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  Citation statistics : Table of Contents
   2017| July-December  | Volume 1 | Issue 2  
    Online since July 28, 2017

 
 
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CASE REPORTS
Autonomic denervation dermatitis: A new type of eczematous dermatitis
Bhushan Madke, Madhulika Mhatre, Piyush Kumar, Adarsh Lata Singh, Anil Patki
July-December 2017, 1(2):61-64
DOI:10.4103/CDR.CDR_8_17  
We hereby describe a case series of eczematous dermatitis in a peculiar clinical setting. The cases presented with eczematous dermatitis at the site of surgical incision and adjoining skin after a varying lag period. Clinically, all patients presented with xerosis and eczematous rashes around the surgical sites. In our observation, the time taken to develop skin rashes around the surgical sites ranged from 6 months to 3 years. We believe that denervation injury due to dermal nerve transections may lead to autonomic disturbance in the involved area and contribute to the development of dermatitis. Treatment is essentially medical with topical emollients and judicious use of topical corticosteroids. Through this case series, we propose to introduce a new dermatological entity - “autonomic denervation dermatitis” in postsurgical patients.
  8 22,433 750
ORIGINAL ARTICLES
Dermoscopy of general dermatological conditions in Indian population: A descriptive study
Sunita S Nayak, Hita H Mehta, Prachi C Gajjar, Vivek N Nimbark
July-December 2017, 1(2):41-51
DOI:10.4103/CDR.CDR_9_17  
Background: Patients attending the dermatology outpatient department (OPD) come with varied presentations. It is a challenge for a dermatologist to make a right diagnosis in a short time noninvasively. Hence in such conditions, dermoscope provides a rapid handy diagnostic aid. Objectives: The aim is to evaluate and compare the dermoscopic features of common dermatological conditions in an Indian population with brown skin. Materials and Methods: A total of 475 dermatoses including inflammatory, infectious, vesiculobullous, vascular, benign face tumors, hypopigmentary, drug reactions and miscellaneous conditions attending the OPD between March 2011 and January 2013 were enrolled in the study after obtaining informed consent. Detailed history and thorough dermatological examination were conducted to reach the final diagnosis. Dermlite II PRO dermoscope was used for the study. Data collected was analyzed by frequency and percentage. P value for each dermoscopic parameter in three groups was calculated using Chi-square test for independence using graph pad where the value of P < 0.05 was considered statistically significant. Results: Red dotted vessel was a prominent feature in inflammatory conditions (P < 0.0003), which was found to be regular in a pattern in psoriasis (100%). The unique feature of lichen planus was Wickham's striae (P < 0.0001). Collarette scales were observed in 93% of cases of pityriasis rosea. Live nymphs depicting as brown oval structure (46.67%) were observed. Scabies mites head was characterized using “Triangular sign” (93%). Red brown dots and papilla-like structure were observed in most of the cases of warts. Comedo-like opening (P = 0.024) and milia-like cyst (P = 0.0495) are typical features of seborrheic keratosis. Conclusion: Dermoscopy findings provide an extra clue for the diagnosis of common dermatoses and it also helpful in prognostic evaluation and monitoring response to treatment.
  8 20,945 1,440
REVIEW ARTICLE
Common misconceptions about acne vulgaris: A review of the literature
Rex WH Hui
July-December 2017, 1(2):33-36
DOI:10.4103/CDR.CDR_16_17  
Acne vulgaris (acne) is a common chronic skin disease and affects over 90% of teenagers worldwide. Despite its prevalence, acne vulgaris is shrouded in multiple misconceptions that are widespread in the general public, among acne patients, and even in health-care professionals. This article reviewed six common misconceptions about acne vulgaris: (1) acne is a trivial condition and does not require medical attention; (2) acne is a transitory disease of adolescence; (3) dietary factors cause acne; (4) acne is caused by uncleanliness; (5) acne improves rapidly upon treatment; and (6) acne can be treated by sunlight. These misconceptions span across the natural history, etiology, and treatment of acne vulgaris. The paucity of knowledge about acne has potentially severe consequences and should not be overlooked. Underestimating the severity and progression of acne may delay treatment, while misinterpreting the etiology of acne could lead to unnecessary and disruptive lifestyle changes. Unrealistic expectations about therapy will lead to dissatisfaction, which may decrease treatment compliance. Actions in public health, medical education, and research are warranted to eradicate these misconceptions about acne vulgaris.
