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1.
Water Environ Res ; 94(7): e10759, 2022 Jul.
Article in English | MEDLINE | ID: mdl-35796043

ABSTRACT

The pollutants released from pharmaceutical, steel, paper, and battery industries into water cause stress on the natural ecosystems, may mix with soil and water, enter into human food chain, and hence cause irreparable damage to the biotic system. Hence, the appropriate monitoring of water along with determination of heavy metals is very important for human beings. In present paper, total reflection X-ray fluorescence (TXRF) spectrometry technique is employed to determine the level of different contaminants in the water samples gathered from the various sites of an identified industrial area. Experimentation is carried out at Raja Ramanna Centre for Advanced Technology (RRCAT), Indore-India by using TXRF, which is one the advance techniques of element determination up to ppb levels. The elemental concentration of Cl, K, Ca, Fe, Cu, Zn, Ga, Br, Sr, As, Pb, and Ni is quantified and compared with the limits established by the WHO (World Health Organization) and BIS (Bureau of Indian Standard) guidelines regarding drinking water use. The levels of the Pb, Fe, As, Ni, Cr, Co, and Mn exceeded the values suggested by WHO and BIS at some locations/sites. To better understand the situation, water quality parameters such as Water Quality Index (WQI), Heavy metal Pollution Index (HPI), Contamination Index (CI), Metal Enrichment Index (MEI), and Heavy Metal Evaluation Index (HEI) have also been assessed for all the sites close to industrial hub. Among all sites except at A3 and A6, WQI is found to be much greater than WHO and BIS established limit. Level of arsenic in the water at A1 location was found 73 ppb. However, lead metal in water was found to be very high at all the six studied locations, and at A1 location, it is found extremely high 2613 ppb. Therefore, water at A1 and A2 sites is found to be unfit for drinking. PRACTITIONER POINTS: Total reflection X-ray fluorescence (TXRF) spectrometry technique is employed to determine the level of different contaminants in the water samples The elemental concentration of Cl, K, Ca, Fe, Cu, Zn, Ga, Br, Sr, As, Pb, and Ni is quantified and compared with the limits prescribed by the WHO Water Quality Index (WQI), Heavy metal Pollution Index (HPI), Contamination Index (CI), Metal Enrichment Index (MEI), and Heavy Metal Enrichment Index (MEI) have also been assessed for all the sites Water at some sites is found unfit for drinking purpose. Based on the observations, some remedial measures are suggested to reduce the level of water contaminants up to desired levels.


Subject(s)
Metals, Heavy , Water Pollutants, Chemical , Ecosystem , Environmental Monitoring/methods , Humans , Lead , Metals, Heavy/analysis , Synchrotrons , Water Pollutants, Chemical/analysis , Water Quality , X-Rays
2.
J Assoc Physicians India ; 70(4): 11-12, 2022 Apr.
Article in English | MEDLINE | ID: mdl-35443513

ABSTRACT

Many novel drugs were used in COVID19 pandemic to improve outcome. One such molecule is Methylene blue which is a, tricyclic phenothiazine compound approved for the treatment of acquired methemoglobinemia and some other uses US FDA. This molecule was found to inhibit the interaction of COVID19 virus and target cells in dose dependent manner. It was also found to inhibit interaction of viron with host cells, by inhibiting interaction of SARS CoV2 spike protein and ACE inhibitor receptor interactions. MATERIAL AND METHODS: A) Aim & Objectives: To evaluate the effect of Nebulised Methylene blue on the clinical course and outcomes of patients with COVID-19 infections. B) Study design Observational Study C) Participants 63 COVID19 RT-PCR positive cases divided in 3 groups. Group 1 consists of patients who were prescribed Methylene blue nebulization in form of Methylene blue 0.5 mg via nebulization along with bronchodilator Levosalbutamol (1.25 mg) + Ipratropium (500 mcg) three times a day . Group 2 consists of patients with Methylene blue nebulization in form of Methylene blue 0.5 mg via nebulization along with inhalational steroid Budesonide (1 mg). Group 3 acted were those patients who had no Methylene blue nebulisation in their treatment. OBSERVATION: 1) Analysis 63 cases were divided in 3 groups of 21 each, descriptive and frequency analysis of cases in groups are shown. CONCLUSION: No statistically significant difference in outcome measures like Spo2, duration of hospital stay or inflammatory markers. A general trend of fall in inflammatory markers and O2 requirements in group receiving methylene blue but this difference was not consistantly statistically significant.


