As the bacillary load is very high in these patients, they can form a potential reservoir of the infection in the community especially in the postleprosy elimination era. Contrary to the earlier belief in the dapsone era, most of our patients manifested disease without any history of inadequate or incomplete antileprosy therapy.

No abstract

Abstract:Striae distensae are common innocuous skin lesions. We report a patient of nephrotic syndrome with corticosteroid-induced large striae, which suddenly developed bulging and fluid accumulation. There were no associated cutaneous or systemic symptoms. Analysis of aspirated fluid showed it was a transudate and culture was sterile. It was concluded that edema fluid, as part of anasarca, had preferentially accumulated within the striae, probably due to their altered dermal mechanical properties. Recognizing this entity is important to avoid unnecessary alarm or irrational use of antibiotics.

No abstract

Plica neuropathica is a rare acquired condition of sudden onset characterized by irreversible tangling of hair. It is sparsely reported in the literature, though it does not seem to be uncommon, at least in Hindu-religious persons of India. However, it has not been previously reported in patients as young as 2 years of age, and consequently this fact warranted reporting.