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Byline: Aashna. Sutaria, Devayani. Pol, Kalyan. Dalave, Mahendra. Deora, Yugal. Sharma, Chintal. Shah Background: Nail disorders account for about 10% of all dermatological conditions. Onychoscopy is useful not only for [...]

Byline: Shreya. Deoghare, Hemant. Talanikar, Mahendra. Deora, Rohit. Kothari, Yugal. Sharma, Kalyan. Dalve, Asmita. Kapoor, Aishwarya. Patil Background: A sustained inflammatory state of psoriasis causes comorbidities such as psoriatic arthritis, [...]

A provisional diagnosis of urticaria pigmentosa was revised to lichen planus pigmentosus with dermatographism, after histopathologic examination of specimen from hyperpigmented patch. It is important to keep differential diagnosis of inducible wheals while making a diagnosis. [ABSTRACT FROM AUTHOR]

Background: Becker nevus (BN), a common nevoid hamartoma, presents as a hypermelanotic often hypertrichotic plaque localized to the chest, shoulder, or back in the first two decades of life. Aims: The aim of the study was to evaluate clinicohistopathological and dermoscopic findings of BN in the Indian population. Methods: Thirty-five clinically diagnosed cases of BN were enrolled. Sample characteristics, clinicohistopathological findings, dermoscopic findings, and developmental abnormalities were noted and an observational analytical study was carried out. Results: The mean age of the patients was 18.9 years and 28 (80%) were males. BN was present since birth in 12 (34.3%), developed in the first decade in 5 (14.3%), and in the second decade in 18 (51.4%). Common sites included the chest in 10 (28.6%), the face in 8 (22.9%), and the upper limb in 7 (20%). Hypertrichosis was observed in 24 (68.6%) and acneiform lesions in 2 (5.7%). Twenty-two (62.9%) patients had right-sided lesions. No developmental abnormalities were detected. Skin biopsy findings included hyperkeratosis in 25 (71.4%), acanthosis in 32 (91.4%), elongation of rete ridges in 32 (91.4%), basal layer pigmentation in 35 (100%), and smooth muscle hyperplasia in 4 (11.1%) patients. Dermoscopic findings included reticular brown lines (pigmentation network) in 32 (91.4%), perifollicular white color (perifollicular hypopigmentation) in 27 (77.1%), skin furrow hypopigmentation in 17 (48.6%), and focal hypopigmentation in 15 (48.6%) cases. Conclusions: Onset at birth and facial lesions are common in those of Indian ethnicity, while developmental abnormalities associated with BN are infrequent. [ABSTRACT FROM AUTHOR]

Background: The overall prevalence of vulvar diseases in the literature is low because of underreporting and is often neglected; thus, its impact on a female's life is often underestimated. Objectives: This study is aimed to determine the prevalence of vulvar diseases and their associated risk factors in patients attending a tertiary care hospital. Materials and Methods: This is a descriptive, cross-sectional, and case–controlled study wherein all female patients attending the dermatology outpatient department (OPD) were screened for the signs and symptoms of vulvar dermatoses and were enrolled after obtaining informed consent and institutional ethics committee approval for 21 months. Out of them, 200 patients who consented and had signs and symptoms of vulvar diseases were selected as cases, and the same number of age-matched females were enrolled as controls with no signs and symptoms of vulvar dermatoses. Results: During the study period, 9431 females attended the dermatology OPD, of which the prevalence was 2.12% (200 patients). The most common infection was genital infection without sexually transmitted infection (57%) (tinea cruris [33.5%]), followed by inflammatory dermatoses (21%) (lichen sclerosus et atrophicus [6%]). The most common risk factor found statistically significant (P ≤ 0.005) were homemakers (49%) and the use of undergarments of mixed fabric (70.68%), followed by nonmenopausal females (63.15%). Conclusion: Our study findings indicated that the prevalence was low, which reflects the tip of an iceberg. Further clinical and population-based studies, a multidisciplinary approach including gynecological consult for diagnostic and therapeutic approach is needed for the optimal management of vulvar diseases. [ABSTRACT FROM AUTHOR]

Background: Dermatological problems in pediatric population constitute at least one third of all outpatient visits to pediatricians and dermatologists, associated with significant morbidity. There is a relative paucity of data calculating the prevalence of pediatric dermatoses in developing countries like India with low socioeconomic factors, poor hygiene and malnutrition being the contributing factors. Aim and Objectives: To study the prevalence and pattern of dermatoses in pediatric attendees of our tertiary care hospital. Material and Methods: Nine hundred four pediatric patients aged 0-18 years attending the dermatology outpatient department and those from emergency referral of our tertiary care hospital were enrolled in this cross-sectional type of observational study carried over a period of two years. Results: Our study included 497 males and 407 females aged 0-18 years. Patients with non-infectious dermatoses: 555 (61%) and those with infectious dermatoses: 349 (39%). Fungal infections (156, 45%) were the most common finding in infectious dermatoses; atopic eczema (99, 17.84%) being the commonest in non-infectious dermatoses. Conclusion: Our study reflects the various patterns of dermatoses among paediatric patients. This information would further help in creating awareness about common dermatoses that are easily preventable by maintaining proper self-care and good personal hygiene. [ABSTRACT FROM AUTHOR]

Herein, we report a rare presentation of erythema multiforme following Covishield/ ChAdOx1 vaccination. The patient was diagnosed with vaccine induced erythema multiforme (EM) minor and given a short course of antihistamines and topical steroids which led to complete clearance of the lesions within 10 days. [Extracted from the article]

The atrophic rolling and boxcar acne scars [Figure 2]a were lifted by intradermal injection of PRP gel filler resulting in a marked improvement in the appearance of atrophic scars [Figure 2]b due to tissue augmentation and remodeling of the extracellular matrix.{Figure 1}{Figure 2} Though there is a solitary report of the use of PRP gel as a dermal filler for prominent nasolabial folds by aesthetic surgeons,[[2]] it has not been used previously as a filler in patients with atrophic acne scars. Platelet poor plasma (PPP) gel has been used as a dermal filler for the correction of facial wrinkles, tear trough deformity and recently for the boxlike scars of chickenpox.[[1]] Solution We have devised a cost-effective autologous platelet-rich plasma (PRP) dermal filler gel for the correction of rolling and boxcar subtypes of soft atrophic acne scars based on the thermal denaturation and polymerization of plasma proteins. Tissue augmentation by PRP dermal filler gel in the case of soft atrophic acne scars not only has a volume effect with an immediate improvement in contour but may also induce remodeling of extracellular matrix by the activation of platelet-derived growth factor and various cytokines. [Extracted from the article]

Competing Interests: There are no conflicts of interest.