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Vol 47 No 2
April - June 2002

ABSTRACTS


Comparative evaluation of topical preparations in treatment of melasma

Roma Pandhi, I Kaur, S Handtudied was 26. Adherence to strict diagnostic criteria helped towards the correct diagnosis. As 50% of the lesions had pigmentation and 30% had a clinical diagnosis of melanoma, histopathologic evaluation was crucial to avoid over diagnosis of melanoma and to provide reassurance in benign lesions.

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Histopathological features of granulomatous skin diseases - an analysis of 22 skin biopsies

Subhra Dhar, Sandipan Dhar

In the present retrospective study, skin biopsies were analysed for histopathological (HP) changes in 22 patients with various granulomatous dermatoses. In 6 specimens, HP features were diagnostic of BT leprosy, in 1 each of BB, BL and histoid LL. The HP diagnosis was lupus vulgaris (LV) in 6 biopsies, tuberculosis verrucosa cutis (k Raj

Keloids are difficult to treat medically or surgically. Carbon dioxide (CO2) laser is considered to be a better therapeutic option due to less chances of recurrence with this modality. Fourteen patients, 4 males and 10 females, between 9 to 36 years of age having keloids for 1 to 10 years were included in this study. The lesions were present on chest, earlobes, nape of neck, forearm, arm and shoulder. CO2 laser with a power setting of 10 to 20 watts was used in continuous mode to vaporize/excise the lesions. The patients were followed up at the end of 1st week, 2nd week and then every 4 weeks for 3 months to evaluate the response to treatment. Twelve patients followed up regularly and completed this study. Six patients with keliods on chest had 50 to 70% response. Remaining 6 patients with lesions on the earlobes (3), showed 50 to 90% response. Nape of neck (1), shoulder, arm and forearm (2) lesions had 50 to 60% response. In all, except one purrence on long term follow up needs to be observed.

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Epidermolysis bullosa simplex superficialis (EBSS) mimicking peeling skin syndrome

R C Gharami, M K Mandal, A C Patra

A five year old girl with EBSS presented with vesicular lesions, folltion. Lesions healed with scarring and milia. Immunofluorescence confirmed the diagnosis of epidermolysis bullosa acquisita.

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Epidermolytic Hyperkeratosis With Digital Contracture

Ramesh Bhat M, Deepa Mathew, Jacintha Martis

We report a case of epidermolytic hyperkeratosis with digital contracture. The patient had hyperkeratotic lichenified lesions over extensive areas on the body.

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Hailey - Hailey Disease-A Report Of Four Cases

Jayasri Das, Jyotirindra Nath Sarkar, Aloke Kumar Roy

Hailey-Hailey disease is a benign familial chronic vesiculobullous disease with unique histopathology. Four cases of this rare gensdermatosis are reported here. All of them had the history of excerbation in hot and hermid weather.

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Reticular Erythematous Mucinosis

Bijaylaxmi Sahoo, Sanjeev Handa, Bhusan Kumar

A 48 year old male developed erythema on the face and neck with infiltrated papulo-plaque lesions on the neck region. A diagnosis of reticular erythematous mucinosis (REM) was made clinically and with the help of histopathology. Treatment with chloroquine and physical sunscreen gave a good therapeutic response within 8 weeks.

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Angioimmunoblastic Lymphadenopathy

B Nandakishore, Sukumar, B Sohandas Shetty

A 62 year old woman presented with widespread erythematous macules with lymphadenopathy and hepatosplenomegaly of three months duration. Histology of lymph node showed features of angioimmunoblastic lymphadenopathy.

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Lichen Striatus Following The Pigmentary Demarcation Lines

Subrata Malakar, Koushik Lahiri, Rita Shah Malakar

Lichen striatus is an uncommon, self-limited, usually unilateral linear dermatosis of unknown aetiology. The lesions in two cases of lichen striatus, one on right check of a 7 year old boy for last 5 months and another on left arm of a 10 year old boy for last 3 months, exactly follow the pigmentary dermarcation lines; one, pigmentary demarcation lines over the face (PDL-F) and the other Voigt-Futcher line (PDL-A). This observation might link between the linearity of lichen striatus and pigmentary demarcation lines.

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Angiolymphoid Hyperplasia With Eosinophilia

H J Dadapeer, Manohar, C Janaki, G Sentamilselvi, V R Janaki

A case of angiolymphoid hyperplasia with eosinophilia is reported here with clinical and pathological features.

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Localised Unilateral Facial Hemiatrophy

Asok Gangopadhyay, Paritosh Bandyopadhyay

A very rare case of localised unilateral facial hemiatrophy is being presented here.

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Localised Papular Granuloma Annulare Masquerading As A Lichenified Dermatosis

Charandeep Kaur, Rashmi Sarkar, Mala Bhalla, A J Kanwar

A 46 year old nondiabetic female presented with multiple, itchy lichenified papules localised over right lower leg. The histopathological findings were in accordance with granuloma annulare. The present case of localised papular type of granuloma annulare masquerading as a lichenified dermatosis forms a rare report.

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Favus In A Non-Endemic Area

L K Gupta, N K Bansal , C M Kuldeep, S S Surana, P Mehta, K Jasuja, A Sharma

Favus, although endemic in the Kashmir valley, is rarely reported from other parts of India. We report two cases of favus from rural Udaipur, Rajasthan, because of its rarity in a non-endemic zone. Both the patients had scutula and cicatricial alopecia, characteristic of favus. Fungal hyphae were demonstrable in KOH examination of the scales. Culture on Sabouraud's dextrose agar grew Trichophyton schoenleinii in both the cases.

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Sporotrichosis Treated With Itraconazole

Joyashree Nath Barbhuiya, Pratip Kumar Kundu, Arghyaprasun Ghosh, Sunil Kumar Dey

One case of lymphocutaneous sporotrichosis treated with itraconazole is reported here. Sporothrix schenckii was isolated from the lesion and identity was confirmed by culture. The patient was treated successfully with oral administration of itraconazole 200mg daily for 90 days.

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Coexistence Of Vitiligo And Lichen Planus

Mala Bhalla, Rashmi Sarkar, Amrinder J Kanwar

The association of lichen planus with vitiligo is described in an Indian female patient and the possible underlying mechanisms responsible for their coexistence are discussed.

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