Subject(s)
COVID-19 Drug Treatment , Methemoglobinemia , Humans , Methylene Blue/pharmacology , Methylene Blue/therapeutic use , Pandemics , SARS-CoV-2
3.
J Healthc Eng ; 2022: 3491828, 2022.
Article in English | MEDLINE | ID: mdl-35340257

ABSTRACT

One of the most common neurological disorders is epilepsy, which disturbs the nerve cell activity in the brain, causing seizures. Electroencephalography (EEG) signals are used to detect epilepsy and are considered standard techniques to diagnose epilepsy conditions. EEG monitors and records the brain activity of epilepsy patients, and these recordings are used in the diagnosis of epilepsy. However, extracting the information from the EEG recordings manually for detecting epileptic seizures is a difficult cumbersome, error-prone, and labor-intensive task. These negative attributes of the manual process increase the demand for implementing an automated model for the seizure detection process, which can classify seizure and nonseizures from EEG signals to help in the timely identification of epilepsy. Recently, deep learning (DL) and machine learning (ML) techniques have been used in the automatic detection of epileptic seizures because of their superior classification abilities. ML and DL algorithms can accurately classify different seizure conditions from large-scale EEG data and provide appropriate results for neurologists. This work presents a feature extraction-based convolutional neural network (CNN) to sense and classify different types of epileptic seizures from EEG signals. Different features are analyzed to classify seizures via EEG signals. Simulation analysis was managed to investigate the classification performance of the hybrid CNN-RNN model in terms of different achievement metrics such as accuracy, precision, recall, f1 score, and false-positive rate. The results validate the efficacy of the CNN-RNN model for seizure detection.


Subject(s)
Epilepsy , Signal Processing, Computer-Assisted , Algorithms , Electroencephalography/methods , Epilepsy/diagnosis , Humans , Neural Networks, Computer , Seizures/diagnosis
4.
Dermatol Ther ; 33(6): e14388, 2020 11.
Article in English | MEDLINE | ID: mdl-33034942

ABSTRACT

Platelet-rich plasma (PRP) is a new modality of treatment in the field of dermatology. There are paucity of studies evaluating the effects of PRP in nonscarring alopecia especially alopecia areata (AA). To compare the efficacy and safety of PRP in patchy AA of the scalp in a placebo and active controlled trial. This was a randomized, placebo and active controlled, split scalp study. Fifty patients of patchy AA of the scalp were recruited and allocated to two treatment groups. Left side of the scalp received placebo (intralesional normal saline), right side of the scalp received intralesional PRP in one group and intralesional triamcinolone acetonide in second group. Three treatment sessions were given at 4-week interval and final follow-up was done at 8 weeks later. SALT scoring, dermoscopy were the parameters used to assess the efficacy. The SALT score showed statistically significant improvement from baseline in both the treatment groups (P value <.001). The maximum absolute regrowth was shown by the steroid group followed by PRP followed by placebo group (P value .016). Improvement in dermoscopic findings were similar in both the PRP and steroid groups followed by placebo (P value .448). PRP is a promising therapy in AA as an adjuvant in those with minimal response and those not tolerating steroids or have developed adverse effects to it.


Subject(s)
Alopecia Areata , Platelet-Rich Plasma , Alopecia Areata/diagnosis , Alopecia Areata/therapy , Humans , Scalp , Treatment Outcome , Triamcinolone Acetonide
5.
J Cutan Aesthet Surg ; 12(3): 158-163, 2019.
Article in English | MEDLINE | ID: mdl-31619887

