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Citation statistics : Table of Contents
2017| March-April | Volume 8 | Issue 2
Online since
March 16, 2017
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ORIGINAL ARTICLES
Cutaneous manifestations of polycystic ovary syndrome: A cross-sectional clinical study
Mohammad Abid Keen, Iffat Hassan Shah, Gousia Sheikh
March-April 2017, 8(2):104-110
DOI
:10.4103/2229-5178.202275
PMID
:28405549
Background:
Polycystic ovary syndrome (PCOS) is one of the most common endocrine disorders in women, affecting 5–10% of reproductive-aged women. The dermatologic manifestations of hyperandrogenism, chiefly hirsutism, acne vulgaris, androgenic alopecia, and acanthosis nigricans, are among the cardinal manifestations of PCOS.
Aim:
To study the incidence and prevalence of various cutaneous manifestations in patients with PCOS and to correlate these skin manifestations with hormonal changes.
Settings and Design:
This study was conducted at a dermatology centre over a period of 1 year from November 2012 to 2013.
Materials and Methods:
The present study included 100 women diagnosed to have PCOS. Hormonal analysis as well as radiological assessment was done in all the cases. Cutaneous manifestations were ascertained and inferences were drawn.
Statistical Analysis:
Statistical analysis was carried out by the Chi-square test and independent samples
t
-test. Statistical significance was determined at a level of
P
< 0.05.
Results:
In our study, the prevalence of hirsutism, acne, female pattern hair loss, acanthosis nigricans, seborrhea, striae and acrochordons was 78%, 48%, 31%, 30%, 29%, 13%, and 9%, respectively.
Conclusion:
Dermatologic manifestations of PCOS play a significant role in making the diagnosis and constitute a substantial portion of the symptoms experienced by women with this syndrome.
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CASE REPORTS
Lyme disease: A case report with typical and atypical lesions
Anuj Sharma, Sandesh Guleria, Reena Sharma, Anita Sharma
March-April 2017, 8(2):124-127
DOI
:10.4103/2229-5178.202271
PMID
:28405553
Lyme disease is a multisystem infectious disease caused by the spirochete “
Borrelia burgdorferi
,” which is transmitted by “
Ixodes
” tick, with skin being the most common and earliest organ to be affected. Diagnosis of erythema chronicum migrans (ECM), which is the characteristic lesion of early disease, may help in early treatment and prevention of complications. Here, we are reporting a case of Lyme disease in a 10-year-old young boy from a non-endemic zone of Himachal Pradesh, who presented with typical as well as atypical ECM lesions. The clinical diagnosis was confirmed serologically, and the child was treated successfully with doxycycline.
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5,247
470
LETTERS TO THE EDITOR
Laugier–Hunziker syndrome in a young female
Bidweshwar Verma, Akhilesh Behra, Abdul K. M. Ajmal, Sumit Sen
March-April 2017, 8(2):148-150
DOI
:10.4103/2229-5178.202282
PMID
:28405564
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1,558
180
BRIEF REPORTS
Spectrum of lip lesions in a tertiary care hospital: An epidemiological study of 3009 Indian patients
Shivani Bansal, Sana Shaikh, Rajiv S Desai, Islam Ahmad, Pavan Puri, Pooja Prasad, Pankaj Shirsat, Dipali Gundre
March-April 2017, 8(2):115-119
DOI
:10.4103/2229-5178.202280
PMID
:28405551
Aim:
Large-scale population-based screening studies have identified lip lesions to be the most common oral mucosal lesions; however, few studies have been carried out to estimate the prevalence of lip lesions exclusively. The aim of present study is to highlight the diversity of lip lesions and determine their prevalence in an unbiased Indian population.
Materials and Methods:
Lip lesions were selected from 3009 patients who visited the department over a period of 3 years (January 2012 to December 2014). Age, sex, location of lip lesions, a detailed family and medical history, along with the history of any associated habit was recorded. Biopsy was carried out in necessary cases to reach a final diagnosis. The pathologies of the lip were classified based on the etiology.
Results:
Among 3009 patients, 495 (16.5%) had lip lesions ranging from 4 years to 85 years with a mean age of 39.7 years. There were 309 (62.4%) males and 185 (31.9%) females. Lower lip was the most affected region (54.1%) followed by the corner of the mouth (30.9%) and upper lip (11.7%). In 3.2% of the cases, both the lips were involved. Of the 495 lip lesions, the most common were Potentially Malignant Disorders (PMDs) (37.4%), herpes labialis (33.7%), mucocele (6.7%), angular cheilitis (6.1%), and allergic and immunologic lesions (5.7%).
