Publications by authors named "Sharad Mehta"

33 Publications

A Clinico-Epidemiological Study of Cutaneous Leishmaniasis in a Non-Endemic Region of South Rajasthan.

Indian Dermatol Online J 2021 Jan-Feb;12(1):123-127. Epub 2020 Sep 28.

Department of Dermatology, Venereology and Leprology, R.N.T. Medical College, Udaipur, Rajasthan, India.

Introduction: Cutaneous leishmaniasis (CL) is a vector-borne protozoal infection of the skin with variable clinical manifestations. In Rajasthan, western Thar desert is endemic for this disease.

Aim: The present study was aimed to describe clinico-epidemiological features of cutaneous leishmaniasis cases from a non-endemic area of South Rajasthan.

Materials And Methods: A hospital-based prospective study was carried out during a period of 3 years (2017-2019). Data regarding clinical profile and treatment outcome were recorded in a predesigned proforma for analysis. Diagnosis of CL was made clinically and confirmed by demonstration of amastigotes in microscopic examination of Giemsa stained tissue smear of lesions.

Results: Out of 24 patients, 16 (67%) were females and 8 (33%) were males. The age ranged from 3 months to 68 years (median-25). Face (67%) and extremities (29%) were the common sites affected. The most common morphological form was crusted plaques (54%) followed by nodular lesions (38%). Slit skin smear for Leishmania donovani bodies was positive in all patients (100%).

Conclusion: This study highlights a focus of CL in non-endemic areas of South Rajasthan. Of late leishmaniasis is breaking out of its classical boundaries and is increasingly being reported from new geographic locations with a possibility of a novel parasite variant. Therefore, a high clinical suspicion of CL should be kept in non-endemic area.
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http://dx.doi.org/10.4103/idoj.IDOJ_378_20DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7982008PMC
September 2020

Cyclosporine in Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis: Experience from a Tertiary Care Centre of South Rajasthan.

Indian Dermatol Online J 2021 Jan-Feb;12(1):116-122. Epub 2020 Sep 28.

Department of Dermatology, Venereology and Leprosy, R.N.T. Medical College, Udaipur, Rajasthan, India.

Background: Stevens-Johnson syndrome and toxic epidermal necrolysis are severe, life-threatening mucocutaneous drug reactions with a high morbidity and mortality that require immediate medical care. Several immunomodulatory drugs are used for the treatment but evidence of their efficacy is limited. Cyclosporine has recently been found to have a promising role in SJS/TEN owing to its potent antiapoptotic activity.

Aims: This open label prospective study was conducted to determine the efficacy, safety, and tolerability of cyclosporine in patients with SJS/TEN.

Methods: This study was conducted at a tertiary care teaching hospital of South Rajasthan during a period of 4 years (August 2015 to July 2019). Data regarding clinical profile, causative drug(s), disease severity, associated comorbidities, treatment received, and outcome were recorded in a predesigned proforma. SCORTEN prognostic score was calculated for each patient at the time of admission. Cyclosporine was administered in a dose of 5 mg/kg body weight in two divided dosage until reepithelization.

Results: Out of 16 patients 10 were males and 6 were females. Mean age of patients was 30.62 ± 16.98 years (range: 7-63). Most of the patients, i.e., 8 out of 16 had TEN, 5 patients had SJS, and 3 patients had SJS/TEN overlap. Mean ± SD delay between onset and admission was 3.812 ± 1.377 days (range: 2-7). Among the suspected drugs, antiepileptics (43.7%) formed the major group. Mean duration of reepithelization was 10.5 ± 3.46 days (range: 7-15). Based on the SCORTEN, the expected mortality was 2.55 with mean predicted mortality rate of 16.43% with SD of 19.3.

Limitations: 1) Sample size was small. 2) Placebo control trial could not be done due to the severity of the disease.