ABSTRACT

BACKGROUND: Acne is a commonly encountered disorder in the dermatological practice. Chemical peeling is one of the treatment modalities in acne and postacne pigmentation. Although various peeling agents are available, studies comparing their efficacy are lacking. Moreover, there is a paucity of studies comparing the efficacy of combination peels in Asian population. MATERIALS AND METHODS: Forty-five patients with mild to moderate acne were divided into three groups of fifteen each. Groups A, B, and C underwent peeling sessions biweekly with 35% glycolic acid, 20% salicylic-10% mandelic acid, and phytic acid peels, respectively, for a total of six sessions. All other anti-acne treatments were stopped. Lesion count was carried out at baseline and at each follow-up visit. Acne scoring and postacne hyperpigmentation index were noted at each visit. Photographic record was maintained. RESULTS: Significant reduction in inflammatory and noninflammatory lesion count was noted at 12 weeks in all the three study groups. Reduction in acne score at the end of 12 weeks in the three study groups was 70.55%, 74.14%, and 69.7%, respectively. A significant decline was observed in the postacne hyperpigmentation index in all the three study groups at the end of 12 weeks (P = 0.034). CONCLUSION: All three chemical peels are effective in the treatment of mild to moderate acne in Asian population. No significant adverse effects were noted.

6.
Int J Dermatol ; 58(11): 1305-1310, 2019 Nov.
Article in English | MEDLINE | ID: mdl-31187480

ABSTRACT

BACKGROUND: Though melasma is a common skin condition in India, epidemiological studies are few and geographically confined. The present study was designed to gain insights into factors involved in causation and aggravation of melasma, demographic distribution, clinical presentations, and treatment patterns. METHODS: A cross-sectional multicentric study was conducted in 10 centers distributed across the four regions of India. Data including demographics, personal and family medical history, triggering and aggravating factors, clinical patterns, and details of past treatment regimens were recorded, and severity was estimated using the modified Melasma Area and Severity Index (MASI) score. Data collected by site dermatologists were collated and analyzed. RESULTS: The study evaluated 1,001 patients with melasma from 10 centers. Mean age was 38.02 years. Females dominated (85%). Proportion of males was highest in the east (22.2%) and lowest in the south (10.8%). Majority of patients belonged to intermediate skin phototypes. There was a significant difference (P = 0.000) between duration of sun exposure and duration of cooking fire/occupational heat exposure across the four regions. There was a significant association (P = 0.003, Mann-Whitney U test) and a positive correlation between duration of cooking heat/occupational heat exposure and severity of melasma. Sunscreens were used by only one-fifth of the study population (19.6%) whereas use of steroids and triple combinations was more common (28%). CONCLUSION: One of the largest studies on melasma from the subcontinent, this study describes the epidemiological determinants of melasma. Data suggests that the duration of cooking fire/occupational heat exposure may be linked to severity of melasma. Sunscreen use seems inadequate in Indian patients; use of steroid-containing medications is more common.


Subject(s)
Glucocorticoids/therapeutic use , Hot Temperature/adverse effects , Melanosis/epidemiology , Occupational Exposure/adverse effects , Sunscreening Agents/administration & dosage , Adolescent , Adult , Age of Onset , Aged , Cooking , Cross-Sectional Studies , Female , Fires , Humans , India/epidemiology , Male , Melanosis/diagnosis , Melanosis/etiology , Melanosis/therapy , Middle Aged , Prevalence , Risk Factors , Severity of Illness Index , Sunlight/adverse effects , Time Factors , Treatment Outcome , Young Adult
7.
Indian J Dermatol Venereol Leprol ; 85(5): 455-461, 2019.
Article in English | MEDLINE | ID: mdl-31031313

ABSTRACT

BACKGROUND: Alopecia areata is an autoimmune disease that occurs as a result of the loss of the inherent immune privilege of the hair follicle. It has been recently demonstrated that the interferon-γ/interleukin-15 feedback loop that signals via the Janus kinase-signal transducer and activator of transcription pathway is critical to the breakdown of this immune privilege. AIMS: To evaluate the immunological distribution of CD4+ T-cells, CD8+ T-cells, phosphorylated signal transducer and activator of transcription 1 and study its relation with the clinical and histopathological findings of the disease. MATERIALS AND METHODS: A total of 30 patients of alopecia areata were included in the study. Following a detailed history and clinical examination, a scalp biopsy was performed. Histopathology was studied and immunohistochemistry was done to demonstrate the positivity and distribution of CD4+ T-cells, CD8+ T-cells and phosphorylated signal transducer and activator of transcription 1. RESULTS: The follicular count, number of anagen and terminal hair were found to be decreased, whereas the catagen, telogen and vellus hair were found to be increased in number. A peribulbar CD4+ T-cell infiltrate was seen in 70% cases, whereas a CD8+ T-cell infiltrate was seen in 83.3% cases. An intrabulbar CD4+ T-cell infiltrate was seen in 26.7% cases, whereas a CD8+ T-cell infiltrate was seen in 70% cases. Among the 25 hair follicles dermal papilla identified, 36.8% cases were found to be positive for phospho-signal transducer and activation of transcription-1. LIMITATIONS: The drawbacks of our study included a small sample size and the use of only vertical sectioning for the scalp biopsy samples. CONCLUSION: Phosphorylated signal transducer and activator of transcription 1 positivity as an indicator of signalling via the Janus kinase-1/2 pathway was seen in 36.8% of our cases highlighting the integral role of this pathway in the pathogenesis of alopecia areata.


