Coronavirus disease 2019 vaccination in patients with psoriasis: A position statement from India by SIG psoriasis (IADVL Academy)

Coronavirus disease 2019 (COVID-19) pandemic has affected every sphere of life including management of psoriasis. The availability of COVID-19 vaccines has given rise to hope and at the same time some apprehensions as well. With the general population becoming eligible for vaccination, there is some confusion, on the eligibility of patients with different medical conditions and patients on immunosuppressive or immunomodulating medications for COVID-19 vaccination. Dermatologists treating psoriasis patients frequently face questions from them, whether they can undergo coronavirus disease 2019 vaccination. A PUBMED search was performed using the following strategy: ‘COVID-19’ AND ‘Vaccine’ AND ‘Psoriasis’. We also performed a PUBMED search using the following strategy: ‘SARS-CoV-2’ AND ‘Vaccine’ AND ‘Psoriasis’. All articles irrespective of language and publication date were included to arrive at this position statement. This position statement deals with the safety, eligibility and modifications of treatment, if needed among psoriasis patients with regards to the coronavirus disease 2019 vaccines currently available in India

To Study Dermoscopic Findings in Alopecia Areata

Introduction:Alopecia areatais a common chronic autoimmune inflammatory disease that involves hair follicles, characterized by hair loss on the scalp and/or body without scarring. Clinically, the disease presents as smooth, patchy hair loss with various patterns -diffuse or reticulate alopecia, ophiasis, ophiasis inversus, alopecia totalis (loss of hair all the scalp), or alopecia universalis (loss of hair all over the body). Clinical diagnosis of AA is made based on typical pattern of hair loss and the presence of characteristic exclamation mark hair in microscopy. Invasive (punch biopsy) techniques are often required in some cases where the clinical diagnosis is not straight forward Biopsy shows peribulbar lymphocytic infiltrates in a “swarm of bee pattern” which is characteristic of the acute stage of the disease.Dermoscopy is an imaging instrument that immensely magnifies surface features of skin lesions. It works on the principle of illumination and transillumination of skin with different light sources and studying it with a high magnification lens. Dry dermoscopy was done with heine delta 20 dermoscope which was followed by wet dermoscopy. Liquid paraffin was used as the immersion media. It is a noninvasive, repeatable, recordable bedside investigation.Objective: To study dermoscopic findings in alopecia areata.Materials and Methods: Study Design:Cross sectional study; Study Area: Skin Outpatient Department, Sree Balaji Medical College and Hospital; Study Population: All patients with hair loss, attending skin OPD, who are clinically diagnosed as Alopecia Areata; Study Method: Observational study; Sample Size: 30

Analytical Pattern in Dermatoglyphics

Aim: The aim was to study theanalytical pattern in dermatoglyphics. Materials and Methods: The study was conducted in Skin Opd, Sree Balaji Medical College and Hospital, Chennai, TamilNadu, India. A total of 100 participants with different hand dermatitis pattern were included in the study. All patients were subjected to: 1. Complete history, 2.Dermatological examination, 3.Finger print pattern of all the patients, 4.Informed consent. Results:This hospital-based study involved 100 patients with Psoriasis (47) Eczema (23) Dermatophytosis (12), Syphilis (3), Drug reaction (5) Palmar keratoderma. (10), the most common being psoriasis and eczema. In psoriasis patients, whorl pattern was the commonest (48.29%), followed by 31.43% loop, 21.43% arch and 2.86% composite pattern. In eczema patients, loop and whorl pattern was found in (44.74%) followed by 34.23% loop, 22.43% arch and 1.86% composite pattern.Conclusion: The palmar pattern intensities were increased in both sexes, while the digital pattern intensities were increased in males and decreased in females. TFRC was increased in males and decreased in female patients. In both cases and controls, TFRC was more in males than females.A-b count showed a significant reduction in both sexes

Disseminated Syringoma: An Unusual Presentation.

Syringoma is derived from the Greek word syrinx meaning pipe or tube. It is a benign tumour composed of sweat ducts that is usually multiple. They are fairly common tumours that occur most commonly in women. Rarely, the condition can be familial1. Usually, they present as soft, flesh coloured to slightly yellow papules on the lower eyelids of healthy individuals. They can also affect the scalp, forehead, neck, abdomen and extremities. Hereby reporting a case of disseminated syringoma in a female patient

Nevus Comedonicus : A Case Report

Nevus Comedonicus is a rare hamartoma of the pilosebaceus unit resulting in numerous dilated keratin filled comedones. This report describes an 18 year old female with multiple pigmented comedones in a linear pattern over the inner aspect of the left thigh