Shahidi-Dadras Mohammad; Kheradmand Zohreh; Abdollahimajd Fahimeh
Abstract
Background: Recently, rituximab has been successfully used for the treatment of pemphigus family, the main subtype of which is pemphigus vulgaris (PV). The aim of this study was to determine the efficacy and safety of rituximab in refractory PV. Methods: In an observational study extending from November ...
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Background: Recently, rituximab has been successfully used for the treatment of pemphigus family, the main subtype of which is pemphigus vulgaris (PV). The aim of this study was to determine the efficacy and safety of rituximab in refractory PV. Methods: In an observational study extending from November 2014 to February 2016, 30 patients with refractory PV were treated with rituximab. Response to therapy, duration of clinical remission, relapse rate, serology, and side effects of treatment with rituximab were evaluated. Results: At the end of the follow-up with a mean duration of 7.6 (6-14) months, 25 (83.3%) patients achieved complete remission with or without systemic therapy. The mean duration of disease control was 2.8 months. In all patients, the serum levels of antidesmoglein 1 and 3 IgG antibodies were reduced after rituximab therapy. In 23.4% of the patients, a clinical relapse occurred at a mean of 9.6 months following the initiation of the treatment. Infusion-related reactions occurred in 18 (60%) patients. The lack of a control group, concomitant use of corticosteroid and immunosuppressive agents, and a limited follow-up period were among the limitations of our research. Conclusions: Rituximab is a good treatment modality for refractory PV, which extends the mean time to relapse in patients. To further extend our knowledge on the efficacy and safety of rituximab therapy, more randomized controlled trials with larger sample sizes and prolonged follow-up durations are required.
Siddalingappa Karjigi; Murthy Sambasiviah Chidambara; Herakal Kallappa; Deepika Madagondanahalli
Volume 20, Issue 2 , 2017, , Pages 50-53
Abstract
Background: Chronic urticaria (CU) is a common skin disorder that accounts for 15%-20% of dermatological cases. There is growing evidence that some cases of chronic idiopathic urticarial (CIU) are associated with various autoimmune diseases, including thyroid autoimmunity. This study aims to identify ...
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Background: Chronic urticaria (CU) is a common skin disorder that accounts for 15%-20% of dermatological cases. There is growing evidence that some cases of chronic idiopathic urticarial (CIU) are associated with various autoimmune diseases, including thyroid autoimmunity. This study aims to identify the thyroidprofile, including thyroid autoantibodies, in patients with CU.Methods: This case-control study included 100 patients with CU and 100 controls without urticaria. Males and females (age range: 20-40 years) who attended the Navodaya Medical College Hospital and Research centre were included. Participants underwent laboratory investigations that consisted of a complete blood count(CBC) thyroid autoantibodies, and other relevant investigations. Results: Patients in the CU group had a male to female ratio of 1:2.1 and a mean age of 31.2 years. The control group had a male to female ratio of 1:1 and a mean age of 35 years. Antimicrosomal antibodies (AMA) were present in 14 (14%) patients, 13 females and 1 male. There were no autoantibodies in any of the control group participants. Among these 14 patients, 5 (35.71%) had elevated serum thyroid stimulating hormone (TSH) and one had coexistent anti-thyroglobulin antibodies. Other associated diseases included diabetes mellitus, human immunodeficiency virus (HIV), and hepatitis B surface antigen (HBsAg) in onepatient each.Conclusion: Thyroid autoantibodies may play a role in persistent CU. Screening patients with persistent CU for thyroid functions, including thyroid autoantibodies, may help with proper management.
Dadras Mohammad Shahidi; Golfeshan Atefe; Younespour Shima
Volume 18, Issue 2 , 2015, , Pages 51-55
Abstract
Background: It seems that there are similar associated diseases in psoriasis and Lewis (b) negative phenotypes such as diabetesmellitus, cardiovascular events, and metabolic syndrome. Therefore, we decided to evaluate the frequency of Lewis henotypes in patients with chronic plaque type psoriasis. A ...
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Background: It seems that there are similar associated diseases in psoriasis and Lewis (b) negative phenotypes such as diabetesmellitus, cardiovascular events, and metabolic syndrome. Therefore, we decided to evaluate the frequency of Lewis henotypes in patients with chronic plaque type psoriasis. A limited number of studies have been previously conducted in this regard.Methods: Fifty patients and 100 age and gender matched control subjects were selected as the study population. Two milliliter of venous blood was collected from each subject to find out the Lewis phenotype and in subjects with the Le (a-b-) henotype, saliva was collected to determine the secretory status. All individuals with the Le (a-b-) phenotype were typed as non-secretor in their saliva by the hemagglutination inhibition assay; therefore, in this study, Lewis (b) positive individuals were considered as secretor and Lewis (b) negative as non-secretor phenotypes.Results: There was a significant difference in the secretory status or Lewis phenotypes between the two groups. ABH on-secretory status Le (a-b-) and Le (a+b-) together or Lewis b negative phenotypes were found in 78% (39 of 50) of the patients and 26% (26 out of 100) of the healthy controls (P
Arun Achar; Pratim Chakraborty Partha; Tarapada Ghosh; Biswanath Naskar; Tapobrata Guharay; Samiran Bisai
Volume 14, Issue 2 , 2011, , Pages 52-57
Abstract
Background: Acyclovir, a specific and selective inhibitor of replication of herpesviridae family, has well documented efficacy for speedy rash healing and decreasing pain of herpes zoster. Limited oral bioavailability of acyclovir requires frequent dosing. Valacyclovir is rapidly and almost completely ...
