Savitha A Somaiah’s research while affiliated with Sapthagiri Institute of Medical Sciences and Research Centre and other places

Introduction Chronic spontaneous urticaria (CSU) is a frequent problem encountered by dermatologists where treatment response is often unsatisfactory. This exerts a heightened responsibility on dermatologists to tailor their treatments according to each patient. Aims The aim of the present study was to evaluate the therapeutic, diagnostic approaches of Indian dermatologists to CSU patients and the need to further generate a base for the creation of Indian urticaria guidelines. Materials and Methods A questionnaire-based survey was conducted among practicing dermatologists of India. Conclusions At the end of this questionnaire-based study, we concluded that there is a wide variation in the treatment practices among practicing dermatologists of India.

Nevoid hyperkeratosis of the nipple and areola (NHNA) is a rare, benign, idiopathic condition, which occurs predominantly in women of child-bearing age. It is characterized by asymptomatic, hyperkeratotic, verrucous plaques, and either unilateral or bilateral over the nipple and areola. It has to be differentiated from Darier disease, seborrheic keratosis, atopic dermatitis, Paget's disease, frictional hyperkeratosis, and cutaneous T-cell lymphoma. Fused rete ridges, compact orthohyperkeratosis, and filiform papillomatosis are seen on histopathology. Dermoscopy shows keratotic structureless areas with brownish clods. There is no specific treatment, long-term use of calcipotriol and keratolytic agents for more than 6 months, and surgical therapy is recommended. This case is reported to highlight the use of dermoscopy in the diagnosis of NHNA.