Ranchi, India
Ranchi, India

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Kumar P.,Venereology and Leprosy | Bhengra M.P.,Venereology and Leprosy | Chaudhary S.S.,Venereology and Leprosy
Journal of Pakistan Association of Dermatologists | Year: 2016

Dapsone (4, 4'-diamino-diphenyl sulfone, DDS) is a sulphone drug. Dapsone works through its antimicrobial and anti-inflammatory properties therefore it is useful for treating wide variety of infectious and inflammatory dermatological conditions including Hansen's disease. Its low cost and easy availability in India, makes it more common in use by the clinicians. It has adverse side effects with usual common doses, and can cause skin, nervous system, gastrointestinal, hepatic, renal, pulmonary and hematological toxicities. Serious side effects may sometimes occur and may present as Steven-Johnson syndrome, toxic epidermal necrolysis or dapsone hypersensitivity syndrome (DHS). DHS is a severe idiosyncratic adverse reaction with multiorgan involvement. It is a rare side effect which occurs 5-6 weeks after initial administration of drug which sometimes results in an unpredictable outcome. Hereby, we report a case of severe, life threatening DHS in a 14-year-old female patient suffering from Hansen's disease which was managed successfully with oral corticosteroids.

PubMed | AIIMS and Venereology and Leprosy
Type: Journal Article | Journal: Indian dermatology online journal | Year: 2016

Primary cutaneous anaplastic large cell lymphoma (pcALCL) forms 9% of the cutaneous T-cell lymphomas. It usually presents as solitary reddish brown ulcerating nodule or indurated plaque. Sometimes, it mimics other dermatological diseases such as eczema, pyoderma gangrenosum, pyogenic granuloma, morphea, and squamous cell carcinoma. Our case presented with large pyogenic granuloma like lesion with regional lymphadenopathy. Since pcALCL is rare, one can misdiagnose such cases and therefore high index of suspicion is necessary.

PubMed | AIIMS and Venereology and Leprosy
Type: Journal Article | Journal: Indian journal of sexually transmitted diseases | Year: 2016

Leishmaniasis is caused by protozoan parasite of genus leishmania. Visceral leishmaniasis, diffuse cutaneous leishmaniasis, and atypical forms of cutaneous leishmaniasis are common in HIV-infected patients. Our patient presented with an obstructive mass in nasal cavity and was diagnosed as a case of mucocutaneous leishmaniasis. Spontaneous healing of lesions in HIV-infected patients is rare rather they are unresponsive to treatment and have frequent relapses, especially in patients with low CD4 count. However, in our patient, the lesion improved significantly after 2 months of highly active antiretroviral therapy and co-trimoxazole prophylaxis.

Jindal N.,Pt. B.D.S PGIMS | Jindal P.,Pt. B.D.S PGIMS | Kumar J.,Sir Ganga Ram Hospital | Gupta S.,Venereology and Leprosy | Jain V.K.,Pt. B.D.S PGIMS
Indian Journal of Dermatology | Year: 2014

The world of Dermatology is flooded with inflexions among clinical conditions and signs and syndromes; making it interesting, but a tougher subject to remember. Signs and syndromes have always fascinated residents, but simultaneously burdened their minds, as these attractive names are difficult to remember. This work was undertaken to review dermatological conditions and signs based on commonly encountered daily words and objects like animals, etc. Fifty dermatological conditions were found to be based on animal eponyms. For example, the usage of animal terminology in dermatology like leonine facies is present in leprosy, sarcoidosis, mycosis fungoides (MF), and airborne contact dermatitis (ABCD).

Jindal N.,Pt. BDS PGIMS | Jindal P.,Pt. BDS PGIMS | Kumar J.,Sir Ganga Ram Hospital | Gupta S.,Venereology and Leprosy | Jain V.K.,Pt. BDS PGIMS
Indian Journal of Dermatology | Year: 2015

Dermatology world is brimming with myriad of interesting clinical conditions, signs and syndromes. It is infinite, which has systemic clinical connotations too. Complicated pronunciations of diagnosis have always placed residents in an intricate state. Each one is trying his best to make this cumbersome subject comparatively more acceptable and convenient. The present paper is an attempt to further simplify the subject by correlating difficult conditions with commonly used and seen things such as fruit and food. A total of 45 dermatological conditions were found to be based on fruit and food eponyms. For example, strawberries can remind us of strawberry gums of Wegener's granulomatosis and strawberry nevus. © 2015, Medical Knowledge. All rights reserved.

