Open Access Case Report

A Rare Case of Squamous Cell CA Arising from Drain Site Enterocutaneous Fistula- A Case Report

G. Monisha, K. S. Manikanta

Asian Journal of Research in Dermatological Science, Page 1-4

Malignant degeneration of long-standing fistula is extremely rare and only one case has been reported so far in 2005. We herein report the 2 nd case of longstanding entercutaneous fistula following left nephrectomy. The clinical pictures, radiological features are highlighted excision of the fistulous tract was done, which turned out to be squamous cell carcinoma. This case brings to notice that due to its insidious course, longstanding colo cutaneous fistula should be carefully examined for tumour development.

Open Access Case Report

A Case of Cutaneous Myiasis Due to Cordylobia anthropophaga in Infant in Makkah, Saudi Arabia

Amal M. Almatary, Raafat A. Hassanein

Asian Journal of Research in Dermatological Science, Page 25-29

Myiasis caused by Cordylobia anthropophaga is rare in the Saudi Arabia, however, scarce morphological information exists regarding this dipteran. A female Saudi infant, one-month-old with tender erythematous nodules with small central ulceration in the arm and abdominal wall. During investigation, 2 larvae came out from the lesion.  Cordylobia anthropophaga was identified by paired spade-like mouth hooks and 2 posterior spiracles, which lack a distinct chitinous rim. Skin lesions were markedly improved and the patient is fully recovered after the remove of larvae and 2-week antibiotic treatment. Although rarely described in Saudi Arabia until now, cutaneous myiasis should be expected in people living in poor hygienic conditions.

Open Access Original Research Article

Prevalence of Polycystic Ovary Syndrome in Women with Acne Vulgaris

Kinda Bliede, Abdul Halem Roumia, Jamal Khaddam

Asian Journal of Research in Dermatological Science, Page 5-13

Background: Acne is one of the most common dermatological conditions encountered in day to day practice. Many recent studies have reported a strong association between acne and underlying systemic endocrine disorders, more particularly Polycystic ovarian syndrome.

Objective: To study the association between acne and polycystic ovarian syndrome, in women presenting with adult onset acne and its associated factors with regard to the clinical findings.

Study Design: This was a cross –sectional study.

Place and Duration of Study: Department of Dermatology at Tishreen University Hospital, Lattakia, Syria, from January 2018 to February 2019.

Methodology: Total of 150 female patients aged 18-43 years, with various degree of acne did not receive hormonal treatment, including hormonal contraceptive and antiandrogen therapy, for at least 3 months prior to study. Each participant was evaluated by complete medical history, detailed dermatological examination, abdominal ultrasound examination and hormonal assays. The presence of PCOS was assessed using Rotterdam criteria 2003.

Results: The final analysis had included 150 women with acne. The proportion with mild, moderate, severe and very severe acne was 56%, 30%, 11% and 3% respectively. The prevalence of PCOS was 34%. PCOS had shown no statistically significant association with severity of acne or total testosterone concentration (p value >0.05). The factors which have shown statistically significant association were late onset acne above 25 years, irregularity of menstrual cycle, presence of Hirsutism, higher BMI and higher waist circumference.

Conclusion: PCOS is a common disorder among women with acne vulgaris. However it is not related to the severity of acne. Presence of menstrual disturbance, hirsutism, obesity are strong risk factors for PCOS. Early diagnoses and treatment can avoid the possible complications.

Open Access Original Research Article

Pattern of Skin Disorder among School Children in Port-Harcourt, Rivers State

D. Altraide Dasetima, C. Ezeobi Obinna, M. Moore Bliss, O. Abbey Belema

Asian Journal of Research in Dermatological Science, Page 14-24

Aims: Skin disorders among school children are common and on the increase even though they are preventable and most studies has been hospital based as such captures only severe cases. This study aims at determining the prevalence and pattern of skin disorders among school children in Port-Harcourt, Rivers.

Study Design:  Descriptive cross-sectional design.

Place and Duration of Study: among primary schools in Port-Harcourt (PHALGA), Rivers state, Nigeria between September 2018 and December 2018.

Methodology: Multi-stage sampling technique was used to randomly recruit 351 pupils from primary schools in PHALGA. Data were collected using validated semi-structured self-administered questionnaire. Dermatological diagnosis was made mainly clinically by Dermatologists.

Results: The point prevalence of skin disorders was 58.7% (206/351) with prevalence in Male -102 (61.8%) and Female-104 (55.9%). Pupils with more than one skin lesion were 108 (51.2%); 68(44.5%) and 62(37.9%) complained of itching and rashes respectively. The most and least affected parts were lower limb (32.2%) and face (15.2%) respectively. The aetiological distribution had the fungal lesion (30.1%) as the most common. Others are; auto-immune/miscellaneous skin disorder (18.9%), parasitic (15.1%), inflammatory (12.6%), bacterial (5.8%) and viral (3.9%) as the least cause of skin disorders.

Conclusion: There is high prevalence of skin disorders among school children than what is reported from hospital-based studies. Majority of the skin disorder are preventable and controllable with proper modification of socioeconomic status and hygienic practices. As such, more awareness creation for these factors may help reduce the morbidity resulting from these skin disorders.

Open Access Review Article

Adermatoglyphia: Challenges and Prospects in Diagnosis

A. Aladeh Dieprebi, D. Altraide Dasetima, Otike-Odibi Bolaji, Abbey Belema

Asian Journal of Research in Dermatological Science, Page 30-39

Biometric methods are increasingly being used all over the world for individual identification and authentication. Most methods are complex, however, the use of fingerprints are less complex, cheaper, readily available and thus widely used compared to other modalities. There are three basic fingerprint patterns which are the arches, loops and whorls. The availability of fingerprinting has exposed more cases of adermatoglyphia which is clinically defined as the loss of fingerprints. It can be congenital or acquired, reversible or irreversible. Diagnosis of mostly the congenital forms will require molecular genetic analysis which may be difficult to access in this part of the world and volar pad biopsy which individuals may not consent to. The need for alternative modalities of identification should be in place in cases where fingerprinting is an issue. This article will highlight the fingerprint patterns, the prevalence and aetiology of adermatoglyphia. It will also review the challenges faced when diagnosing adermatoglyphia and future prospects which includes other advanced biometric methods for patients.