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  Citation statistics : Table of Contents
   2014| July-September  | Volume 5 | Issue 3  
    Online since July 31, 2014

 
 
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REVIEW ARTICLES
An approach to acanthosis nigricans
Meghana Madhukar Phiske
July-September 2014, 5(3):239-249
DOI:10.4103/2229-5178.137765  PMID:25165638
Acanthosis nigricans (AN) is characterized by dark, coarse and thickened skin with a velvety texture, being symmetrically distributed on the neck, the axillae, antecubital and popliteal fossae, and groin folds, histopathologically characterized by papillomatosis and hyperkeratosis of the skin. A high prevalence of AN has been observed recently. Different varieties of AN include benign, obesity associated, syndromic, malignant, acral, unilateral, medication-induced and mixed AN. Diagnosis is largely clinical with histopathology needed only for confirmation. Other investigations needed are fasting lipoprotein profile, fasting glucose, fasting insulin, hemoglobin and alanine aminotransferase for obesity associated AN and radiological investigations (plain radiography, ultrasonography, magnetic resonance imaging/computerized tomography) for malignancy associated AN. The most common treatment modalities include retinoids and metformin.
  13 38,029 3,434
THERAPEUTIC GUIDELINES
Prevention of venous leg ulcer recurrence
M Manjunath Shenoy
July-September 2014, 5(3):386-389
DOI:10.4103/2229-5178.137824  PMID:25165681
  12 2,484 448
ORIGINAL ARTICLES
Androgenetic alopecia, metabolic syndrome, and insulin resistance: Is there any association? A case-control study
Ola Ahmed Bakry, Mohamed Abdel Moneim Shoeib, Maather Kamel El Shafiee, Ahmed Hassan
July-September 2014, 5(3):276-281
DOI:10.4103/2229-5178.137776  PMID:25165643
Context: Although several previous studies have investigated the association of metabolic syndrome (MS) and insulin resistance (IR) with androgenetic alopecia (AGA), the results have been inconsistent. Aim: We attempted to assess the presence of MS and IR in patients with AGA. This may help to detect if AGA can be considered as a clue for underlying serious systemic diseases. Materials and Methods: One hundred male patients with stages III-VII AGA, in Hamilton-Norwood classification, and 100 normal, gender- and age-matched control subjects were included. Anthropometric measures, blood pressure, fasting glucose, fasting insulin, high-density lipoprotein cholesterol, and triglycerides were measured for the all participants. The presence of MS and IR was evaluated. Results: There were statistically significant differences regarding mean values of body weight (P < 0.001), height (P = 0.002), waist circumference (P < 0.001), body mass index (P < 0.001), systolic (P < 0.001), and diastolic blood pressure (P < 0.001), fasting glucose (P < 0.001), triglycerides (P < 0.001), high-density lipoprotein cholesterol (P < 0.01), fasting insulin (P = 0.02) and homeostasis model assessment of insulin resistance (P < 0.001) between cases and controls. A statistically significant association was found between AGA and MS (P = 0.002) and between AGA and IR (P < 0.001). Multiple logistic regression analysis revealed that waist circumference (>102 cm) was the most significant risk factor for developing MS. It increased the risk of MS by 1.25-folds (95% CI = 1.10-1.42, P < 0.001). Conclusion: Our results support the recommendation for assessing MS and IR in all young males with stage III or higher AGA. Early intervention is critical to reduce the risk and complications of cardiovascular disease and type 2 diabetes mellitus later in life.
