{"title":"Clinical and Demographic Characteristics of Dermatoses with Bimodal Distribution Pattern: A Concise Review.","authors":"Keshavmurthy A Adya","doi":"10.4103/idoj.idoj_1288_24","DOIUrl":"10.4103/idoj.idoj_1288_24","url":null,"abstract":"<p><strong>Abstract: </strong>Several diseases exhibit a bimodal incidence pattern, accounting for the disease burden in two different age groups. Several aspects related to these diseases, such as etiopathogenesis, clinical features, management decisions, disease course, and prognosis, may vary between the two age groups, and awareness of the same is indispensable for clinicians. This review endeavors to shed light on the clinical and epidemiological aspects related to various dermatoses exhibiting a bimodal age distribution pattern.</p>","PeriodicalId":13335,"journal":{"name":"Indian Dermatology Online Journal","volume":" ","pages":"717-724"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12419685/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144707356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mohammed Waseem Javed, Dayanand Raikar, Ashokkumar B Nagure, K Y Guruprasad, Md Ibrahim Siddiqui, Anant Arunrao Takalkar
{"title":"Trichophyton Mentagrophytes : An Emerging Cause of Tinea Capitis in Rural Part of North Karnataka.","authors":"Mohammed Waseem Javed, Dayanand Raikar, Ashokkumar B Nagure, K Y Guruprasad, Md Ibrahim Siddiqui, Anant Arunrao Takalkar","doi":"10.4103/idoj.idoj_889_24","DOIUrl":"10.4103/idoj.idoj_889_24","url":null,"abstract":"<p><strong>Background: </strong>Dermatophytosis, particularly tinea capitis (TC), is a significant public health concern in rural North Karnataka, India. Trichophyton (T.) mentagrophytes has emerged as a predominant pathogen in this region, necessitating a closer examination of its clinicodemographic pattern, resistance patterns, and effective management strategies.</p><p><strong>Patients and methods: </strong>This prospectively carried out cross-sectional study was conducted at a tertiary center in North Karnataka between January 2016 and September 2017. It involved 54 patients with clinically diagnosed TC. The study involved collecting clinical history, performing physical and systemic examinations, and analyzing scrapings and affected hairs. Diagnostic methods included direct microscopy with potassium hydroxide (KOH), culture in Sabouraud's dextrose agar, and Wood's lamp examination.</p><p><strong>Results: </strong>The study population's average age was 8.46 years, with a notable prevalence (24%) of TC caused by T. mentagrophytes . The infection was more common in males and those from rural areas. Socioeconomic status played a significant role, with a higher incidence in lower socioeconomic classes. A positive contact history with TC increased the likelihood of infection. Grey patches were the most common clinical sign, and culture preparations effectively diagnosed T. mentagrophytes infection.</p><p><strong>Limitations: </strong>Limited sample size, recall bias, referral bias, and a low number of culture-positive T. mentagrophytes cases.</p><p><strong>Conclusion: </strong>TC due to T. mentagrophytes poses a significant public health challenge in rural North Karnataka, with higher susceptibility among young males from lower socioeconomic backgrounds. The study underscores the need for targeted healthcare interventions in these communities and emphasizes the importance of early recognition and management of this infection. Enhanced public health measures, including education on hygiene and monitoring for antifungal resistance, are crucial for effective management.</p>","PeriodicalId":13335,"journal":{"name":"Indian Dermatology Online Journal","volume":" ","pages":"737-742"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12419742/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144775317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comparison of Effectiveness of Intralesional Triamcinolone Acetonide with Fractional CO2 Laser Against Intralesional Triamcinolone Acetonide with Intralesional Verapamil in the Treatment of Keloids.","authors":"Taku Kanya, Sivayadevi Ponnaiah, Nirmaladevi Palanivel, Adalabbai Nagoor Meeran Mohamed Meethen Maalik Babu, Gayathri Devi Somasundaram","doi":"10.4103/idoj.idoj_792_24","DOIUrl":"10.4103/idoj.idoj_792_24","url":null,"abstract":"<p><strong>Background: </strong>Keloids are benign overgrowth of fibrous tissue extending beyond the original wound margin. The management of keloids remains challenging despite the various treatments available. Studies have shown that combination therapies are superior to monotherapy.