Background: Skin problems are one of the most common health problems seen in the developing countries.

Dermatophytoses (a fungal infection of the skin, hair and nail, usually caused by dermatophytes) constitutes an important public health problem because of its high prevalence and associated morbidity but not life-threatening. Three genera of dermatophytes are recognized based on the site and pattern of fungal invasion. Dermatophytes are the predominant pathogenic mould, but yeasts (especially Candida albicans) and non-dermatophytic moulds may also be implicated. For accurate diagnosis of dermatophytoses requires microscopic demonstration and isolation and identification by culture. This study evaluates the usefulness of microscopic technique and culture for the isolation and identification of dermatophytes from clinical samples. Thirty samples were included in this study for detection of fungal elements by both methods but sensitivity of microscopic demonstration and culture were 60.0% and 66.7% respectively. As the sensitivity of microscopic demonstration (60.0%) is almost equal to the isolation and identification rate (66.7%), requires further evaluation in large scale as its ready to use format makes the application and microscopy much easier and faster.DOI: http://dx.doi.org/10.3329/kyamcj.v3i1.13658 KYAMC Journal Vol. 3, No.-1, June 2012 pp.235-238

Abstract

A skin graft is the simplest way of reconstructing an area of skin loss. The graft must acquire blood supply from the wound bed and ‘taken’ by the recipient site. The aim of the present study was to compare the outcome of graft-take of full thickness skin graft by tie-over dressing versus multiple quilting and simple dressing in face and neck region. This prospective, interventional, comparative study was conducted in the Department of Plastic Surgery, Dhaka Medical College Hospital from January 2009 to December 2010 (2 years). A total number of 60 cases from 56 patients of any age of both sexes requiring full thickness skin graft and fulfilling the pre-set inclusion and exclusion criteria, were selected for the study. Of whom 30 cases were tagged as Group A (Quilting) while the rest 30 as Group B, which was managed with tie-over dressing. Variable outcomes like epidermal loss, partial dermal loss and full thickness loss were observed in both groups. In quilting group excellent result was achieved in 22(73.3%), good 2(6.7%), satisfactory 3(10%) and poor in 3(10%) patient. In tie-over group, it was 19(63.3%), 3(10%), 3(10%) and 5(16.7%) accordingly. So, the good take were 27(90%) in quilting group and 25(83.3%) in tie-over group. Haematoma recorded in 3 (10%) of quilted group and 5 (16.7%) of tie-over group. No infection occurred in any cases of any group. There were no other recorded complications or adverse outcomes directly related to the technique for securing the grafts in either group. The results demonstrate no significant difference in ‘graft-take’ comparing grafts secured with a tie-over dressing or by quilting. DOI: http://dx.doi.org/10.3329/bdjps.v3i2.18249 Bangladesh Journal of Plastic Surgery July 2012, 3(2): 38-44

Syringocystadenoma Papilliferum (SCAP) is a rare papilloma resembles to benign tumour. It is characterized by extensive papillary epithelial elements growing in to dermis. A 9 years old boy presented with slowly growing dome shaped plaque consists of clusters of rose-red like vesicles of firm consistent, smooth-surfaced papules over the occipital region of the scalp. There was no family history of such type of lesions. Histopathological examination showed few cystic invaginations from the epidermis into dermis. Papillary projections are extending from the base of the cyst into lumen of the cystic spaces that consistent with Syringocystadenoma Papilliferum (SCAP).The treatment of choice is surgical excision.