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Background: Acyclovir, a specific and selective inhibitor of replication of herpesviridae family, has well documented efficacy for speedy rash healing and decreasing pain of herpes zoster. Limited oral bioavailability of acyclovir requires frequent dosing. Valacyclovir is rapidly and almost completely converted to acyclovir in vivo and gives three to fivefold increase in acyclovir bioavailability. The aim of this study was to assess the clinical efficacy, safety and tolerability of oral valacyclovir versus standard oral acyclovir in the treatment of herpes zoster. Methods: A blind randomized prospective study was performed during May 2007 to August 2007 in Midnapore Medical College. Immunocompetent patients, aged ≥40yrs presenting with herpes zoster within 72 hours after onset of rash were enrolled and randomized to receive one of the following treatments: 1000 mg of valacyclovir thrice daily for 7 days or acyclovir 800 mg 5 times daily for 7 days. A total of 60 patients were included and randomized to receive either valacyclovir (n=30) or acyclovir (n=30) and they were evaluated at 8 days, 15 days and 29 days, respectively. Results: A statistically significant reduction of skin lesion and zoster associated pain were noticed in valacyclovir compared to acyclovir group. However, presence of post herpetic neuralgia on the 29th day was less in acyclovir compared to valacyclovir group (70.0% vs. 83.3%, P>0.05). Only one patient on valacyclovir and two patients on acyclovir complained of nausea and mild abdominal pain. Conclusion: We conclude that for the management of herpes zoster, valacyclovir might be superior to acyclovir in respect to reduction of skin lesions and pain.
Mahnaz Banihashemi; Masoud Maleki; Fakhrozaman Pezeshkpoor; Amir Hossein Jafarian; Mohammad Reza Sharghi; Sara Hashemzadeh
Volume 16, Issue 2 , 2013, , Pages 53-56
Abstract
Background: Pemphigus is a group of autoimmune blistering skin diseases that is related to auto antibodies against desmoglein 1 and 3. Many reports have shown that HSV1, HSV2, VZV, EBV, CMV, HHV8, and HIV are triggering agents for the activation and exacerbation of pemphigus. In this ...
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Background: Pemphigus is a group of autoimmune blistering skin diseases that is related to auto antibodies against desmoglein 1 and 3. Many reports have shown that HSV1, HSV2, VZV, EBV, CMV, HHV8, and HIV are triggering agents for the activation and exacerbation of pemphigus. In this study, we decided to evaluate the frequency of HSV1, HSV2, HHV8, and EBV in paraffin-embedded specimens of the new cases of pemphigus patients using immunohistochemical methods.Method: Thirty patients with pemphigus whose diagnosis was proved with direct immunofluorescens studies (20 cases of pemphigus vulgaris and 10 cases of pemphigus foliaceus) and 10 specimens from the free margins of excised melanocytic nevi were collected. Immunohistochemical staining was performed for HSV1 and EBV (using Novo Castra kit) and for HSV2 and HHV8 (using Dako kit).Result: The results showed a significance difference in the frequency of positive staining for HSV1 in skin lesions of pemphigus vulgaris, foliaceus, and controls (P= 0.041), foliaceus group more positive staining than vulgaris group and both more than controls, but not for HSV2, EBV, and HHV8 markers. Positive staining for HHV8 occurred in 30% of PF patients and 15% of PV patientsbut P value was not significant (0.171).Conclusion: Like previous studies, our research also indicated significant prevalence of HSV1 in lesions of pemphigus patients, especially in pemphigus foliaceus. We collected new cases ofpemphigus before starting immunosuppressive therapy, so we think that the presence of HSV1 in skin lesions of patients can act as a triggering factor for the disease which could not be attributed to the suppressive therapy.
Alizadeh Narges; Oskuee Alireza Ba–Eeman; Golchai Javad; Sadre-Eshkevari Shahryar; Darjani Abbas; Kazemnejad Ehsan; Eftekhari Hojat; Mohtasham-Amiri Zahra
Volume 17, Issue 2 , 2014, , Pages 54-58
Abstract
Background: Methicillin–resistant Staphylococcus aureus (MRSA)has recently emerged as a worldwide major nosocomial pathogenthat causes significant morbidity and mortality. MRSA is frequentlycolonized on the skin. The aim of this study was to determinethe MRSA colonization/infection prevalence and ...
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Background: Methicillin–resistant Staphylococcus aureus (MRSA)has recently emerged as a worldwide major nosocomial pathogenthat causes significant morbidity and mortality. MRSA is frequentlycolonized on the skin. The aim of this study was to determinethe MRSA colonization/infection prevalence and to evaluatethe potential risk factors for its development in the hospitalizedpatients in a referral dermatology ward.Method: In this cross sectional study, 203 patients with cutaneouslesions who were admitted to the dermatology ward of a tertiaryteaching hospital from 2008 to 2010 were recruited. Sampleswere collected during the first 48 hours of admission. S. aureuswas identified using gram staining, catalase, and coagulase tests.The disk diffusion method was used for testing the sensitivityof different bacteria to antibiotics. Mueller-Hinton agar was theculture medium used for MRSA susceptibility testing.Result: Staphylococcus. aureus was the most common pathogenthat grew in 56.2% (114/203) of isolates. MRSA was foundin 35.5% (82/203) of isolates. The duration of the cutaneouslesions, age group, positive history of antibiotic use in past 12months, and underlying diseases were statistically differentbetween the patients with colonization of MRSA and methicillinsensitiveStaphylococcus aureus (MSSA) (P
Mohammad Afshar; Mohammadmehdi Hassanzadeh- Taheri; Mahmoud Zardast; Maryam Honarmand
Abstract
Background: Wound healing is one of the main problems faced by medical scientists. Nowadays, herbal compounds are used to accelerate the repairing process. Coumarin is a plant compound with anti-inflammatory and anti-oxidant effects. In the present study, the benefits of using coumarin ...
