SM Dermatology Journal

Archive Articles

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Childhood Hypopigmented Mycosis Fungoides: The Greatest Imitator

Mycosis Fungoides (MF) is the most common type of cutaneous T-cell lymphomas, especially found in individuals over the age of 50. The incidence of childhood MF is low, only about 0.01-0.03% per year. The clinical manifestations of MF show great variation, with scaly erythematous patch as the most common presentation. In children, hypopigmented patch manifests frequently and can mimic several skin disorders, from leprosy to post inflammatory hypopigmentation. We reported a case of a 5-year-old girl with multiple red patches on her trunk and extremities. Our first differential diagnoses were leprosy, erythema annulare centrifugum, and granuloma annulare. Histopathology and immunochemistry findings correspond to hypopigmented MF. She was treated with mometasone furoate 0.1% cream and Narrow Band Ultraviolet B (NBUVB) for over a year.

Nahla Shihab*


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Intractable Vaginismus - Management by Incision of Spasmodic Perivaginal Muscles and Resurfacing with Labia Minoraflaps - New Appraoch

Introduction: Vaginismus is defined as recurrent or persistent involuntary spasm of the musculature of the lower third of the vagina, which interferes with coitus resulting in matrimonial disharmony. There are many methods described for the management of the condition. But most of times all methods fail to treat such patients. We have developed a newer approach for management of this condition in which spasmodic muscles are incised and resultant defect is resurfaced with Labia Minora Flaps.

Material and method: We have treated fourteen females who were married more than 5 years before and had undergone all types of treatment without success.

Results: All of the females could initiate sexual intercourse within 3 weeks of surgery

Conclusion: Incision of spasmodic muscles and resurfacing with labia minora flaps is one of good option if other treatment had failed, for management of vaginismus.

Vishwa Prakash1* and Neeta Garg2


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An Atypical Case of Leishmaniasis with HIV Co-Infection

An article describes an atypical case of rural type of cutaneous leishmaniasis at the HIV-infected patient, clinical stage 4. There is no case, described in literature until this day, when the clinical presentation of rural type of cutaneous leishmaniasis extended for year and half. According to authors, the length and severity of disease’s progression is caused with HIV-co-infection and a secondary bacterial infection-accompanying pathological process.

Azizov BS1*, Nabiev FH3 and Karimova MK2