PubMed Health⌕ Search

Biomedical subjects

Arfan-ul-Bari

Publications and source records attributed to Arfan-ul-Bari.

7 recordsLinked to original sources

Lid leishmaniasis: an atypical clinical presentation.

Localized cutaneous leishmaniasis (CL) typically presents as nodules, or noduloulcerative plaques located mostly on face and extremities. Various unusual clinical presentations have also been reported in literature. Eyelid is one of the rare sites for the sand fly to bite and produce CL. An elderly male is reported here with extensive lesion of CL involving whole of his right upper lid and making him unable to open his eye. He was treated with melamine antimonite compound and was cured in about 4 weeks.

Eyelid Diseases↗

Secondary syphilis presenting as vertigo.

Syphilis is a chronic, systemic and sexually transmitted infectious disease affecting most of the organs in the body. A young African man presented with vertigo, unsteadiness of gait and a skin rash suggestive of secondary syphilis. Diagnosis was confirmed on serology and was treated with two shots of long-acting penicillin, following which his symptoms settled.

Adult↗

Scar leishmaniasis.

A large spectrum of clinical presentations of cutaneous leishmaniasis (CL) have been reported including a scar presentation in many chronic cases. We report here a case where CL developed in a scar of healed lesion of tuberculoid leprosy. Initially, it was suspected as a relapse or reaction of the previous disease, but on histopathology, it proved to be a new disease (CL). On anti-leishmaniasis treatment, lesion healed satisfactorily in about a month time.

Adult↗

Lupus tumidus: a variant of cutaneous lupus erythematosus.

Lupus tumidus is a rare sub-type of chronic cutaneous lupus erythematosus characterized by dermal plaques in which excessive mucin accumulates early in disease process. We report a middle aged women having succulent, edematous and persistent plaque over her face for five years that was not responding to various empirical treatments offered to her. Finally, on clinico-pathological basis, it was diagnosed as a case of tumid lupus erythematosus (TLE) and she responded satisfactorily to the treatment regimen including oral steroids, chloroquine and application of sun screen.

Adult↗

Zosteriform Lichen planus.

Ordinarily, Lichen planus (LP) is as easily recognizable as an old friend of a dermatologist. But some times it comes in disguise. It has been reported to occur in the scars of previous herpes zoster lesions. Zosteriform pattern in LP, without evidence of herpes zoster, is an extremely rare occurrence and such presentation of the disease over head and neck region, to the best of our knowledge, was not reported in literature before. We present a patient who had grouped lichenoid lesions on one side of the neck with no previous or concomitant history of herpes zoster on the involved site or elsewhere on the body.

Humans↗

Bilateral symmetrical herpes zoster in an immunocompetent patient (Herpes zoster duplex symmetricus).

Herpes zoster is a common disease of adulthood. Its incidence is low in childhood and adolescence. Certain risk factors like hematological malignancies or immunosuppression due to any cause may lead to onset at an early age. There is a unilateral appearance of grouped vesicular eruption on an erythematous background which may involve contiguous dermatomes. Rarely the lesions may occur bilaterally in an otherwise healthy individual. We present a case of herpes zoster, with lesions having atypical distribution involving bilaterally symmetrical dermatomes over the lower chest.

Acyclovir↗

Segmental neurofibromatosis [NF type - v].

Segmental neurofibromatosis is a rare variant of neurofibromatosis in which skin lesions are confined to a circumscribed body segment. A case of a 39-year-old man with this condition is presented, who was having multiple soft skin tumours over a localized area of back with no associated cafe au lait spots, axillary freckles or lish nodules. Histology confirmed the diagnosis of neurofibroma.

Adult↗