Uday Khopkar's research while affiliated with King Edward Memorial Hospital and other places

Publications (235)

Article
Background: Interstitial lung disease (ILD) and pulmonary arterial hypertension (PAH) are the most eminent forms of pulmonary involvement in Scleroderma. In this study we investigate the interaction between cytokines and apoptotic proteins in treatment naive Scleroderma (SSc) patients with and without pulmonary involvement. Methods: Newly diagno...
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Context: Enzyme-linked immunosorbent assay (ELISA) for BP 180 and 230 antibodies is commonly done in patients with bullous pemphigoid. We could not find much data regarding the usefulness of this test to predict the disease severity in Indian population. Aims: We studied the correlation of IgG anti BP180 and anti BP230 antibody titer with diseas...
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Phaeohypomycosis is a rare cutaneous and subcutaneous fungal infection caused by dematiaceous fungi. They have a widespread global distribution occasionally affecting humans. A 26-year-old woman presented with multiple skin lesions over her face and extremities for last 7 years, unresponsive to systemic amphotericin B and itraconazole. Further inve...
Article
Phaeohypomycosis is a rare cutaneous and subcutaneous fungal infection caused by dematiaceous fungi. They have a widespread global distribution occasionally affecting humans. A 26-year-old woman presented with multiple skin lesions over her face and extremities for last 7 years, unresponsive to systemic amphotericin B and itraconazole. Further inve...
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A nematode parasite, Dracunculus medinensis, causes dracunculiasis. Despite being non-fatal, this condition causes significant morbidity. Dracunculiasis is considered an eradicated disease in India since 1999. We report two cases that document the unusual linear morphea-like morphology of the calcified D. medinensis and the rare periorbital locatio...
Article
Background: Benign melanocytic neoplasms have nests of melanocytic cells and show characteristic dermoscopic features. Clinical and dermoscopic features have not been studied previously in the Indian population. Aims: To study the clinical, epidemiological and dermoscopic patterns of benign melanocytic neoplasms. Methods: This was a descriptiv...
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Poikiloderma is characterized by mottled pigmentation, telangiectasia, and epidermal atrophy. It is a common cutaneous finding in a number of genodermatoses. We present a case of a 13-month-old male child with poikiloderma, heat intolerance, and photosensitivity, which made us evaluate him for poikiloderma-associated syndromes. The diagnosis of Her...
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Post kala-azar dermal leishmaniasis (PKDL) is a late cutaneous manifestation of visceral leishmaniasis (VL), though it can occur without a history of visceral disease. The diagnosis and treatment of PKDL is important as cases of PKDL have been known to cause outbreaks of VL. We report a case of PKDL from an area with low endemicity of VL and has pr...
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Linear and unilateral basaloid follicular hamartoma (BFH) is a rare disease that manifests with papules and plaques with distribution along lines of Blaschko. It runs a benign course but with the risk of basal cell carcinoma (BCC) in long term course. BCC can be differentiated from BFH with histopathology and immunohistochemistry. Dermoscopic featu...
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Aims: To study the prescriptions of clinically diagnosed cases of dermatophytoses, to evaluate medical treatment of clinical failure cases, any rise in serum ALT (Alanine aminotransferase) levels associated with usage of oral anti-fungal drugs, availability of drugs in the hospital pharmacy and cost minimization of different oral treatment regimens...
Article
Background: : Systemic sclerosis (SSc) is a demyelinating disease of skin, subcutaneous tissue, muscles and internal organs, with fibrosis as an important pathological event. Aim: : To understand cytokine interplay of IL-1β, IL-4 and IL-6 and their association with disease activity in treatment naïve active cases of systemic sclerosis from Weste...
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Though vitiligo is one of the psychodermatological disorders which do not cause direct physical impairment, it is cosmetically disfiguring leading to serious psychological problems in daily life. We undertook this research to study patients of vitiligo the prevalence of depression, coping, stigma, and quality of life and comparison of the same in b...
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Schopf–Schulz–Passarge syndrome (SSPS) is a rare type of ectodermal dysplasia that has autosomal recessive inheritance. It is characterized by palmoplantar keratoderma, hypodontia, hypotrichosis, nail dystrophy, and multiple periocular and eyelid apocrine hidrocystomas. A 36-year-old male presented with multiple eyelid and periocular apocrine hidro...
Research
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1.To explore the understanding of the second year medical students about pharmacoeconomics. 2. To find out the ability of the second year medical students to apply the gained knowledge after a teaching session on pharmacoeconomics.
