wise healthy and beautiful towns and villages dreadfully unhealthy. As an observer from the West Coast in South India, I may mention Mangalore in South Canara, Ponnani in Malabar, Mattancheri in Cochin and Sherthali in Travancore, as a few examples of such places where people with ' big legs' or ' indecently hung' may be seen in disgusting proportions not to speak of the sufferers who go down w...

abstract necrotizing fasciitis is a rare, life-threatening infection most commonly seen in patients with diabetes mellitus, intravenous drug abuse, and immunocompromised conditions. the extremities are the primary sites of involvement in as many as two thirds of the cases. in a significant proportion of patients, the extremities are involved as a result of trauma, needle puncture or extravasati...

A 70-year-old woman with a recent diagnosis of dermatomyositis (DM) presented to the dermatology department for study of a probably paraneoplastic syndrome. On examination, we observed discrete, indurated, reddish, painful plaques and nodules on her abdomen and both thighs. A cutaneous biopsy from an abdominal nodule, performed as part of the paraneoplastic workup, was suggestive of cutaneous l...

Milker's nodule is an occupational dermatovirose caused by Parapoxvirus, which is self-limited and, due to the lack of information of health professionals, may lead to underdiagnosis. We present two cases with exuberant manifestations and classic histopathologic findings. Case 1: Male, 19 years of age, milker, presented nodules and blisters on his palm for 15 days. Case 2: Male, 33 years of age...