Subject(s)
Alopecia Areata/immunology , Alopecia Areata/pathology , Janus Kinase 1/physiology , Janus Kinase 2/physiology , Transcription, Genetic/physiology , Adolescent , Adult , CD4-Positive T-Lymphocytes/physiology , CD8-Positive T-Lymphocytes/physiology , Child , Child, Preschool , Cross-Sectional Studies , Female , Hair Follicle/immunology , Hair Follicle/pathology , Humans , Janus Kinases/physiology , Male , Middle Aged , Young Adult
8.
Int J Womens Dermatol ; 5(2): 92-95, 2019 Jun.
Article in English | MEDLINE | ID: mdl-30997380

ABSTRACT

Linear immunoglobulin A disease (LAD) is a rare, autoimmune, vesicular-bullous disease that is either idiopathic or drug-induced, most commonly by vancomycin and in rare instances by amlodipine. In drug-induced LAD, certain uncommon and atypical clinical features can occur. In our patient, a 49-year-old woman with amlodipine-induced LAD, atypical features such as koebnerization and palmo-plantar involvement occurred. She presented with tense, clear fluid-filled vesicles, bullae, and erosions all over her body, especially on the palms and soles, with some lesions showing a string-of-pearls appearance. The lesions were preceded by pruritus, and the patient had changed her anti-hypertensive medication from telmisartan to telmisartan-amlodipine for previous 10 days. Skin biopsy and direct immunofluorescence testing confirmed LAD. During the hospital stay, along with new crops of lesions, a few vesicles were present along the lines where she had scratched and the band of tight elastic sleeves of the sterile gown she wore, which is suggestive of koebnerization. Knowing the atypical manifestations of drug-induced LAD may aid clinicians in determining an early diagnosis, and LAD should be an important consideration in the differential diagnosis of vesiculobullous disease with palmar-plantar involvement. Amlodipine is a commonly used anti-hypertensive drug, so knowledge of its potential to cause this disease is important. Furthermore, knowing the potential for koebnerization, avoidance of trauma and the gentle handling of these patients can lead to early recovery from this self-limiting disease.

9.
Indian J Dermatol ; 64(1): 62-64, 2019.
Article in English | MEDLINE | ID: mdl-30745638

ABSTRACT

Lichen nitidus is a common dermatosis described classically as shiny, skin-colored, nonfollicular, flat-topped papules. A number of variants have been described in literature including localized, generalized, actinic, vesicular, perforating, hemorrhagic, palmar/plantar, purpuric, and linear forms. Here, we report an unusual case of linear lichen nitidus in an 11-year-old boy mimicking lichen striatus along the left thumb with isolated nail involvement of the affected digit. Nail involvement in lichen nitidus is very rare; there are only seven cases of lichen nitidus associated nail changes reported in the literature. To the best of our knowledge, this is the first such case reported from India.