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Background: Wound healing is one of the main problems faced by medical scientists. Nowadays, herbal compounds are used to accelerate the repairing process. Coumarin is a plant compound with anti-inflammatory and anti-oxidant effects. In the present study, the benefits of using coumarin in accelerating wound healing were investigated in mice.Methods: Sixty male BALB/c mice were used. After making a linear wound on the dorsum of the animals, they were randomly divided into five equal groups: the first and second groups received topical cream of coumarin at concentrations of 1% and 2%; the third and fourth groups received nitrofurazone cream (positive control) and eucerin cream (negative control), respectively. The fifth group as the sham group was not treated. Then on days 4, 7, 10, and 14 of experiment, biopsies were performed on three mice from each group. Histological examination was performedusing hematoxylin and eosin and Masson trichrome staining. Data were analyzed by ANOVA and Tukey tests.Results: Inflammation significantly decreased in both experimental groups at days 4, 7, and 10, compared to the control groups. In the proliferation phase, fibroblast cells, granulation tissue formation, and epithelialization were significantly higher in both experimental groups than the control groups. In addition, collagen synthesis significantly increased in the experimental groups compared to the control groups.Conclusion: Topical application of coumarin had beneficial effects on different phases of wound healing in the skin of BALB/c mice.
Sepaskhah Mozhdeh; Mohammadi Ali; Nabavizadeh Sara Sadat; Faridi Pouya; Babaei Amir Hossein
Abstract
Background: Acne vulgaris is a multi-factorial disease affecting many aspects of life. This study was conducted to compare the efficacy of fenugreek seed extract and oral azithromycin in the treatment of acne vulgaris. Methods: A total of 20 patients with acne vulgaris aged between 12 and 30 years old ...
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Background: Acne vulgaris is a multi-factorial disease affecting many aspects of life. This study was conducted to compare the efficacy of fenugreek seed extract and oral azithromycin in the treatment of acne vulgaris. Methods: A total of 20 patients with acne vulgaris aged between 12 and 30 years old were entered into this 60-day, randomized, placebo-controlled, triple-blind study. The patients were randomly divided into two groups, (permuted block randomization, block size of 4), namely fenugreek and azithromycin groups. All the participants daily received two capsules containing 500 mg hydroalcoholic extract of fenugreek seeds or 125mg azithromycin, for two months. The patients were evaluated after 30 and 60 days from the start of the trial. The participants, investigators (the dermatologists who evaluated clinical responses), and statisticians who analyzed the data were blind for identity and allocation of the treatments. Results: The baseline GAGS scores in azithromycin and fenugreek groups were respectively equal to 19.66 and 23.12, and there was a reduction in both azithromycin (GAGS2=14.33) (P-value=0.019) and fenugreek extract group (GAGS2=22.75) (P-value=0.780) during the experiment. There was a statistically significant difference among the two groups (F= (2, 24) = 3.861, P=0.035). Conclusion: The effect of azithromycin was higher than fenugreek in the treatment of acne vulgaris.
Mashayekhi Vahid; Maleki Masoud; Javidi Zari; Mahmodi Mahmoud; Taheri Ahmad Reza; Mehrabi Reza
Volume 11, Issue 2 , 2008, , Pages 60-63
Abstract
Background: It appears that chronic lupoid leishmaniasis is the result of type 2 predominant T helper response to parasite and a defect in the down regulation of IL-4 production during infection. The objective of this study was to evaluate the underlying immune status in these patients and their predominant ...
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Background: It appears that chronic lupoid leishmaniasis is the result of type 2 predominant T helper response to parasite and a defect in the down regulation of IL-4 production during infection. The objective of this study was to evaluate the underlying immune status in these patients and their predominant T helper activity we considered serum IgE as an indicator of TH2 activity and IL-4 production as it has been shown in atopic diathesis.Methods: In 34 cases of chronic lupoid leishmaniasis serum IgE level was measured and compared with 34 control cases of age and sex matched healthy individuals without atopic diathesis. P< 0.05 was considered statistically significant.Results: There were 21 females and 13 males with a mean age of 14.35±8.3 years in the patients group. The mean age of the control group was 16.11±8.4 (P>0.05 and matched). Nine patients had atopic diathesis. Mean serum IgE level in patients and in the control group was 102.6±22.4 i.u/ml and 135.6±24.9 i.u/ml, respectively (P>0.05 with no significant difference). Mean serum IgE level in patients without atopic diathesis (25 cases) was 66.8±11.3i.u/ml which was significantly lower than the control group (P<0.05).Conclusion: In this study, serum IgE level in cases with chronic lupoid leishmaniasis was lower than the control group and it seems that in these patients, there is not an underlying Th2 over activity as it is seen in atopic diathesis.