  10 3,214 652
THERAPEUTIC GUIDELINES
Compression therapy for venous leg ulcers
Brijesh Nair
July-September 2014, 5(3):378-382
DOI:10.4103/2229-5178.137822  PMID:25165679
  10 4,244 693
Venous leg ulcers: Pathophysiology and Classification
Biju Vasudevan
July-September 2014, 5(3):366-370
DOI:10.4103/2229-5178.137819  PMID:25165676
  7 11,767 1,432
Quality of life: Venous leg ulcers
Vishalakshi Vishwanath
July-September 2014, 5(3):397-399
DOI:10.4103/2229-5178.137828  PMID:25165684
  7 1,924 441
CASE REPORTS
Congenital infiltrating lipomatosis of the face: A case report with review of literature
Deepa D'souza, G Subhas Babu, Shishir Ram Shetty, Vinay Rasquinha
July-September 2014, 5(3):303-305
DOI:10.4103/2229-5178.137783  PMID:25165649
Congenital infiltrating lipomatosis of the face (CIL-F) has been described as a disorder in which mature lipocytes invade adjacent tissues in the facial region. Its etiology and pathogenesis is unknown. The tumor is congenital in origin and occurs in infancy or early childhood. It is unencapsulated and characterized by diffuse infiltration of mature adipose tissue over normal muscle fibers, rapid growth, associated osseous hyperplasia, and a high recurrence rate postsurgical intervention. Due to its diffuse infiltration and involvement of important facial structures, complete surgical excision is often impossible. CIL-F is rare and there are only a few cases reported in the available literature. We present the case of a 17-year-old female, who reported with the complaint of recurrent unilateral facial swelling, with a history of two previous resections.
  4 2,280 145
REVIEW ARTICLES
Oral submucous fibrosis and its dermatological relation
Fareedi Mukram Ali, Ashok Patil, Kishor Patil, MC Prasant
July-September 2014, 5(3):260-265
DOI:10.4103/2229-5178.137772  PMID:25165640
Oral submucous fibrosis is a chronic insidious disease and is well-recognized as a premalignant condition. It is a collagen related disorder associated with betel quid chewing and characterized by progressive hyalinization of the submucosa. The oral submucous fibrosis needs to be differentiated from scleroderma showing oral manifestations, as these diseases have different pathogenesis and prognostic aspects. The patients of oral submucous fibrosis can approach the dermatologist. The aim of this article is to present concise overview of the disease and its dermatological relation.
  4 12,405 1,096
THERAPEUTIC GUIDELINES
Venous leg ulcer: Topical treatment, dressings and surgical debridement
Sunil Dogra, Reena Rai
July-September 2014, 5(3):371-373
DOI:10.4103/2229-5178.137820  PMID:25165677
  4 2,611 487
CASE REPORTS
Lupus vulgaris of the glans penis: A rare presentation
Sacchidanand Sarvajnamurthy Aradhya, Sathish Shankar
July-September 2014, 5(3):309-311
DOI:10.4103/2229-5178.137785  PMID:25165651
Tuberculosis of the penis is a rare presentation that may present as ulcers, papules, or nodules on the glans or shaft of penis. Herein we report one such case.
  3 7,949 319
ORIGINAL ARTICLES
Evaluation of intralesional 5% 5-fluorouracil in resistant localized plaque psoriasis
Bharat Bhushan Mahajan, Monika Singla
July-September 2014, 5(3):287-290
DOI:10.4103/2229-5178.137779  PMID:25165645
Background: Psoriasis is a chronic, autoimmune, inflammatory papulosquamous disorder, the treatment of which remains challenging. A variety of therapeutic modalities have been used with varying degree of success. But, there is no such therapeutic modality till date that can prevent the relapse in psoriasis. Aims: The present study is being undertaken to evaluate the therapeutic efficacy of intralesional 5% 5-fluorouracil (5-FU) as well as its role in preventing relapse in resistant localized plaque psoriasis. Study Design: An open, prospective, randomized-controlled study. Materials and Methods: A total of 40 patients of resistant localized plaque psoriasis were enrolled for the study. Intralesional injection of 5% 5-FU was given in a dosage of 0.1 mL/cm 2 of each plaque using an insulin syringe. In all patients, a single plaque was kept as control and was given intralesional injection of distilled water. A total of three injections were given in each plaque at weekly intervals. After that, patients were followed-up regularly at the interval of 2 weeks up to 12 weeks. All the lesions (both treated and control) were assessed clinically as well as photographically at each visit and graded using psoriasis severity index scoring. Results were analyzed statistically at the end of the follow-up period. Results: At 12 weeks follow-up, out of 40 patients treated, 4 (10%) patients had clearance (>90% resolution), 19 (47.5%) had excellent (70%-90%) improvement, whereas 12 (30%) patients were moderately (30%-70%) improved, and only 5 (12.5%) patients had mild or no improvement. Results were statistically significant in treated group in comparison to control group. Almost all patients complained of pain at the site of injection which subsided within 1-2 h. A total of 10 (25%) patients had necrosis after one or two injections which healed during the follow-up period within 6-8 weeks. Conclusion: Intralesional 5% 5-FU is found to be an effective therapeutic modality in resistant localized plaque psoriasis without much side effects.