Choudhary S.V.,Venereology and Leprosy | Bhattar S.A.,Venereology and Leprosy | Singh A.L.,Venereology and Leprosy
Journal of Pakistan Association of Dermatologists | Year: 2016

A 63-year-old female presented with dark brown hyperpigmented macules and slightly elevated papules all over body, clinically and histopathologically suggestive of seborrhoeic keratosis. She was diagnosed as breast carcinoma 5 years back and got mastectomy done 2 years back. Cutaneous lesions appeared 6 months before the diagnosis of breast carcinoma and remained static after mastectomy, thus fulfilling some of the Curth's criteria for the diagnosis of paraneoplastic syndrome. Till date there is only one report of Leser-Trelat sign with associated carcinoma of breast. We are reporting Leser-Trelat as a paraneoplastic phenomenon secondary to invasive ductal breast carcinoma for its rarity and the classical clinicopathological evidence.

Singhal K.,Venereology and leprosy | Saoji V.,Venereology and leprosy
Journal of Pakistan Association of Dermatologists | Year: 2013

53-year-old healthy lady who underwent a planned laparoscopic surgery for the removal of gall stones presented with mildly tender fluctuant swelling along the line of surgical scar which did not respond in spite of various antibiotics. Gram smear and bacterial culture did not yield any organism. Diagnosis of atypical mycobacteria rapid grower (M. chelonae-fortuitum complex) was made which was confirmed later to be M. fortuitum. This case highlights the importance of strict aseptic precautions even during the minor procedures.

Kar S.,Venereology and Leprosy | Dongre A.,Venereology and Leprosy | Krishnan A.,Venereology and Leprosy | Godse S.,Venereology and Leprosy | Singh N.,Venereology and Leprosy
Indian Journal of Dermatology | Year: 2013

Introduction: The physical effects of the arthropod bites on human skin receive less attention, especially in the rural areas where the per capita income is less. Ours is a rural-based hospital, the vicinity having more of plants, trees, and forests; we undertook the study to find out the relation of insect bite dermatitis in a rural area. Materials and Methods: The study was carried out in the Dermatology outpatient department of our institute on 100 subjects of insect bite dermatitis who were questioned retrospectively about the sequence of events besides their environmental and living conditions. They were examined thoroughly and the relevant clinical findings were noted, also taking into account the prior treatment taken by them, if any. Results and Conclusions: It was found that insect bite dermatitis has no age or gender preponderance, and the protective factors for the same are use of full sleeve clothes and keeping the doors and windows closed at night. On the contrary, the risk factors are residence in areas of heavy insect infestation, use of perfumes and colognes, warm weather in spring and summer and the lack of protective measures. However, there was no direct association of atopy with increased risk of developing insect bite dermatitis.

Krishnan A.,Venereology and Leprosy | Kar S.,Venereology and Leprosy
Oman Medical Journal | Year: 2013

Scrotal dermatitis is a very common condition that has been easily overlooked by most dermatologists and treating physicians. The condition is easily mistaken for the common skin disorders affecting the area, like fungal infections. Scrotal dermatitis is not considered a separate disease entity and is usually considered a condition similar to the contact dermatitis occurring elsewhere. This article attempts to classify the condition as a separate disease entity and explains the various etiological factors and the pathogenesis of the condition. The various stages of the condition are also explained in detail. Newer treatment modalities like the use of narrow band UVB for the management of scrotal dermatitis is also highlighted in this article. © OMSB, 2013.

Krishnan A.,Venereology and Leprosy | Kar S.,Venereology and Leprosy
International Journal of Dermatology | Year: 2012

Introduction Vitiligo is an acquired progressive disorder characterized by destruction of melanocytes in the lesion and the lesional hair follicles. A number of new therapeutic options for vitiligo have become available over the last decade or so both on the medical as well as surgical side. One among them is the smashed skin grafting or simply smash grafting, which is a modification of split-thickness grafting. In this method, the graft undergoes "smashing" before being applied to the recipient site. Though a simple and effective procedure, very few people are doing the procedure either due to lack of awareness or due to lack of published data. Materials and methods Smash skin grafting was performed in 26 patients with vitiligo in Mahatma Gandhi Institute of Medical Sciences, Sewagram, Maharashtra, India. Results Smashed skin grafting helped to achieve more than 90% repigmentation of the vitiligo patches in our patients. Conclusions Smashed skin grafting is a simple procedure with fewer side effects, better outcome, and high patient satisfaction or, in simple words, it can be considered as an alternative to various conventional surgical modalities like punch grafting and melanocyte cell culture methods. This article deals with the steps of the procedure, results of the surgery in a small group of patients, and the necessity of increasing the awareness of smash grafting. © 2012 The International Society of Dermatology.

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