10.
Indian J Pathol Microbiol ; 62(1): 103-106, 2019.
Article in English | MEDLINE | ID: mdl-30706869

ABSTRACT

OBJECTIVES: To study the direct immunofluorescence (DIF) in cicatricial alopecia (CA) patients. MATERIALS AND METHODS: Approximately, 155 skin biopsies from CA patients examined over 7 years (2009-2015). Special stains and Hematoxylin and Eosin were performed, and final histopathological diagnosis was made. DIF (against anti-IgG, IgM, C3, IgA, and fibrinogen) on all these cases and patterns were noted. The descriptive statistics were applied along with ANOVA test. RESULTS: Approximately, 155 patients with Male: Female = 1.24:1, age 7-65 years. In total, 57 cases were of Lichen planopilaris (LPP; 36.7%), 22 Lichen planus (LP; 14.2%), 22 Psuedopalade of Brocq (PPB; 14.2%),16 discoid lupus erythematosus (DLE; 10.3%), 8 end-stage scarring alopecia (ESSA; 5.2%), 2 cases each of Fungal folliculitis (FF), and Folliculitis decalvans (FD; 1.3% each), and in 26 cases, no specific diagnosis could be reached were collectively kept in the category of non-specific findings (NSP; 16.7%). On DIF: LPP positive for IgG = 4 cases (7%), IgM = 26 (45%), IgA = 11 (19.3%), C3 = 16 (28.1%), and fibrinogen = 11 (19.3%). LP positive for IgG = 2 (9%), IgM = 18 (81%), IgA = 2 (9.1%), C3 = 10 (45%), and fibrinogen = 1 (4.5%). DLE positive for IgG = 6 (37%), IgM = 8 (50%), IgA = 1 (6.3%), C3 = 9 (56%), and fibrinogen = 1 (4.5%). LIMITATIONS: Because this was a retrospective study, clinical follow-up and treatment history of the patient could not be retrieved. CONCLUSIONS: IgG positivity helps significantly in differentiating LPP from DLE (P 0.004) and NSP from DLE (P 0.005). IgM positivity helps significantly in differentiating LPP from LP (P 0.04), LP from PPB (P 0.00) and NSP (P 0.00). C3 positivity helps significantly in differentiating PPB from DLE (P 0.02).


Subject(s)
Alopecia/diagnosis , Alopecia/pathology , Cicatrix/pathology , Fluorescent Antibody Technique, Direct , Adolescent , Adult , Aged , Biopsy , Child , Cicatrix/diagnosis , Female , Histological Techniques , Humans , Lupus Erythematosus, Discoid/diagnosis , Male , Middle Aged , Retrospective Studies , Scalp/pathology , Skin/pathology , Staining and Labeling , Young Adult
11.
Indian J Dermatol Venereol Leprol ; 85(2): 160-168, 2019.
Article in English | MEDLINE | ID: mdl-30381582

ABSTRACT

BACKGROUND: Regular exposure to ultraviolet rays is high in India, where most Indians present Fitzpatrick skin phototypes IV and V. AIMS: To evaluate the efficacy and compare the effectiveness of two sunscreen products on Indian skin types IV and V with pigmentation irregularities. METHODS: A randomized, uncontrolled and investigator-blinded, single-center study enrolled adult men and women (18-45 years) with Fitzpatrick skin phototypes IV (28° < individual typological angle <10°) and V (10° < individual typological angle < -30°) with pigmentary abnormalities seen on the face in adults (actinic lentigines and postinflammatory hyperpigmentation), who did not use sunscreens. Participants were randomized (1:1) to either of the two marketed sunscreen products, Product A (sun protection factor 50 PA+++) or Product B (sun protection factor 19 PA+++), applied twice daily before sun exposure for ≥2 h. Primary objectives aimed at assessing possible improvement in hyperpigmented spots and overall skin appearance after 12 weeks of use. Evaluation of skin radiance and skin color was done by means of L'Oréal color chart and colorimetric measurements (Chromameter®). RESULTS: Among the 230 enrolled participants, 216 (93.91%) completed the study. The clinical assessment of the density of pigmented spots and skin radiance showed significant (P < 0.001) improvement in both groups during all visits. The qualitative (participant perception) and quantitative (Chromameter®) data indicated improvement in pigmentation from Week 0 to Week 12. Both products were well-tolerated. LIMITATIONS: The study was conducted over a rather short period of time (12 weeks) at a single location. CONCLUSIONS: This is the first study conducted on Indian skin phototypes IV and V under real-life conditions. It demonstrated the effect of regular sunscreen usage in the prevention of certain signs of skin photoaging such as increased pigmentation or pigmentary abnormalities, thus providing support and assistance to clinicians in suggesting the use of efficient sun-screening products to patients.


