant of PPD lesions that mimicked mycosis fungoides on histopathology. Gene rearrangement studies identified a polyclonal T-cell population. The patient responded to photochemotherapy, which is beneficial in both PPD and mycosis fungoides. Our case signifies the limitations of current diagnostic modalities in accurately distinguishing PPD from cutaneous lymphoma. Data on disease progression in similar cases may enable us to formulate better diagnostic definitions.
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1,708
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1
LETTERS TO THE EDITOR
Primary cutaneous actinomycosis over right gluteal region
Nidhi B Jivani, Pragya A Nair
May-June 2016, 7(3):217-219
DOI
:10.4103/2229-5178.182375
PMID
:27294068
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1,740
180
1
CASE REPORTS
Verruciform xanthoma of the lip: A rarity
Treville Pereira, Subraj Shetty, Shashibhushan Dodal, Avinash Tamgadge
May-June 2016, 7(3):180-182
DOI
:10.4103/2229-5178.182356
PMID
:27294053
Verruciform xanthoma (VX) is an uncommon, benign, asymptomatic mucocutaneous lesion of an unknown etiopathology. It usually presents as a papule or single plaque with a verrucous or a papillomatous surface and pale yellowish to red in color. It occurs primarily on the masticatory mucosa of middle-aged individuals. We report a case of VX on the lip of a 59-year-old man. Histopathologically, VX is diagnosed by the presence of foam cells in the papillary region of the connective tissue. Differentiating a verrucous carcinoma from VX is important, especially in small superficial lesions, which may lead to inappropriate and excessive surgical intervention. Treatment of VX consists of simple surgical excision and recurrence is rare.
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1,629
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1
THROUGH THE LENS
Frontal fibrosing alopecia
Niharika Ranjan Lal, Sudip Das, Satyendra Nath Chowdhury
May-June 2016, 7(3):228-229
DOI
:10.4103/2229-5178.182369
PMID
:27294073
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1,620
239
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SKINDIA QUIZ
SkIndia Quiz 24: Itchy papules over face
Deepti Kataria, Chitra S Nayak, Prachi Vinayak Gole
May-June 2016, 7(3):220-221
DOI
:10.4103/2229-5178.178133
PMID
:27294069
[FULL TEXT]
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1,619
221
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CASE REPORTS
Extensive molluscum contagiosum causing obstruction of vision in HIV positive woman
Sudarshan P Gaurkar, Poonam B Pund, Pradeep R Dindore, Umesh Y Bhoi
May-June 2016, 7(3):190-191
DOI
:10.4103/2229-5178.182360
PMID
:27294056
We report a case of a person living with HIV-AIDS who presented with extensive molluscum contagiosum (MC) in the periorbital location. MC lesions aggregated as large masses over the right upper and lower eyelids, obstructing vision of the right eye.
[ABSTRACT]
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[PubMed]
1,606
220
1
Neurofibromatosis, Down's syndrome, and acquired abnormalities
Syed Yousuf Ali, Vimala Manne, Ranjit Manne, Chennamaneni Himani
May-June 2016, 7(3):198-200
DOI
:10.4103/2229-5178.182362
PMID
:27294059
We report a patient with Down's syndrome and neurofibromatosis who presented with a keloid, sebaceous cyst and acanthosis nigricans, along with dental and ophthalmological defects. The coexistence of neurofibromatosis type 1 and Down's syndrome which are two unrelated genetic conditions is itself a rarity.
[ABSTRACT]
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1,576
247
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Drawstring lichen planus: A unique case of Koebnerization
Lakshmanan Kumara, Murugaiyan Rangaraj, Kaliaperumal Karthikeyan
May-June 2016, 7(3):201-202
DOI
:10.4103/2229-5178.182368
PMID
:27294060
Drawstring dermatitis is a type of frictional dermatitis that can result from a traditional tightly worn garments such as sari or salwaar-kameez. We report a 54-year-old female patient presented with lichen planus of the drawstring site that was confirmed histopathologically. This case is rare and demonstrates how sociocultural practices can influence the presentation of common dermatoses such as LP.