  3 4,531 370
THERAPEUTIC GUIDELINES
Summary of recommendations for leg ulcers
Sunil Dogra, Rishu Sarangal
July-September 2014, 5(3):400-407
DOI:10.4103/2229-5178.137829  PMID:25165685
  3 8,119 1,001
CASE REPORTS
Acroangiodermatitis (Pseudo-Kaposi sarcoma)
Satyendra Kumar Singh, Kajal Manchanda
July-September 2014, 5(3):323-325
DOI:10.4103/2229-5178.137791  PMID:25165656
Acroangiodermatitis or Pseudo-Kaposi sarcoma is a rare angioproliferative entity, related to chronic venous insufficiency or certain other vascular anomalies. It is often associated with chronic venous insufficiency, arteriovenous malformation of the legs, chronic renal failure treated with dialysis, paralyzed legs and amputation stumps. We hereby describe a case of 45 year old female presenting with pitting pedal edema, multiple ulcers over bilateral lower limbs with irregular margins with erythema and hyperpigmentation of the surrounding skin. Color Doppler study of bilateral lower limbs was normal. Histopathological examination from one of the lesions showed hyperplastic epidermis, proliferation of capillaries in dermis, hemosiderin deposits and lymphocytic infiltrate. These features thus confirmed the diagnosis of Acroangiodermatitis.
  2 4,378 465
ORIGINAL ARTICLES
Investigation of contact allergy to dental materials by patch testing
Reena Rai, Devina Dinakar, Swetha S Kurian, YA Bindoo
July-September 2014, 5(3):282-286
DOI:10.4103/2229-5178.137778  PMID:25165644
Background: Dental products are widely used by patients and dental personnel alike and may cause problems for both. Dental materials could cause contact allergy with varying manifestations such as burning, pain, stomatitis, cheilitis, ulcers, lichenoid reactions localized to the oral mucosa in patients, and hand dermatitis in dental personnel. Patch testing with the dental series comprising commonly used materials can be used to detect contact allergies to dental materials. Aim: This study aimed to identify contact allergy among patients who have oral mucosal lesions after dental treatment and among dental personnel who came in contact with these materials. Materials and Methods: Twenty patients who had undergone dental procedures with symptoms of oral lichen planus, oral stomatitis, burning mouth, and recurrent aphthosis, were included in the study. Dental personnel with history of hand dermatitis were also included in the study. Patch testing was performed using Chemotechnique Dental Series and results interpreted as recommended by the International Contact Dermatitis Research Group (ICDRG). Results: Out of 13 patients who had undergone dental treatment/with oral symptoms, six patients with stomatitis, lichenoid lesions, and oral ulcers showed positive patch tests to a variety of dental materials, seven patients with ulcers had negative patch tests, seven dental personnel with hand dermatitis showed multiple allergies to various dental materials, and most had multiple positivities. Conclusion: The patch test is a useful, simple, noninvasive method to detect contact allergies among patients and among dental personnel dealing with these products. Long term studies are necessary to establish the relevance of these positive patch tests by eliminating the allergic substances, identifying clinical improvement, and substituting with nonallergenic materials.
  2 6,331 623
Integrated modular teaching in dermatology for undergraduate students: A novel approach
Kaliaperumal Karthikeyan, Annapurna Kumar
July-September 2014, 5(3):266-270
DOI:10.4103/2229-5178.137774  PMID:25165641
Context: Undergraduate teaching in dermatology comprises didactic lectures and clinical classes. Integrated modular teaching is a novel approach, which integrates basic sciences with dermatology in the form of a module. Further the module also incorporates various teaching modalities, which facilitate active participation from students and promotes learning. The pre- and post-test values showed the effectiveness of the integrated module. The students feedback was encouraging. Aims: The aim of this study was to determine the acceptance and opinion of undergraduate students regarding integrated modular teaching as a new teaching aid in dermatology. Settings and Design: This was a descriptive study. Varied teaching methodologies involving multiple disciplines were undertaken in six major undergraduate topics in dermatology for seventh and eighth semester students. Materials and Methods: A total of six modules were conducted over a period of 12 months for students of seventh and eighth semesters. The topics for the various modules were sexually transmitted diseases, acquired immunodeficiency syndrome, oral ulcers, leprosy, connective tissue disorders and psoriasis. Faculty members from different disciplines participated. Pre- and post-test were conducted before and after the modules respectively to gauge the effectiveness of the modules. Results: It was found that almost every student had a better score on the posttest as compared to the pretest. General feedback obtained from the students showed that all of them felt that modular teaching was a more interesting and useful teaching learning experience than conventional teaching. Conclusions: Integrated modular teaching can be an effective adjunct in imparting theoretical and practical knowledge to the students. Further, various teaching methodologies can be used in integrated modules effectively with active student participation. Thus integrated modular teaching addresses two important issues in medical education, namely integration and active student participation.
