<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">The goal of the study was to assess the prescribing pattern, pattern of skin diseases among the patients and to assess the impact of quality of life in various Skin diseases of dermatological patients by using dermatological quality life index (DLQI). The present study aims at improving the patient’s knowledge towards their disease and medication and also to measure the improvement of Quality of life of patients.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">A prospective observational study was carried out for a period of six months at Department of Dermatology Basaveshwara Medical College and Hospital, Chitradurga</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">Total 150 patients are included. 58 was males and 92 were females. The most skin disease is seen in the age group of 21-40 (40.7%). Majorly skin disease are seen in the illiterate people is (62%), (70.7%) married and 15.3% of socio-economic status of the patients. The major skin disease are seen in the study are psoriasis (12.66%), scabies (16.66%), dermatitis (9.33) and followed by urticaria (6.66%), eczema (4.66%), acne (5.33%). Anti-histamines (16.6%), emollients (9.33%), corticosteroids (9.33%), anti puritics (6.66%), kerotolyte (6.66%) are majorly prescribed drugs. The study showed that there was an extremely significant improvement in DLQI of patients in comparison with first visit result and follow up visit. Whose P value is (&lt;0.001) extremely significant. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Therefore the pharmacist patient education found to have significant influence on improves the patient knowledge towards their disease and medication which shows the positive impact on quality of life among the patients of skin diseases.</span></p>

<p class="abstract"><strong>Background:</strong> Melasma is an acquired hyperpigmentation of face predominantly affecting women with multiple factors like high estrogen states, genetic factors, sunlight, cosmetics &amp; autoimmune thyroid disease implicated in its etiology. Current therapeutic modalities are beneficial for many patients but for some they may remain ineffective. The objective of the study was on clinical study of melisma and to study efficacy of 40% glycolic acid facial peels in melasma.</p><p class="abstract"><strong>Methods:</strong> Woods lamp examination was done and patients were classified as having epidermal, dermal or mixed type. 40% glycolic acid peel was carried for a period of 20-30 seconds and was left for a period of 3 minutes or till the development of erythema. The peel was terminated by dilutional effect of washing with cold water. Six peelings were done at 15 days interval.<strong></strong></p><p class="abstract"><strong>Results:</strong> In total 50 patients, 56% belong to 31-40 years.<strong> </strong>Females constitute 82%. Majority were housewives (64%). Malar distribution was most common type (90%). Family history was present in 38%. Photo aggravation was present in 56% patients. Onset of melasma was associated with pregnancy in 22%. Epidermal melasma was seen in 62%. &gt;75% improvement in 2%, 51-75% improvement in 14% and 25-50% improvement in 40% patients. Erythema (54%) and burning sensation (56%) were common side effects.</p><p class="abstract"><strong>Conclusions:</strong> So management of melasma in our patients with superficial glycolic acid peels alone is not highly rewarding.</p>

<p class="abstract"><strong>Background:</strong> Cutaneous tuberculosis (TB) is frequently found worldwide, especially in tropical countries. The number of extrapulmonary TB reaches up to 14%, and 1% to 2% are cutaneous TB. Diagnosis of cutaneous tuberculosis (CTB) is complicated and requires a full work-up. Clinical manifestation of cutaneous TB is varied and causes difficulties to diagnose. Scrofuloderma and plaque type of lupus vulgaris (LV) are common forms of cutaneous TB.</p><p class="abstract"><strong>Methods:</strong> A retrospective study was conducted on patients attending Department of Dermatology, Venereology and Leprosy, at Basaveshwara Medical College and Hospital, Chitradurga over a period of 2 years. A total of 15 cases of cutaneous tuberculosis were diagnosed.</p><p class="abstract"><strong>Results:</strong> A total of 15 cases out of which included predominantly males, with age group being affected commonly are 20-40 decades, histopathology showing tuberculoid granuloma in 11 cases, and common clinical variant being lupus vulgaris seen in 66.6% of the cases and. Second common being scrufuloderma seen in 26.6% of the cases and least common is TB verrucosa cutis (TBVC) seen in 6.6% of the cases.</p><p class="abstract"><strong>Conclusions:</strong> The study showed that the common clinical type of cutaneous tuberculosis during the study period was lupus vulgaris, scrofuloderma and less common being TBVC.</p>

Mal de Meleda is a rare autosomal recessive palmoplantar keratoderma characterized by transgradient keratoderma with associated scleroatrophy, knee changes and onychogryphosis. This case of a 20 year old girl born of second degree consanguineous marriage is reported for its uniqueness in conformity with criteria enunciated by Stulli associated with hyperkeratotic warty papules clinically fitting into Darier's disease with lip involvement. Another interesting feature being black pigmentation of fingers and nails which was due to cashew nut shell paste application mistaken for dry gangrene.

BACKGROUND: Widespread implementation of MDT has clearly been extremely successful in curing and reducing the prevalence of leprosy throughout the world including India. However, social stigma remains a major obstacle to self-reporting and early treatment. OBJECTIVES: 1) To study the proportion of disabilities as per the WHO definition in newly detected leprosy patients. 2) To know the determinants of disabilities in newly detected leprosy patients. METHODOLOGY: A cross sectional study was conducted in urban leprosy center Hubli. Data was collected by 500 leprosy patients who had registered between December 2008 to 2013. Demographic profile of the patients, presence and type of disability and determinants of disability were collected from the register maintained in urban leprosy center Hubli. RESULTS: 100 deformity cases (20%) were found among 500 cases. The majority of deformity cases were in the age group of 20-30 years (24%), 78% were male patients. 74% had grade-2 deformity, with claw hand in 37%, foot drop in 9%, trophic ulcer in 27%, 1% ocular deformity and 26% grade 1 deformity seen (loss of sensation). Out of 100 deformity cases, borderline leprosy cases were 80(80%), tuberculoid type 1(1%), lepromatous type were 3(3%), 13(13%) were pure neuritic type, 2(2%) were indeterminate type, 1(1%) histoid type. New cases (Not on the treatment) with deformity were 70%, old cases (On treatment) with deformity were 30%. CONCLUSION: Proportion of Disabilities among leprosy patients were 20%. Disabilities were more common among males, borderline leprosy cases and new cases.