Indian Journal of Dermatology最新文献

{"title":"Steri-Strip Sling Technique - A Simple Procedure for the Management of Ingrown Toenails - A Prospective Study.","authors":"Eeshaan Ranjan, Sandeep Arora, Neha Sharma, Durga M Tripathy, Shekhar Neema, Shailendra Srivastava, Reetu Agarwal","doi":"10.4103/ijd.ijd_1174_23","DOIUrl":"10.4103/ijd.ijd_1174_23","url":null,"abstract":"<p><strong>Background: </strong>Ingrown toenail is a nail disorder that commonly affects great toenails. Surgical modalities are commonly used as first-line treatment. A conservative approach is preferable as surgical procedures lead to pain and affect routine activities. Our aim is to study the efficacy of a new conservative technique using steri-strip^TM for the treatment of mild to moderate ingrown toenails as an outpatient procedure.</p><p><strong>Methods: </strong>Fifty patients presenting with stage 1-2 ingrown toenails were treated with the 'steri-strip sling technique'. Steri-strip^TM is inserted between the disto-lateral edge of the nail plate and nail fold and secured with an elastic bandage. The dressing is kept till the nail edge grows over the nail fold and stops penetrating the skin. Patients were reviewed every week for a month after the treatment and monthly thereafter. The final result was assessed at 6 months. The success of treatment was assessed clinically and by patient satisfaction levels.</p><p><strong>Results: </strong>Fifty patients were treated and followed up. Immediately after the procedure, all patients reported significant relief in pain. After 6 months, 46 out of 50 patients were satisfied with the treatment and showed no recurrence. No complications were reported.</p><p><strong>Conclusion: </strong>The 'Steri-strip^TM sling technique' is a simple and effective outpatient procedure for the management of mild to moderate ingrown toenails.</p>","PeriodicalId":13401,"journal":{"name":"Indian Journal of Dermatology","volume":"69 5","pages":"391-395"},"PeriodicalIF":1.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11623420/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142800629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dengue Fever Manifesting as Haemorrhagic Bullae: A Rare Presentation.","authors":"Jeewoo Choi, Ji Yeon Byun, You Won Choi, Joo Young Roh, Hae Young Choi, Heera Lee","doi":"10.4103/ijd.ijd_905_23","DOIUrl":"10.4103/ijd.ijd_905_23","url":null,"abstract":"<p><p>Dengue fever, a viral disease transmitted by <i>Aedes</i> mosquitoes, is a global health problem affecting millions of people each year. It is prevalent in tropical and subtropical areas, with epidemic potential due to climate change and increased travel. The disease commonly presents with cutaneous symptoms such as erythema, maculopapular rash and minor haemorrhagic lesions. This case is notable for the unusual presentation of haemorrhagic bullae, resembling drug eruption or autoimmune bullous disease. In the field of dermatology, tropical diseases like dengue have rarely been discussed. However, the recent increase in cases in Southeast Asia highlights the need for dermatologists to become familiar with dengue, as it often presents with diverse skin rashes. Herein, we report an unusual case of dengue fever presenting with haemorrhagic bullae.</p>","PeriodicalId":13401,"journal":{"name":"Indian Journal of Dermatology","volume":"69 5","pages":"423"},"PeriodicalIF":1.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11623410/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142799903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correlation of Trichoscopic Findings with Severity in Androgenetic Alopecia.","authors":"Savitha Murali, Remya Raj Rajamohanan, Sheela Kuruvila","doi":"10.4103/ijd.ijd_349_24","DOIUrl":"10.4103/ijd.ijd_349_24","url":null,"abstract":"<p><strong>Background: </strong>Androgenetic Alopecia (AGA) refers to the appearance of common non-scarring progressive loss of terminal hair. Trichoscopy shows a magnified view of the hair shafts and hair follicle openings and helps us to diagnose, prognosticate and determine the disease severity.</p><p><strong>Aims: </strong>The aim of the study was to identify the trichoscopic findings in patients with androgenetic alopecia and associate these findings with disease severity.</p><p><strong>Methods: </strong>This was a cross-sectional analytical study of both male and female patients with AGA. The Hamilton Norwood staging was used in males and Ludwig's staging was used in females. The NC 2 Heine Dermoscope was used to assess the scalp and a 64 MP rear camera was used for the photographic assessment. A Chi-square test was performed to find out the association between the stage of alopecia and trichoscopic findings.</p><p><strong>Results: </strong>A total of 63 patients were assessed in this study. Trichoscopic examination showed Hair Shaft Heterogeneity (HSTH) in all patients of AGA. Scalp honeycomb pigmentation and brown peripilar signs were seen in more than half of the patients. The white peripilar sign was associated with advanced stages in both male and female patients, (<i>P</i> = 0.015) and (<i>P</i> = 0.038) respectively. Focal atrichia was also associated with advanced stages in both male and female patients, (<i>P</i> = 0.001) and (<i>P</i> = 0.05) respectively.</p><p><strong>Conclusion: </strong>HSTH was the characteristic trichoscopic feature of AGA. White peripilar sign and focal atrichia correlated with the severity of the disease. Trichoscopy-based assessment can be used to individualise the treatment options and counsel the patients regarding prognosis.