  2 2,276 381
REVIEW ARTICLES
Novel applications of Rituximab in dermatological disorders
Prasan R Bhandari, Varadraj V Pai
July-September 2014, 5(3):250-259
DOI:10.4103/2229-5178.137766  PMID:25165639
Rituximab is a monoclonal therapeutic anti-CD20 antibody that has been approved for use in lymphoma and rheumatoid arthritis. Over the past decade several reports based on case series and observational studies have recorded the benefits of rituximab in particular groups of dermatological patients. Off-label use of rituximab in many dermatological indications is not uncommon in many countries in the world. This article reviews the available data that may be of use to the practicing dermatologist. Because of its potential complications, paucity of clinical data, and cost considerations, rituximab is favoured only when standard systemic therapies fail or corticosteroids are absolutely contraindicated. Further research is required in this field.
  2 6,942 1,055
THERAPEUTIC GUIDELINES
Guidelines and recommendation on surgery for venous incompetence and leg ulcer
Nilendu Sarma
July-September 2014, 5(3):390-395
DOI:10.4103/2229-5178.137825  PMID:25165682
  2 3,104 339
Venous leg ulcer: Management aspect in Indian scenario
Vishalakshi Vishwanath
July-September 2014, 5(3):396-396
DOI:10.4103/2229-5178.137827  PMID:25165683
  2 1,132 257
CASE REPORTS
Role of tetracycline in recalcitrant erythema nodosum
Shaurya Rohatgi, Kabbur Hanumantappa Basavaraj, PK Ashwini, Garehatty Rudrappa Kanthraj
July-September 2014, 5(3):314-315
DOI:10.4103/2229-5178.137787  PMID:25165653
Erythema nodosum is a type of septal panniculitis. We report a case of 40 year old male of chronic and recalcitrant erythema nodosum who responded to tetracycline. The possible mechanism of action of tetracycline is analyzed. Tetracycline should be considered as a logical option in recalcitrant erythema nodosum.
  1 2,529 273
Dyschromatosis universalis hereditaria with involvement of palms
Kikkeri Narayanshetty Naveen, US Dinesh
July-September 2014, 5(3):296-299
DOI:10.4103/2229-5178.137781  PMID:25165647
Dyschromatosis universalis hereditaria is a rare genodermatosis characterized by hyper- and hypopigmented macules in a reticulate pattern. Here, we present a case of DUH with involvement of the palms.
  1 2,239 269
Late onset palmar angiokeratoma circumscriptum: An unusual presentation
Saurabh R Jindal, Pallavi Chalvade, HR Jerajani
July-September 2014, 5(3):320-322
DOI:10.4103/2229-5178.137790  PMID:25165655
Angiokeratomas (AK) are a group of capillary vascular malformations encompassing several unrelated conditions, predominantly seen on the lower extremities. AK can be classified into localized and diffuse forms. The diffuse forms comprise Fabry's disease, which is the result of α-galactosidase deficiency. The cutaneous AK includes the Mibelli type, the Fordyce type, angiokeratoma circumscriptum (AC), and 'solitary and multiple papular angiokeratoma'. We describe a case of AC with unusual features including late onset and palmar affection. Amongst the possible therapeutic options, cryotherapy was considered. However, the patient was lost to follow up.
