Kikkeri Narayanshetty Naveen

Chromoblastomycosis presenting as a phagedenic ulcer on the face

Background  Chromoblastomycosis is a chronic fungal infection which presents as a small ulcer, plaques, papulonodular lesion to cauliflower-like warty masses and cicatricial forms. The disease is relatively uncommon, with only a few published case report. Methods  A 35-year-old female presented with phagedenic ulcer on the face since 15 years. Examination identified a plaque with central perforation on the right side of the face with crusting and oozing and a scar at the periphery with visible underlying turbinates. A biopsy was done and sent for histopathologic examination and culture. Treatment was started with oral fluconazole, 150 mg daily orally, suspecting subcutaneous fungal infection. Results  Biopsy revealed branched, septate, brown-colored dematiaceous hypae in the dermis indicating chromoblastomycosis. Fungal culture revealed Fonsecaea pedrosoi. Patient responded well to treatment, and still she is on treatment. Conclusions  We believe that this is the first case report of chromoblastomycosis presenting as phagedenic ulcer.Background  Chromoblastomycosis is a chronic fungal infection which presents as a small ulcer, plaques, papulonodular lesion to cauliflower‐like warty masses and cicatricial forms. The disease is relatively uncommon, with only a few published case report.

A clinico-histopathological study of lupus vulgaris: A 3 year experience at a tertiary care centre

Background: Lupus vulgaris is the most common form of cutaneous tuberculosis in adults. Lupus vulgaris is caused by hematogenous, lymphatic, or contiguous spread from elsewhere in the body. histologically it is charecterised by typical tubercles with or without caseation, surrounded by epitheloid histiocytes and multinucleate giant cells in the superficial epidermis with prominent peripheral lymphocytes. Materials and Method: All cases of clinically and histopathologicaly diagnosed lupus vulgaris over the previous five years were included in the study. Results: Fourteen cases of lupus vulgaris cases reported during the study period with eaqual incidence among males and females. Discussion: Plaque type of lupus vulgaris was the most common type. Histopathologically tubercular granulomas were seen in all cases as compared to other studies. Conclusion: Different patterns of lupus vulgaris are reported

Dyschromatosis universalis hereditaria with involvement of palms

Dyschromatosis universalis hereditaria is a rare genodermatosis characterized by hyper- and hypopigmented macules in a reticulate pattern. Here, we present a case of DUH with involvement of the palms.

Familial reactive perforating collagenosis: a report of two cases.

Reactive perforating collagenosis (RPC) is a rare form of transepithelial elimination, in which genetically altered collagen is extruded through the epidermis. Of the acquired and inherited form, inherited form is extremely rare. Here, we present two cases of inherited form of RPC in a family.

Epidermolysis bullosa pruriginosa: A report of two cases.

Epidermolysis bullosa (EB) pruriginosa is a very rare pattern of dystrophic EB caused by type VII collagen gene mutation, with distinctive clinico-pathological features. It is characterized by nodular prurigo-like lichenified lesions, nail dystrophy, and variable presence of albopapuloid lesions. We report two such cases.

Subcutaneous pheohyphomycosis presenting as a innocuous pustule

Pheohyphomycosis is a rare heterogeneous group of mycotic infections caused by dematiaceous (phaeoid) fungi affecting the skin, subcutaneous tissue, and central nervous system. Herein, we report a case of 29-year-old man with innocuous pustule over the right index finger. Examination revealed a subcutaneous swelling with pustules over the surface. Biopsy revealed phaeoid fungi, and diagnosis of subcutaneous pheohyphomycosis was made.

Kaposi's varicelliform eruption in phenytoin-induced erythroderma

© 2017 Indian Dermatology Online Journal | Published by Wolters Kluwer Medknow A 48‐year‐old female presented with 15‐days‐duration of erythroderma after taking phenytoin. She had erosions covered with thick yellow crusts around the oral cavity, started 12 days after erythroderma. [Figure 1]. Systemic examination and blood investigations were within normal limits. The patient was treated for erythroderma and her general condition improved, however, the perioral erosions increased in number with thick crusting. On further probing, the patient admitted to picking at the lesions and also provided a history of few tiny fluid‐filled lesions around the mouth a few days prior to admission. Patient had no previous history of fluid filled vesicles around oral cavity. A Tzanck smear was taken from the base of the lesions after removal of the crusts, which revealed epithelial multinucleated giant cells [Figure 2]. A diagnosis of Kaposi’s varicelliform eruption (KVE) was considered and the patient was subsequently put on acyclovir to which she responded well [Figure 3].

Atypical cases of Dowling-Degos disease.

Dowling–Degos disease (DDD) is a rare autosomal dominant condition characterized by multiple, small, round pigmented macules usually arranged in reticular pattern, chiefly distributed in axillae and groins. Here we are reporting three atypical cases of DDD in a family. They had hypopigmented macules with typical features of DDD indicating generalized DDD. Histopathology confirmed the diagnosis. We present these three cases to stress the existence of generalized DDD phenotype in the Indian population.