Article
Cutaneous plasmacytosis is a rare disorder of uncertain etiology, described mainly in patients of Japanese descent. Clinically, it is characterized by multiple pigmented papules and plaques distributed primarily on the trunk. Histopathologically, it is marked by a dense dermal plasma cell infiltrate. Here, we describe a case of cutaneous plasmacyto...
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The prevalence of genital warts (GW) and self-reported human papillomavirus (HPV) as well as disease-related psychosocial impact among male and female patients aged 18-60 years in India were assessed. GW prevalence was estimated using a 2-week daily log of patients examined from June 7-September 22, 2011 by 200 participating physicians in 6 regions...
Chapter
Dermoscopy today has become and essential tool in dermatology practice. The increasing application of dermoscopy in disorders of pigmentation has made it imperative to create new terminologies and descriptions in pigmentation patterns, especially in skin of color. Only rarely a skin disorder is left without alteration in the normal pigmentation and...
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Basaloid follicular hamartoma (BFH) is a rare hamartoma of hair follicle. Clinical presentations may vary but are united by the same histopathological features in the form of folliculocentric basaloid or squamoid cell proliferation in the superficial dermis, which represents malformed and distorted hair follicles. It is important to recognize this...
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Introduction: The use of Ayurvedic medicines have been increasing for skin ailments. The medical fraternities are concerned about the safety and efficacy of Ayurvedic products. We conducted this study because there is a scarcity of data regarding the perception of dermatologists towards the Ayurvedic treatment for psoriasis. Objective: We would lik...
Article
Smooth muscle hamartoma (SMH) is a benign hamartomatous condition that consists of a dermal proliferation of smooth muscle cells. We hereby report a case of multiple, acquired smooth muscle hamartomas on scalp. A 25‐year old male had a 6‐year history of multiple, asymptomatic, hyperpigmented plaques on scalp which have been progressively increasing...
Article
Methotrexate is one of the most commonly used anti-neoplastic and disease modifying drug today. Side effects of methotrexate at high dose may be life threatening; however, these side effects oral dosing are variable because of the inter-individual variability of gastrointestinal absorption of this drug. Because of confusing nature of its dosing sch...
Chapter
Leprosy is a curable infectious disease. The causative agent, Mycobacterium leprae, has the unique capability to infect peripheral nerves, which may lead to varying degrees of neuropathy. In the most severe circumstances, this infection may result in an inability to feel pain in the hands or feet, a loss of digits, and blindness.Paradoxically, as t...
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Mycosis fungoides (MF) is one of the most common primary cutaneous T-cell lymphoma, whose early stages, especially patch stage poses a diagnostic challenge, as it presents quite similarly to other inflammatory skin diseases and chronic dermatoses. We present a case of a 31-year-old young male presented to us with complaints of generalized hyperpigm...
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A patient presented with a an asymptomatic brown to erythematous, scaly indurated solitary plaque on his elbow. The lesion was diagnosed as lupus vulgaris on the basis of clinical features and biopsy findings. The histopathology further revealed a granuloma within the follicular infundibulum, which was possibly being expelled out. The phenomenon of...
Article
Elastophagocytosis is the engulfment of the elastic fibres by the histiocytes, multinucleated giant cells, or both. The cutaneous lesions showing elastophagocytosis are annular elastolytic giant cell granuloma, actinic keratoses, persistent insect-bite reactions, elastosis perforans serpiginosa, foreign body granuloma. Occasionally, it may occur in...
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Streptococcus pyogenes (group A streptococcus; GAS) is an etiological agent for pharyngitis, pyoderma, and invasive infections in humans. Pharyngitis and pyoderma may lead to serious immune sequelae such as rheumatic heart disease and post-streptococcal glomerulonephritis (PSGN). Streptococcal Inhibitor of Complement (SIC) and its orthologue, dista...
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Lupus erythematosus (LE) with erythema multiforme-like lesions with its characteristic serological picture had been described in 1963. We report a 33-year-old married male who presented with skin lesions of various morphology on different body parts since four months. The skin lesions ranged from lupus-specific tumid LE to Rowell's syndrome and dis...
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Disease spectrum caused by Streptococcus dysgalactiae subspecies equisimilis (SDSE) resembles that of S. pyogenes (Group A Streptococcus, GAS). These two bacteria are closely related with each other and possess many common virulence characteristics. While some GAS strains express virulence factors called streptococcal inhibitor of complement (SIC)...
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The precise cause of lichen planus is unknown, but the disease seems to be immunologically mediated. It is a psychocutaneous disorder. Due to scarcity of Indian studies in this field, we decided to study in patients of lichen planus the prevalence of depression and quality of life with comparison of the same in both the genders. Patients diagnosed...
