Shreya K Gowda, Nidhi Mehta, Sudheer Arava, Sujay Khandpur
{"title":"Pityriasis lichenoides et varioliformis acuta subsequent to mifepristone and misoprostol: Mere coincidence or something more?","authors":"Shreya K Gowda, Nidhi Mehta, Sudheer Arava, Sujay Khandpur","doi":"10.25259/IJDVL_1196_2025","DOIUrl":"https://doi.org/10.25259/IJDVL_1196_2025","url":null,"abstract":"","PeriodicalId":50376,"journal":{"name":"Indian Journal of Dermatology Venereology & Leprology","volume":" ","pages":"1-3"},"PeriodicalIF":3.4,"publicationDate":"2025-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146144281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Arti Nanda, Ahmed Elhussein, Zaahra AlHashemi, Ahmed AlHajji, Hamoud Al-Sabah
{"title":"Eruptive lentigines in a child receiving voriconazole after bone marrow transplant.","authors":"Arti Nanda, Ahmed Elhussein, Zaahra AlHashemi, Ahmed AlHajji, Hamoud Al-Sabah","doi":"10.25259/IJDVL_1363_2025","DOIUrl":"https://doi.org/10.25259/IJDVL_1363_2025","url":null,"abstract":"","PeriodicalId":50376,"journal":{"name":"Indian Journal of Dermatology Venereology & Leprology","volume":" ","pages":"1-3"},"PeriodicalIF":3.4,"publicationDate":"2025-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146144646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bianca Te, Megha Udupa, Jeffrey Toy, Vincent Piguet, Chaocheng Liu
{"title":"Dupilumab in lichen planus, and dupilumab-induced lichenoid drug eruption: A systematic review.","authors":"Bianca Te, Megha Udupa, Jeffrey Toy, Vincent Piguet, Chaocheng Liu","doi":"10.25259/IJDVL_1005_2025","DOIUrl":"https://doi.org/10.25259/IJDVL_1005_2025","url":null,"abstract":"","PeriodicalId":50376,"journal":{"name":"Indian Journal of Dermatology Venereology & Leprology","volume":" ","pages":"1-3"},"PeriodicalIF":3.4,"publicationDate":"2025-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146144598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Immunopathogenesis of polymorphic light eruption, role of cytokines, effector and regulatory T-cells and its therapeutic implications.","authors":"Kabir Sardana, Savitha Sharath, Arunesh Padmini Kathirvelu","doi":"10.25259/IJDVL_1191_2025","DOIUrl":"https://doi.org/10.25259/IJDVL_1191_2025","url":null,"abstract":"<p><p>Polymorphic light eruption (PMLE) is mediated by a type IVc delayed-type hypersensitivity (DTH) reaction to ultraviolet radiation (UVR) induced neoantigens. While UVR normally exerts an immunosuppressive effect with increased regulatory T-cells (Tregs) and an accentuated T helper 2 (Th2) response, PMLE shows a heightened Th1 response. Existent data in PMLE suggests a Th1-skewed immune response with reduced Treg numbers and function, lack of Langerhans cells activity, and increased CD8+ resident memory T-cells. Keratinocytes (KCs) contribute to inflammation by releasing interleukin (IL)-1β, Vascular Endothelial Growth Factor-alpha (VEGF-α), and adhesion molecules, which facilitate various immune cell infiltration. The disturbed cytokine milieu with elevated IL-1, IL-12, IL-31, IL-36, IL-15, interferon-gamma (IFN-γ), and decreased IL-4 and IL-10, contributes to disease pathogenesis. IL-15 accounts for the recurrence of lesions. Various drugs, including immunosuppressive agents and antioxidants, have been tried in PMLE with limited evidence. Emerging therapies include cytokine-targeting agents and Janus kinase inhibitors such as tofacitinib, which modulate cytokine milieu via Janus kinase/signal transducers and activators of transcription (JAK/STAT) pathways. Eradication of microbiota is a novel concept that mitigates the cytokine imbalance. Photohardening with narrow band ultraviolet B (NBUVB) or ultraviolet A (UVA) is believed to be effective as it enhances Treg activity. We emphasise the need for further cytokine profiling in PMLE to tailor targeted therapies, as there is an increasing evidence of a Th1 cytokine overexpression which is not curtailed by Treg cells, and thus, drugs targeting the implicated cytokines would achieve long-term results.</p>","PeriodicalId":50376,"journal":{"name":"Indian Journal of Dermatology Venereology & Leprology","volume":" ","pages":"1-7"},"PeriodicalIF":3.4,"publicationDate":"2025-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146144608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jimena Agostina Miranda, Maria Virginia Burgesser, James Ford
