Current mycological profile of dermatophytosis in a tertiary care set up in North Bengal

To determine the occurrence, distribution and mycological profile of dermatophytosis in North Bengal Medical College and Hospital, in Darjeeling, West Bengal, India. A total of 200 specimens were collected from clinically suspected dermatophytoses from February to April 2013. Samples of skin scrapings, hair shafts and nails were sent to laboratory from dermatology OPD for direct examination, fungal culture and identification. Adult males outnumbered females in all cases of dermatophytosis except tinea corporis. Most cases showed high culture sensitivity except tinea unguium. Trichophyton rubrum was the most commonly isolated fungal organism. This study identifies the clinical distribution and predominant organisms causing dermatophytosis in North Bengal, which may be useful to ascertain the past and present trends in dermatophytosis and provide insight into future diagnosis and treatment

Primary bilateral small lymphocytic lymphoma of ocular adnexal origin: imprint cytology suggests the intraoperative diagnosis

Ocular adnexal lymphomas [OAL] involve the peri-global soft tissues like orbit, eyelid, conjunctiva, lacrimal gland. We describe a rare case of primary bilateral OAL, histomorphologically small lymphocytic lymphoma, B cell phenotype of lacrimal gland origin. Rapid intraoperative diagnosis can be suggested on imprint cytology; subsequent histology and immunohistochemistry are helpful for confirmation and further line of management. Since no preformed lymphoid structures are expected within the orbit or lacrimal gland, any lymphoid mass here should be critically evaluated as a lymphoproliferative lesion

Angiolymphoid hyperplasia with eosinophilia: improvement in a recurrent case with isotretinoin

Angiolymphoid hyperplasia with eosinophilia [ALHE], characterized by dermal and subcutaneous nodules in head and neck areas, is often very disfiguring. There are different modalities of treatment but surgery seems to be the best. We report a 31-year-old man with recurrent ALHE showing considerable improvement with isotretinoin