[ABSTRACT]
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1,637
182
1
Eccrine cylindroma of the face and scalp
Indu Manicketh, Rekha Singh, Prasit Kumar Ghosh
May-June 2016, 7(3):203-205
DOI
:10.4103/2229-5178.182355
PMID
:27294061
Cylindroma is a benign skin adnexal tumor of eccrine differentiation. Clinically, they are disfiguring lesions that can mimic a malignancy. Cylindromas can be single or multiple and commonly involve the scalp (turban tumor) and face. Multiple cylindromas can have a syndromic association as seen in Brooke–Spiegler syndrome and familial cylindromatosis. We present a case of non familial cylindroma of the face that clinically mimicked a basal cell carcinoma. The histopathology was confirmatory. Herein we also highlight the utility of a simple and inexpensive histochemical stain Periodic Acid Schiff in supporting the diagnosis.
[ABSTRACT]
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[PubMed]
1,615
203
1
LETTERS TO THE EDITOR
Reticulate pigmentation associated with vitamin B
12
deficiency
Amanjot k Arora, Shiv Sajan Saini, Dipankar De, Sanjeev Handa
May-June 2016, 7(3):215-217
DOI
:10.4103/2229-5178.182350
PMID
:27294067
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1,528
215
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A case series of erythema multiforme-like pityriasis rosea
Anupam Das, Tushar K Sarkar, Somodyuti Chandra, Anupama Ghosh, Ramesh Chandra Gharami
May-June 2016, 7(3):212-215
DOI
:10.4103/2229-5178.182374
PMID
:27294066
[FULL TEXT]
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[PubMed]
1,486
251
1
An analysis of dermatological quality-of-life scores in relation to psychiatric morbidity in psoriasis
Shubh Mohan Singh, Tarun Narang, Sunil Dogra, Anant Kumar Verma, Sunil Gupta, Sanjeev Handa
May-June 2016, 7(3):208-209
DOI
:10.4103/2229-5178.182371
PMID
:27294063
[FULL TEXT]
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[CITATIONS]
[PubMed]
1,456
194
1
SKINDIA QUIZ
SkIndia Quiz 25: A solitary nodule on the right buttock
Reza Yaghoobi, Nasim Afshar, Maryam Aliabdi, Marigdalia K Ramirez-Fort, Amir Feily
May-June 2016, 7(3):222-223
DOI
:10.4103/2229-5178.178134
PMID
:27294070
Granuloma faciale (GF) is a benign, chronic inflammatory disorder, characterized by reddish brown plaques with prominent follicular orifices and telangeictasia, usually occurring over the face. The condition often presents a problem in differential diagnosis. Herein we describe a case of GF with an unusual diascopic finding of an apple jelly appearance on diascopy.
[ABSTRACT]
[FULL TEXT]
[PDF]
[Mobile Full text]
[EPub]
[PubMed]
1,405
174
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THROUGH THE LENS
Annular lupus vulgaris
Bhagirath Singh, P Arunprasath, KK Kamalakannan, K Srivenkateswaran
May-June 2016, 7(3):226-227
DOI
:10.4103/2229-5178.182367
PMID
:27294072
[FULL TEXT]
[PDF]
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[PubMed]
1,345
177
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OBITUARY
Dr. Thekkepat Gopinathan (1931–2016)
Paramoo Sugathan, Abhay Mani Martin
May-June 2016, 7(3):231-233
DOI
:10.4103/2229-5178.182357
[FULL TEXT]
[PDF]
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[EPub]
1,377
133
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FROM THE ACKERMAN ACADEMY
A verrucous lesion of the eyebrow
Yulia Gray, Sandrivette Johnson, Dennis C Polley, Dirk M Elston
May-June 2016, 7(3):206-207
DOI
:10.4103/2229-5178.182370
PMID
:27294062
[FULL TEXT]
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[PubMed]
1,208
131
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LETTERS TO THE EDITOR
Chronic lymphedema with recurrent blistering and ulceration arising in a leishmaniasis scar
Brian L Swick, Ashlynne H Clark
May-June 2016, 7(3):210-211
DOI
:10.4103/2229-5178.182352
PMID
:27294064
[FULL TEXT]
[PDF]
[Mobile Full text]
[EPub]
[PubMed]
931
147
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BOOK REVIEW
Comprehensive approach to infections in dermatology
Bela J Shah
May-June 2016, 7(3):230-230
[FULL TEXT]
[PDF]
[Mobile Full text]
[EPub]
594
143
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