{"title":"Dermoscopic aid in the diagnosis of dermatitis artefacta","authors":"SV Smitha, KM Sudhakar Rao","doi":"10.4103/ijpd.ijpd_94_21","DOIUrl":"https://doi.org/10.4103/ijpd.ijpd_94_21","url":null,"abstract":"Dermatitis artefacta (DA) is a condition where the patient produces cutaneous lesions to fulfil an unconscious psychological need. It is most commonly seen in prepubertal and adolescent age group with female predominance. Among children, causes include delayed developmental milestones, disturbed parent–child relationship, bullying in school, conflict with siblings, academic pressure, gender bias, and loss of close relative in the recent past. We present a case of DA in an 8-year-old girl with dermoscopic evaluation. In pediatric age group, special attention is required to identify such cases. Early diagnosis and intervention for the DA is required for the prevention chronic physical and psychological disabilities.","PeriodicalId":13275,"journal":{"name":"Indian Journal of Paediatric Dermatology","volume":"23 1","pages":"172 - 174"},"PeriodicalIF":0.2,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41454929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Congenital leukemia cutis in an infant","authors":"JP Prathibha, C. Lobo","doi":"10.4103/ijpd.ijpd_43_21","DOIUrl":"https://doi.org/10.4103/ijpd.ijpd_43_21","url":null,"abstract":"Background: The infiltration of neoplastic leukocytes or their progenitors into the epidermis, dermis, or subcutis, resulting in clinically evident cutaneous lesions, is known as leukemia cutis. Leukemia cutis may arise after, before, or concurrently with a diagnosis of systemic leukemia. Case Report: We present a case of congenital leukemia cutis that was later diagnosed as acute myeloid leukemia. Discussion: Congenital leukemia is defined as leukemia that is present at birth or develops within the first 6 weeks of life. Leukemia cutis has been identified in 25%–30% of patients with congenital leukemia. Typical clinical features often include papules, macules, and nodules.","PeriodicalId":13275,"journal":{"name":"Indian Journal of Paediatric Dermatology","volume":"23 1","pages":"136 - 138"},"PeriodicalIF":0.2,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48880333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Vellaisamy, Navakumar Manickam, A. Kulandaivel, Kannan Gopalan
{"title":"Tick masquerading as skin tag − A rare case report","authors":"S. Vellaisamy, Navakumar Manickam, A. Kulandaivel, Kannan Gopalan","doi":"10.4103/ijpd.ijpd_39_21","DOIUrl":"https://doi.org/10.4103/ijpd.ijpd_39_21","url":null,"abstract":"We report the case of a 16-year-old boy who presented with a painful skin lesion over the left lower eye lid following a history of travel to forest which masqueraded as skin tag. Excision biopsy showed features suggestive of hard tick. We report this unusual case of tick bite mainly to stress the importance of proper clinical evaluation, appropriate treatment like limited surgical excision, regular follow-up in view of prevention of potential disease transmission by the tick. Timely detection and treatment of tick bite is important to prevent multisystem complication that may develop later in life.","PeriodicalId":13275,"journal":{"name":"Indian Journal of Paediatric Dermatology","volume":"23 1","pages":"142 - 144"},"PeriodicalIF":0.2,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47352658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Avita Dhiman, R. Anuragi, Sheetanshu Kumar, N. Hazarika
{"title":"Bullous variant of aplasia cutis congenita: A rare entity","authors":"Avita Dhiman, R. Anuragi, Sheetanshu Kumar, N. Hazarika","doi":"10.4103/ijpd.ijpd_100_21","DOIUrl":"https://doi.org/10.4103/ijpd.ijpd_100_21","url":null,"abstract":"","PeriodicalId":13275,"journal":{"name":"Indian Journal of Paediatric Dermatology","volume":"23 1","pages":"179 - 180"},"PeriodicalIF":0.2,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47459225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Handa, Ariganesh Chandrasegaran, A. Kanwar, R. Mahajan
{"title":"Comparing the effectiveness of topical fluticasone 0.05% cream versus topical tacrolimus 0.1% ointment in pediatric atopic dermatitis: A randomized controlled trial","authors":"S. Handa, Ariganesh Chandrasegaran, A. Kanwar, R. Mahajan","doi":"10.4103/ijpd.ijpd_158_21","DOIUrl":"https://doi.org/10.4103/ijpd.ijpd_158_21","url":null,"abstract":"Background: There is sparsity of data on the comparative effectiveness of topical steroids and topical tacrolimus in the treatment of pediatric atopic dermatitis (AD) and prevention of its relapse. Materials and Methods: Fifty eligible pediatric AD patients (with an objective SCORAD >40) were included in the study and were randomized into two groups of 25-those receiving topical fluticasone 0.05% cream twice daily and those receiving topical 0.1% tacrolimus ointment twice daily. All the patients were assessed at baseline and weeks 2, 4, and 6. At week 6, patients achieving >75% improvement were put on maintenance therapy of thrice weekly application of the respective drugs in each group and the patients were followed up at 10 and 14 weeks to observe for any flare of the disease. Results: The two treatment groups were similar at baseline. In the fluticasone group, 21 out of 25 patients (84%) achieved >75% improvement in SCORAD, while in the tacrolimus group, 17 out 25 patients (68%) achieved >75% improvement; P = 0.185]. Complete remission (100% improvement) was seen in 16 patients (64%) in the fluticasone group compared to 13 patients (52%) in the tacrolimus group at the end of 6 weeks (P = 0.38). The mean SCORAD values at 2, 4, and 6 weeks were compared