Background:The rampant, disturbing, and dismal unrestricted use of topical corticosteroids on face results in steroid-induced dermatitis termed topical steroid-dependent face (TSDF). It is an embarrassing and irritating condition for a patient. There is paucity of data from India regarding the effect of TSDF on the quality of life (QoL) of such patients.Aims:The aim of this study was to study the effect of TSDF on the QoL of patients with the help of a validated, easy-to-use, and reproducible dermatology life quality index (DLQI).Methods:A cross-sectional study was done among the outpatients seeking treatment for TSDF at a tertiary care hospital of a medical college. Patients were administered Hindi questionnaire version of DLQI. Controls were apparently healthy age- and sex-matched individuals.Results:DLQI scores revealed that TSDF had some effect on QoL in 98.11% of study patients. Study group had a mean DLQI score of 11.49. Statistically significant higher DLQI scores were recorded among females, patients aged <20 years and those who had no formal education/illiterate.Conclusions:TSDF affects QoL in majority of patients and it has a very large effect on the QoL in more than one-third of the patients.
Epidermodysplasia verruciformis (EV), first described in 1922 by Lewandowski and Lutz, is a rare inherited genetic disease. The disease usually manifests in childhood with highly polymorphic, widespread lesions. 1 We report a case of a fifteen year old boy, who presented to us with multiple flat topped, hypopigmented papules of a seven year duration on his body. He was diagnosed with EV on a skin biopsy, after ruling out differential diagnosis of pityriasis versicolor, verruca vulgaris and acrokeratosisverruciformis. The patient was resistant to known treatment options.Key message: sun protection and lifelong observation for diagnosis and improved prognosis of malignant or premalignant lesions of EV.
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