  3 13,739 1,010
ORIGINAL ARTICLES
Comparison of efficacy of oral azithromycin with oral minocycline in the treatment of acne vulgaris
Vidyadhar R Sardesai, Yashodhara T Deka
July-December 2017, 1(2):37-40
DOI:10.4103/CDR.CDR_2_17  
Background: Acne vulgaris is a common skin disease seen primarily in adolescents and young adults. As the treatment involves long-term therapy with antibiotics, an agent with a long half-life can be very useful in increasing the compliance. Objectives: The objective of this study was to evaluate the efficacy of a pulse dose of azithromycin and compare it with daily dose of minocycline in the treatment of acne vulgaris. Materials and Methods: This prospective, randomized, open-label, comparative study was conducted on sixty patients with moderate-to-moderately severe (Grade II and III) acne vulgaris. Patients were randomly assigned to two treatment groups, A and B. Patients in Group A received 50 mg minocycline orally daily whereas patients in Group B were given 500 mg azithromycin orally once a day for 3 consecutive days/week. Both the groups were advised topical application of 2.5% topical benzoyl peroxide gel in the night. The total duration of treatment was 3 weeks. All the patients were evaluated at the end of 3 weeks. Statistical analysis was done using Wilcoxon signed-rank test and Mann–Whitney U-test. Results: Group A showed a reduction in lesional count of 39.7% for noninflammatory papules, 65.11% for inflammatory papules, and 52.22% for pustules. Similarly, Group B showed 30.39%, 54.69%, and 57.76% reduction in lesional count for noninflammatory papules, inflammatory papules, and pustules, respectively. Conclusions: Both minocycline and azithromycin were equally effective and safe for the treatment of acne vulgaris.
  2 17,469 654
LETTERS TO EDITOR
Dermatosis neglecta
Vidyadhar R Sardesai, Sonam M Vimadalal, Madhulika A Mhatre
July-December 2017, 1(2):82-83
DOI:10.4103/CDR.CDR_1_17  
  1 3,536 237
CASE REPORTS
Griscelli syndrome Type 2: A report of rare case
Chandramohan Kudligi, Pradeep Vittal Bhagwat, Mary Zothanpuii Chhangte, Vidya Kuntoji, Sujata Giriyan, Veena Andanappanavar
July-December 2017, 1(2):65-68
DOI:10.4103/CDR.CDR_1_16  
Griscelli syndrome (GS) is a rare autosomal recessive disorder characterized by pigmentary dilution of the hair and skin. Three different types (1–3) caused by mutation in three different genes have been described. GS2 is characterized by partial albinism, immunodeficiency, organomegaly, and hemophagocytic lymphohistiocytosis (HLH). Long-term prognosis of GS2 is poor, and in most cases, it leads to death within the first decade of life. GS2 is most common among three types with 11 cases reported from the Indian literature. We report a case of GS2 which was diagnosed well before the development of life-threatening HLH.
  - 4,498 297
Congenital erythropoietic porphyria: An unusual presentation
Shilpa Garg, Priyanka Borde Bisht, Sukriti Baveja, Suvash Sahu
July-December 2017, 1(2):69-72
DOI:10.4103/CDR.CDR_3_17  
Congenital erythropoietic porphyria is a rare autosomal recessive disorder of heme biosynthesis that results from the deficient activity of uroporphyrinogen III synthase. Herein, we report a case of an 8-year-old boy who presented with red-colored urine, erythrodontia, hypertrichosis, and skin fragility with minimal scarring over dorsa of the hands and tip of the nose, but without the classical history of photosensitivity, blistering, or mutilation of photo-exposed parts.
  - 4,085 259
Chronic macerated plaques over the genitalia in an elderly female: A diagnostic challenge
S Suvarna, Jacintha Martis, B Nandakishore, Ganesh H Kamath, Reshma G Kini
July-December 2017, 1(2):73-75
DOI:10.4103/CDR.CDR_7_17  
Extramammary Paget's disease (EMPD) is a rare dermatosis occurring in sites rich in apocrine glands, such as the vulva, anogenital region, and axilla. It can be subdivided into primary and secondary disease. An 84-year-old female presented with itchy, whitish, oozy raised lesions over the genitalia and groin since 2 years, associated with burning sensation. Examination revealed erythema, maceration and white oozy plaques over bilateral groin folds, perineum, and labia majora. She was treated as candidal intertrigo with secondary infection, with antibiotics and antifungals with minimal improvement. Routine blood investigations were within normal limits. Skin biopsy done from the vulva showed Paget cells in the lower two-thirds of the epidermis. She was diagnosed to have EMPD and referred to the oncosurgeon for further management. We present this case due to the rarity of its occurrence and to emphasize the high index of clinical suspicion required for chronic, macerated, erythematous plaques over the perineum, which do not respond to conventional treatment, in an elderly patient.
  - 4,197 225
Porokeratosis of mibelli of upper lip extending into oral mucosa
Ragunatha Shivanna, Meenakshi Kapoor, Gangaiah Narendra
July-December 2017, 1(2):76-77
DOI:10.4103/CDR.CDR_10_17  
Porokeratosis is a rare specific disorder of keratinization with distinct clinical and histopathological features with rare malignant degeneration. Clinically, it is characterized by papular lesions or annular plaques with central atrophy and peripheral keratotic ridge and histologically with the presence of cornoid lamellae. It mainly presents on the extremities, trunk, face, and very rarely on genitals and mucous membrane. Very few cases of porokeratosis with oral mucosal involvement have been reported in the past. A 50-year-old female presented with a well-demarcated, irregular plaque with atrophic center and peripheral keratotic margin with a thin furrow involving the left side of the upper lip, angle of mouth, and adjacent labial mucosa. The patient had a history of application of topical steroid preparations intermittently over a period of 2 years. The histopathological features showed characteristic cornoid lamellae. The involvement of mucosa is uncommon, and local immunosuppression caused by topical steroids may act as a predisposing factor.