between the 2 groups. The number of relapses was 1 in each group among patients on maintenance treatment. Conclusion: Both fluticasone cream and tacrolimus ointment are effective and safe for treatment of childhood AD, and for the prevention of AD flares.","PeriodicalId":13275,"journal":{"name":"Indian Journal of Paediatric Dermatology","volume":"23 1","pages":"111 - 115"},"PeriodicalIF":0.2,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42556929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Actinomycetoma in a child: A rare occurrence","authors":"Sheetal Yadav, A. Singal","doi":"10.4103/ijpd.ijpd_106_21","DOIUrl":"https://doi.org/10.4103/ijpd.ijpd_106_21","url":null,"abstract":"Mycetoma is a chronic, suppurative, localized, and destructive infection involving skin, subcutaneous tissue, fascia, muscle and sometimes invade the underlying bone. The infection is prevalent in tropical countries and involves chiefly adults. Etiologically, it is classified into eumycetoma and actinomycetoma caused by fungus and bacteria respectively. Clinically, mycetoma presents as a triad of firm to soft swelling with multiple sinuses and discharging grains of different colors. Mycetoma is reported rarely in children. We report an 11-year-old boy diagnosed with actinomycetoma of the left foot with classical clinical, histological, and radiological features.","PeriodicalId":13275,"journal":{"name":"Indian Journal of Paediatric Dermatology","volume":"23 1","pages":"83 - 86"},"PeriodicalIF":0.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49016671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Linear and whorled nevoid hypermelanosis with pigmentary incontinence and congenital malformations","authors":"K. Madrigal, N. Alfaro, D. Morales-Neira","doi":"10.4103/ijpd.ijpd_112_20","DOIUrl":"https://doi.org/10.4103/ijpd.ijpd_112_20","url":null,"abstract":"","PeriodicalId":13275,"journal":{"name":"Indian Journal of Paediatric Dermatology","volume":"23 1","pages":"95 - 97"},"PeriodicalIF":0.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46459905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cutaneous sarcoidosis masquerading as granuloma annulare","authors":"R. Agarwal, A. Saha, S. Dhar","doi":"10.4103/ijpd.ijpd_97_21","DOIUrl":"https://doi.org/10.4103/ijpd.ijpd_97_21","url":null,"abstract":"Sarcoidosis always remains a diagnostic challenge due to its great imitating potential. Propensity to involve important organ systems such as lung points toward the importance of detailed evaluation and follow-up at regular intervals. It can present with a myriad of morphological forms. Isolated cutaneous involvement of sarcoidosis presenting as granuloma annulare (GA) like lesions have rarely been reported in children. Herein, we report a child with cutaneous sarcoidosis presenting as asymptomatic annular plaque on the face resembling GA without any systemic involvement. Our case has novelty from several aspects: presentation during childhood, isolated facial involvement, and morphological resemblance with GA.","PeriodicalId":13275,"journal":{"name":"Indian Journal of Paediatric Dermatology","volume":"23 1","pages":"55 - 57"},"PeriodicalIF":0.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48732432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Liza Mohapatra, Arunima Ray, P. Patra, P. Samal, Abhipsa Samal, B. Kar
{"title":"Morpheaform leukemia cutis in a case of b-cell acute lymphoblastic leukemia - A rare presentation","authors":"Liza Mohapatra, Arunima Ray, P. Patra, P. Samal, Abhipsa Samal, B. Kar","doi":"10.4103/ijpd.ijpd_162_20","DOIUrl":"https://doi.org/10.4103/ijpd.ijpd_162_20","url":null,"abstract":"Leukemia cutis (LC) is the cutaneous infiltration of neoplastic cells rarely seen with acute lymphocytic leukemia. We report the case of a young female presenting with a morpheaform plaque on the face, subsequently diagnosed with B-cell acute lymphoblastic leukemia (ALL) and LC, on histopathology and immunohistochemistry. Among the limited cases of LC reported with B-cell ALL, such an atypical presentation has previously never been reported.","PeriodicalId":13275,"journal":{"name":"Indian Journal of Paediatric Dermatology","volume":"23 1","pages":"74 - 76"},"PeriodicalIF":0.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44539436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Srinivas, Suman Swamynathan, Vani H. Nagarajappa, Raghupathy Palany
{"title":"Complete form of pachydermoperiostosis in a 16-year-old boy: A case report","authors":"S. Srinivas, Suman Swamynathan, Vani H. Nagarajappa, Raghupathy Palany","doi":"10.4103/ijpd.ijpd_77_21","DOIUrl":"https://doi.org/10.4103/ijpd.ijpd_77_21","url":null,"abstract":"Pachydermoperiostosis is an inherited osseocutaneous disorder. The unusual increased levels of prostaglandin E2 due to mutations in either HPGD gene or SLCO2A1 gene are regarded as the causative factor. Our case report is about a 16-year-old boy who presented with cutis verticis gyrata, clubbing of digits, arthralgia, seborrhea, acne vulgaris, blepharoptosis, macrocheilia, column-like legs, and periosteal thickening in all long bones of the extremities characteristic of complete form of pachydermoperiostosis. No effective treatment has been proposed for this condition. Hence, counseling the child and parents about the disease progression, detecting the complications, and efficaciously managing them will be the mainstay of the treatment.","PeriodicalId":13275,"journal":{"name":"Indian Journal of Paediatric Dermatology","volume":"23 1","pages":"61 - 63"},"PeriodicalIF":0.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45350448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}