Conclusion: We recommend cyclosporine (5 mg/kg/day) as the first line-specific immunomodulatory agent in SJS/TEN on account of its efficacy, safety, rapid reepithelization, decrease hospital stay, and reduced morbidity and mortality.
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http://dx.doi.org/10.4103/idoj.IDOJ_326_20DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7982025PMC
September 2020

Chronic Arsenicosis: Cases from a Nonendemic Area of South Rajasthan.

Indian J Dermatol 2019 Mar-Apr;64(2):164

Department of Dermatology, Rajmata Vijaya Raje Scindia Government Medical College, Bhilwara, Rajasthan, India.

Two adult patients from a village of district Bhilwara, Rajasthan, consulted Skin Department of R. N. T. Medical College and Hospital, Udaipur, with complaints of thickening of the palms and soles and pigmentation of skin with a nonhealing ulcer on the palm. They also had complaints of loss of appetite, abdominal pain, nausea, vomiting, and loose motion. On examination, there were multiple 2-3 mm, keratotic papules on the palms, and soles on the background of diffuse keratoderma. Two irregular nonhealing ulcers were present on the hands which on excisional biopsy revealed squamous cell carcinoma. A generalized mottled pigmentation was present over the trunk and proximal parts of extremities. The clinical presentation was suggestive of arsenicosis. There was history of similar ailment in some of the fellow villagers as well. With the help of health authorities, a survey was conducted in the village and it was found that eight more villagers were suffering from similar kind of illness. The common source of arsenic was explored and found to be increased in drinking water that was taken out through hand pump. The level of arsenic in drinking water was significantly above the WHO safe limit for arsenic.
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http://dx.doi.org/10.4103/ijd.IJD_704_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6440183PMC
April 2019

Clinical Profile and Comparison of Causality Assessment Tools in Cutaneous Adverse Drug Reactions.

Indian Dermatol Online J 2019 Jan-Feb;10(1):27-33

Department of Dermatology, Venereology and Leprology, R.N.T Medical College, Udaipur, Rajasthan, India.

Background: Cutaneous adverse drug reactions (CADRs) are probably the most frequent of all manifestations of drug sensitivity. As a considerable number of new drugs are periodically introduced into the market, the incidence of CADR is likely to increase. The pattern of CADR and the causative drugs is likely to change accordingly. There is no uniformly accepted and reliable method of objectively assessing the causal link between drug and adverse reaction.

Aim: To study the clinical patterns and causative drugs and compare causality assessment [World Health Organization (WHO) and Naranjo algorithm] of CADR among patients attending the dermatology department.

Materials And Methods: This is a cross-sectional hospital-based study in which all patients with suspected CADR attending the dermatology department of a tertiary care center over a 9-month period were evaluated using the causality assessment criteria recommended by the WHO-Uppsala Monitoring Centre (UMC) and Naranjo scale. The severity of the reaction was assessed using Adverse Drug Reaction Severity Assessment Scale (modified Hartwig and Siegel scale).

Results: A total of 200 consecutive patients with CADR were evaluated. The causality assessment for a drug as per WHO scale yielded 63 (31.5%) cases as certain, 12 (6%) as probable, and 125 (62.5%) as possible, whereas Naranjo scale showed 26 (13%) cases to be definite, 138 (69%) as probable, and 36 (18%) as possible. There was poor agreement between the two scales. Fixed drug eruption was the most common pattern of CADR (82.41%). The average number of drugs received by patients was 2.09. The most common suspected drug group was antimicrobials ( = 170; 40.5%), followed by nonsteroidal anti-inflammatory drugs ( = 148; 35.3%) and antiretroviral drugs ( = 41; 9.7%). Fixed drug eruption was most commonly caused by paracetamol. Antiepileptics and antimicrobials were the most common suspects among severe cutaneous adverse reactions.

Limitations: Multiple concomitant drug usage by patients and inability to provoke all patients/measure drug levels in blood resulted in higher number of drugs with causal association as probable/possible.

Conclusion: WHO-UMC scale was found to be easier to apply and evaluate, with greater practical utility. Poor agreement between the two commonly used scales emphasizes the need for a consistent and uniform causality assessment tool.
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http://dx.doi.org/10.4103/idoj.IDOJ_207_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362752PMC
February 2019

Diffuse Cutaneous Leishmaniasis in an Immunocompromised Patient Resembling Histoid Hansen's Disease.

