Skin Deep - A Dermatology Blog

The new generation zit zapper

2010-06-03T11:38:00.001+04:00

Summary: This DermaFiction story is based on the recent report of an iPhone app that is claimed to be effective in acne. The device is not FDA approved.The news conference was hastily arranged. Professor Anderson fidgeted in his chair. He appeared to be distinctly uncomfortable with the whole proceedings. Probably he was not ready for this. At least not as yet.The idea was simple. The idea struck

Honey, I shrunk the SPF.

2010-05-29T10:23:00.002+04:00

Description: Sun Protection Factor (SPF) is a popular marketing concept with little clinical relevance. Sun protection does not mean diligent use of sunscreen. This article belongs to DermaFiction series.I am not Copernicus to say that sun is the centre of life. I do believe excessive sun exposure has harmful effects and tanning should not be encouraged. I do believe that certain wavelengths

Skin Deep – The new beginning

2010-05-13T14:02:00.000+04:00

I started skin deep blog in 2006. I was new to blogging that time. I used to post interesting cases on this blog. Few of my friends joined me and I started an offshoot called the 'hair loss blog'. Over the years skin deep blog has grown significantly in popularity reaching the first 3 in google search for dermatology blogs and on 2010 I started displaying paid ads from adhitz. Recently the

This blog has moved

2010-04-23T09:10:00.001+04:00

This blog is now located at http://blog.gulfdoctor.net/. You will be automatically redirected in 30 seconds, or you may click here. For feed subscribers, please update your feed subscriptions to http://blog.gulfdoctor.net/feeds/posts/default.

Requirements for research in cosmetic dermatology

2009-11-21T11:16:00.002+04:00

Research in Cosmetic Dermatology: Reconciling medicine with business: (Part II / IV) The complete article is available as a printable pdf file from the Munich Personal RePEc Archive (MPRA) below:http://mpra.ub.uni-muenchen.de/16515/The term

Research in Cosmetic Dermatology: Reconciling medicine with business: (Part I / IV)

2009-08-14T16:24:00.002+04:00

The complete article is available as a printable pdf file from the Munich Personal RePEc Archive (MPRA) below:http://mpra.ub.uni-muenchen.de/16515/ Cosmetic dermatology is a unique specialty where clinical medicine has a legitimate but often detested relationship with business. There are people lined up on either side of the hazy line between medicine and business, each group trying to

Notalgia Paresthetica

2008-09-10T07:07:00.000+04:00

This patient presented to me with this pigmented itchy patch over the right infra scapular region. He had a neurological disorder with paresthesia extending to right finger tips. There is a report of successful treatment of this condition with Botulinum Toxin Type A. [Arch Dermatol. 2007; 143(8):980-982.]

Pitted keratolysis

2008-06-21T00:32:00.000+04:00

Pitted keratolysis is caused by a cutaneous infection with Corynebacterium and Actinomyces. It is often associated with hyperhidrosis. It is common in this part of the world because of occlusive footwear. Twice daily application of erythromycin or clindamycin is effective.

Speckled lentiginous nevus

2008-05-09T11:34:00.000+04:00

Speckled lentiginous nevus is a patch of hyperpigmentation representing a localized defect in neural crest melanoblasts. Several black or brown macules are seen within a patch of brown hyperpigmentation. Some consider this a variant of Congenital melanocytic naevus.

DermaMan: A dermatology calculator for PDAs

2008-01-06T22:44:00.000+04:00

I have recently made a simple application to bring basic dermatology related calculations to hand held devices in Java. It includes modules for frequently used dermatological calculations like PASI, MASI, SCORAD and for PUVA and Botox (R) related calculations.DermaMan is a freeware which can be downloaded from http://www.gulfdoctor.net/derm/dermaman.htm if you are accessing from a PC and http://

Fixed Drug Eruptions (FDE)

2007-12-02T17:24:00.000+04:00

Hands, feet, and genitalia are the most common locations for Fixed Drug Eruptions (FDE) and lesions recur in the same area when the offending drug is given.

Hansens Disease (Leprosy)

2007-09-13T21:15:00.001+04:00

First Hansen’s I have seen after coming here. The treatment was hindered by the non availability of Dapsone and clofazamine. With the emergence of latest bactericidal drugs it is not much of a problem any more.

Sclerotic patch

2007-08-02T22:19:00.000+04:00

This 35 year old Asian male patient presented with this unilateral hyperpigmented sclerotic patch over the face for 20 years. What is your diagnosis?