</p>","PeriodicalId":13401,"journal":{"name":"Indian Journal of Dermatology","volume":"69 5","pages":"422"},"PeriodicalIF":1.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11623408/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142799898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Microneedling and 5-Fluorouracil in Treating Stable Vitiligo in Hitherto Unstudied High Prevalence Population.","authors":"B Abhirami, Prabhat Kumar, Dharmendra K Mishra","doi":"10.4103/ijd.ijd_1056_23","DOIUrl":"10.4103/ijd.ijd_1056_23","url":null,"abstract":"<p><strong>Background: </strong>Vitiligo, affecting 0.25% in India (>1% in Jharkhand), stigmatises and devastates self-esteem/relationships causing depression. Apart from medical treatment, surgical procedures like applying 5-fluorouracil after microneedling are to be confirmed in unstudied populations and across time periods. An interventional study was conducted among out-patients of a tertiary hospital in a high-prevalence population wherein earlier attempts were not conducted.</p><p><strong>Aims/objectives: </strong>To assess the effect of microneedling and applying 5% 5-fluorouracil on stable vitiligo patches.</p><p><strong>Methods and materials: </strong>Microneedling and topical application of 5-fluorouracil was planned on 30 subjects of 10-50 age-groups with stable vitiligo, from September 2019 to September 2021 every 15 days for 12 visits. Age, gender, site, size/stability of vitiligo patches, leukotrichia and vitiligo family history were studied. Repigmentation (overall and variable-wise) was measured at each visit using 76-100% (excellent), 51-75% (very good), 25 to 50% (good) and <25% (poor). Data was analysed with the Chi-square test or Standard Error of Difference between two proportions.</p><p><strong>Results: </strong>Under COVID restrictions (2020-2021), sample coverage was 77% (23/30) comprising 13 females and 10 males. Visits varied for each subject totalling 185 visits out of an expected 276 (67%). Significantly, 3 (13%) achieved excellent repigmentation, 10 (43%) very good, 8 (35%) good and only 2 (9%) poor repigmentation. Cumulatively, 13 (56%) attained excellent/very good repigmentation and 21 (91%) had excellent/very good/good repigmentation. Repigmentation ranged from 10% to 100% among 23 subjects, averaging 54% in average 8 visits (4 months). Repigmentation was equally achieved irrespective of age, gender, site, size and stability of the vitiliginous patch, presence/absence of leukotrichia and family history of vitiligo. Manageable pain (100%), itching (4%) and hyperpigmentation 43%, were side effects.</p><p><strong>Conclusion: </strong>Cumulative 91% (excellent/very good/good) repigmentation despite COVID-19 in the study period, and its comparability with other studies, strengthens evidence that microneedling and 5% 5-fluorouracil is effective in treating stable vitiligo in a high prevalence population.</p>","PeriodicalId":13401,"journal":{"name":"Indian Journal of Dermatology","volume":"69 5","pages":"377-384"},"PeriodicalIF":1.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11623419/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142800402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ixekizumab-Associated Generalized Vitiligo and Pruritus in a Psoriatic Patient.","authors":"Dayeon Jung, Dong Y Oh, Eun J Park, Kwang J Kim, Kwang H Kim","doi":"10.4103/ijd.ijd_204_23","DOIUrl":"10.4103/ijd.ijd_204_23","url":null,"abstract":"","PeriodicalId":13401,"journal":{"name":"Indian Journal of Dermatology","volume":"69 5","pages":"416-418"},"PeriodicalIF":1.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11623409/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142800394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rippled Pattern Basal Cell Carcinoma - A Rare Variant with a Diagnostic Approach.","authors":"Pavithra Ayyanar, Ajit Sahu, Sagar R Tripathy, Dillip K Muduly","doi":"10.4103/ijd.ijd_280_24","DOIUrl":"10.4103/ijd.ijd_280_24","url":null,"abstract":"<p><p>The rippled pattern of basal cell carcinoma (BCC) is a very uncommon variant and poses a diagnostic challenge. A 52-year-old male presented with an ulcerated lesion over the scalp for 8 years. The wedge biopsy of the lesion showed an infiltrating tumour in the upper dermis and mid-dermis with focal attachment with the epidermis. The tumour was arranged in a rippled pattern. The tumour cells were monomorphic with a round to oval nucleus, arranged parallelly with fine chromatin and inconspicuous nucleoli. Brisk mitosis, apoptotic bodies, and necrosis were noted. Immunohistochemically, the tumour cells were positive for p63; focally positive for androgen receptor, Bcl-2, and CD10; and negative for epithelial membrane antigen and CK20. We report this rare case of BCC because of its peculiar pattern, discuss the differential diagnoses, and review the clinicopathological features of reported cases.</p>","PeriodicalId":13401,"journal":{"name":"Indian Journal of Dermatology","volume":"69 5","pages":"423"},"PeriodicalIF":1.