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Mucous membrane pemphigoid describes a rare heterogeneous group of chronic, inflammatory, mucous membrane-dominated, subepithelial blistering diseases that manifest a varying constellation of oral, ocular, skin, genital, nasopharyngeal, esophageal, and laryngeal lesions. Life-threatening airway obstruction and sight-threatening ocular scarring can occur in this condition, which is rarely reported in Indian literature. Vitiligo is another acquired autoimmune disorder characterized by loss of melanocytes. Vitiligo is associated with a number of disorders also considered to be autoimmune. Here we report a very rare coexistence of MMP and vitiligo, the first such report from India.

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Acne Vulgaris is a chronic inflammatory disease with multifactorial etiology. It is one of the leading reasons for visiting a dermatologist. Acne patients undergo considerable amount of psychological impairment as face is socially and psychologically the most important body region. There is no sufficient data available on the Impact of acne on QoL in Indian patients.To Determine the Impact of Acne Vulgaris on Quality of Life using two different scoring systemsi.e.CADI & DLQIIt is a hospital based cross sectional study done at dermatology Opd in tertiary care. It is a one year study from January 2016 to December 2016. 500 diagnosed cases of acne Vulgaris of the age groups 15-30 were studied. Informed written consent and Photographs was obtained from all patients. A complete history, clinical examination, was done in all patients. A baseline ‘global acne grading system’ was being performed. Quality of life in acne vulagaris patients were studied using pre- structured questionnaire of DLQI (Dermatological life quality index) & CADI (Cardiff acne disability index scoring systems).Based on GAGS, 80% of the patients were mild, 19% moderate and remaining 1% had severe grading of acne. Majority of the patients had very large effect on quality of life (76%) on DLQI scoring and medium impact in quality of life (86%. 12.4%) on CADI scoring.The results of the study show that majority had medium & large effect on QoL. Hence the disability caused by acne must be taken into account when individualizing treatment by health professionals and include QoL measurements to provide better care.

Ticks are tiny crawling blood sucking ectoparasites of vertebrates known to cause a wide variety of dangerous blood-borne illnesses. Disease causing ticks belong to three major families, the Ixodidae/hard tick, the Argasidae/soft tick and the Nuttalliellidae. Infected ticks spread over a hundred diseases, some of which are fatal if undetected. We here presented a case of a male who suspected tick as a acute painful itchy mole over back of the right ear, inside the left ear and over the left eyelid. This case is presented for its rarity, identication of the tick so that the early detection and removal of the parasite. In India, the fatal tick-borne viral diseases that are Cremian-Congo-Haemorrhagic fever and Kyasanur-Forest-Disease were caused by ticks and there are sporadic records available for the occurrence of relapsing fever, lyme disease, Ganjam virus disease and Q fever