{"title":"Delayed onset of acute generalised exanthematous pustulosis following phenytoin administration.","authors":"Jimena Agostina Miranda, Maria Virginia Burgesser, James Ford","doi":"10.25259/IJDVL_468_2025","DOIUrl":"https://doi.org/10.25259/IJDVL_468_2025","url":null,"abstract":"","PeriodicalId":50376,"journal":{"name":"Indian Journal of Dermatology Venereology & Leprology","volume":" ","pages":"1-3"},"PeriodicalIF":3.4,"publicationDate":"2025-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146144603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Standardising the diagnosis and management of atopic dermatitis in India: A consensus statement by the modified Delphi method by IADVL Special Interest Group of Pediatric Dermatology (STAND AD).","authors":"Rashmi Sarkar, Liza Mohapatra, Divya Gupta, Seetharam Anjaneyulu Kolalapudi, Rahul Mahajan, Prabhakaran Nagendran, Maitreyee Panda, Krina Bharat Patel, ShitalAmin Poojary, Prabhakar Mallikarjuna Sangolli, Dharshini Sathishkumar, Udhaypreet Sidhu, Nilay Kanti Das, Sunil Dogra","doi":"10.25259/IJDVL_1102_2025","DOIUrl":"https://doi.org/10.25259/IJDVL_1102_2025","url":null,"abstract":"<p><p>Background Atopic dermatitis (AD) is a chronic, relapsing inflammatory skin disorder with a significant impact on psychosocial health and quality of life. Despite growing prevalence in India, particularly among adults, a comprehensive, India-specific guideline incorporating recent advances is lacking. Objective To develop a standardised, evidence-based consensus on the diagnosis and management of paediatric and adult AD in India through a modified Delphi methodology. Methods A total of 14 dermatology experts across India, with over 15 years of clinical and academic experience, formed the Special Interest Group of Paediatric Dermatology under IADVL. A systematic literature review was conducted using databases such as PubMed, Embase, and Cochrane, focusing on Indian and global literature up to December 2024. Based on this, 29 draft statements were generated covering domains of diagnosis, severity assessment, non-pharmacological measures, and topical and systemic therapies. A two-round, web-based, modified Delphi process was conducted anonymously to reach consensus. Statements with ≥75% agreement were retained. Results Consensus was achieved on all 29 statements. Thirteen statements were finalised after the first round, and 16 were refined and approved in the second round. Key recommendations included the use of modified Hanifin and Rajka criteria for diagnosis, SCORAD and IGA for severity assessment, therapeutic patient education, and individualised use of moisturisers, topical corticosteroids, and topical calcineurin inhibitors. For systemic therapy, cyclosporine remains first-line for moderate-to-severe AD, with conditional recommendations for methotrexate, mycophenolate, and JAK inhibitors such as abrocitinib. Emerging therapies like topical tofacitinib and crisaborole were discussed with caution due to limited Indian data. Limitation Although several new therapies-such as abrocitinib and dupilumab-have been approved for pediatric atopic dermatitis, consensus among Delphi panelists remains limited. There is lack of sufficient clinical experience and pediatric-specific data on these agents, highlighting the urgent need for more robust studies to inform expert alignment and clinical practice. Conclusion This updated Indian consensus guideline provides comprehensive, evidence-based, and context-sensitive recommendations for diagnosing and managing AD across age groups. It addresses previously unmet needs in adult AD. This consensus is expected to enhance clinical outcomes and standardise AD management nationally.</p>","PeriodicalId":50376,"journal":{"name":"Indian Journal of Dermatology Venereology & Leprology","volume":" ","pages":"1-11"},"PeriodicalIF":3.4,"publicationDate":"2025-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146144324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}