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

Extensive papulonodular lesion in a child - granuloma annulare presenting as a diagnostic dilemma

Granuloma annulare is an idiopathic, palisaded, granulomatous disorder. There are four main clinical varieties of GA of which the subcutaneous type is less commonly encountered. Here, we report a case of generalized subcutaneous granuloma annulare in a 10-year-old boy. This variety is common in children but its generalized form is a rare presentation.

Linear punctate porokeratosis with ipsilateral solitary actinic porokeratosis: an unusual coexistence

Punctate porokeratosis is a rare variant of porokeratosis. Linear distribution of this entity has been described in very few cases. Herein, we report a case of rare coexistence of unilateral linear punctate porokeratosis and ipsilateral solitary actinic porokeratosis in an 18-year-old male