<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Chronic folliculitis (CF), a common disease of the tropics caused by <em>Staphylococcus aureus</em> (SA) is a less focussed therapeutic area.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">We estimated the prevalence of CF, clinical types, seasonal variation through this prospective observational study and carried out routine laboratory investigations, gram stain, KOH mounting, Tzanck smear, and culture and sensitivity (C&S)</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">Of 50 patients (prevalence 1.2%), 44 were men. Mean age was 36.5 years (range 18-55 years). Patients were from lower socioeconomic class (7%), comprised of unskilled (82%) workers, and presented with pustules (6%) and pruritis (18%). Dermatitis cruris pustulosa et atrophicans (78%) and folliculitis barbaetraumatics (6%), lesions on the lower limbs (74%), and beard area in men (18%), human immunodeficiency virus infection (8%) and diabetes mellitus (4%) were common observations. Shorter duration (6-8 months) was reported in more number of women (4/6,) while men (35/44) had a long-standing disease (8 months-2 years). Six had a duration of >2 years. Summer aggravated the symptoms (90%). Contact with soil, cow dung, intake of animal protein, excess alcohol, excessive sweating were the precipitating factors. Culture positive coagulase negative SA (98.0%) was the most common isolate. Organisms were sensitive to ceftriaxone (9%), cepholathin (7%) and resistant to penicillins (68%); there was no resistance against gatifloxacin, imipenam, vancomycin, and teicoplanin. Twenty seven patients had a complete cure.</span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">CF is a recurrent condition with seasonal variation, predominantly involves legs, and affects adult labourers. Avoiding aggravating factors (trauma) is helpful in achieving the treatment goal and minimising recurrence. Prescription of Antibiotics should be considered after testing for C&S.</span></p>
BACKGROUND Pregnancy is a physiological status of a woman. Every organ is adapting in order to accept another human body. The main changes occur in the endocrine, immune, metabolic and vascular systems. The skin is no exception. Many skin changes during pregnancy are considered to be normal or physiological including striae gravidarum or melasma. These physiological skin changes are usually well tolerated by the pregnant woman. There is no balance between these systems, however, and abnormalities can appear. Immunologic status of the woman plays an important role in the manifestations exhibited in the skin. Alterations of the skin during pregnancy can be classified as physiologic skin changes, changes in pre-existing skin diseases and specific dermatoses of pregnancy. MATERIALS AND METHODS 200 pregnant women with skin manifestations attending Dermatology and Obstetric departments attached to Government General Hospital, Kurnool, were studied. 1. A detailed proforma was taken, which included: a. Detailed history including chief complaints related to skin. b. Onset in relation to duration of pregnancy. c. Complete general physical and systemic examination. d. Associated skin/medical disorders. 2. Investigations-CBP, CUE, RBS, LFT, HBsAg, VDRL, HIV 1 and 2 were done routinely. 3. KOH mount, saline mount and skin biopsy performed wherever required. Inclusion criteria-All pregnant women having skin lesions were included in the study irrespective of the duration of pregnancy and gravidity. Exclusion criteria-Pregnant women having any underlying medical diseases. All pregnant women attending antenatal OPD and those admitted into wards having symptoms related to skin and mucosa, at KIMS Hospital are studied. 1. Detailed history including chief complaints related to skin. 2. Onset in relation to duration of pregnancy. 3. Complete general physical and systemic examination. 4. Associated skin/medical disorders. 5. Investigations-CBP, CUE, RBS, LFT, HBsAg, VDRL, HIV 1 and 2 were done routinely. KOH mount and skin biopsy performed wherever required. 6. Proforma used to record the above information. RESULTS In this study, a total number of 200 women were enrolled. Pigmentation of the skin was the commonest change observed in 96% of the cases. Striae were observed in 99.1% of multipara women on abdomen where as they were observed in 89.2% of primies. Specific dermatoses of pregnancy were found in 11 out of 200 patients (5.5%). Pruritus gravidarum is the most frequent dermatosis occurring 4 out of 11 patients (36.36%). Prurigo gestationis was observed in 3 out of 11 patients (27.2%). Polymorphic eruption of pregnancy was observed in 2 out of 11 patients (18.8%). Among 200 patients examined, 42 diseases were diagnosed with respect to Dermatology, Leprology and Venereology in 134 patients. CONCLUSION This study emphasises the need for a scrupulous and meticulous search for dermatological and sexually transmitted disease instead of routine regular antenatal checkups and dismissing the patients with symptoms attributing them to the ...
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.