Background: Chronic and recurrent dermatophytoses are very common in tropical countries like India. Among many patho-mechanisms implicated, the role of changing lifestyle and clothing patterns is highly suggestive. Our study was done to identify whether the dermatophytes could be cultured from undergarments of the patients and also to find out the persistence of fungi after conventional washing techniques. Materials and Methods: It was a cross-sectional study carried on patients attending out- patient department of Department of skin and VD of Jhalawar Medical College with samples size of 50.KOH examination of recurrent and chronic tinea cruris patients was done followed by culture of skin scarping from advancing margin of tinea, samples of unwashed and washed undergarment pieces, followed by species identification by using lactophenol cotton blue stain. Results: Males outnumbered females (28 M:22F). Maximum cases belonged to age group of 21 -30 years (27/50); most of the patients opted for tight synthetic undergarments (26/50).Samples of 44 patients were KOH positive. Fungal elements were cultured from 28/50 samples from skin scarping,22/50 from unwashed undergarments,15/30 from washed undergarments. Most common species identified was Trichophyton mentagrophytes. Discussion: Recurrent and chronic tinea infections are becoming causes of increasing financial burden and impaired quality of life of affected patients. Although culture is not a very sensitive method to confirm dermatophytic infections, yet fungal elements can sustain in undergarments of patients affected by chronic and recurrent tinea cruris which may lead to non-response to standard dose and schedule of antifungal agents. Conclusion: Dermatophytes may sustain in undergarments, even after washing; causing recurrent and chronic tinea cruris. Keywords: Superficial dermatophytes, Undergarments, Tinea cruris, Culture study.
Surgical treatment of vitiligo is reserved for stable recalcitrant vitiligo patches. Split-thickness skin grafting (STSG) is an important established modality for the surgical treatment of vitiligo, whereas autologous, non-cultured, non-trypsinized epidermal cell transplant, also known as Jodhpur technique (JT), is an unconventional innovative surgical modality for the treatment of stable vitiligo.To compare the two techniques, JT and STSG, with regards to the extent and pattern of repigmentation achieved, color matching of the repigmented area, patient satisfaction (Dermatology Life Quality Index [DLQI] questionnaire and patient global assessment), and adverse events (if any) in patients with stable vitiligo.It was a randomized comparative study. We randomized 32 patients with 180 stable vitiligo lesions into two groups. Patients in group 1 were treated with JT, and those in group 2 with STSG. They were subjectively evaluated 20 weeks post-surgery for the extent of repigmentation, color match, change in DLQI score, and patient satisfaction. The categorical data were presented as number (percent) and were compared among groups using Chi-square test. Mean and standard deviation were calculated for demographic data, and they were also compared by using student t-test. Probability P value < 0.001 was considered statistically significant.The extent of repigmentation was excellent (90%-100% repigmentation) in 72.5% of lesions in the JT group and in 40% of lesions in the STSG group (P < 0.001). Seventy-five percent repigmentation (good repigmentation) was observed in 95% of lesions in the JT group and in 83.75% of lesions in the STSG group (P = 0.040). There was a highly significant decline in DLQI score. Post-procedure DLQI (0.79 ± 1.13) and pre-procedure DLQI (15.39 ± 4.76) in the JT group were compared with post-procedure DLQI (3.85 ± 2.89) and pre-procedure DLQI (16.19 ± 4.56) in the STSG group. The mean decline among groups differed significantly (P < 0.001). Adverse events were significantly higher in the STSG group at the recipient site.JT is found to be significantly better than STSG with regard to the degree of repigmentation.
Preterm babies have immature immunity and skin barrier functions. To cope up with these, many times they are kept under observation in neonatal care unit (NICU) for months until they attain their normal physiological age, weight, and immune functions along with other vital capacities. We are reporting such a curious case of 1-month-old preterm child who presented with the sequence of blackish blue to yellowish discoloration of thumb nails in both the hands.
Background: Dermatophytosis is a common fungal infection affecting 20-25% of the world population. Aims: Our study was aimed to assess its impact on health-related quality of life(QoL), mental health, and various variables. Materials and Methods: A cross-sectional study was done from April 2019 to September 2019 on 174 patients of dermatophytosis of aged more than 16 years with their informed consent. The impact of infection on the quality of life was assessed by using the Dermatology life quality index questionnaire and General health questionnaire-12 was used to assess psychological impact. A visual analogue scale was used to assess the severity of pruritus. Appropriate statistical tests were applied. Results: Males to females ratio was 1.4:1. The age group of 21-30 was having the highest number of patients with the mean age of 27.8±9.97. Most patients had BSA under 10%. The mean value of DLQI and GHQ-12 were found 15.989±7.407 and 2.8563±2.8964, respectively. We found that dermatophytosis had a very large effect on the quality of life as the maximum number of patients(39%) were within this category. The “work and school” part in the questionnaire gained maximum importance(52.8%). The mean VAS score was 6±2.733 with most patients(32.7%) had moderate itching. We found a positive correlation between VAS and DLQI, VAS and GHQ-12, DLQI, and GHQ-12 with the statistical significance. Conclusion: In our study dermatophytosis affected the quality of life as well as the psychological health of patients. Therefore proper treatment of superficial dermatophtytosis is essential to prevent it from further complications.
