Psoriasis and subclinical atherosclerosis: a significant association

To identify the presence of subclinical atherosclerosis by measuring carotid intima medial thickness [IMT] in patients with psoriasis attending the dermatology clinic of a tertiary care hospital. 30 patients who fulfilled the exclusion and inclusion criteria were recruited. 5 healthy persons devoid of known cardiovascular risk factors were registered as controls. Intima medial thickness of common carotid and vertebral arteries of both sides were measured by B mode ultrasound. Result showed that IMT and velocity of left common carotid artery and velocity in right vertebral artery were significantly greater in psoriatic patients than control group and psoriatic patients had 0.8 times greater risk of developing atherosclerosis than control group. Subclinical atherosclerosis remains undiagnosed in patients of psoriasis who usually lack the established risk factors for cardiovascular disease

Acquired giant tufted angioma: a rare entity

Tufted angioma is an uncommon benign vascular tumour encountered usually in infancy and early childhood. Lesions are mostly confined to the trunk and face and generally not larger than 10 cm in diameter. Our case was about an 11-year-old boy who presented with a very large, enhancing, reddish brown coloured, tender plaque on loin. Histopathology revealed circumscribed, multiple foci of closely set vascular channels giving the canon ball appearance suggestive of tufted angioma. Giant tufted angiomas are rare and hence reported

Eccrine syringofibroadenoma: an unusual presentation of a rare disease

Eccrine syringofibroadenoma [ESFA] is a rare disorder with differentiation towards ductal eccrine apparatus. There are a variety of clinical manifestations and distribution of lesions but the histopathological features are remarkably similar with benign appearing anastomosing cords of eccrine ductal epithelial cells with or without lumina formation, are embedded in loose fibrovascular stroma. We report a case of 55-year-old Muslim man having large pale pink slightly verrucous plaque on right upper back since last 20 years with central ulceration for 8 years. Punch biopsy was done and showed features of ESFA