Subject(s)
Pigmentation Disorders/physiopathology , Skin Pigmentation/drug effects , Sunburn/prevention & control , Sunscreening Agents/administration & dosage , Adolescent , Adult , Female , Humans , India , Male , Middle Aged , Risk Assessment , Self-Assessment , Single-Blind Method , Skin Pigmentation/physiology , Sunscreening Agents/pharmacology , Treatment Outcome , Young Adult
12.
Article in English | MEDLINE | ID: mdl-29998861

ABSTRACT

BACKGROUND: Accurate preparation of recipient area is a critical step in melanocyte-keratinocyte transplantation procedure for vitiligo. It is an important potential step for adaptation in the quest to achieve better results and ablative lasers potentially offer excellent precision over margin and depth control in achieving that. OBJECTIVE: To compare between the two techniques used for recipient site preparation: Er:YAG laser ablation and mechanical dermabrasion for melanocyte-keratinocyte transplantation procedure in terms of re-pigmentation achieved and adverse effects seen. METHODS: A randomized comparative trial was performed among 32 patients of stable vitiligo undergoing melanocyte-keratinocyte transplantation procedure. In Group A (n = 15), recipient site preparation was done with Er:YAG laser, and in Group B (n = 17), it was done with a motorized dermabrader. Patients of both groups were objectively assessed for re-pigmentation at 1, 3 and 6 months. RESULTS: A total of 253.696 cm2 of depigmented surface was operated upon and re-pigmentation of 125.359 cm2 (49.4%) was achieved. On comparison between two groups, no statistical difference was found with respect to total re-pigmentation achieved (Group A: 54.67% vs Group B: 48.841%, P = 0.663) and grades of re-pigmentation achieved (P = 0.796). Occurrence of adverse events was also statistically similar in both the groups. CONCLUSION: This study did not reveal any statistically different outcome (in terms of re-pigmentation and adverse effects) between the two methods of recipient site preparation - motorized dermabrasion and Er:YAG ablation. LIMITATIONS: This study is small and larger studies are needed to ascertain the benefit of Er:YAG for recipient site preparation. Future studies may also ascertain variables such as time taken to prepare the recipient area, nature of bleeding, postoperative healing, difficulties in specific area, cost of the procedure, patient comfort and ease of the surgeon, rather than comparing the re-pigmentation alone.


Subject(s)
Keratinocytes/transplantation , Lasers, Solid-State/therapeutic use , Melanocytes/transplantation , Skin Transplantation/methods , Vitiligo/diagnosis , Vitiligo/surgery , Adolescent , Adult , Female , Follow-Up Studies , Humans , Male , Young Adult
13.
J Cosmet Dermatol ; 18(4): 1098-1104, 2019 Aug.
Article in English | MEDLINE | ID: mdl-30238598

ABSTRACT

BACKGROUND: Effect of seasonality on acne and acne flare has varied interpretations depending on the geographical area of study. In tropical areas, factors like high temperature and humidity may cause acne flares. AIMS: To assess the seasonal variation of acne in patients and to correlate it with the monthly temperature and humidity over a period of 1 year. METHODS: A cross-sectional study of acne patients was conducted for one year. The patient's acne was graded. Patients were specifically questioned about aggravation, improvement, or no change in their acne with respect to the seasons. The mean temperature and humidity of each month in Delhi were compared with grade of acne. This variation in acne was correlated with the temperature and humidity. A P-value < 0.05 was considered as statistically significant. RESULTS: Out of 171 patients, 82 (47.95%) patients reported seasonal variation in their acne. Among them, 69 patients (40.4%) reported aggravation in summer. Eleven (6.42%) and 2 (1.16%) patients reported aggravation in winter and rainy season, respectively. The aggravation in summer as compared to rainy and winter season was statistically significant. The mean temperature and mean humidity significantly varied with seasonal aggravation of acne. CONCLUSIONS: Both temperature and humidity have a contributing role in pathogenesis of acne and are causes of acne flare. In our study, aggravation of acne was more in summer and rainy season.