Farajzadeh Saeedeh; Esfandiarpour Iraj; Abbassi Mohammad Mehdi Hayatbatch; Moghaddam Sodaif Darvish; Hosseininasab Fatemeh
Volume 13, Issue 3 , 2010, , Pages 78-81
Abstract
Background: The correlation between coronary artery disease and androgenic alopecia has been demonstrated, but the mechanism of this association still remains to be cleared. Objective: To investigate lipid profile, as an indicator of coronary artery disease, in women with female pattern alopecia. Methods: ...
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Background: The correlation between coronary artery disease and androgenic alopecia has been demonstrated, but the mechanism of this association still remains to be cleared. Objective: To investigate lipid profile, as an indicator of coronary artery disease, in women with female pattern alopecia. Methods: Fifty one women with female pattern alopecia and thirty one healthy women with normal hair status were selected as the case and control groups, respectively. Lipid profile including cholesterol, triglyceride, high density lipoprotein, low density lipoprotein, lipoprotein (a), apolipoprotein A1, and apolipoprotein B were measured in both groups. Results: The most important result of our study was a remarkably higher level of lipoprotein (a) in the case group. On the other hand, 55.3% of the patients and 16.7 % of the controls had lipoprotein (a) level >30 mg/dl, higher than the critical level for atherosclerosis. Conclusion: Lipid profile, especially lipoprotein (a), which is an important risk factor for coronary artery disease, should be investigated in women with androgenic alopecia. Those with disturbance in lipid profile should be referred to a cardiologist.
Jeelani Shazia; Lanker Audil; Jeelani Nasir; Masood Qazi; Fazili Tawheeda; Majid Huma
Volume 19, Issue 3 , 2016, , Pages 79-85
Abstract
Background: Onychomycosis (OM) is the infection of nails caused by a variety of fungi. As systemic antifungal treatment is necessary in the majority of patients, appropriate diagnostic techniques are important to ensure a correct diagnosis and treatment. Objective: This study was carried out to evaluate ...
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Background: Onychomycosis (OM) is the infection of nails caused by a variety of fungi. As systemic antifungal treatment is necessary in the majority of patients, appropriate diagnostic techniques are important to ensure a correct diagnosis and treatment. Objective: This study was carried out to evaluate the clinical, mycological, and histological aspects of onychomycosis in detail. Methods: A cross-sectional study was carried out on 216 patients with a high degree of clinical suspicion for OM. Clinical details including the site, morphological type, and associated diseases were noted in each case. The specimens obtained were subjected to three diagnostic tests: direct microscopy, fungal culture, and histopathological examination using PAS staining. Results: OM was more common in young adults in the age group 20-40 years (40.2%). In the majority (46.3%) of the cases, the duration of the disease was ≤ 1year. Distal and lateral subungual onychomycosis was the most common (73.6%) clinical type. A high incidence of toe nail onychomycosis (68.5%) was noted in our study. Dermatophytes were the most common etiological agent. Among the dermatophytes, Trichophyton mentagrophytes was the most common isolated fungus. Histopathological examination using PAS staining (HPE-PAS) showed the highest sensitivity of 91.6% among the three tests. Conclusion: Dermatophytes are the main agents responsible for OM in this region with T. mentagrophytes being the most common isolate. This study also demonstrated the importance of performing routine histopathology in addition to direct examination and culture for the diagnosis of onychomycosis.
Dastgheib Ladan; Saki Nasrin; Heiran Alireza; Kardeh Bahareh; Saki Mohammad Reza
Volume 20, Issue 3 , 2017, , Pages 79-83
Abstract
Background: Psoriasis is a chronic autoimmune skin disorder with relapsing erythematous scaling plaques and joint or nail involvement. A greater occurrence of other autoimmune diseases has been reported in these patients. Additionally, their family members are more likely to be diagnosed with psoriasis. ...
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Background: Psoriasis is a chronic autoimmune skin disorder with relapsing erythematous scaling plaques and joint or nail involvement. A greater occurrence of other autoimmune diseases has been reported in these patients. Additionally, their family members are more likely to be diagnosed with psoriasis. The aimof this study is to assess the prevalence of certain autoimmune diseases in first degree relatives of patients with psoriasis compared with a control group. Methods: In this cross-sectional study we used a questionnaire to compare the frequency of type 1 diabetes, autoimmune thyroid disease, vitiligo, lupus erythematosus, multiple sclerosis, ulcerative colitis, Crohn’s disease, and rheumatoid arthritis in first degree relatives of 109 pathologically confirmed psoriasiscases with the first degree relatives of 109 age-sex matched controls. R programming language (version 3.3.1 for Windows) and the rattle graphical user interface (GUI) package were applied for statistical analysis. A P-value?0.05 was considered to be statistically significant. Results: We compared 955 first degree relatives of psoriatic patients with 934 family members of the controls. There was significantly greater total autoimmune diseases [odds ratio (OR): 2.74, 95% confidence interval (CI): 1.95-3.87, P<0.001), particularly psoriasis (OR: 38.66, 95% CI: 5.3-282.19, P<.0001), in first degree relatives of psoriatic patients compared to family members of the control group. Regardless of gender, autoimmune thyroid disease was more prevalent among first degree relatives of psoriatic patients (OR: 2.81, 95% CI: 1.36-5.83, P=.0066). No statistically significant difference was found regarding type 1 diabetes, rheumatoid arthritis, multiple sclerosis, vitiligo, Crohn’s disease, and ulcerative colitis. Conclusion: First degree relatives of patients with psoriasis had significantly higher autoimmune diseases. This finding was particularly noticed for psoriasis and autoimmune thyroid disease.