</p><p><strong>Aim and objective: </strong>To compare the effectiveness of intralesional triamcinolone acetonide with fractional CO2 laser against intralesional triamcinolone acetonide with intralesional verapamil in treating keloids.</p><p><strong>Patients and methods: </strong>This study included 24 patients with single or multiple keloids. After obtaining consent, 12 patients each were allocated to either fractional CO2 with intralesional triamcinolone group (Group 1) or intralesional verapamil with intralesional triamcinolone group (Group 2). Keloid scars were assessed and scored according to the Vancouver scar scale (VSS) during each visit with serial photographs. The procedures were repeated at an interval of four weeks for a total of four sittings and participants were followed up for another six months.</p><p><strong>Results: </strong>Both groups showed significant improvement in the clinical appearance of keloids. The overall response was better in Group 2. In VSS assessment, there was a faster and better rate of reduction in height with Group 2. Pliability and vascularity improved significantly and none had recurrences of keloid till the end of the study in both groups.</p><p><strong>Limitations: </strong>Limitations of the study are the small sample size and short duration of follow-up.</p><p><strong>Conclusion: </strong>Both the combination groups are safe and efficacious methods to treat keloid. Intralesional verapamil with triamcinolone showed better and faster clinical improvement compared to fractional CO2 laser with intralesional triamcinolone.</p>","PeriodicalId":13335,"journal":{"name":"Indian Dermatology Online Journal","volume":" ","pages":"732-736"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12419683/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144882749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Successful Treatment of Psoriasis in HIV with Secukinumab.","authors":"Debatraya Paul, Santanu Banerjee, Biju Vasudevan, Karthi Kishore","doi":"10.4103/idoj.idoj_619_24","DOIUrl":"10.4103/idoj.idoj_619_24","url":null,"abstract":"","PeriodicalId":13335,"journal":{"name":"Indian Dermatology Online Journal","volume":"16 5","pages":"822-824"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12419737/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144952536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kavitha Athota, Smitha S Prabhu, Niranjana Gopinathan
{"title":"The Varying Faces of Vulvar Neoplasia.","authors":"Kavitha Athota, Smitha S Prabhu, Niranjana Gopinathan","doi":"10.4103/idoj.idoj_911_24","DOIUrl":"10.4103/idoj.idoj_911_24","url":null,"abstract":"<p><strong>Abstract: </strong>Vulvar neoplasia is on the rise and patients often present to dermatologists with lesions of varying morphology associated with pruritus, burning sensation, or pain. Early diagnosis results in an early treatment and improved quality of life. Differentiating vulvar neoplasia and intraepithelial malignancies from benign and inflammatory conditions is imperative. Histopathology and immunohistochemistry (IHC) are helpful. Herein, we report eight women who presented with varying features. Five of them had predisposing factors- four had lichen sclerosus, and one was human immunodeficiency virus (HIV) positive. All women were diagnosed and treated promptly. Vulvar malignancies encompass both invasive vulvar squamous cell carcinoma (SCC) and its precursors, as well as other less common forms like melanoma, basal cell carcinoma, and extramammary Paget's disease. Vulvar SCC contributes to 80%-90% of vulvar malignancies. It's precursor lesions, vulvar intraepithelial neoplasia (VIN), are now classified as differentiated VIN (dVIN), low-grade squamous intraepithelial neoplasias (LSIL), and high grade squamous intraepithelial neoplasias (HSIL). VIN are of varying morphology and are diagnosed by histopathology and IHC. Dermoscopy of VIN is still evolving. Herein, we also describe the dermoscopic features of lesions encountered. Treatment is resection, wherever possible.</p>","PeriodicalId":13335,"journal":{"name":"Indian Dermatology Online Journal","volume":"16 5","pages":"773-777"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12419734/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144952192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Dermatology- Environment Intersection: A Call for Advocacy and Action.","authors":"Dipankar De, Hitaishi Mehta","doi":"10.4103/idoj.idoj_1009_25","DOIUrl":"10.4103/idoj.idoj_1009_25","url":null,"abstract":"","PeriodicalId":13335,"journal":{"name":"Indian Dermatology Online Journal","volume":"16 5","pages":"707-708"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12419684/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144952546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}