  - 3,909 256
LETTERS TO EDITOR
Growth arising over a linear verrucous plaque: A rare clinical entity
Suvarna Samudrala, M Ramesh Bhat
July-December 2017, 1(2):83-85
DOI:10.4103/CDR.CDR_5_17  
  - 2,583 230
OBITUARY
Dr. K. Siddappa (05-04-1931 to 27-02-2017)
K Ravindra
July-December 2017, 1(2):86-86
DOI:10.4103/CDR.CDR_30_17  
  - 2,837 195
ORIGINAL ARTICLES
In search of cutaneous marker for retinopathy in diabetic patients: A pilot study
Banavasi S Girisha, Neethu Viswanathan
July-December 2017, 1(2):52-55
DOI:10.4103/CDR.CDR_14_17  
Background: Diabetes mellitus is one of the most common causes of microangiopathy. Approximately 30% of all diabetics show skin lesions during their lifetime. However, there is a paucity of data on the association of diabetic retinopathy with the skin changes. Objectives: The aim is to study noninfectious diabetes associated dermatoses in patients with diabetic retinopathy and to compare the frequencies of dermatoses in diabetics with retinopathy, diabetics without retinopathy and nondiabetics. Materials and Methods: We screened 400 diabetic patients and found 145 diabetics with cutaneous manifestations were positive for diabetic retinopathy after fundoscopic examination by a qualified ophthalmologist. One hundred and forty-five age- and sex-matched diabetics with cutaneous manifestations and without retinopathy, and another 145 age- and sex-matched nondiabetics with normal random blood sugar (RBS) levels and cutaneous manifestations formed the control groups. Statistical analysis was performed using SPSS version 16 and Chi-square test. Results: Acquired ichthyosis was the most common finding which was seen in 70 (48.27%) diabetics followed by acrochordons in 18 (12.41%) diabetics. Other noninfectious dermatoses associated with Diabetic Mellitus seen among the cases include diabetic foot in 7 (4.8%), psoriasis in 5 (3.44%), acanthosis nigricans in 4 (2.75%), pruritus in 3 (2.068%), vitiligo in 3 (2.068%) patients, Kyrle's disease in 3 (2.068%), and diabetic bullae in 2 (1.37%) patients. Conclusions: Diabetic retinopathy is not an uncommon cause of ocular morbidity. Our observation calls for the need of a holistic approach toward the diagnosis and treatment of diabetes and diabetes-associated skin and systemic complications.
  - 3,139 281
Trends in hair care and cleansing: A knowledge, attitude, and practice study
Mamatha S Kusagur, N Asifa, SugaReddy
July-December 2017, 1(2):56-60
DOI:10.4103/CDR.CDR_4_17  
Background: In the present era, everyone would like to have healthy, glamorous, and shiny hair. The technology has advanced the cleansing and hair beautification process. Hair cleansing or washing is the act of keeping hair clean by washing with shampoos, soaps or other detergent products, and water. Shampoos aid in cleaning and maintenance of hair. Hair conditioners are used to improve hair's texture and manageability and give hair a smooth and resilient feel. Objectives: The aim of this study is to describe the knowledge, attitude, and practice of men and women toward cleansing of hair with respect to Indian scenario. Materials and Methods: A cross-sectional survey conducted on male and female patients who attended dermatology outpatient department. A prestructured questionnaire about hair care and cleansing was used to assess 50 male and 50 female patients in the age group of 11–60 years. Results: In this study, we found that about 65% of participants washed their hair once a week. Hard water was used to wash hair by 44%, shampoos were used for cleansing in 65%, followed by soaps in 25%, no cleanser in 8%, and soap nut in 2%. Hair conditioners were used by 20%. Egg and other substances, such as hibiscus and soap nut, were used by 20% before cleansing. Oil before cleansing was used by 9%. About 48% of participants felt the need for a change of a cleanser after 6 months. The whole scalp hair was cleansed by 48% of the participants, whereas 14% concentrated more on the front of the scalp, followed by 6% who cleansed their hair ends more than the center or front. Conclusion: In the current Indian scenario, most of the people have to be counseled about the proper methods of hair cleansing and hair care, and to shrug out the age old myths concerning hair cleansing.
  - 7,950 617
RESIDENT PAGE
Immunosuppressed cutaneous District: The finale of the fascinating farrago of confounding responses?
Sonia Raghukumar, BC Ravikumar
July-December 2017, 1(2):78-81
DOI:10.4103/CDR.CDR_18_17  
  - 6,122 366