Indian Dermatol Online J 2018 Nov-Dec;9(6):452-454

Department of Dermatology, Venereology and Leprology, RNT Medical College, Udaipur, Rajasthan, India.

Cutaneous leishmaniasis is caused by protozoan parasites of the genus . Atypical presentation and widespread progression of the lesions may be seen in patients with HIV disease and diffuse cutaneous leishmaniasis and HIV co-infection is emerging as a serious new threat. We report a case of diffuse cutaneous leishmaniasis in a HIV- infected patient resembling Histoid Hansen.
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http://dx.doi.org/10.4103/idoj.IDOJ_34_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6232997PMC
December 2018

Cutaneous Larva Migrans in an Infant.

Indian Dermatol Online J 2018 Sep-Oct;9(5):359

Department of Skin and VD, RNT Medical College, Udaipur, Rajasthan, India.

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http://dx.doi.org/10.4103/idoj.IDOJ_269_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6137650PMC
September 2018

Cyclosporine in Generalized Bullous-Fixed Drug Eruption.

Indian J Dermatol 2018 Sep-Oct;63(5):432-433

Department of Dermatology, Venereology and Leprology, RNT Medical College, Udaipur, Rajasthan, India. E-mail:

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http://dx.doi.org/10.4103/ijd.IJD_458_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6124246PMC
September 2018

Chronic Cutaneous Lupus Erythematosus in a Blaschkoid Pattern over Face.

Indian J Dermatol 2018 Mar-Apr;63(2):180-181

Department of Dermatology, RNT Medical College, Udaipur, Rajasthan, India.

Linear lesions following the lines of Blaschko of chronic cutaneous lupus erythematosus is a highly unusual variant of cutaneous lupus, particularly in adult. The lesions are restricted to one anatomical site with facial predilection in most of the reported cases. We herein, report a case of chronic cutaneous lupus erythematosus due to rarity of presentation and later age of onset.
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http://dx.doi.org/10.4103/ijd.IJD_558_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5903052PMC
April 2018

Topical Corticosteroids Abuse: A Clinical Study of Cutaneous Adverse Effects.

Indian J Dermatol 2017 Nov-Dec;62(6):675

Department of Dermatology, RNT Medical College, Udaipur, Rajasthan, India.

Background: Topical corticosteroids (TC) are one of the most widely used agents in dermatology practice. Misuse of these agents may lead to a wide range of adverse effects.

Aim: This study was conducted to assess the magnitude of abuse of topical corticosteroids (TC) and clinical patterns of cutaneous adverse effects amongst patients attending dermatology department of a teaching hospital at South Rajasthan.

Materials And Methods: All patients who reported with adverse effects of topical steroids during one year from September 2015 to August 2016 were evaluated. Patients fulfilling the study criteria were registered for further workup.

Results: Out of the 85280 new patients, 370 (0.43%) presented with adverse effects of TC. Males (232/370;62.70%) outnumbered females (138/370;37.30). Age group 11-30 years was most commonly (74.05%) affected. The main reason for using TC was fungal infection (52.43%). Tinea incognito (49.46%) and acne (30.27%) were the most common adverse effects recorded.

Conclusions: Abuse of TC, particularly the superpotent and potent is rampant amongst general population. Topical corticosteroids are frequently used for indications where they should be avoided.
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http://dx.doi.org/10.4103/ijd.IJD_110_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5724325PMC
December 2017

Lupoid cutaneous Leishmaniasis: A Report of Three Cases from Nonendemic Area.

Indian J Dermatol 2017 Sep-Oct;62(5):548

Department of Dermatology, Venereology and Leprology, R.N.T. Medical College, Udaipur, Rajasthan, India.

