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9%) followed by allergic (12%) and irritant contact dermatitis (6.2%). Out of the non-occupational dermatoses group, the major portion was comprised by polymorphic light eruption (6.2%) in non-infectious type while in infectious type, onychomycoses predominated (3.3%).
Dermatological conditions form a major group of occupational dermatoses among workers involved in fruit cultivation.
Dermatological conditions form a major group of occupational dermatoses among workers involved in fruit cultivation.Aquagenic wrinkling of the palms (AWoP) is a rare dermatosis of significant psychosocial embarrassment and missed employment opportunities. It is characterized by development of translucent papules and wrinkling of the palms and rarely of soles shortly after immersion in water. Associated burning pain or pruritus of variable intensity is often distressing. The symptoms subside spontaneously 10-60 minutes after drying of hands only to recur following contact with water resulting in mild palmar hyperkeratosis over time. Although, cystic fibrosis remains the most described association, its cause is unknown in majority. The treatment is usually unsatisfactory and remains challenging. Response to antihistamines, iontophoresis, topical aluminum chloride 15-20% solution, and aluminum chloride hexahydrate 20% in anhydrous ethyl alcohol remains inconsistent. Keratolytic creams, petroleum jelly and/or use of gloves are not found useful at all. This paper describes a case of AWoP treated successfully with topical tacrolimus 0.1% ointment. We feel that topical tarolimus provides an effective and safe therapeutic option in AWoP.
Coronavirus disease 2019 (COVID-19) has shown the potential to affect the life of people all over the world either directly or indirectly.
To assess the impact of lockdown measures on treatment of leprosy among patients who received treatment from a tertiary referral centre.
A retrospective study was conducted at the dermatology department of a tertiary referral centre.
We did a retrospective analysis of case records of patients with leprosy who received treatment from our tertiary referral centre from 01 March 2020 to 31 May 2021.
During the 15-month period, 59 patients received multi-drug therapy (MDT) for leprosy from our centre. Thirty-two patients (54.2%) were already receiving MDT as on March 2020, and 27 others (45.8%) were diagnosed with leprosy and started on MDT during the period from March 2020 to May 2021. Two patients (3.4%) developed COVID-19 while on MDT. When lockdown measures were implemented, 12 patients (12/59, 20.3%) discontinued treatment, citing conveyance difficulties. Three patients (3/59, 5.1%) were lost to follow-up.
Small sample size and reliance on retrospective data from a single centre were the major limitations of the study.
A conscious effort is needed from healthcare professionals and the government to ensure that implementation of national programmes is not adversely affected by the ongoing COVID-19 pandemic.
A conscious effort is needed from healthcare professionals and the government to ensure that implementation of national programmes is not adversely affected by the ongoing COVID-19 pandemic.Mucormycosis is a rare, aggressive angioinvasive deep fungal infection caused by mucorales. The epidemiology of mucormycosis has changed in recent times with the increase in incidence, identification of new causative agents, and predisposing factors. The clinical spectrum of mucormycosis includes rhinocerebral, sinopulmonary, cutaneous, and disseminated forms. Cutaneous mucormycosis is an emerging infectious disease especially in post COVID-19 era. Cutaneous mucormycosis can be of two varieties primary cutaneous and secondary cutaneous. Primary cutaneous mucormycosis is caused by direct inoculation of spores at the site of local trauma resulting in necrotic ulcers, especially, in immunosuppressed patient. Secondary cutaneous mucormycosis results from either dissemination or local invasion to the skin from a rhinocerebral form. The existing data on mucocutaneous mucormycosis is sparse especially in India. Herein, we present a case series describing the demographic factors, predisposing factors, clinical presentation, management of unique cases of mucocutaneous mucormycosis and its association with COVID-19 infection.
Melasma is a common acquired disorder of pigmentation that presents as hyperpigmented macules and patches predominately in the sun exposed areas of the face. It is more commonly seen in women.
To compare the woods lamp and dermoscopic features of melasma.
A total of 50 patients were enrolled in this cross-sectional analytical study in a tertiary care hospital setting for over a duration of 3 months. Melasma was clinically classified as centrofacial, malar and mandibular and the patients were then examined using the woods lamp (Dermaindia) and dermoscope (Dermlite DL4). Patients were classified into epidermal, mixed, and dermal melasma based on the level of melanin pigment. Statistical analysis was done using IBM SPSS software (version 22) to find the Cohens kappa coefficient. (The degree of agreement between different methods of assessment/different observers.).
The level of agreement between the two methods was done with the help of Kappa coefficient. The Cohens kappa coefficient was 0.534 with a
= 0.00 (p <.05), which indicated a moderate strength of agreement.
Among the two diagnostic tools, there was a moderate degree of agreement between dermoscopy and woods lamp in the analysis of melasma.
Both woods lamp and dermoscopy are tools that are subjective in nature. There was a lack of comparison with histopathology or newer diagnostic techniques like reflectance confocal microscopy (RCM).