The present study aimed to examine the relationship between adjustment and mental health of male and female army officers. Sample consisted of 200 army officers out of which 100 were males and rest 100 were female officers. The sample was assessed on Bells Adjustment Inventory by Ojha and Mental Health Inventory by Jagdish and Srivastava, correlation between the samples revealed that there is a positive and significant relation between adjustment and mental health of male and female officers.
Parthenium dermatitis is caused by friable plant extracts of Parthenium hysterophorus and related species. Approximately 40% of cases of plant dermatitis in India are contributed by this single species.This was a cross-sectional, observational study conducted in the Department of Dermatology of Jhalawar Medical College. Ninety-nine consecutive patch test positive parthenium dermatitis human subjects of age more than 16 and either sex were included. The study period was 11 months between September 2019 and August 2020. Sociodemographic, clinical profile parthenium dermatitis severity score (PDSS) and Dermatology life quality index (DLQI) were obtained from each patient. Correlation between PDSS and DLQI was obtained using Pearson's two-tailed coefficients.Our study included 62 men and 37 women (1.67:1). The mean age was 51 ± 10.27 years. Mean duration of disease was 8.47 ± 4.45 years, and mean PDSS was 57.25 ± 17.65, mean DLQI was 17.14 ± 5.56. ABCD with CAD was the most common clinical subtype (45.45%). A significant positive correlation was observed between PDSS and DLQI.In this study, a significant impairment in quality of life (QoL) was observed in patients with higher score of PDSS and increasing duration, emphasizing that the disease needs specialized care including multiple indoor admission at the time of flare-up of disease.
Background: Cervical spine immobilisation with a semi-rigid cervical collar imposes difficulty in tracheal intubation. There is increasing use of the Intubating Laryngeal Mask Airway (LMA- FastrachTM) for intubation in patients with difficult airways. The present study was conducted to assess its potential role for tracheal intubation in simulated fixed cervical spine patients.Method: After obtaining approval from the ethics committee and patients' consent, this observational study was performed on 35 adult patients of either sex of ASA physical status I and II scheduled to undergo surgery under general anaesthesia requiring tracheal intubation. A two-piece semi-rigid cervical collar of appropriate size was positioned around the neck of patients. A standard anaesthesia protocol comprising glycopyrrolate, propofol and vecuronium was used for induction of anaesthesia. ILMA placement and blind tracheal intubation through this was attempted by using dedicated silicone tube provided with the ILMA set. Success rate, number of attempts required, time taken, difficulties encountered and any complication that occurred were noted. Anaesthesia was maintained with isoflurane in oxygen and nitrous oxide, pethidine and vecuronium. Following completion of surgery, neuromuscular blockade was reversed with glycopyrrolate and neostigmine.Results: The overall success rate was 85.7% and the success rate for ILMA placement at first attempt was 57.1%. Tracheal intubation was successful at first attempt in 70.5% of patients. The time taken for ILMA placement and tracheal intubation through this was 31.76 ± 9.74 and 34.04 ± 12.68 seconds respectively. Decreased mouth opening due to presence of the collar led to difficulty in ILMA placement.Conclusions: Blind tracheal intubation through ILMA is a possible option for airway management in patients with a semi-rigid cervical collar.
Fifty-three samples of gallbladder bile were obtained at the time of cholecystectomy from patients with the clinical diagnosis of acute or chronic cholecystitis. Five bile samples from patients with clinically normal gallbladders also were obtained. Proton magnetic resonance (MR) relaxation times, protein content, and water content were determined for the bile samples, and the data were grouped according to pathologic diagnosis, which disclosed 11 cases of acute cholecystitis, 41 cases of chronic cholecystitis, and six normal gallbladders. There was no significant difference in the mean T1 and T2 values between the groups with acute and chronic cholecystitis. Patients with chronic cholecystitis were found to have more concentrated bile than those with acute cholecystitis. Protein content varied widely within both groups of patients. We conclude that T1 and T2 relaxation times do not reliably differentiate acute from chronic cholecystitis.
'%3e%3ccircle r='20' fill='%23008'/%3e%3ccircle r='17.5' fill='%23fff'/%3e%3ccircle r='3.5' fill='%23008'/%3e%3cg id='d'%3e%3cg id='c'%3e%3cg id='b'%3e%3cg id='a' fill='%23008'%3e%3ccircle r='.875' transform='rotate(7.5 -8.75 133.5)'/%3e%3cpath d='M0 17.5.6 7 0 2l-.6 5L0 17.5z'/%3e%3c/g%3e%3cuse xlink:href='%23a' transform='rotate(15)'/%3e%3c/g%3e%3cuse xlink:href='%23b' transform='rotate(30)'/%3e%3c/g%3e%3cuse xlink:href='%23c' transform='rotate(60)'/%3e%3c/g%3e%3cuse xlink:href='%23d' transform='rotate(120)'/%3e%3cuse xlink:href='%23d' transform='rotate(-120)'/%3e%3c/g%3e%3c/svg%3e)