The principal routes of cocaine administration are oral, intranasal, intravenous, and inhalation. The slang terms for these routes are, respectively, "chewing," "snorting," "mainlining," "injecting," and "smoking" (including freebase and crack cocaine). Cocaine use ranges from occasional use to repeated or compulsive use, with a variety of patterns between these extremes. There is no safe way t...

Occurrence of two mycobacterial infections Tuberculosis & Leprosy in a single immunocompetent person and at single site is very unusual even in endemic countries like India. We report the case of 23yr old male, who previously presented with trophic ulcer under the ball of right great toe one yr back and diagnosed as a case of Multibacillary leprosy, now presented with chronic discharging sinus,...

This case report describes a 41-year-old Afro-Caribbean lady presenting with a constellation of pyrexia, conjunctivitis, arthralgia, sterile dysuria, apthous ulceration, labial crusting and widespread erythema multiforme. A diagnosis of Stevens-Johnson Syndrome was made. She had taken no medications recently (the most common precipitant of Stevens-Johnson Syndrome) and a full screen for the com...

Fig 1. Papules with overlying hemorrhagic crusting located on the proximal arm (underlying bruising is caused by recent trauma to the arm and is not a result of the patient’s hemorrhagic bullous dermatosis). INTRODUCTION Hemorrhagic bullous dermatosis is a rare, generalized skin reaction with unknown pathogenesis, described in association with heparin therapy. Heparin is known to cause injectio...

Glucagonoma syndrome is a rare disease that is usually associated with an underlying neuroendocrine tumor. Necrolytic Migratory Erythema (NME) has been associated with intestinal malabsorption disorders, hepatic cirrhosis, chronic pancreatitis, inflammatory bowel disease, and non-pancreatic malignancies, but may not always be associated with glucagonoma. In 1979, Mallinson and co-workers coined...

Although a variety of lasers have proven to be clinically effective for long-term hair removal, the use of these lasers has also been associated with undesirable side effects, such as hyper- and hypopigmentation, crusting, erythema, and edema. One notable side effect that seems to be underreported in the literature is the growth of fine dark hair in untreated areas close to the treated ones. Th...

SUMMARY Pseudoxanthoma elasticum (PE) is a rare genetic disease characterized by calcification and fragmentation of elastic fibers of the skin, retina, and cardiovascular system. We report a case of PE in which fractional carbon dioxide laser treatment was successfully used to achieve improvement of the cervical skin with 2-year follow-up, in a patient with Fitzpatrick skin type IV. After the f...

Background: In some of Alfisol areas Tamil Nadu, surface crusting seems to be a major constraint in the districts namely Pudukkottai, Trichy, Thanjavur, Cuddalore and Sivagangai where Alfisols accounts for 4,51,584 ha (4.49% TGA) which groundnut is cultivated as crop. However, amid above constraint, area under getting declined. Methods: With an aim overcome field experiment was conducted at Agr...

Abstract Analysis of cultural heritage by non-destructive testing methods allows conducting an examination the building while preserving its authenticity and integrity, as well historical artistic values. As material this study, Sivas Congress Museum, which witnessed a very important event in history country, was discussed. The aim study is to determine stone type, deterioration, hardness, stre...

Nasal packing is commonly used for hemostasis post nasal surgeries. It cheap, easily available and routinely practiced in many centres. However, they may be associated with complications. Some of the complications include pain during removal, damage or injury to mucosa leading synechiae formation, crusting, septal perforation. We describe a case 39-year-old gentleman who underwent septoturbinop...