Keratosi lichenoides chronica: case report

Keratosis lichenoides chronica [KLC] or Nekam's disease is a controversial rare dermatosis of unknown etiology. It is characterized by symmetrically arranged lichenoid linear and reticulate scaly plaques and hyperkeratotic papules most marked on extremities and buttocks and accompanied by facial lesions resembling seborrheic dermatitis. It usually affects adults between 20 to 40 years but children are affected occasionally. We report a case of middle-aged female showing chronic lichenoid plaques in a characteristic linear and reticulate fashion over buttocks and thighs with minimal pruritus, resistant to conventional treatment, and associated seborrheic dermatitis like eruption on face. KLC is a chronic and progressive disorder extending over many years and is very resistant to therapeutic approaches. Despite being a rare disorder, it is important to to be familiar with KLC, which can be easily confused with kocbner's phenomena of lichen planus

Jadassohn-Lewandowsky genodermatosis syndrome: rare

Pachyonychia congenita [PC] is a rare type of genodermatosis characterized by palmoplantar keratoderma, subungual hyperkeratosis, and oral mucosal leukokeratoses along with other features like hyperkeratotic follicular papules, hyperhidrosis of palms and soles, and hair abnormalities. It is caused by mutations in keratin genes KRT6a, KRT6b, KRT6c, KRT16, KRT17

We report a 12-year-old female patient presenting with thickened, discolored nails, palmoplantar keratoderma, and follicular papules all over the body

Clinico-epidemiological study on metal-induced contact dermatitis from North India

Objective: To determine the prevalence of metal sensitization and different clinical patterns in suspected patients of metal induced contact dermatitis

Methods: This was an epidemiological study during which a total of 100 patients suspected and provisionally diagnosed as having contact dermatitis to metals were subjected to a patch test with Indian Standard Battery developed by CODFI [Contact and Occupational Dermatoses Forum of India]. Results were read after 48hrs of application and a second reading, if required, was taken after 72-96hrs

Results: Most of the patients in this series presented with hand eczema [40%], which was followed by dermatitis localized to site of contact with metal [20%] and facial dermatitis including eyelid dermatitis [15%]. Twenty-seven patients showed positive reactions to metal allergens. Crosssensitivity was low and three patients or 11.11% showed sensitization to two metal allergens. No patient showed sensitization to all the three metals. Conclusion: Nickel was the commonest metal allergen identified and it was relevant in 100% of the cases. It showed a strong female preponderance. Patch testing is hence a helpful diagnostic aid in identifying the agents responsible for contact dermatitis and a sincere effort should be made to determine clinical relevance of the test results in every case

Mandibular lateral incisor with four root canals: A unique case of double tooth diagnosed using multidetector computed tomography

Double tooth is a dental anomaly consequent to fusion of two or more teeth or gemination of a single tooth. This report describes a unique case of double tooth in relation to a mandibular lateral incisor exhibiting the presence of four root canals. The role of conventional radiography and advanced three-dimensional imaging techniques in the better assessment of complex root canal systems and their aid in endodontic management has also been highlighted.

Superior and inferior ophthalmic veins thrombosis with cavernous sinus meningioma

Ophthalmic vein thrombosis is an extremely rare entity. We present a case of middle-aged female who presented with proptosis. Contrast-enhanced computed tomography and magnetic resonance imaging showed cavernous sinus meningioma with ipsilateral superior and inferior vein thrombosis. A brief review of the vascular involvement of the meningioma and ophthalmic vein thrombosis is presented along with the case

interdisciplinary approach for restoring function and esthetics in a patient with amelogenesis imperfecta: a case report

Amelogenesis Imperfecta has been defined as a group of hereditary enamel defects not associated with evidence of systemic disease. Restoration for patients with this condition should be oriented toward the functional and aesthetic rehabilitation. The importance of treating the Amelogenesis Imperfecta patient is not only important from a functional standpoint, but also from a psychosocial health standpoint. The complexity of the management of patients with Amelogenesis Imperfecta requires careful considerations of patient expectations for a successful outcome of the treatment. The purpose of this case report is to present the aesthetic and functional rehabilitation of the teeth with an overall enhancement of personality of a 24-year-old patient with Amelogenesis Imperfect