<p class="abstract"><strong>Background:</strong> Dermatophytosis is the most common fungal infection, which has recurrent and persisting course because of topical steroid abuse, irregular treatment and poor hygiene. Dermatology life quality index (DLQI) is a questionnaire based survey method to assess the impact and severity of many dermatology specific diseases and infections. There is paucity in the literature on the impact of dermatophytosis on the quality of life (Qol). The aim of the study was to assess the impact of dermatophytosis and its sequelae on quality of life.</p><p class="abstract"><strong>Methods:</strong> A total of 186 patients with recurrent and persistent dermatophytosis were selected for Qol questionnaire for a period of six months and statistical analysis was performed using t test to determine the impact of dermatophytosis on Qol.<strong></strong></p><p class="abstract"><strong>Results:</strong> Male to female ratio was 2.7:1, most cases were between 25 to 45 years age group. Thigh fold and gluteal region were the most common sites involved. Mean DLQI score was 12.7. The DLQI scores were statistically influenced by age of the patient, duration of the infection and site of involvement.</p><p class="abstract"><strong>Conclusions:</strong> This study revealed significant impairment of Qol in dermatophytosis patients. Assurance and counselling along with early and prompt treatment plays a significant role in reducing disease related psychosocial sequelae and increase the efficacy of treatment.</p>
Background: Hair loss (alopecia) is a common problem and is a major cause of psychological stress and anxiety among affected individuals. It is of utmost importance to diagnose these cases at the earliest and treat them accordingly. Trichoscopy provides a noninvasive option that can be used for early diagnosis and monitoring the progression of the hair disorders. Aims and Objectives: To perform trichoscopy and document the findings in patients with nonscarring alopecia's. Materials and Methods: A total of 100 cases satisfying the inclusion criteria were screened for general physical examination and scalp examination including hair shaft and root, and tests for hair anchorage and fragility were also done. The lesions were examined through dermoscope, photographs were taken, and findings were documented. Results: Among the total of 100 cases screened, 57 were female and 43 were male. The mean age of the study group was 26 ± 14.8 years. Females were affected by alopecia areata (AA) and female pattern hair loss (29.8%) equally, whereas males were most commonly affected by AA (41.8%). The common trichoscopic follicular features noted were broken hair (48%), black dots (48%), single hair follicle unit (45%), short vellus hair (44%), upright hair (41%), and yellow dots (40%). The common interfollicular features seen were honeycomb pigmentation (26%) and arborizing red lines (12%). Conclusion: The emergence of newer hair signs on trichoscopic studies aids in identification and has a definitive role in the diagnosis of clinically difficult cases, so it is recommended to use trichoscopy in the routine examination of nonscarring alopecia's.
Introduction: Oral health is important to individuals of all age groups. The oral mucosa performs essential protective functions that plays an important role in the general health status of an individual. As a result of aging, oral epithelium undergo atrophic changes leading to decrease in tissue regeneration and disease resistance, which can expose the oral mucosa to a variety of pathogens and chemicals. In present study, we aimed to document the clinical types of oral mucosal lesions and to study its distribution and possible etiological factors in geriatric population. Materials and Methods: A total number of 5257 patients above 60 years of age were examined and 130 patients fulfilling the criteria were enrolled for the study. A written consent taken from the patients. A detailed medical history and general physical examination was done to establish the clinical diagnosis. Correlation, if any, with etiological factor was assessed. In relevant cases, necessary investigations to establish the definitive diagnosis were done. The collected data were analyzed by the SPSS 22 version software. Results: In the present study, age group of 60-69 years were commonly involved, with a male preponderance. Buccal mucosa was the most common site involved. The common risk factors observed were smoking, alcohol and betel quid chewing. The most frequent lesions found were malignancy, oral candidiasis and oral lichen planus followed by premalignant etiologies. Conclusion: This present study brings to light various oral mucosal lesions in geriatric population, which also highlights the importance of early diagnosis of oral precancerous lesions before it develops into malignancy.
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