To estimate prevalence of psychiatric co-morbidity and its effect on quality of life in persons with Hansen's disease. METHOD: The study was conducted on around 80 persons above 18 year age with Hansen's disease in outpatient department dermatology and in leprosy home. Participants were diagnosed cases of Hansen's disease, selected randomly and were evaluated with socio demographic questionnaire, Duke's general health questionnaire, DSM-5 self rated level 1 cross cutting symptom measure-adult and WHO-QOL-BREF. The period of data collection was from October 2014 to March 2015. RESULTS: The assessment showed that prevalence of at least one psychiatric co morbidity was 83.75% (67/80 patients) and of these 67 patients 18(26.86%) have one diagnosis, 26(38.80%) have two diagnoses and 23(34.32%) have 3 or more psychiatric diagnoses. Among all depression was most prevalent (28.35%) mental disorder; followed by anxiety disorder (23.88%). Quality of life was significantly impaired in almost all persons with Hansen's disease. CONCLUSION: Persons with Hansen's disease have significantly high prevalence of mental disorders which have much impact on their quality of life which were under diagnosed and thus remained untreated.

BACKGROUND: Psoriasis is relatively common, chronic inflammatory and hyperproliferative skin disease that affects 1.4% to 2.0% of the population. Presence of itching, chronic recurrent course of disease and incomplete cure may contribute to great deal of psychiatric comorbidity in these patients. the most persuasive indications of a link between stress and psoriasis comes from patients themselves, with studies illustrating that the majority of patients believe that stress or psychological distress is a factor in the manifestations of their condition. Depression and anxiety are the most common disorders that are associated with psoriasis, but the proportion of patient also having other psychiatric co-morbid diseases which include social phobia, generalize anxiety disorder, panic disorder, psychotic disorder, etc. Moreover, symptoms of psoriasis, especially pruritus, are related to depression. OBJECTIVES: To evaluate different psychiatric illnesses their prevalence and severity in psoriasis patients. METHODOLOGY: This was crosssectional observational study comprised of 70 consecutive patients of psoriasis attending the outpatient department of Dermatology. All the patients were subjected to detailed examinations including the elicitation of dermatological and psychiatric profile after getting written consent for study. Data was collected using self-developed, pre tested, semi structured Pro format by interview method. RESULTS: The profile of psychiatric diagnoses obtained in the present study depressive disorder 31.4% {18.57% depression, 12.85% Depression with anxiety symptoms}, anxiety disorder 25.7% (7.14% GAD, 8.17% panic disorder, 5.71% social phobia, 4.28 specific phobia). Severity of major depressive disorder was determined with HAM-D score 53.8% had mild depression, 30.7% moderate depression and 15.5% severe depression. Similarly when HAM-A scale was used to determined severity of generalized anxiety disorder in psoriasis patients then 40% had mild anxiety 40% had moderate anxiety and 20% had severe anxiety. CONCLUSION: Psoriasis is associated with high level of psychiatric co-morbidity. Depression and anxiety disorders were most frequent disorders present co-morbidly in patients of psoriasis. There was no co-relation between severity of psoriasis and psychiatric illness.

Androgenetic alopecia is common dermatological problem among the young to middle aged population.Androgenetic alopecia is labeled as 'premature' or 'Early' androgenetic alopecia when the onset of disease is before 30 years of age. There is very little data available regarding the role of vitamin D in the Premature androgenetic alopecia. Vitamin D deficiency is diagnosed when the levels of vitamin D in the serum is <30 ng/ml. This study focuses on establishing association between serum vitamin D levels and severity of premature androgenetic alopecia. Conclusion:Vitamin D plays a major role in premature onset of androgenetic alopecia.

Dermoscope is a very useful and non-invasive technique for diagnosis of pigmentary skin lesions. It helps in diagnosis of skin lesions like seborrheic keratosis , spitz nevus which may clinically simulate melanoma. It involves a complementary examination of pigmented lesions on the skin, increasing the chance of an accurate diagnosis of cutaneous melanoma. It is a relatively simple technique that can be carried out in a doctor's office, clinic, or hospital, with the use of a portable device (manual dermatoscope).In this article we are presenting the dermoscopic features of common hyper and hypopigmented skin lesions . The goal is to introduce this subject to those not yet familiar with it, in order to instigate and encourage the training and practice of this technique of growing importance for everyday usage.