  1 1,328 217
GUEST EDITORIAL
Venous leg ulcer
Reena Rai, Venkataram Mysore
July-September 2014, 5(3):364-365
DOI:10.4103/2229-5178.137816  PMID:25165675
  1 1,836 477
LETTERS TO THE EDITOR
Music box spine keratoderma without any systemic manifestation
Archana Saha, Biswanath Naskar, Joydeep Singha, Gobinda Chaterjee
July-September 2014, 5(3):342-344
DOI:10.4103/2229-5178.137798  PMID:25165662
  1 2,077 185
Purpuric plaque on the neck of a patient with breast carcinoma
Lily Adelzadeh, Andrew Breithaupt, Julie Jackson, Scott Worswick
July-September 2014, 5(3):348-349
DOI:10.4103/2229-5178.137802  PMID:25165665
  1 935 179
THERAPEUTIC GUIDELINES
Standard guidelines for management of venous leg ulcer
Reena Rai
July-September 2014, 5(3):408-411
DOI:10.4103/2229-5178.137830  PMID:25165686
  1 2,313 564
Venous leg ulcer: Systemic therapy
Brijesh Nair
July-September 2014, 5(3):374-377
DOI:10.4103/2229-5178.137821  PMID:25165678
  1 3,811 509
CASE REPORTS
Disseminated nocardiosis in a patient on infliximab and methylprednisolone for treatment-resistant Sweet's syndrome
Elizabeth R Drone, Allison L McCrory, Natalie Lane, Katherine Fiala
July-September 2014, 5(3):300-302
DOI:10.4103/2229-5178.137782  PMID:25165648
A 62-year-old white man with a 10-year history of treatment-refractory Sweet's syndrome was admitted to the hospital with the onset of purpuric lesions. Methylprednisolone and infliximab were administered. Our patient developed disseminated Nocardia infection and eventually succumbed. Opportunistic infections such as Nocardia have been associated with infliximab and other tumour necrosis factor (TNF)-α inhibitors. The astute clinician should be aware of the risk of rare opportunistic infections, particularly in patients on TNF-α inhibitors and systemic corticosteroids.
  - 1,050 225
Acute polyarticular synovitis as a rare presentation of Kaposi sarcoma
Larissa Larsen, Mondhipa Ratnarathorn, Nasim Fazel
July-September 2014, 5(3):306-308
DOI:10.4103/2229-5178.137784  PMID:25165650
Patients with HIV are prone to a number of unusual infectious and malignant conditions, typically resulting from declining immune function. However, there are also a few of reports of HIV associated conditions potentially created by viral release of interleukin-6 (IL-6). Herein, we present a case of HIV IL-6-related systemic inflammatory syndrome, a Kaposi sarcoma (KS)-associated syndrome in the absence of multicentric Castleman disease (MCD).
  - 1,466 202
Late onset angioma serpiginosum of the breast with co-existing cherry angioma
Samipa Mukherjee, Pankaj Salphale, Vandita Singh
July-September 2014, 5(3):316-319
DOI:10.4103/2229-5178.137789  PMID:25165654
Angioma serpiginosum is a cutaneous vascular nevoid disorder that presents as red, nonblanchable and grouped macules distributed in a serpiginous pattern and resembles purpura. It usually begins in childhood and commonly affects the lower limbs and the buttocks. Late onset of the lesions is unusual. We report a 46-year-old female who presented with progressively extending lesions on her breast since preceding four years. She also had a cherry angioma overlying the lesions, an observation hitherto not reported so far.
  - 6,051 265
PHACE syndrome in antenatally diagnosed posterior fossa anomaly
Seema Pavaman Sindgikar, Uppoor Raghuraj, Kishan Alva, Thomas Mathen Maveli
July-September 2014, 5(3):312-313
DOI:10.4103/2229-5178.137786  PMID:25165652
PHACE is a neurocutaneous syndrome, an acronym to describe patients with facial segmental hemangiomas and other malformations. We describe a newborn antenatally diagnosed to have posterior fossa anomaly and subsequently as PHACE syndrome.