The typical clinical presentations of cutaneous leishmaniasis are nodules, ulcer, nodulo-ulcerative lesions and crusted plaques. Besides classical clinical picture, several unusual and atypical clinical presentations of the disease have also been reported. Herein, we report three cases of lupoid cutaneous leishmaniasis to highlight the extended clinical spectrum of CL. Tissue smears were positive for Leishman-Donovan (LD) bodies. All patients were treated by azole antifungals with favorable response.
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http://dx.doi.org/10.4103/ijd.IJD_420_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5618855PMC
October 2017

SkIndia Quiz 39: Pebbly Flexural Skin in a Young Female.

Indian Dermatol Online J 2017 Jul-Aug;8(4):297-299

Department of Dermatology, Venereology and Leprology, R.N.T Medical College, Udaipur, Rajasthan, India.

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http://dx.doi.org/10.4103/idoj.IDOJ_149_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5518594PMC
August 2017

SkIndia Quiz 37: A Persistent Plaque in the Pubic Region.

Indian Dermatol Online J 2017 May-Jun;8(3):227-228

Department of Dermatology, Venereology and Leprology, RNT Medical College, Udaipur, Rajasthan, India.

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http://dx.doi.org/10.4103/2229-5178.202362DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5447353PMC
June 2017

Clinicoepidemiologic study of verruca plana at a tertiary care center.

Indian J Dermatol Venereol Leprol 2018;84(2):247

Department of Dermatology, Venereology and Leprosy, RNT Medical College, Udaipur, Rajasthan, India.

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http://dx.doi.org/10.4103/ijdvl.IJDVL_1028_15DOI Listing
November 2018

Nevoid Psoriasis Coexisting with Verrucous Epidermal Nevus.

Indian Dermatol Online J 2017 Mar-Apr;8(2):150-152

Department of Dermatology, Venereology and Leprosy, RNT Medical College, Udaipur, Rajasthan, India.

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http://dx.doi.org/10.4103/2229-5178.202263DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5372445PMC
April 2017

Pattern of inpatient referrals to dermatology at a tertiary care centre of South Rajasthan.

Indian Dermatol Online J 2017 Jan-Feb;8(1):25-28

Department of Dermatology, Venereology and Leprology, R.N.T. Medical College, Udaipur, Rajasthan, India.

Background: Dermatologists besides providing service to patients in the outdoors, also play a vital role in the care of inpatients admitted to dermatology unit and other departments.

Aims: The aim of this study was to evaluate the pattern of referrals sent to the dermatology department by other departments.

Materials And Methods: The study included all inpatients referred to dermatology department of a tertiary care centre of South Rajasthan during a 5-year period from October 2008 to September 2013.

Results: A total of 1560 consultations with 1603 diagnoses were recorded. Most (770; 49.3%) consultations were received from internal medicine, followed by surgery (177; 11.3%), pediatrics (104; 6.7%), psychiatry (86; 5.5%) and gynecology (69; 4.4%) wards. Infectious skin diseases were most common (29.7%) followed by eczema (12.0%) and drug reactions (9.0%).

Conclusion: Dermatology referrals can enhance the dermatological knowledge of non-dermatologists to diagnose and manage common dermatoses thus improving overall patient care.
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http://dx.doi.org/10.4103/2229-5178.198759DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5297265PMC
February 2017

Acrofacial Vitiligo Following Halo Formation around Congenital Melanocytic Naevi.

Indian J Dermatol 2016 Nov-Dec;61(6):691-692

Department of Dermatology, Venereology and Leprology, RNT Medical College, Udaipur, Rajasthan, India. E-mail:

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http://dx.doi.org/10.4103/0019-5154.193700DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5122296PMC
December 2016

Non-pigmenting fixed drug eruption due to fluoroquinolones.

Indian J Dermatol Venereol Leprol 2017 Jan-Feb;83(1):108-112

Department of Dermatology, Venereology and Leprology, Rabindranath Tagore Medical College, Udaipur, Rajasthan, India.

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http://dx.doi.org/10.4103/0378-6323.190890DOI Listing
May 2017

Trigeminal trophic syndrome.

