Jessners lymphocytic infiltration of the skin is a chronic, benign T-cell infiltrative disorder, usually manifesting as erythematous papules or plaques on the face, neck and back. we report the case of a 66-year -old man, who presented with erythematous papules and plaques on nose of 4 months duration and erythematous plaque on right arm of 1 month duration. skin biopsy confirmed the diagnosis of jessner's lymphocytic infiltration of the skin.The evolution was favorable with hydroxy chloroquine and prednisolone. KEYWORDS: Jessners lymphocytic infiltration of skin, hydroxy chloroquine and Prednisolone. INTRODUCTION:Jessner's lymphocytic infiltration of the skin (JLIS) is a skin condition of unknown aetiology characterized by erythematous papules and plaques located on the head, neck and upper back. The eruption resolves spontaneously after months or a few years but can recur for several years. A variety of empirical treatments has been tried with limited success. Here we report a case of jessners lymphocytic infiltration of skin successfully treated with hydroxychloroquine and prednisolone.
BACKGROUNDBasal Cell Carcinomas (BCC) are the most common amongst the non-melanoma skin cancers. The existing literatures on BCC are scant in India. BCC are rare in dark skin, because of the inherent photoprotection of melanin and melanosomal dispersion. Risk factors include UV light exposure, ionising radiation, exposure to arsenic, mutations. Although, BCCs have excellent prognosis, if left untreated it causes significant disfigurement and invasion of surrounding tissues. The present study was aimed to evaluate the risk factors, clinical and histopathological spectrum of BCC in Eastern Andhra Pradesh. The objectives were to analyse clinical data with respect to age, sex, occupation, sunlight exposure, anatomical location, size of the lesion, morphological and histopathological subtypes. RESULTSOut of 40 cases, 65% were females. History of exposure to the sunlight was observed in all the cases. One case of 18-year-old female with xeroderma pigmentosum with BCC was seen. Sites noted were forehead (22.5%), ear, nose and infraorbital region (each 15%). Clinically, pigmentation was evident in 19 cases. Morphological types seen were ulcerative (55%), nodular (37.5%), swelling/cyst (5%) and morpheaform (2.5%). Histological types are nodular (57.5%), pigmented (25%), adenoid (7.5%), keratotic (2.5%) and with sebaceous differentiation (2.5%). Recurrent BCCs were seen in two cases. CONCLUSIONThis study highlights the role of sunlight and farming as aetiological risk factors of BCC and female preponderance. Forehead is the common site of presentation. Nodular and pigmented types (subtype of nodular variant) were common. Early detection of BCC lesions, particularly of small size (< 2 cm) helps in preventing further recurrences.
BACKGROUNDPruritic Papular Eruption (PPE) of HIV is the commonest cutaneous manifestation seen in HIV positive patients. PPE clinically presents as bilaterally symmetrical itchy papules over trunk and extremities especially in late stages of HIV infection posing a therapeutic challenge to the clinician for precise diagnosis and management. Aims and Objectives-The present study was aimed to separate Pruritic papular eruption of HIV (PPE) which is an independent entity that clinically resembles other dermatoses presenting as pruritic papular lesions on the basis of clinical and histopathological data and to correlate with CD4 count.
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