Nahidi Yalda; Javidi Zari; Shakeri Mohammad Taghi; Farrokhnezhad Somayyeh
Volume 15, Issue 3 , 2012, , Pages 80-84
Abstract
Introduction: Acne is a common problem in adolescent and youngage groups, for which several risk factors have been suggested.One of the risk factors is smoking. In studies on the relationshipbetween smoking and acne, conflicting results have been obtained.Method: This study was conducted on 133 male ...
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Introduction: Acne is a common problem in adolescent and youngage groups, for which several risk factors have been suggested.One of the risk factors is smoking. In studies on the relationshipbetween smoking and acne, conflicting results have been obtained.Method: This study was conducted on 133 male patients whowere visited at the dermatology clinic of Imam Reza hospital dueto acne as the case group, and 133 healthy individuals withoutany skin diseases including acne among those accompanying thepatients as the control group. The case and the control groups wereage matched. For each patient who had the criteria for inclusionin the study, a questionnaire was completed and the necessaryinformation was collected and then analyzed statistically.Result: The questionnaires were filled for 133 patients with acneand 133 healthy controls. Twenty-nine patients with acne (21.8%)and 12 patients in the control group (9.1%) were smokers, and thedifference between them was significant (P = 0.004). The numberof cigarettes smoked per day was significantly different in thetwo groups (4.75 in the case group versus 1.88 in the controlgroup). No correlation was found between smoking and acnelocalization, severity of acne, the type of lesion, symptomaticor asymptomatic nature of acne and acne complications. In thecase group, the smokers developed acne at an older age thanthe non-smokers.Conclusion: Patients with acne were more likely to smoke thanpatients without acne; thus, smoking might be a factor affectingthe incidence of acne.
Khalaji Naser; Khaffafi Behrang; Mokhtari Seyed Arman Seyed; Karimipour Mojtaba; Alizadeh Hamed
Abstract
Background: Nowadays, the rapid recovery of skin lesions and functional return are among the goals of researchers. The skin is the first defensive barrier against microorganisms in the body and its failure causes infection to spread in all systems of the body. By taking into account the contradictory ...
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Background: Nowadays, the rapid recovery of skin lesions and functional return are among the goals of researchers. The skin is the first defensive barrier against microorganisms in the body and its failure causes infection to spread in all systems of the body. By taking into account the contradictory results of previous studies on the impact of phototherapy on wound healing and also the considerable anti-oxidative properties of curcumin, this novel study was carried out with the aim of determining the histopathological impact of compact fluorescent light (CFL) and curcumin on the process of wound healing. Methods: Forty-eight adult male wistar rats were randomly divided into four groups. The control group received 2.0 ml of ethyl oleate, and the curcumin group received only 0.2 ml curcumin daily for 15 days via intraperitoneal injection. The fluorescent group received 0.2 ml of ethyl oleate daily for 15 days via intraperitoneal injection, and were exposed to CFL for 12 hours per day for 15 days. The curcumin plus fluorescent group received 0.2 ml curcumin daily for 15 days via intraperitoneal injection, and were exposed to CFL for 12 hours per day for 15 days. The size of the wound was measured by a scale ruler, and the morphology of the wound site was assessed. Results: The results of this study showed that the best percentage of repair was observed in the fluorescent group on days 6 and 15 (50±5 and 90±2, respectively), while the least repair was seen in the group receiving fluorescent plus curcumin (33±7). In the curcumin group, the wound healing was, not significantly (P=0.872) reduced on the sixth day, compared to the control group, whereas compared to the fluorescent and fluorescent plus curcumin groups, the reduction was significant (P?0.0001 and P=0.05, respectively). On the fifteenth day, however, the wound healing was significantly decreased in the curcumin group compared to the control and fluorescent groups (P?0.0001 and P?0.0001 respectively), while it was significantly increased compared to the fluorescent plus curcumin group (P?0.0001). In the fluorescent plud curcumin group, the wound healing was significantly reduced compared to the other groups on the fifteenth day (P?0.0001). Conclusion: Fluorescent alone resulted in wound healing, in contrast to the control and curcumin plus fluorescent groups. Accelerating the repair in this group is likely due to the increase in blood flow and helping the homeostasis to return to its primary state. The absence of wound healing in the curcumin group is probably due to the high dose of curcumin. Moreover, in the fluorescent plus curcumin group, the causes of no wound healing and weight loss were probably disorders in the inflammation process and spread of infection.
Rastegar Hosein; Ashtiani Hamidreza Ahmadi; Baghaei Mohammad; Bokaei Saeid; Ehsani Amirhoushang; Noormohammadpour Pedram; Azizahari Sahar; hanmohammad Ramin
Volume 12, Issue 3 , 2009, , Pages 82-85
Abstract
Background: Dandruff especially with itching and inflammation is a common complaint among patients in the clinic and its treatment is much challenging. Chemical anti fungal substances used in antidandruff shampoos are common treatments. The aim of this study was to compare the clinical efficacy of two ...