Subject(s)
Acne Vulgaris/diagnosis , Seasons , Severity of Illness Index , Symptom Flare Up , Tropical Climate/adverse effects , Acne Vulgaris/etiology , Adolescent , Adult , Child , Cross-Sectional Studies , Female , Humans , Humidity/adverse effects , India , Male , Temperature , Young Adult
14.
Indian J Dermatol ; 63(6): 455-458, 2018.
Article in English | MEDLINE | ID: mdl-30504971

ABSTRACT

BACKGROUND: Childhood leprosy is an important marker of the status of the ongoing leprosy control programme, as it is an indicator of active disease transmission in the community. Despite achievement of elimination status of leprosy in 2005, the reported prevalence of childhood cases continue to be high. METHOD: A retrospective analysis of 11 year records of leprosy patients aged less than 15 years in a tertiary care hospital of central Delhi was carried out from 2005-2015. Data were analysed using SPSS 22.0 system. RESULT: A total of 113 (7.6%) cases of childhood leprosy were reported during the 11 year period from 2005-2015. Multibacillary cases constituted a total of 57 (50.4%), while paucibacillary constituted 56 (49.6%) cases. The M:F ratio noted was 2.5:1. Signs of reaction were found in 15% cases, while deformity was noted in 24.7% cases. CONCLUSION: The rate of childhood leprosy continues to be high. Lack of proper access to health facilities, ignorance among the general population, high susceptibility due to immature immune system etc make this population highly vulnerable. LIMITATIONS: Limited data of 11 years from an urban center were analyzed.

15.
Indian J Dermatol ; 63(1): 57-61, 2018.
Article in English | MEDLINE | ID: mdl-29527027

ABSTRACT

INTRODUCTION: Palmoplantar lesions of lichen planus (LP) are uncommon and may not always have classical clinical features of LP. A variety of morphological types has been described in literature. AIM AND OBJECTIVES: The aim was to study and classify the clinical variants into distinct easily recognisable categories for quick recognition and early treatment initiation. METHODS: All patients diagnosed with LP over a period of 5 years were evaluated for palmoplantar lesions in our hospital. The clinical and histopathological features of the palmoplantar lesions were then studied. RESULTS: Out of 424 patients of LP, 55 (12.9%) had palmoplantar lesions. Histopathology was consistent or at least compatible with LP in 44/55 patients. For the purpose of assessment, only patients with histopathology consistent with LP were included (n = 44) in the study. Just over half of the patients were male, with most patients (43.2%) having had LP lesions elsewhere for 6 months before palmoplantar lesions were noticed. Soles were more frequently involved than palms. The sites most often involved were the centre of the palms (45.2%), and the instep of the soles (63.9%). The predominant morphological presentation was psoriasiform (47.7%). One patient had ulcerative lesions of LP on both his soles which is a very rare variant. Notably, nearly half of the patients (20/44) had mucosal (mostly oral) lesions characteristic of LP. This was significant as typical oral lesions of LP help in identifying palmoplantar lesions that do not have classical lichenoid morphology. CONCLUSION: LP lesions on palms and soles need to be identified keeping a high index of suspicion and differentiated from other papulosquamous conditions so that specific treatment can be initiated early.

17.
Indian J Dermatol ; 62(4): 332-340, 2017.
Article in English | MEDLINE | ID: mdl-28794542

ABSTRACT

Mycetoma is a localized chronic, suppurative, and deforming granulomatous infection seen in tropical and subtropical areas. It is a disorder of subcutaneous tissue, skin and bones, mainly of feet, characterized by a triad of localized swelling, underlying sinus tracts, and production of grains or granules. Etiological classification divides it into eumycetoma caused by fungus, and actinomycetoma caused by bacteria. Since the treatment of these two etiologies is entirely different, a definite diagnosis after histopathological and microbiological examination is mandatory, though difficult. Serological test exists but is not so reliable; however, molecular techniques to identify relevant antigens have shown promise. The disease is notoriously difficult to treat. Eumycetoma may be unresponsive to standard antifungal therapy. Actinomycetoma responds to antibiotic therapy, but prolonged treatment is necessary. This review focuses on the etiopathogenesis, clinical features, laboratory diagnosis, and treatment of mycetoma.