Both woods lamp and dermoscopy are tools that are subjective in nature. There was a lack of comparison with histopathology or newer diagnostic techniques like reflectance confocal microscopy (RCM).
There have been sporadic and periodic large-scale epidemics of hand, foot, and mouth disease (HFMD) with cases at risk for significant morbidity and mortality particularly in Southeast Asia since 1997 and in India since early 2003.
We retrospectively studied 403 cases recorded from 2009 to 2019 and reviewed relevant Indian literature published between 2004 and 2019 to understand clinical, epidemiological, and virological attributes of this long-lasting Indian epidemic.
There were 96.8% children and adolescents (MF 1.61) aged 2 months to 18 years and 84% were aged <5 years. Adult family contacts comprised 3.2%. Only 12 sporadic cases occurred during 2009-2011 followed by increased number from 2012 to 2015 peaking with 30.8% cases in 2013 and declining slowly until the year 2019 with small resurge in 2018. The major peaks occurred during summers with small peaks in autumns. Literature review showed 3332 cases presenting between 2004 and 2019 across Indian states with similar epidemiological trends whernuous spread of the disease across the country appears in sync with pre-epidemic periods of China and Taiwan. It calls for a continuous surveillance and making HFMD a notifiable disease in India.Dermatology is a specialty that relies a lot on the visual aspect of clinical diagnosis. Taking photographs of skin lesions is a routine part of clinical practice. They are used to document skin changes during the course of treatment. It is useful for publishing articles in academic journals and textbooks, and serves as a teaching aid. Images are an important form of patient data. Like all patient data, the need for ensuring confidentiality and security is of paramount importance. Keeping all this in mind, it is important to know how to store, backup and archive your images in a safe and efficient manner.Dermatopathia pigmentosa reticularis is a rare ectodermal dysplasia with mottled pigmentation. Here we report a case of 15-year-old boy with variable (reticulate as well as diffuse) pigmentary disorder and adermatoglyphia.
There has been a recent explosion in the incidence of dermatophytic infections globally, especially in tropical countries including India. This increase is associated with a change in the clinical pattern and mycological profile with poor response to treatment, in adults and children. Limited studies in India have focused on pediatric dermatophytoses. Our study's primary objective was to assess the clinicomycological profile of pediatric dermatophytosis in our region and secondarily to understand the association of lifestyle factors with poor response to treatment.
This was an observational study including children ≤16 years of age, clinically diagnosed with tinea. Clinical and lifestyle data regarding site, affected surface area, duration of infection, previous treatment, possible sources of infection, overcrowding, and bathing practices were collected. Samples were collected for potassium hydroxide mount and fungal culture.
A total of 183 children participated in our study. The most common diagnosis was tinea corporis. Tinea cruris was more frequent in preadolescents, where males were more affected. Positive associations were seen between increased duration of infection, increased household infection, infection among playmates, irregular bathing, and use of steroid creams. The most common organism isolated was
(55.19%) followed by
(14.75%).
There is a change in the mycological profile of pediatric dermatophytosis with an increase in
infection. Important sources of infection in children must be identified in chronic and recurrent cases. Misinformed and ignorant use of steroid creams is an important reason for recurrent infection.
There is a change in the mycological profile of pediatric dermatophytosis with an increase in Trichophyton mentagrophytes/interdigitale infection. Important sources of infection in children must be identified in chronic and recurrent cases. Misinformed and ignorant use of steroid creams is an important reason for recurrent infection.
In Saudi Arabia, there are many people with disabilities that do not receive adequate healthcare, especially in the field of dentistry.
This study focused on assessing caregivers' perception of the relationship between oral healthcare and the overall health status of individuals with special healthcare needs (SHCN) in Qatif, Saudi Arabia.
. This cross-sectional study was conducted using a questionnaire that was divided into two sections. The first part included demographic information such as the age and gender of both the caregiver and the person with a disability and the type of disability. The second part investigated the systemic health of the individual with a disability and the caregivers' perception of the relationship between the management and treatment of systemic health and oral healthcare in relation to the overall health status. The results of descriptive analyses were summarized using frequency distribution tables. Bivariate analyses (chi-square test) were also performed. selleck Significant diffental health affects overall health, and age is a factor that might influence this understanding.
Impacted canines are one of the significant challenges in orthodontics that should be appropriately assessed to provide the best treatment to the patients.
In the present study, 57800 patients were examined over six years to investigate the prevalence, diagnostic procedures, and treatment methodologies for impacted canine cases. Prevalence and diagnosis were tested using history taking, clinical examination, and three-dimensional cone-beam radiographs. The cases were tested for impaction site, gender, age, signs, and symptoms. The groups were classified for impaction location according to Mupparapu's classification.
The causative factors and the treatment methodology selected were plotted according to age and gender distribution. The total prevalence was 3.9% of canine impaction cases in relation to the total sample cases. The results showed a strong correlation between the site of impaction toward the upper arch and with distribution following Mupparapu's classification. The pain was the most detectable complication in all age groups, while root resorption was the least.