  - 1,755 227
CASES FROM ACKERMAN ACADEMY
An unusual cystic lesion on the helix
Megha B.S. Patel, Erick Jacobson-Dunlop, Dirk M Elston
July-September 2014, 5(3):326-327
DOI:10.4103/2229-5178.137792  PMID:25165657
  - 1,112 179
HISTORY
Learning from eponyms: George F. Odland and Odland bodies
Rajiv Joshi
July-September 2014, 5(3):334-338
DOI:10.4103/2229-5178.137794  PMID:25165659
Odland bodies (lamellar) bodies are small sub-cellular structures of size 200-300 nm that are present in the upper spinous and granular cell layers of the epidermis. These act as processing and repository areas for lipids that contribute to the epidermal permeability barrier. They also contain proteases, cathepsin D, kallikrein and other proteins including corneo-desmosins. Recent information also credits them with a role in the local innate immune response as they contain beta 2 defensins, which are anti-microbial peptides with potent activity against Gram-negative bacteria and candida. Odland bodies are important for maintaining homeostasis of the epidermis and are involved in epidermal permeability barrier function, desquamation of keratinocytes, formation of the cornified envelope and in local anti-microbial immunity. This article reviews the structure and functions of these bodies with a brief biography of George F. Odland who first described these bodies in 1960 and whose name is eponymically associated with them.
  - 6,813 742
LETTERS TO THE EDITOR
Monilethrix, a rare inherited hair shaft disorder in siblings
Rita V Vora, Gopikrishnan Anjaneyan, Malay J Mehta
July-September 2014, 5(3):339-340
DOI:10.4103/2229-5178.137795  PMID:25165660
  - 1,423 234
Pseudokaposi's sarcoma
Shylaja Someshwar, Hemangi R Jerajani
July-September 2014, 5(3):340-342
DOI:10.4103/2229-5178.137796  PMID:25165661
  - 1,243 199
Antimicrobial activity of commercial "antibacterial" handwashes and soaps
Feroze Kaliyadan, Elsayed Aboulmagd, Tarek Tawfik Amin
July-September 2014, 5(3):344-346
DOI:10.4103/2229-5178.137799  PMID:25165663
  - 4,587 578
Pyogenic granuloma at ear piercing site: Report of a case
Jayakar Thomas, Balaji Ragavi Sindhu
July-September 2014, 5(3):347-347
DOI:10.4103/2229-5178.137801  PMID:25165664
  - 2,225 252
Compound mucocutaneous adverse effects of oral capecitabine in a patient
Hyacinth Peter Pinto, Ramesh M Bhat, Dinesh Shet, Sukumar Dandekeri
July-September 2014, 5(3):349-352
DOI:10.4103/2229-5178.137804  PMID:25165666
  - 1,484 228
Art and science of publication
Rashmi Patnayak, Amitabh Jena
July-September 2014, 5(3):352-352
DOI:10.4103/2229-5178.137805  PMID:25165667
  - 914 215
The changing face of the exanthems
Francesco Drago, Giulia Ciccarese, Alfredo Rebora
July-September 2014, 5(3):353-353
DOI:10.4103/2229-5178.137807  PMID:25165668
  - 794 186
MUSINGS, OPINIONS, TIPS AND EXPERIENCES
Human pigmentation: A side effect adapted from a primitive organism's survival. Part 2: The melanocyte as mentor of the keratinocye
Sanju Arianayagam, Terence J Ryan
July-September 2014, 5(3):328-333
DOI:10.4103/2229-5178.137793  PMID:25165658
Pigmentation featured millions of years ago and perhaps began with an amoeba frightening off a predator with some agent such as dopamine to prevent its attachment for phagocytosis by an enemy. This paper suggests that the environmental forces of grip and stick, rather than pure chemical influences, deserve greater emphasis, and that the influence of the mechanical forces involved in grip and stick or release from attachment, all point to control of proteases as a function underlying pigmentation. How and why pigmentation varies with temperature and sunlight is discussed. The toxicity of melanin, pH, transepidermal water loss, and the influence of endocrine factors are also addressed.