18.
Bioinformation ; 13(6): 179-184, 2017.
Article in English | MEDLINE | ID: mdl-28729759

ABSTRACT

Starch-branching enzymes (SBEs) are one of the four major enzyme classes involved in starch biosynthesis in plants and play an important role in determining the structure and physical properties of starch granules. Multiple SBEs are involved in starch biosynthesis in plants. Finger millet is calcium rich important serial crop belongs to grass family and the transcriptome data of developing spikes is available on NCBI. In this study it was try to find out the gene sequence of starch branching enzyme and annotate the sequence and submit the sequence for further use. Rice SBE sequence was taken as reference and for characterization of the sequence different in silico tools were used. Four domains were found in the finger millet Starch branching enzyme like alpha amylase catalytic domain from 925 to2172 with E value 0, N-terminal Early set domain from 634 to 915 with E value 1.62 e-42, Alpha amylase, C-terminal all-beta domain from 2224 to 2511 with E value 5.80e-24 and 1,4-alpha-glucan-branching enzyme from 421 to 2517 with E value 0. Major binding interactions with the GLC (alpha-d-glucose), CA (calcium ion), GOL (glycerol), TRS (2-amino-2-hydroxymethylpropane- 1, 3-diol), MG (magnesium ion) and FLC (citrate anion) are fond with different residues. It was found in the phylogenetic study of the finger millet SBE with the 6 species of grass family that two clusters were form A and B. In cluster A, finger millet showed closeness with Oryzasativa and Setariaitalica, Sorghum bicolour and Zea mays while cluster B was formed with Triticumaestivum and Brachypodium distachyon. The nucleotide sequence of Finger millet SBE was submitted to NCBI with the accession no KY648913 and protein structure of SBE of finger millet was also submitted in PMDB with the PMDB id - PM0080938. This research presents a comparative overview of Finger millet SBE and includes their properties, structural and functional characteristics, and recent developments on their post-translational regulation.

19.
Int J Dermatol ; 56(9): 939-943, 2017 Sep.
Article in English | MEDLINE | ID: mdl-28681382

ABSTRACT

BACKGROUND: Melasma is a common pigmentary disorder presenting in the dermatological clinic. Many factors have been implicated in the pathogenesis, however, the cause still remains elusive. Recently the effect of oxidative damage has been proposed in the etiopathogenesis of melasma. This study was undertaken to evaluate the role of oxidative stress in patients with melasma. MATERIAL AND METHODS: Fifty patients with melasma, age 18 years of age and older, and an equal number of age and sex-matched controls were included in the study. Baseline severity assessment using the modified Melasma Area and Severity Index (modified MASI score) was done in all patients. Serum malondialdehyde, blood superoxide dismutase, and blood glutathione peroxidase levels were measured in cases and controls group and results were compared. RESULT: The serum levels of malondialdehyde, superoxide dismutase, and blood glutathione were significantly higher among the cases compared to controls. The difference in the serum concentrations was significant between the two groups (P < 0.01). A positive correlation was found between these enzyme levels and severity of melasma (modified MASI score); however, this correlation was statistically significant with serum malondialdehyde only. The level of oxidative stress among the male and female melasma patients was not statistically different. CONCLUSION: Oxidative stress was found to be increased in cases of melasma compared to the control group in this study. This substantiates the role of oxidative stress in etiopathogenesis of melasma; however, further studies are required to reach a definitive conclusion.


Subject(s)
Facial Dermatoses/blood , Glutathione Peroxidase/blood , Malondialdehyde/blood , Melanosis/blood , Oxidative Stress , Superoxide Dismutase/blood , Adolescent , Adult , Age of Onset , Biomarkers/blood , Case-Control Studies , Facial Dermatoses/etiology , Female , Humans , Male , Melanosis/etiology , Middle Aged , Severity of Illness Index , Young Adult
20.
Int J Dermatol ; 56(11): 1080-1086, 2017 Nov.
Article in English | MEDLINE | ID: mdl-28421610

ABSTRACT

Vegetable oils have been used for a wide variety of purposes since time immemorial; however, their principle use remains as skin moisturizers, especially in neonates and children. Because of their considerable efficacy and a low side effect profile and bearable cost, these oils are hugely popular as moisturizers among the common people in countries such as India. A wide variety of oils have been used, and newer ones are coming up with each passing day. This article focuses on the different types of vegetable oils and their varied uses in dermatology.


Subject(s)
Plant Oils/therapeutic use , Skin Care , Hair/drug effects , Humans , Infant, Newborn , Medicine, Ayurvedic/methods , Plant Oils/adverse effects , Plant Oils/chemistry , Skin Diseases/drug therapy
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