BACKGROUND Chronic folliculitis is a chronic infection of the hair follicles predominantly seen on legs. The main features of the disease are follicular pustules, perifolliculitis, cutaneous oedema, crusting, scaling, atrophy, loss of hair and follicular scarring. In spite of treatment, the condition progresses till loss of all hair from the affected area. MATERIALS AND METHODS This is a cross-sectional descriptive study of seventy five patients with chronic folliculitis who attended the Outpatient Department of Dermatology and Venereology, Government Medical College, Kottayam, Kerala. After getting the informed written consent, they were enrolled in the study. Aim of the study is to find out the clinical and demographic profile, aetiology and treatment response. RESULTS Out of the 75 patients studied, 57 (76%) were males and 18 (24%) were females. Maximum age group affected were in the 21-40 years (60%). Out of 75 patients studied, 58.7% were manual labourers. Initial site of involvement was lower limb in 86.7% patients. Involvement of legs seen in all patients in the course of the disease. Oil application, working with wet soil, soap application and rubbing are the common precipitating factors noted in the study. Staphylococci was the commonest aetiological agent seen in 57 (76%) patients. CONCLUSION We conclude that chronic folliculitis is mainly a disease of males affecting mainly to the manual labourers, chronic folliculitis is a disease refractory to treatment.
BACKGROUND Deformity prevention is one of the top priorities in leprosy elimination programme. Plantar ulcer and foot deformities are commonly seen in leprosy patients causing considerable physical disability. This can be prevented by early and regular MDT, proper practice of feet care, correction of deformities and management of infections. The study was to assess the above factors contributing to the development and recurrences of plantar ulcers among our leprosy patients. MATERIALS AND METHODS 66 leprosy patients with plantar ulcers were evaluated for delay of treatment, practice of feet care, site of ulcer, concomitant deformities and bone changes. Identification of infective agent is done by culture and sensitivity test. RESULTS Majority of patients belonged to the borderline spectrum. Delay in starting anti-leprosy treatment ranged from 2 months to 12 years. The main reasons for the delay in treatment are the patients ignored the lesions because they are asymptomatic or treatment with other modalities like homeo/ayurvedic drugs. 92% of patients studied were not practicing feet care. Common site of ulcer was beneath the heads of metatarsals and big toe. Foot drop was seen in 15% and claw toes in 33%. Osteomyelitis observed in 20% of patients. Common pathogen isolated was staphylococcus seen in 75% of cases followed by Streptococcus and Klebsiella. 50% of Staphylococci isolated were found to be penicillin resistant. CONCLUSION The occurrence of plantar ulcers and its complications are not an inevitable sequelae of leprosy and is totally preventable if appropriate measures are undertaken.
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