RESUMEN
A 20 year old male started developing bubae following even minor trauma on the skin as well as the mucous membranes during the preceding 5 years. The bunae healed with atrophic scars. Involvement of the oral mucous membrane and the eyes, scpcially the right eye, was quite extensive and unusual. No other family member had similar complaint; neither was there association with any autoimmune or lymphoreticular disease.
RESUMEN
A 23-year old male presented for evaluation of skin coloured, non-scaly, asymptomatic papulonodules of sizes varying from 0.5 cm to 2 cm of 4 years duration distributed all over the body including the ears. The plaques present on the face gave the appearance of a 'leonine facies'. Clinically mistaken for lepromatous leprosy in reaction the patient was treated with antileprosy and anti-inflammatory drugs in 3 other centres for months with no improvement. Systemic involvement included painful swelling of both knee joints, pericardial effusion episcleritis and enlarged liver. Negative slit smears for AFB from the nodules repeatedly and the histology of one on the skin nodules clinched the diagnosis of multicentric reticulohistiocytosis. The case is reported not only for its rarity, and varying clinical lesions simulating lepromatous leprosy but also to alert the leprologists to avert unreasonable delay in diagnosis.
Asunto(s)
Lepra Lepromatosa/diagnóstico , Enfermedades Linfáticas/diagnóstico , Neoplasias Cutáneas/diagnóstico , Adulto , Diagnóstico Diferencial , Humanos , MasculinoRESUMEN
Adenoid squamous cell carcinoma occurred on the sole, an area not exposed to sunlight and devoid of pilosebaceous structure. Histopathologically, it showed atypical squamous cells, horn pearls, large alveolar spaces with papillary projections and acantholytic cells.
RESUMEN
A robust, intelligent male aged 32 years had atrichia with cystic lesions. Scanty hairs were present at birth on the scalp and were shed in the course of a few weeks. Multiple papular and cystic swelling started appearing 10 years back and 'were seen over the shoulders, axihae and the elbows. Nails although normal were racquet shaped while the teeth were normal. The mode of inheritance of this rare condition has not yet been established.
Asunto(s)
Catarata/complicaciones , Neoplasias de los Párpados/complicaciones , Neoplasias Faciales/complicaciones , Frente , Hemangioma/complicaciones , Neoplasias Cutáneas/complicaciones , Adulto , Neoplasias de los Párpados/patología , Neoplasias Faciales/patología , Femenino , Hemangioma/patología , Humanos , Neoplasias Cutáneas/patologíaRESUMEN
Out of 67 patients with classical lichen striatus, consisting of discrete linchenoid paules or plaques in a linear fashion, occurring mostly on the extremities and followed up for over 3,1/2 years, the. skin lesions on 49 subjects were biopsied and studied. The different histopathologic changes could be classified into 3 groups. Perivascular dermatitis (51%) was the commonest pattern, followed by perivascular and periappendageal dermatitis (26.5%) and lichenoid dermatitis (22.5%). Three specimens showed m addition, islands of epithelioids cells.
RESUMEN
Thirty three leprosy patients in reaction were treated with a combination of Metronidazole-Dehyl carbamazine citrate - Chloroquin which was reinforced either with prednisolone and or Clofazimine in some, depending on the clinical state. The results were quite encouraging as to encountering leprosy patients i recation early during the maiden spell - at no time in any case was dapsone with drawn.
Asunto(s)
Niño , Adolescente , Clofazimina/administración & dosificación , Cloroquina/administración & dosificación , Dietilcarbamazina/administración & dosificación , Lepra/complicaciones , Lepra/tratamiento farmacológico , Metronidazol/administración & dosificación , Prednisolona/administración & dosificación , Quimioterapia CombinadaRESUMEN
One hundred subjects with extensive pityriasis versicolor determined clinically and confirmed by wet preparations (potassium hydroxide positive) were studied. Its incidence in relation to sex, seasons and age groups was analyzed. More than fifty patients sought medical advice on grounds of cosmetic handicap. The most pronounced clinical feature was to be found on the trunk. One case was Confluent and Reticulated Papillomatosis of Gugerot-Carteaud (CRP) (16). Among the factors of susceptibility, pulmonary tuberculosis (P.T.) emerged statistically significant.