Conclusion:
Lip lesions may act as an indicator for the presence of an underlying systemic disease. PMDs and infections were the most common lip lesions in the present study.
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Over-the-counter and prescription medications for acne: A cross-sectional survey in a sample of university students in Saudi Arabia
Mohja D Alshehri, Abdulsalam T Almutairi, Asma M Alomran, Batool A Alrashed, Feroze Kaliyadan
March-April 2017, 8(2):120-123
DOI
:10.4103/2229-5178.202273
PMID
:28405552
Introduction and Background:
Acne is a very common dermatological condition found among the adolescent population in Saudi Arabia. Many patients with acne try various forms of self-medication, over the counter medicines (OTC), and prescription medicines for the same.
Materials and Methods:
This was a cross-sectional study among university students in the Kingdom of Saudi Arabia (KSA). A validated questionnaire was distributed to a convenience sample of university students to evaluate their knowledge and attitudes towards OTC (mainly) as well as prescription medicine for acne. Chi-square and multiple logistic regression tests were used for comparisons between groups.
Results:
Four hundred and twenty valid, completed questionnaires were obtained. A total of 220 (52.4%) used some type of OTC medications at least once, where as 108 (25.7%) used prescription medicines and 92 (21.9%) used both. The most common OTC medications used were cleansers by 250 participants (41.9%). Among prescription medicines, the most common were topical and oral antibiotics (11.4%). Bivariate and multivariate analysis showed that females are statistically more likely to use OTC medicines compared to males (Odds ratio: 1.7).
Conclusion:
The use of self-medications and OTC medications is common among university students in KSA. The most common OTC medicine used for acne was cleanser.
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CASE REPORTS
Arteriovenous malformation underlying a plexiform neurofibroma: An unusual presentation
Zaheer Abbas, Sepideh Khani, Javad Zare
March-April 2017, 8(2):128-130
DOI
:10.4103/2229-5178.202272
PMID
:28405554
Vascular abnormalities associated with neurofibromatosis type 1 are well described in the literature, however, arteriovenous malformation is a very rare finding in neurofibromatosis type 1. We report the case of an 11-year-old girl who presented with a soft mass on the right flank. Provisional diagnosis of plexiform neurofibroma was made on the basis of clinical and histological observations. Because the lesion was warm on palpation, imaging studies were performed to evaluate further and arteriovenous malformation was detected underlying the plexiform neurofibroma. This report emphasizes the importance of careful examination and proper investigations of the plexiform neurofibroma prior to treatment strategies to avoid future complications. The rarity of plexiform neurofibroma in association with arteriovenous malformation at the same site was also highlighted in this report.
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Linear and whorled nevoid hypermelanosis with depigmentation
Preema Sinha, Manas Chatterjee, Kamlesh K Singh, Aradhana Sood
March-April 2017, 8(2):131-133
DOI
:10.4103/2229-5178.202274
PMID
:28405555
Linear and whorled nevoid hypermelanosis (LWNH) is a rare disorder of pigmentation characterized by hyperpigmented macules in a linear or whorled streaky configuration. Lesions are distributed mainly on the trunk and extremities, sparing the palms, soles, and mucosae. Depigmentation occurring in the pre-existing whorls has not been reported till date. Herein, we report one such rare case of familial LWNH with depigmentation.