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Background: Dandruff especially with itching and inflammation is a common complaint among patients in the clinic and its treatment is much challenging. Chemical anti fungal substances used in antidandruff shampoos are common treatments. The aim of this study was to compare the clinical efficacy of two of these anti dandruff substances, climbazole and piroctone olamine in the treatment of dandruff and seborrheic dermatitis in shampoos with herbal extracts. Methods: One hundred and twenty men with scalp dandruff of the same severity, between 20-30 years old and in the same occupational condition in terms of sun exposure or environmental pollution were selected and divided randomly into two 60-subject groups. After each shampoo was applied 3 times a week for 5 weeks one in group 1 and the other in group 2, patients were assessed for existence of itching and redness of scalp and reduction in dandruff and results were compared between two groups. Results: Itching and redness were completely cured in both groups after treatment. Dandruff was completely cured in 80% of patients and reduced in 20% of patients in climbazole group (p < 0.001), though completely cured in 55% of patients and reduced in 45% of patients in piroctone olamine group (p < 0.001). Climbazole was over piroctone olamine in reduction of dandruff with significant difference (p < 0.01). Conclusion: Both shampoos containing climbazole or piroctone olamine beside herbal extracts are effective in the reduction of dandruff and relief of other seborrheic dermatitis symptoms but climbazole seems to be more effective than piroctone olamine in the treatment of dandruff.
M Bani Hashemi; Sh Izadi
Volume 7, Issue 2 , 2004, , Pages 84-87
Abstract
Background: There is controversy about the relationship between vitiligo and thyroid dysfunction. Objective: To evaluate the relationship between vitiligo and thyroid disorders. Patients and Methods: This was a case-control study carried out on individuals with vitiligo in 2004 in Zahedan, that had it ...
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Background: There is controversy about the relationship between vitiligo and thyroid dysfunction. Objective: To evaluate the relationship between vitiligo and thyroid disorders. Patients and Methods: This was a case-control study carried out on individuals with vitiligo in 2004 in Zahedan, that had it for at least 6 months as cases and individuals without vitiligo considered as the control group (Age and sex were matched with case group). T3, T4, TSH, T3RU in both groups were assessed and FTI was calculated. Then hypo-, hyper- and euthyroid states were determined based on FTI and T3 level (For T3 hyperthyroidism) and data were analyzed by conditional logistic regression. Results: Each study group consisted of 50 individual, 52% female and 48% male. In the patient group, 16% had thyroid dysfunction, 14% of which had hyperthyroidism and 2% hypothyroidism. In control group, 4% had thyroid dysfunction, 2% of which had hyperthyroidism and 2% hypothyroidism. In case group only one patient had signs and symptoms of hyperthyroidism but in control group none had clinical symptoms. With statistical analysis was done odds ratio=7 (P<0.05) and the difference was significant. Conclusion: Vitiligo patients should be evaluated for thyroid dysfunctions to prevent complications of thyroid disease.
Yalda Nahidi; Naser Tayyebi Meibodi; Habiballah Esmaeili; Zahra Tafazzoli
Abstract
Background: Basal cell carcinoma (BCC) is the most common type of skin tumor. Surgical removal has remained the gold standard of treatment for BCC, but incomplete removal is an important clinical challenge. The goal of our study was to evaluate the incomplete excision of BCC and the factors affecting ...
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Background: Basal cell carcinoma (BCC) is the most common type of skin tumor. Surgical removal has remained the gold standard of treatment for BCC, but incomplete removal is an important clinical challenge. The goal of our study was to evaluate the incomplete excision of BCC and the factors affecting it.
Methods: In this retrospective study, 361 histological samples of BCC excisions referred to the Pathology Department of Imam Reza Hospital, Mashhad, Iran, from 2004 to 2018 were reviewed. Data including age, gender, tumor site, size, histopathologic subtype, surgical margin involvement, and the surgeon’s specialty were recorded.
Results: The incomplete removal rate was 20%. Ten percent of the lesions had deep margin involvement, 5.8% had lateral margin involvement, and both margins were involved in 4.2% of cases. Incomplete excision had a significant relationship with the following variables: nodular, mixed, and sclerosing types; the 60-70 years age group; lesions larger than 2 cm, location in nose and canthi; and excision by an otorhinolaryngologist, ophthalmologist, or dermatologist.
Conclusion: In this study, the frequency of incomplete excision was relatively high compared with other studies. Therefore, it is suggested to perform a diagnostic biopsy before the complete excision of BCC. Excision with a wider margin or using Mohs surgery is recommended for midface lesions, older individuals, nodular, mixed, or sclerosing lesions, and for tumors larger than 2 cm.
Shahriar Sadr Eshkevari; Soodeh Kabir; Narges Alizadeh; Nahid Nickhah
Volume 17, Issue 3 , 2014, , Pages 91-95
Abstract
Background: There are different treatment options with variable results for the management of pyogenic granuloma (PG). The aim of this study was to evaluate and compare the cosmetic results and recurrence rate of classic surgical excision with a novel proposed method, curettage and ...