Indian Dermatol Online J 2016 Jul-Aug;7(4):346-7

Department of Dermatology, Venereology and Leprology, Rabindra Nath Tagore Medical College, Udaipur, Rajasthan, India.

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http://dx.doi.org/10.4103/2229-5178.185485DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4976434PMC
August 2016

Type B pigmentary demarcation lines.

Indian Dermatol Online J 2016 May-Jun;7(3):224-5

Department of Dermatology, Venereology and Leprology, Rabindra Nath Tagore Medical College, Udaipur, Rajasthan, India.

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http://dx.doi.org/10.4103/2229-5178.182366DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4886608PMC
June 2016

Intralesional mumps, measles and rubella vaccine in the treatment of cutaneous warts.

Indian J Dermatol Venereol Leprol 2016 May-Jun;82(3):343-5

Department of Dermatology, Venereology and Leprosy, Rabindranath Tagore Medical College, Udaipur, Rajasthan, India.

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http://dx.doi.org/10.4103/0378-6323.175920DOI Listing
January 2017

A Sporadic Case of Ichthyosis Curth Macklin: Rare Presentation of a Rare Disease.

Indian J Dermatol 2015 Sep-Oct;60(5):522

Department of Dermatology, SMS Medical College, Jaipur, Rajasthan, India.

Ichthyosis hystrix is a rare autosomal dominant genodermatosis, characterized by persistent spiny hyperkeratotic scales which cover a significant part of the skin surface. Based on the pattern of distribution, five clinical variants namely Brocq type, Lambert type, Curth-Macklin type, Rheydt type and Bδfverstedt type have been described. We report the case of an 11-year-old male child with spiny, hyperkeratotic scales all over the body since birth with sparing of scalp and central part of the face. Palmoplantar keratoderma was also present. These clinical features are suggestive of Ichthyosis Curth Macklin, which has been typically described in families. However, family history was negative in our patient. The case is being reported on account of rarity of the disease, that too with a very rare sporadic presentation.
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http://dx.doi.org/10.4103/0019-5154.164439DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4601452PMC
November 2015

Pattern of Childhood Onset Vitiligo at a Tertiary Care Centre in South- West Rajasthan.

Indian J Dermatol 2015 Sep-Oct;60(5):520

Department of Dermatology, Venereology and Leprology, R.N.T. Medical College, Udaipur, Rajasthan, India.

Context: Onset of vitiligo during childhood is not uncommon but the data is limited on this subject.

Aims: This study was planned to assess the magnitude of childhood onset vitiligo (COV) and adulthood onset vitiligo (AOV), and compare their clinical pattern.

Settings And Design: A cross sectional hospital based clinical study.

Materials And Methods: Consecutive patients with vitiligo attending the Dermatology OPD of RNT Medical College and MB Government Hospital, Udaipur, from April 2012 to September 2012 were the subjects of this study. A detailed history taking followed by general, systemic and cutaneous examination, and relevant investigations were carried out. The findings were recorded in a proforma for analysis and interpretation of data.

Statistical Analysis Used: Statistical analysis of data was done using chi- square and Z test.

Results: Of the 295 patients seen during the study period, 109 (36.95%) were patients with COV while 186 (63.05%) had AOV; the COV: AOV ratio being 1: 1.71. Amongst COV patients, females (65/109; 59.63%) outnumbered males (44/109; 40.37%). Maximum (51; 46.79%) patients of COV had onset of their disease on head and neck, out of which eyelid was the initial site of lesion in 29 (26.61%) patients. None of COV patients had universal and isolated mucosal vitiligo.

Conclusions: Female predominance, affection of eyelids as initial site, and less frequent mucosal involvement in COV were the clinical features different from AOV.
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http://dx.doi.org/10.4103/0019-5154.164423DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4601441PMC
November 2015

Solitary plaque with recurrent blistering on the finger of a child.

Indian J Dermatol 2015 Mar-Apr;60(2):218

Department of Dermatology, Rabindra Nath Tagore Medical College, Udaipur, Rajasthan, India.