  - 1,793 302
ORIGINAL ARTICLES
Service delivery through public health care system to control sexually transmitted infections in Himachal pradesh
Sunite A Ganju, Anil K Kanga, Suruchi Bhagra, Ramesh C Guleria, Dig Vijay Singh, Vinay Agnihotri, Santwana Verma
July-September 2014, 5(3):271-275
DOI:10.4103/2229-5178.137775  PMID:25165642
Introduction: The National AIDS Control Organization has designed multiple synergistic interventions to identify and control curable sexually transmitted infections (STIs). Objective: To assess the impact of services offered at designated STI clinics in the state of Himachal Pradesh, India and the profile of the attending clients. Materials and Methods: This was a two-year prospective study, conducted from April 2011 to March 2013. Training on delivering STI/RTI services was imparted to the staff of 16 designated STI clinics including recording of data. The staff in each STI clinic comprises of one doctor, one counselor, one nurse, and one laboratory technician. The clients attending these designated clinics were offered counseling, syndromic case management (SCM), and diagnostic services wherever possible. Monthly data of STI clinic attendees was collected, compiled, and analyzed. Results: A total of 65,760 clinic visits were reported, of which 32,385 (49%) visits were for index STI/RTI complaint(s). The ratio of male to female attendees was 1:2. The commonest age group accessing the STI clinics was 25-44 years (n = 38,966; 59.3%). According to SCM, 52.9% clients were managed. The commonest presenting syndrome was urethral discharge (n = 4,500; 41%) in males, and vaginal discharge (n = 13,305; 56%) in females. Genital ulcer disease was treated in 2099 cases. Laboratory tests were performed only in 6466 patients, and 39,597 antenatal mothers were screened for syphilis. Counseling services were provided to 51,298 (f = 34,804; 68%: m = 16,494; 32%) clients and of these, 48% (n = 25,056) of the clients were referred to integrated counseling and testing centers. Forty-three clients (m = 24: f = 19) were detected positive for HIV infection. Conclusion: Uniform and standardized services delivered to clients attending public health clinics can gather reliable data to monitor trends of STI infection.
  - 1,793 276
Thyroid function tests in cases of polymorphic light eruption: A case-control study
Lata Sharma, Sachin Lamba, SK Singh
July-September 2014, 5(3):291-295
DOI:10.4103/2229-5178.137780  PMID:25165646
Background: Polymorphic light eruption (PLE) has been found to be associated with thyroid function abnormalities. Aim: To study clinicoepidemiological features of PLE and to study and compare thyroid function tests (TFTs) in cases of PLE. Materials and Methods: The study included 100 cases of PLE and age- and sex-matched controls attending a skin outpatient department. The clinical and epidemiological features were recorded. Both cases and controls were tested for thyroid-stimulating hormone (TSH). In case of abnormality in TSH, triiodothyronine (T3) and tetraiodothyronine (T4) levels were estimated. Results: TFT was abnormal in 25 cases and 7 controls. TSH was elevated in 24 cases and 6 controls and decreased in 1 case and 1 control. T3 and T4 were decreased in 18 cases and 6 controls and elevated in 1 each in case and control. Hypothyroidism was significantly high among cases than controls. Discussion: TFT abnormality was significantly higher among cases than controls. Hypothyroidism has a significant association with PLE. Genetic basis or immune dysfunction may be the cause of both the diseases. PLE may be considered as a clinical presentation of thyroid function disorder and vice versa. Conclusion: Cases of PLE should be examined clinically for thyroid disorder and also tested for TSH or TFT to find any association and prevent serious consequences.
  - 2,317 348
SKINDIA QUIZ
SkIndia Quiz 14: Solitary painful skin-colored nodule over the chest
Panchami DebBarman, Anupam Das, Kaushik Shome, Ramesh C Gharami
July-September 2014, 5(3):354-355
DOI:10.4103/2229-5178.131263  PMID:25165669
  - 2,321 231
THERAPEUTIC GUIDELINES
Venous leg ulcers: Other treatments
Imran Majid
July-September 2014, 5(3):383-385
DOI:10.4103/2229-5178.137823  PMID:25165680
  - 2,740 274
THROUGH THE LENS
Acute hemorrhagic edema of infancy
Ganesh Avhad, Priyanka Ghuge, Hemangi Jerajani
July-September 2014, 5(3):356-357
DOI:10.4103/2229-5178.137809  PMID:25165670
  - 1,055 237
Generalized pearly white papular lesions in a 3 year old child
Sanjiv V Choudhary, Mallika Arora, Shankha Koley
July-September 2014, 5(3):358-359
DOI:10.4103/2229-5178.137811  PMID:25165671
  - 4,858 232
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DOI:10.4103/2229-5178.137812  PMID:25165672
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DOI:10.4103/2229-5178.137813  PMID:25165673
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