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Background: There are different treatment options with variable results for the management of pyogenic granuloma (PG). The aim of this study was to evaluate and compare the cosmetic results and recurrence rate of classic surgical excision with a novel proposed method, curettage and punch excision of the vascular stalk (C&P) in patients diagnosed as PG.Method: Forty consecutive cases of PG (20 with hand and 20 with facial lesions) were randomized into 2 treatment groups (total excision vs. C&P). The patients were visited by another physicianwho was blind to the method to evaluate the recurrence of the esions and measure the scar size.Result: Thirty-eight cases completed the study. There was only one recurrence in the hand C&P group that was not statistically significant when compared with the hand excision group (P < 0.05). The mean scar size in the cases with total excision was significantly larger than the C&P group (P < 0.001). Also, there were no detectable scars in 72% of the cases who underwent C&P.Conclusion: It seems that our proposed method, i.e. C&P, is an effective option in the treatment of PG with a very low recurrence rate and more favorable cosmetic results.
Wani Aejaz Ali; Jan Nighat
Volume 14, Issue 3 , 2011, , Pages 92-94
Abstract
Background: Alopecia Areate (AA) is a recurrent non-scarring patchy hair loss of autoimmune origin in a genetically susceptible individual although environmental factors may be contributory. The aim of this study is to evaluate serum iron and ferritin levels in patients with AA. Methods: Fifty patients ...
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Background: Alopecia Areate (AA) is a recurrent non-scarring patchy hair loss of autoimmune origin in a genetically susceptible individual although environmental factors may be contributory. The aim of this study is to evaluate serum iron and ferritin levels in patients with AA. Methods: Fifty patients of AA and 50 age and sex matched control subjects without any hair loss were studied. Results: No significant difference was found in mean hemoglobin, ferritin, and iron levels in two groups. Serum iron ferritin and hemoglobin levels did not show any significant variations with respect to the extent or duration of the disease, family history, history of atopy, and nail involvement. Conclusion: In our study, the levels of serum iron and ferritin showed no significant changes in AA patients and seems not to play a role in the etiology of AA.
H Ansarin; Gh.H Ghaffar Pour
Volume 8, Issue 2 , 2005, , Pages 93-96
Abstract
Background: Tinea versicolor is a common superficial mycosis, which is caused by lipophilic yeasts, malessezia furfur. It is a chronic and recurrent skin disease. It occurs most commonly in young post-pubertal people and in hot and humid climates (North and south provinces of Iran). Objective: Comparison ...
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Background: Tinea versicolor is a common superficial mycosis, which is caused by lipophilic yeasts, malessezia furfur. It is a chronic and recurrent skin disease. It occurs most commonly in young post-pubertal people and in hot and humid climates (North and south provinces of Iran). Objective: Comparison of effects of ketoconazole 2% shampoo (Shafa Lab) with selenium sulfide 2.5% shampoo on tinea versicolor. Patients and Methods: Two-hundred patients with tinea versicolor were divided in 2 groups, each consisted of 10 patients, one group was treated with ketoconazole 2% shampoo and the other one with selenium sulfide 2.5% shampoo. Results: We found out that ketoconazole 2% shampoo was more effective (89% cure rate) than selenium sulfide 2.5% shampoo (35% cure rate). Conclusion: It seems that ketoconazole 2% shampoo is more effective than selenium sulfide 2.5% shampoo in the treatment of tinea versicolor.
Ponnaiyan Deepa; Gomathy L; Anusha JA
Volume 16, Issue 3 , 2013, , Pages 94-99
Abstract
Background: Melanin pigmentation of the gingiva occurs in allethnicities. Excessive pigmentation is an esthetic concern thathas increased awareness about depigmentation procedures. Thepurpose of the present study was to correlate the skin color andgender with the intensity and distribution of gingival ...
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Background: Melanin pigmentation of the gingiva occurs in allethnicities. Excessive pigmentation is an esthetic concern thathas increased awareness about depigmentation procedures. Thepurpose of the present study was to correlate the skin color andgender with the intensity and distribution of gingival melaninpigmentation in a group of South Indians for treatment strategies.Method: Two hundred male and female non smoking healthysubjects aged 18-35 years were included. A clinical examinationof gingiva was performed to assess the anatomic distribution ofgingival pigmentation. The intensity of gingival pigmentation andthe phenotype of gingiva were also assessed. Subsequently, theskin color was visually examined and assessed as fair, wheatish,brown, and dark.Result: Six classes of gingival pigmentation were definedbased on the anatomic distribution. Gingival pigmentation wasobse
Azadeh Goodarzi
Abstract
There are many patients with inflammatory acne vulgaris who are not compliant or eligible to consume acne medications, such as oral antibiotics or isotretinoin. PubMed and Medline databases were searched for all related articles. All finding were summarized and chronologically presented ...
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There are many patients with inflammatory acne vulgaris who are not compliant or eligible to consume acne medications, such as oral antibiotics or isotretinoin. PubMed and Medline databases were searched for all related articles. All finding were summarized and chronologically presented in the tables. Nonmedical device-based therapies largely improve the treatment of active inflammatory acne vulgaris, especially in patients who are not compliant or eligible to consume acne medications, do not respond to these drugs over a specified period of time, or do not sustain in the remission phase.
Balakrishna P Nikam; Mohan Kale; Varsha Jamale; Tunika Arora; Asma Hussain; Nishchhal Shrivastav
Abstract
Background: Self-inflicted acne excoriée is often observed in patients with compulsive skin picking, posing a challenge for diagnosis and treatment as the exact psychiatric cause remains unknown. Studies have suggested that serotonin reuptake inhibitors such as fluoxetine may help in the management ...