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http://dx.doi.org/10.4103/0019-5154.152603DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4372973PMC
March 2015

A curious case of hourly attacks of disabling episodic spontaneous hypothermia with hyperhidrosis.

Indian J Dermatol Venereol Leprol 2015 Mar-Apr;81(2):185-6

Department of Dermatology, Venereology and Leprosy and Department of Neurology, R. N. T. Medical College, Udaipur, Rajasthan, India.

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http://dx.doi.org/10.4103/0378-6323.152292DOI Listing
December 2015

Blaschkoid mastocytosis.

Indian J Dermatol Venereol Leprol 2015 Jan-Feb;81(1):72-3

Department of Dermatology, Venereology and Leprosy, Rabindra Nath Tagore Medical College, Udaipur, Rajasthan, India.

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http://dx.doi.org/10.4103/0378-6323.148584DOI Listing
September 2015

Hypohidrotic ectodermal dysplasia in association with milia.

Indian J Dermatol Venereol Leprol 2014 Sep-Oct;80(5):483

Department of Dermatology, Rabindra Nath Tagore Medical College, Udaipur, Rajasthan, India.

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http://dx.doi.org/10.4103/0378-6323.140348DOI Listing
May 2015

Chemical reconstruction of skin scars therapy using 100% trichloroacetic Acid in the treatment of atrophic facial post varicella scars: a pilot study.

J Cutan Aesthet Surg 2013 Jul;6(3):144-7

Department of Dermatology, RNT Medical College, Udaipur, Rajasthan, India.

Context: Chickenpox (varicella) is a common viral disease caused by Varicella zoster virus. Facial atrophic scars after varicella infection are not uncommon and pose a cosmetic problem. Like atrophic scars of other aetiologies, they are a difficult condition to treat. There are not enough references in the literature regarding efficient treatment of post varicella scars. High strength Trichloroacetic acid (TCA), which is known to cause dermal collagen remodelling, was used to treat varicella scars in the present study.

Aims: The study was undertaken to assess the efficiency of Chemical Reconstruction of Skin Scars (CROSS) technique using 100% TCA in the treatment of atrophic facial post varicella scars.

Settings And Design: Open label, pilot study.

Materials And Methods: A total of 16 patients with atrophic facial post varicella scars were treated by focal application of 100% TCA solution by pressing down upon the scar surface by a toothpick (CROSS technique). Total 4 sittings were given at 2 weekly intervals and the results evaluated after 3 months of follow-up. Statistical analysis was carried out using Fischer's exact t-test.

Results: All of the 13 patients who completed the study showed good clinical improvement, with 69% patients grading the response as excellent (>75%) improvement, whereas the rest 31% patients reporting good (51-75%) improvement. No significant complications were seen in any patient.

Conclusions: CROSS technique using 100% TCA is a safe, cheap and effective therapy for the treatment of post varicella scars.
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http://dx.doi.org/10.4103/0974-2077.118408DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3800288PMC
July 2013

SkIndia Quiz 10 Papulonodular lesions in a Human Immunodeficiency Virus-positive patient.

Indian Dermatol Online J 2013 Jul;4(3):257-8

Department of Dermatology, Venereology and Leprosy, R.N.T. Medical College, Udaipur, Rajasthan, India.

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http://dx.doi.org/10.4103/2229-5178.110655DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3752498PMC
July 2013

Phacomatosis cesioflammea with Klippel Trenaunay syndrome: A rare association.

Indian Dermatol Online J 2013 Jul;4(3):216-8

Department of Dermatology, Venereology and Leprosy, RNT Medical College, Udaipur, Rajasthan, India.

A 30-year-old Indian male presented with bilateral Nevus of Ota, extensive nevus flammeus over the trunk and left lower limb with soft tissue hypertrophy and varicosities affecting the left lower limb. He was otherwise in good general health. A diagnosis of Phacomatosis cesioflammea or Phacomatosis pigmentovasularis Type II with Klippel Trenaunay syndrome was made. The case is being reported on account of its rarity.
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http://dx.doi.org/10.4103/2229-5178.115522DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3752481PMC
July 2013