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11623415/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142800585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Autologous Serum Therapy in Recalcitrant Chronic Spontaneous Urticaria: Experience from Three Dermatology Clinics in Malaysia.","authors":"Ingrid Ting Pao Lin, Nurul Izyan Ghazali, Yan Teo, Siaw Ling Lai, Mohammed Faizal Bakhtiar, Min Moon Tang","doi":"10.4103/ijd.ijd_172_24","DOIUrl":"10.4103/ijd.ijd_172_24","url":null,"abstract":"<p><p>Autohemotherapy is a commonly used treatment for recalcitrant chronic urticaria in some countries. Herein we report our experience using autologous serum therapy in eight patients with recalcitrant chronic spontaneous urticaria. Autologous serum therapy was initiated weekly for nine weeks followed by every fortnightly. Urticaria Activity Score (UAS) 7, Dermatology Life Quality Index (DLQI), and reduction of antihistamine usage were used to assess the treatment response. Eight patients (age range: 25-76 years old; four females and four males) had one to ten years of duration of recalcitrant chronic spontaneous urticaria. All failed to respond to high doses of second-generation antihistamines and five to immune-modulating agents. Three did not respond to omalizumab. At week nine, the reduction of UAS7 ranged from 76.2% to 100%. There was more than an 80% improvement in DLQI in all patients. The number of wheals seemed to be reduced first followed by pruritus. Three patients had stopped antihistamines by week eight of treatment. No adverse events were reported in all eight patients. Autologous serum therapy may serve as an alternative treatment for recalcitrant chronic spontaneous urticaria. Apart from the practicality, which requires frequent clinic visits, venipuncture, and centrifugation, it is cheap and effective with minimal adverse events.</p>","PeriodicalId":13401,"journal":{"name":"Indian Journal of Dermatology","volume":"69 5","pages":"406-410"},"PeriodicalIF":1.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11623413/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142800638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Verruciform Xanthoma Presenting Within an Ear Piercing.","authors":"Hannah E Myers, Subhapradha Rangarajan, Michael Roberts, Christopher Buckley, Josh Hammel","doi":"10.4103/ijd.ijd_244_23","DOIUrl":"10.4103/ijd.ijd_244_23","url":null,"abstract":"<p><p>Verruciform xanthomas are rare lesions affecting 0.025-0.5% of the population. They present as an asymptomatic, slow growing solitary lesion on the oral mucosa. Commonly misdiagnose as squamous cell carcinoma, verruca vulgaris, leukoplakia, and lichen planus. Presented is a 22 year old male with a painful verruciform xanthoma on the posterior ear lobe in a prior ear piercing.</p>","PeriodicalId":13401,"journal":{"name":"Indian Journal of Dermatology","volume":"69 5","pages":"411-413"},"PeriodicalIF":1.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11623414/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142800635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hundred Most Cited Articles in Actinic Keratosis: A Bibliometric Analysis.","authors":"Yizhi Li, Zuoyao Qi, Chichi Du, Guan Jiang","doi":"10.4103/ijd.ijd_273_23","DOIUrl":"10.4103/ijd.ijd_273_23","url":null,"abstract":"<p><p>Many articles have been published on actinic keratosis. Bibliometric analysis helps identify the most influential studies in a particular field, Our article was to identify the 100 most frequently cited references on actinic keratosis through bibliometric analysis. As of March 1, 2020, actinic keratosis was searched in the Web of Science database and ranked in order of the total number of citations. The top 100 most cited articles in actinic keratosis were analysed. The top 100 most cited articles on actinic keratosis were published between 1982 and 2020. The largest number of articles were published in a single interval in 2001-2005. The average annual citations increased first and then decreased. The total citations were positively correlated with annual citations. The 100 articles were classified into different research focuses: pathogenesis (33%), treatment (24%), clinical features and diagnosis (15%), pathophysiology (8%), epidemiology (5%), associated diseases (2%) and others (13%). Among these 100 articles, 5 were clinical trials, 14 focused on the association between actinic keratosis and P53, and 9 reported the association between actinic keratosis and 5-aminolevulinic acid. The 100 articles were published in 38 journals by 87 different first corresponding authors from 15 different countries, mostly in the USA and Australia. Stockfleth, E from the University of Berlin published the most articles as the corresponding author. The top 100 cited references of actinic keratosis were identified and their bibliometric characteristics were analysed to lay a foundation for further research.</p>","PeriodicalId":13401,"journal":{"name":"Indian Journal of Dermatology","volume":"69 5","pages":"422"},"PeriodicalIF":1.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11623412/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142800224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Non-Specific Facial Oedema in a Patient with Eosinophilic Granulomatosis with Polyangiitis.","authors":"Toshiyuki Yamamoto, Mikio Ohtsuka","doi":"10.4103/ijd.ijd_342_24","DOIUrl":"10.4103/ijd.ijd_342_24","url":null,"abstract":"","PeriodicalId":13401,"journal":{"name":"Indian Journal of Dermatology","volume":"69 5","pages":"423"},"PeriodicalIF":1.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11623428/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142800552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}