Indian Journal of Dermatology
  Publication of IADVL, WB
  Official organ of AADV
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Year : 1994  |  Volume : 39  |  Issue : 3  |  Page : 43-51

Dermatological changes in tetraplegics and paraplegics.


Dept. of Dermatovenereology, Armed Force Medical College and Command Hospital, Pune-411040

Correspondence Address:
PN Arora
Dept. of Dermatovenereology, Armed Force Medical College and Command Hospital, Pune-411040

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Source of Support: None, Conflict of Interest: None


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ABSTRACT: Dermatological changes in paralytic patients (56 tetraplegics and 44 paraplegics) in 16 to 65 years age group were recorded. Traumatic aetiology was responsible for cord involvement in 89 percent (road traffic accident 33 percent, fall from height 30 percent, injuries during activity at sports/games 17 percent, battle injuries 8 percent, blunt injury to back 1 percent) and in the remaining 11 percent nontraumatic causes accounted for tetraplegia/ paraplegia. All patients were evaluated for level of cord involvement. Commonest level was cervical cord (C1-C6) in 44 percent followed by dorsolumbar (D 11 to L1) in 35 percent, dorsal (D1 to D10) in 16 percent and lumbar (L2 to L5) in 5 percent patients. Dermatological changes recorded were pressure sores (52 percent), superficial fungal infections, xerosis and secondary ichthyosis (42 percent), stasis pigmentation (39 percent), nail dystrophy (21 percent), alopecia of denervated skin (20 percent), seborrheic keratosis (14 percent), acrochordons (12 percent), acne vulgaris on the posterior aspect of trunk (11 percent), and seborrhea capitis (5 percent)


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