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Background: Self-inflicted acne excoriée is often observed in patients with compulsive skin picking, posing a challenge for diagnosis and treatment as the exact psychiatric cause remains unknown. Studies have suggested that serotonin reuptake inhibitors such as fluoxetine may help in the management of this condition. To determine the efficacy and safety profile of fluoxetine in the treatment of acne excoriée and to study the psychological profiles of patients. Methods: Sixty patients of either sex aged ≥16 years with acne excoriée were assigned to either Group A (n=30), which received oral fluoxetine (F) (20 mg/day) and oral doxycycline (D) (100 mg/day) with topical clindamycin (1%), or Group B (n=30), which received a placebo (P), oral doxycycline (100 mg/day), and topical clindamycin (1%). Patients were evaluated for standardized rating scales and followed up every two weeks for 12 weeks. Results: Female gender predominance was observed in both groups, with most patients exhibiting anxiety and depression. With each follow-up visit (2nd, 3rd, 4th, and 5th) in both groups (A and B), the mean AESI (91.4% vs. 26.7%), HAM-A (80% vs. 27.7%), MADRS (68.1% vs. 28.2%), YBOCS (98.27% vs. 15.63%), PGA (88.47% vs. 31.38%), and VAS (99.17% vs. 37.67%) scores decreased from baseline by the final visit, indicating improved patient conditions. Significant differences were observed between the two groups (p <0.001) in the overall response, indicating that fluoxetine was more efficacious than the control. No remarkable side effects were noted. Conclusion: Fluoxetine efficiently managed acne excoriée without remarkable side effects. Background: Self-inflicted acne excoriée is often observed in patients with compulsive skin picking, posing a challenge for diagnosis and treatment as the exact psychiatric cause remains unknown. Studies have suggested that serotonin reuptake inhibitors such as fluoxetine may help in the management of this condition. To determine the efficacy and safety profile of fluoxetine in the treatment of acne excoriée and to study the psychological profiles of patients. Methods: Sixty patients of either sex aged ≥16 years with acne excoriée were assigned to either Group A (n=30), which received oral fluoxetine (F) (20 mg/day) and oral doxycycline (D) (100 mg/day) with topical clindamycin (1%), or Group B (n=30), which received a placebo (P), oral doxycycline (100 mg/day), and topical clindamycin (1%). Patients were evaluated for standardized rating scales and followed up every two weeks for 12 weeks. Results: Female gender predominance was observed in both groups, with most patients exhibiting anxiety and depression. With each follow-up visit (2nd, 3rd, 4th, and 5th) in both groups (A and B), the mean AESI (91.4% vs. 26.7%), HAM-A (80% vs. 27.7%), MADRS (68.1% vs. 28.2%), YBOCS (98.27% vs. 15.63%), PGA (88.47% vs. 31.38%), and VAS (99.17% vs. 37.67%) scores decreased from baseline by the final visit, indicating improved patient conditions. Significant differences were observed between the two groups (p <0.001) in the overall response, indicating that fluoxetine was more efficacious than the control. No remarkable side effects were noted. Conclusion: Fluoxetine efficiently managed acne excoriée without remarkable side effects. Keywords: acnevulgaris,fluoxetine, doxycycline
Toossi Parviz; Sebti Arezo; Sarvghadi Farzaneh
Volume 18, Issue 3 , 2015, , Pages 104-107
Abstract
Background: The aim of this study was to investigate the thyroid function status in patients with lichen lanopilaris.Methods: In this case control study, 26 (8 male and 18 female) consecutive lichen planopilaris patients, and 36 age and sex matched controls were evaluated for thyroid function status.Results: ...
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Background: The aim of this study was to investigate the thyroid function status in patients with lichen lanopilaris.Methods: In this case control study, 26 (8 male and 18 female) consecutive lichen planopilaris patients, and 36 age and sex matched controls were evaluated for thyroid function status.Results: The median antithyroglobulin serum level was higher in patients than controls (47.1 IU/mL vs. 10.2 IU/mL, P
Ghaninejad Hayedeh; Esmaili Nafiseh; Ghiasi Maryam
Volume 10, Issue 2 , 2007, , Pages 105-110
Abstract
Background and aim: Psoriasis is a chronic inflammatory dermatosis that affects 0.6% to 4.8% of the population. Phototherapy is commonly used in the treatment of this disease. According to the results of previous studies that showed difference in minimal erythema dose between different body sites, it ...
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Background and aim: Psoriasis is a chronic inflammatory dermatosis that affects 0.6% to 4.8% of the population. Phototherapy is commonly used in the treatment of this disease. According to the results of previous studies that showed difference in minimal erythema dose between different body sites, it seems that the responses of psoriatic lesions are also different in various body sites. Our objective was to compare the response of psoriatic lesions to phototherapy in various body sites.Materials and methods: Forty patients with generalized chronic plaque-type psoriasis were enrolled in this study. All patients were examined prior and during phototherapy course every 10 sessions. In each patient time of clearance of psoriatic lesions at trunk, upper and lower extremities were recorded separately.Results: At the end of phototherapy course the lesions of the trunk were cleared completely in 32 patients, and remained partially in 8 patients. The lesions of the upper limbs were cleared completely in 37 patients, and remained partially in 3 patients. The lesions of the lower limbs were cleared completely in 22 patients, and remained partially in 16 patients. Incomplete responses were significantly higher on the lower limbs than the trunk and upper limbs.Conclusion: Therapeutic response of psoriatic lesions to phototherapy is lower on the lower limbsthan the trunk and upper limbs.
