Psoralen ultraviolet A (PUVA) is a proven modality in dermatological therapeutics. It is widely practiced in the treatment of psoriasis, vitiligo, atopic eczema, certain skin cancers, photosensitivity dermatoses, alopecia areata, graft-versus-host disease and morphea.1-3 In presence of UVA, psoralen intercalates between the DNA base pairs forming functional adducts, free radicals and reactive o...

We report the case of a 19-year old female who presented to our dermatological clinic with hyperpigmented, indurated and atrophic patches on a zosteriform distribution, extending from her left submammary region through to her back. Our case was consistent with a zosteriform morphea as an expression of an isotopic Wolf response following an episode of herpes zoster. We discuss the pathogenic mec...

In common rheumatologic diseases skin findings are an important diagnostic clue for astute clinicians. Skin manifestations can help identify systemic disease or may require therapy uniquely targeted at the cutaneous problem. This article discusses 3 common rheumatologic conditions seen in adults by dermatologists: cutaneous lupus, dermatomyositis, and morphea. The focus is on the cutaneous find...

Eosinophilic fasciitis is a rare inflammatory disease of unknown etiology, described for the first time by Shulman in 1974. The disease presents with induration of the skin, connective tissue and the underlying muscle fascia, sometimes accompanied by myalgia, most commonly in the lower extremities. Unlike scleroderma, it presents with absence of visceral organ involvement and Raynaud's phenomen...

1. Nayak K, Garg A, Mithra P, Manjrekar P. Serum Vitamin D3 levels and diffuse hair fall among the student population in South India: A case‐control study. Int J Trichology 2016;8:160‐4. 2. Vasudevan DM, Sreekumari S, Vaidyanathan K. Fat soluble vitamin. In: Textbook of Biochemistry for Medical Students. 6th ed. New Delhi: Jaypee Brother Medical Publishers Pvt Ltd.; 2011. p. 33. 3. Harinarayan ...

A lot of diseases, including lupus profundus, morphea, lipodystrophy, and Parry-Romberg syndrome, may manifest progressive hemifacial atrophy. These diseases usually progress slowly and rapid progression of atrophy is extremely rare. We report a case of elderly-onset rapid progression of hemifacial atrophy only in three weeks. Our case did not meet variable differential diagnoses. We discuss th...

Sarcoidosis is an idiopathic multisystem disease with various cutaneous presentations, and it is characterized by the presence of non-caseating granulomas in the affected organs. The specific manifestations are papules, plaques, nodules, ulcers and scar. We report here on a variant of sarcoidosis on a 71-year-old woman who showed an indurated plaque on the forearm. Her lesion's appearance was c...