ABSTRACT:Contact dermatitis is an inflammatory response of the skin to an exogenous substance (irritant and/or allergen). It can be classified as follows: Irritant contact dermatitis, Allergic contact dermatitis, Photo contact, phototoxic dermatitis, Immediate contact reactions, Non-eczematous reactions Only the superficial regions of the skin are affected in contact dermatitis. Inflammation of the affected tissue is present in the epidermis and the outer dermis. 1 Unlike contact urticaria, in which a rash appears within minutes of exposure and fades away within minutes to hours, contact dermatitis takes days to appear. In our study we have shown the list of most common allergens found positive in our patients. STUDY DESIGN: It was a cross sectional study. METHOD: Study was conducted in mahatma Gandhi hospital Jaipur over a period of 4 months of duration. Patients suspected to have contact dermatitis were subjected to patch testing. Based on the history clinical signs and symptoms. Total 42 patients were short listed in 4 months of duration. RESULT: Our study showed that the most common allergen showing patch test positivity in both males and females were nickel sulphate, cophony, and cobalt sulphate. Patients showed significant improvement in their dermatitis after avoidance of the offending agent. CONCLUSION: Patch test is the method of choice and the "gold standard" in the detection of contact allergy and allergic contact dermatitis.
Introduction: Vitiligo affects approximately 2% of the worldwide population regardless of race, ethnic background or gender. When the medical methods are not successful, surgical procedures may be considered with the aim of placing a new source of pigment cells to reinitiate melanogenesis within the affected areas. This study was conducted to evaluate the efficacy of combining punch grafting followed by PUVASOL therapy in vitiligo patients. After punch grafting patients are given PUVA/PUVASOL exposure.
Vesicular lesions present in a zosteriform appearance are usually due to herpes zoster [varicella zoster virus], but uncommonly can denote zosteriform herpes simplex [herpes simplex virus]. Such lesions if recurrent that too in an immunocompetent host is unusual & worth reporting. CASE REPORT: We present a case that came to OPD with chief complaints of recurrent painless fluid filled eruptions over lower back. The frequency of recurrence was about once in 6-7 months & the lesions appeared sometimes on lower back & sometimes on lower abdomen. On performing tzank smear, syncytial cells were seen. Serologically, IgG antibodies for herpes simplex virus were found. CONCLUSION: Thus, it was a case of recurrent zosteriform herpes simplex presenting in contralateral dermatomes. We are reporting this case because of its unusual presentation & rarity.
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