<p class="abstract"><strong>Background:</strong> Palmoplantar dermatoses include specific skin diseases affecting palm and soles and are frequently encountered dermatoses in the dermatology practice. Apart from diagnostic difficulties, few palmoplanter dermatoses cause great discomfort and disability and may also affect a person's livelihood.</p><p class="abstract"><strong>Methods:</strong> It was a cross sectional descriptive study conducted in the Department of Dermatology, Chirayu Medical College and Hospital, Bhopal. A total of 200 patients of palmoplanter dermatoses, attending outpatient department of dermatology of tertiary health center were enrolled for study.<strong></strong></p><p class="abstract"><strong>Results:</strong> In our study, a total of 200 patients were included in the study, of which 116 (58.0%) were males and 84 (42.0%) were females. Male to female ratio was 1.38 showing male preponderance of disease. The most common age group affected was 31–40 years followed by 21–30 years in both the sexes. In our study, only palms were involved in 30 (15%) cases, soles in 39 (19.5%), and both palms and soles in 131 (65.5%) cases. Out of all palmoplanter dermatoses, 161 (80.5%) cases had palms and 170 (85%) cases had soles involvement. Palmoplantar psoriasis was the most common dermatoses found in 48 (24.0%) cases followed by palmoplanter keratoderma in 26 (13.0%).</p><p class="abstract"><strong>Conclusions:</strong> Early recognition of clinical symptoms and signs is important to plan further supportive diagnostic investigations as well as appropriate and effective management to further improve outcome of illness and the quality of life.</p>

Dowling–Degos disease (DDD) and reticulate acropigmentation of Kitamura (RAK) are rare genodermatoses inherited as an autosomal dominant trait with variable penetrance. They are considered to be part of a spectrum of reticulate pigmentary dermatoses, characterized by the presence of hyperpigmented macules coalescing in a reticular fashion. The authors describe a 28-year-old male patient having hyperpigmented macules on the axillae, neck and face, reticulate acropigmentation of dorsum of the hands, forearms and feet, palmar pitting, and comedo-like lesions over back. The patient showed the unique clinical as well as histopathological overlap of both the rare diseases (DDD and RAK), substantiating the hypothesis that they represent two different features of a single entity with variable phenotypic expression.

Introduction: Cutaneous appendageal tumors are a large diverse group of tumors that are commonly classified according to their state of appendageal differentiation-eccrine, apocrine, follicular and sebaceous. Most appendageal tumors are relatively uncommonly encountered in routine clinical practice. Though some of the appendageal tumors (e.g. syringoma, nevus sebaceous) can be diagnosed clinically with ease but most of them have non-specific morphological appearance and their diagnosis is mainly based on histopathological characteristics. Material and methods: It was a cross sectional descriptive study conducted in the department of dermatology, Chirayu medical college and hospital, Bhopal. A total of 90 patients attending department of dermatology were screened out for appendageal tumors and those (60 patients/66.6%) who were confirmed by histopathological examination of lesional biopsy were included in the study. Results: On the basis of differentiation of tumors, sweat gland tumors were the most common appendageal tumors in our study (79.8%) followed by follicular tumors (11.6%), sebaceous were 8.3%. On individual tumor basis, syringoma constituted maximum numbers of cases (56.6%) followed by multiple trichoepitheliomas and hidrocystoma (both 11.6%). Face was the commonest site of predilection 40(66.6%) followed by scalp 12(20%). Conclusion: Appendageal tumors are relatively uncommon and constitute very small proportion of dermatological disorders. Though clinical appearance might help in diagnosing common appendageal tumors but histological examination remains the gold standard method in diagnosing clinically suspicious lesions.

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<p class="abstract"><strong>Background:</strong> Dermatophytoses are the infection of keratinized tissues such as the epidermis, hair, and nails caused by a group of closely related filamentous fungi known as dermatophytes.</p><p class="abstract"><strong>Methods:</strong> It was a hospital based cross-sectional study. A total number of 150 clinically diagnosed cases of skin, hair and nail infections were randomly selected from all the age groups and of both the sexes, attending Dermatology Outpatient department of CMCH, Bhopal from January 2016-December 2017.<strong></strong></p><p class="abstract"><strong>Results:</strong> Out of total 150 subjects, most common clinical type of dermatophytosis, identified in our study, was tinea corporis in 53 (35.3%) subjects followed by tinea cruris in 34 (22.6%) subjects. 134 (89.3%) subjects were tested positive by direct microscopy (KOH mount) and 69 (46.0%) by culture. Highest KOH mount positivity was seen in patient suffering from tinea corporis (94.3%) followed by tinea cruris (94.1%). Culture positivity was highest with tinea corporis (54.7%) followed by tinea lesions on more than one site (47.3%) and tinea cruris (47.0%). In our study, total 69 culture positive samples were isolated and the most common species isolated was T. rubrum in 41 (59.42%) cases.</p><p><strong>Conclusions:</strong> The present study gives valuable insight regarding clinical and mycological pattern of superficial fungal infections in this region as well as shows the importance of mycological examination of dermatophytosis samples for planning effective management. </p>