<p class="abstract"><strong>Background:</strong> Acne scars have a lot of psychosocial implications, they are difficult to treat and can cause depression in the affected patient. The objective of the study was to assess the efficacy of combination of platelet rich plasma (PRP) injections and microneedling in the management of acne scars.</p><p class="abstract"><strong>Methods:</strong> Thirty-five patients with atrophic acne scars were enrolled and graded using Goodman and Baron qualitative grading. Platelet rich plasma injection and microneedling were done at 2-week interval alternatively for a total of 6 sessions of each. Acne scars were graded before and 6 months after starting the treatment. Patients own evaluation of improvement was also recorded.<strong></strong></p><p class="abstract"><strong>Results:</strong> A total of 12 patients had grade 4 acne scars, 8 (66.6%) improved to grade 2 and 4 (33.3%) improved to grade 3 scars. Out of 15 grade 3 scars, 8(53.3%) improved to grade 1, 7 (46.6%) improved to grade 2. 8 (100%) grade 2 patients improved to grade 1. All patients were highly satisfied with the results.</p><p><strong>Conclusions:</strong> This combination has shown good results in all grades of acne scars.</p>
Background: Periungual myxoid cyst is a benign cyst of the digits, usually occurs in hands although reported in toes as well. They are commonly located between distal nail crease and proximal nail fold. Aim: The aim of our study was to study the outcome of excision of periungual cyst using flap surgery. Methods: Clinical features of all six patients were recorded. All were treated with flap surgery. Intra operative findings and treatment outcome were recorded and analyzed. Results: We enrolled four male and two female patients with average age being 27+/-7.5 years. Presenting symptom was swelling over dorsal surface of distal interphalangeal joint. Nail plate deformity was seen in all patients. Follow up was done for 8 months to 1 year. Follow up period was un-eventful. Conclusion: Periungual myxoid cyst have characteristic clinical presentation. Excision using flap surgery is an excellent mode of treatment allowing better visualization, easy exploration and excellent outcome.
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