Periorificial crusting and acral desquamation

2007-06-02T08:56:00.001+04:00

This poorly nourished 2-year-old girl developed asymptomatic erythema and crusting of the periorificial areas of the face over last one month. Desquamation of the distal phalanges of the fingers and the toes was also noted. Please take a look at the images and share your comments regarding the differential diagnosis.

2007-05-16T21:48:00.000+04:00

Pityriasis rosea is a skin disease characterized by sharply defined pruritic red patches covered by fine scales mostly affecting young adults. Typical lesions usually affect the trunk in a Christmas-tree pattern and it usually resolves spontaneously after 6 weeks. This patient reported with classic presentation of pityriasis rosea except for the unusual associated palmar lesions. A VDRL test was

2007-03-16T22:40:00.000+04:00

This is a query I recently received."The spots (they all have a hair coming out of the middle) pretty much stay there permanently. They have been around months but got real bad a month ago. Putting isotretinoin cream on made it much worse giving massive whiteheads and cysts. After stopping it reverted to how it is now. The area is pretty dry, a little scaly, itchy and quite red. It started in the

A recurrent vesicular eruption

2007-01-26T16:34:00.000+04:00

This 4-year-old boy had a recurrent vesicular eruption on the sun exposed areas for three years. The eruption would heal with varioliform scarring. The boy's father and one of the siblings had similar problem since early childhood. What would be the ddx?

Hyper pigmentation in neonate

2006-12-13T21:59:00.000+04:00

This 17 days old baby girl developed such mottled hyper pigmentation on face and rest of the body since last 2 days. There is no h/o prior rash. There is h/o fever on day 5 after birth for which baby was admitted by pediatrician and she received 5 days course of ampicillin, Inj.Gentamycin and Inj.Ceftrioxone. It was normal delivery but at 36th week of gestation. Except for pigmentation she was

Acute generalised exanthematous pustulosis (AGEP)

2006-12-02T18:56:00.000+04:00

This patient presented to me with sudden onset of widespread non follicular pustules over his body. He did not give personal or family history of psoriasis. My diagnosis was Acute generalised exanthematous pustulosis (AGEP). AGEP is a condition characterised by sudden onset of non-follicular aseptic pustules all over the body. Among drug-induced skin eruptions, AGEP is remarkable by its short

Progressive Palmo Plantar Keratoderma of Greither

2006-11-21T12:10:00.000+04:00

Today an old patient of mine came with his brother who had severe palmo plantar keratoderma since childhood which worsened after coming to Gulf. The most striking feature was the transgrediens. They said several members of their family have this problem. With my broken Hindi, I managed to elicit sufficient history to draw a crude pedigree chart. Based on the livid transgrediens, I came to a

Polymorphous Light Eruption (PLE / PMLE)

2006-11-16T10:24:00.000+04:00

Differentiation of PLE on pigmented skin from Actinic LP can be tricky without a biopsy as the second condition is also fairly common in India and Gulf. On fair skin PLE is described as ‘pink or red raised spots’ [ http://dermnetnz.org/reactions/pmle.html ] but the pink hue is never appreciable on pigmented skin. PLE is generally pruritic and involves photo exposed areas, often sparing the face

Follicular Lesions

2006-11-06T17:39:00.000+04:00

A 36 year old male patient with these unilateral follicular lesions of 4 months duration over the shin. What is your diagnosis?

Ichthyosis Linearis Circumflexa (ILC) of Netherton Syndrome (NS)

2006-10-30T22:49:00.000+04:00

This 4 year old female patient presented with history of congenital erythroderma (without Colloidal membrane), which was evident during the first weeks of life and severe pruritic dermatosis. History of hair loss was given though it was not severe when she presented to me. Though lesions where predominantly ichthyosiform with a predilection for extremities, she also had eczematous peri-oral

Lupus Vulgaris

2006-10-25T22:14:00.000+04:00

This 18 yr girl was brought for asymptomatic lesion on left elbow since last 3 months.It was a small papule to begin with, then grew slowly but steadily to attain present size. There is spontaneous healing with atrophy in the upper half .Secondary infection at the lower border is since last 5 days,Another small lesion inferior to the main lesion is post traumatic ecthyma (since 10 days.)There is

Nodulocystic Acne

2006-10-23T19:41:00.000+04:00

Nodulocystic acne is a severe form of acne affecting the face, chest and back characterised by multiple inflamed and uninflamed nodules and frequently, scars. It is more common in males. Acne conglobata is an uncommon form of nodulocystic acne in which there are interconnecting abscesses and sinuses. Nodulocystic acne may very rarely be a manifestation of a genetic disorder, PAPA syndrome (