Chromoblastomycosis with skeletal involvement: a case report

Chromoblastomycosis is a chronic cutaneous and subcutaneous infection of tropical and subtropical climates, caused by dematiaceous [black pigmented] fungi. Infection is thought to be secondary to trauma or autoinoculation. It rarely involves other organ systems of the body especially underlying bones. Many cases with similar and additional features have been reported. We describe one case of this infection in a 20-year-old female with skeletal changes along with review of literature

Efficacy of narrowband ultraviolet B phototherapy with needling in patients of vitiligo

Objective: To determine the efficacy of narrowband ultraviolet B therapy [NBUVB] with needling in patients of vitiligo

Methods: A total of 100 cases were included in this study. In each patient a patch of 15 to 5 cm diameter skin area was selected as a target lesion for the study. Needling was done on the whole patch with a disposable insulin syringe, from the pigmented margins or the islands in the vitiliginous patch. After the procedure, the whole patch was subjected to NBUVB. The repigmentation was assessed according to 5-grades scale. Results: Out of 100 patients of vitiligo, 45% males and 55 % females, treated with NBUVB with needling, 58% patients showed grade 4 response i.e. 75% or more repigmentation

Conclusion: Narrowband UVB with needling is an effective, useful and well-tolerated therapy for treatment of vitiligo

Diogenes syndrome in a patient suffering from neurodegenerative disease

Discontinuation of the normal skin cleansing in geriatric or self-neglected patients can result in accumulation of keratinous scales, crusts on the skin and its most severe form has been named as Diogenes syndrome. The usual affected sites are upper central chest, back and the groins. These patients may have psychiatric or mood disorders or temporofrontal dementia. Alcohol abuse is a co-factor. Subjects are mainly the elderly, but a few cases in younger age group of patients have also been recorded who showed lesions on the scalp, face or arms. We report a case of Diogenes syndrome in a 20-year-old girl who was suffering from familial neurodegenerative disease