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LETTERS TO THE EDITOR
Multiple basal cell carcinomas in a patient of oculocutaneous albinism
Debasmita Behera, Tapaswini Tripathy, Bikash R Kar
March-April 2017, 8(2):134-135
DOI
:10.4103/2229-5178.202262
PMID
:28405556
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900
150
Dermographic urticaria induced by long-pulsed diode laser-assisted epilation: Rare etiology of a common eruption
Aanchal Panth, Saurabh Singh, Neena Khanna
March-April 2017, 8(2):136-137
DOI
:10.4103/2229-5178.202284
PMID
:28405557
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728
138
Sarcomatoid carcinoma of the hard palate: An unusual cause of palatal ulcer
Sweta Subhadarshani, Savita Yadav, Ashok Singh, Anurag Chahal
March-April 2017, 8(2):137-139
DOI
:10.4103/2229-5178.202268
PMID
:28405558
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985
154
A sporadic case of ichthyosis hystrix: Curth and Macklin type
Pragya A Nair, Rochit Singhal, Shailee Gandhi, Nilofar Diwan
March-April 2017, 8(2):139-141
DOI
:10.4103/2229-5178.202264
PMID
:28405559
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1,741
189
Acanthoma fissuratum: Lest we forget
Nikhil S Deshpande, Arijit Sen, Biju Vasudevan, Shekhar Neema
March-April 2017, 8(2):141-143
DOI
:10.4103/2229-5178.202267
PMID
:28405560
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1,820
183
Nevoid hypertrichosis in a pre-adolescent girl
Deepashree Daulatabad, Chander Grover, Nadeem Tanveer
March-April 2017, 8(2):143-145
DOI
:10.4103/2229-5178.202285
PMID
:28405561
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743
155
Extensive giant tuberous xanthomas in a 12-year-old boy
Rita V Vora, RahulKrishna S Kota, Nishit K Surti, Rochit R Singhal
March-April 2017, 8(2):145-146
DOI
:10.4103/2229-5178.202265
PMID
:28405562
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1,510
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Minoxidil-induced hypertrichosis in a child with alopecia areata
Ajay Kumar Rai
March-April 2017, 8(2):147-148
DOI
:10.4103/2229-5178.202269
PMID
:28405563
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1,952
235
Nevoid psoriasis coexisting with verrucous epidermal nevus
Vaishali Masatkar, Lalit K Gupta, Sharad Mehta, Ashok K Khare, Asit Mittal
March-April 2017, 8(2):150-152
DOI
:10.4103/2229-5178.202263
PMID
:28405565
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1,125
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OBITUARY
Prof. K. Siddappa
Arun C Inamadar
March-April 2017, 8(2):164-165
DOI
:10.4103/idoj.IDOJ_65_17
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ORIGINAL ARTICLES
Clinicoepidemiological and mycological study of tinea capitis in the pediatric population of Kashmir valley: A study from a tertiary care centre
Yasmeen J Bhat, Sumaya Zeerak, Farhat Kanth, Atiya Yaseen, Iffat Hassan, Rubina Hakak
March-April 2017, 8(2):100-103
DOI
:10.4103/2229-5178.202279
PMID
:28405548
Background:
Tinea capitis is a superficial fungal infection that predominantly affects the pediatric population. The etiological factors vary from region to region, and the exact incidence remains obscure. The clinicoepidemiological and mycological aspects of this dermatophytosis were studied in a tertiary care centre in Kashmir valley.
Aim:
To determine the clinicoepidemiological aspects and mycological findings of dermatophytes involved in tinea capitis cases in Kashmir valley.
Materials and Methods:
Wood's lamp examination, KOH examination, and fungal culture were performed in one hundred fifty clinically diagnosed cases of tinea capitis with patients' age upto 14 years over a period of 6 months. The epidemiological factors associated with the disease were also evaluated.
Results:
Tinea capitis was predominant in the 3–6 and 6–9 years age groups with a male preponderance. Grey patch tinea capitis was the most common variant. KOH positivity was 76%, and
Trichophyton tonsurans
was the most common fungal isolate.
Conclusion:
Tinea capitis is a very common fungal infection in our setting. Early detection and diagnosis is mandatory to prevent its spread in the community as well as the development of scarring alopecia in the affected individual.
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Autologous serum and plasma skin tests in chronic spontaneous urticaria: A reappraisal
Muthu Sendhil Kumaran, Sonia Mangal, Tarun Narang, Davinder Parsad
March-April 2017, 8(2):94-99
DOI
:10.4103/2229-5178.202266
PMID
:28405547
Aim:
The objective of this study was to assess autologous serum skin test (ASST) vs autologous plasma skin test (APST) response in chronic spontaneous urticaria (CSU) patients and study the significance of intensity of positive responses in relation to clinicoepidemiological parameters.
Materials and Methods:
One hundred CSU patients and 100 age and sex-matched controls were recruited. The demographic and clinical features were recorded in all patients and routine investigations were performed. ASST and APST tests were performed as per the standard guidelines.
Results:
The mean duration of illness was 4.85 ± 5.07 years, 90% patients were APST (+), 68% ASST (+), and 22 patients were only APST (+). Positive predictive value (PPV) of ASST and APST was 90.7% and 95.7%, respectively. A significant inverse association was seen between thyroid status and serum IgE levels with APST and ASST positivity.
Conclusion:
APST appears to have better PPV and high intensity of positive response on autologous tests, and correlates with ANA positivity and angioedema.
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Assembling a hand-held trichotillometer and determination of epilation force in normal individuals
Kumaresan Muthuvel, Srinivas Chakravati, Sasidaharan Nair
March-April 2017, 8(2):111-114
DOI
:10.4103/2229-5178.202286
PMID
:28405550
Aim:
To assemble a simple, inexpensive hand-held trichotillometer and to determine the epilation force (EF) required to pluck the anagen hair and telogen hair from four regions of the scalp in healthy volunteers.
Materials and Methods:
A simple hand-held trichotillometer was assembled by modifying a laboratory spring balance, and the instrument was calibrated after attachments. EF was measured in 30 healthy individuals on four regions of the scalp.
Results:
A total of 30 volunteers were included in the study, among them 15 were males and 15 were females. A total of 1200 hairs were examined. The mean EF in our study was 70.15 grams (g). The mean EF required to pluck the anagen hair was 86.61 g and telogen hair was 53.69 g.
Conclusion:
The assembled- hand held trichotillometer is a simple and reliable device. Tricotillometer is a useful device to measure the EF in various physiological and pathological conditions and may have diagnostic, prognostic, and therapeutic value in various hair diseases.
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875
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REVIEW ARTICLE
Arthropathy in dermatology: A comprehensive review
Soumya Jagadeesan, Padmanabha Shenoy
March-April 2017, 8(2):79-93
DOI
:10.4103/idoj.IDOJ_25_17
PMID
:28405546
Dermatology and rheumatology are two specialties that deal with significant overlap. In this context, it is important that the dermatologists acquaint themselves with conditions presenting with arthropathy. As the first step, it is essential to know whether the origin of musculoskeletal symptom is articular or extra-articular; inflammatory or noninflammatory; acute or chronic; oligo- or poly-articular. This will help in narrowing down the differential diagnoses as well as in better correlation with the cutaneous symptoms. In this review, we discuss the skin and articular manifestations of common inflammatory and noninflammatory arthropathies including rheumatoid arthritis, spondyloarthropathies, connective tissue disorders, vasculitis, crystal arthropathies, infective arthritis, arthritis associated with degenerative, endocrine and metabolic conditions, etc. We have also added a section on the common cutaneous features associated with the treatment of rheumatologic diseases. A basic understanding of the joint pathologies and associated skin changes will help a long way in the better management of these conditions.
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SKINDIA QUIZ
SkIndia Quiz 34: Asymptomatic swelling over an old forehead scar
Pravesh Yadav, Preksha Singh, Ram Chander
March-April 2017, 8(2):153-154
DOI
:10.4103/2229-5178.198809
PMID
:28405566
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1,269
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SkIndia quiz 35: A girl with multiple papules
Siddhi Gaurish Sinai Khandeparkar, Maithili M Kulkarni, Sanjay Deshmukh, Yuvraj E More
March-April 2017, 8(2):155-156
DOI
:10.4103/2229-5178.198810
PMID
:28405567
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1,972
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SkIndia quiz 36: A phantasmagoric lesion: A face for thought
Sunil K Gupta, Anisha Sethi
March-April 2017, 8(2):157-158
DOI
:10.4103/2229-5178.202283
PMID
:28405568
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918
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THROUGH THE DERMOSCOPE
A dermoscopic diagnosis and activity evaluation of frontal fibrosing alopecia in an indian lady
Sidharth Sonthalia, Abhijeet K Jha, Pankaj K Tiwary
March-April 2017, 8(2):162-163
DOI
:10.4103/idoj.IDOJ_307_16
PMID
:28405571
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1,584
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THROUGH THE LENS
Plexiform neurofibroma overlying giant café-au-lait macule
Sanjiv V Choudhary, Anuja A Dhope, Ruchi Singh, Pravin Tidke
March-April 2017, 8(2):159-160
DOI
:10.4103/2229-5178.202270
PMID
:28405569
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1,008
164
Case of unilateral temporal triangular alopecia
Sujit J. S. Shanshanwal, Garima Adwani, Ameet L Dandale, Rachita S Dhurat
March-April 2017, 8(2):161-161
DOI
:10.4103/2229-5178.202276
PMID
:28405570
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840
145
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