Article
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Xeroderma pigmentosum (XP) is an autosomal recessive genetic disorder characterized by cutaneous and ocular photosensitivity and an increased risk of developing cutaneous neoplasms. Progressive neurological abnormalities develop in a quarter of XP patients. To study the clinical profile and perform a mutation analysis in Indian patients with xerode...
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Background: Early lesions of vitiligo can be confused with various other causes of hypopigmentation and depigmentation. Few workers have utilized dermoscopy for the diagnosis of evolving lesions of vitiligo. Aim: To analyze the dermoscopic findings of evolving lesions in diagnosed cases of vitiligo and to correlate them histopathologically. Met...
Article
Background: Palmoplantar lesions in lichen planus (LP) are uncommon. In such cases, diagnosis is usually missed. This study was conducted to document various clinical and histopathological features of palmoplantar LP. Materials And Methods: A total of 18 patients from our outpatient department with lesions of LP, either predominantly or exclusivel...
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Chanarin-Dorfman syndrome (CDS) is a multisystem, autosomal recessive genetic disorder characterized by congenital non-bullous ichthyosiform erythroderma with accumulation of lipid droplets in granulocytes and basal keratinocytes. An 18-month-old female child presented with typical dermatological features of CDS. She was born as a collodion baby. L...
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Background: Rituximab, a monoclonal anti-CD20 antibody, has been used with encouraging results in pemphigus. We describe herein refractory cases of pemphigus vulgaris (n = 23) and pemphigus foliaceus (n = 1) treated with rituximab in addition to steroids and immunosuppressants. Aims: To assess the response to treatment, the duration of clinical...
Article
Epidermal growth factor receptor (EGFR) inhibitor therapy has become the standard treatment for non-small cell lung cancer and head neck malignancy. This class of drug comprises EGFR inhibitors (erlotinib and gefitinib) and monoclonal antibody (cetuximab). Use of this class of drugs has been associated frequently with dermatological side effects te...
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We report the case of a 44-year-old Indian male patient who presented with mildly tender isolated papular lesions confined to the palms of the hands and soles of the feet. The histopathology was characteristic of granuloma annulare. There was an excellent response with 4-week treatment with a potent topical steroid ointment and no recurrence was re...
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Lichen planus (LP) is a common idiopathic inflammatory disorder that affects the flexor aspect of the wrists, the legs, and the oral and genital mucosa. Depending upon the site of involvement, LP can be divided into mucosal, nail, scalp, or palmoplantar types. Palmoplantar LP can pose a diagnostic problem to the clinician as it resembles common der...
Article
Melanoma is a rare form of cutaneous malignancy encountered in the dark skin population. Epidermotropic metastatic melanoma is a rare form of cutaneous metastatic melanoma which can mimic primary melanoma on histopathology. Hence its differentiation is of immense prognostic importance. The occurrence of rim of depigmentation around the primary cuta...
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It is imperative for any dermatology resident to have a good knowledge of the various triads in dermatology. For an easy grasp over this topic, we have grouped the various triads on the basis of their etiologies.
Article
Follicular mucinosis occurring along with angiolymphoid hyperplasia with eosinophils (ALHE) has been described in a 49-year-old male. The patient presented with pruritic hyperpigmented papules and nodules on the vertex and right parietal scalp. There was no any other complaint. Histopathological examination from one of the papule showed prominent b...
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Dermatopathology involves study of the microscopic morphology of skin sections. It mirrors pathophysiologic changes occurring at the microscopic level in the skin and its appendages. Sometimes, we come across certain morphologic features that bear a close resemblance to our physical world. These close resemblances are referred to as "appearances" i...
Article
We wish to report two cases of rickets due to vitamin D deficiency secondary to underlying ichthyotic skin disorder. The first case is of an 8-year-old male with history of multiple fluid-filled lesions over the body that would rupture to heal with thickening and scaling of skin, suggestive of epidermolytic hyperkeratosis, and the second is of a 14...
Article
Malassezia is a lipid-dependent yeast known to cause Pityriasis versicolor, a chronic, recurrent superficial infection of skin and present as hypopigmented or hyperpigmented lesions on areas of skin. If not diagnosed and treated, it may lead to disfigurement of the areas involved and also result in deep invasive infections. The aim of the present s...

Citations

... Its causative organism is Mycobacterium leprae. [1][2][3][4][5][6][7][8][9][10][11] There is skin involvement in the form of hypopigmented patches and loss of sensation over the affected areas, which commonly include the skin, peripheral nerves, mucosa of the upper respiratory tract, and eyes. 2,[4][5][6][7][8][9][11][12][13] It also involves the peripheral nervous system, mostly in the form of nerve thickening. ...
... 6 The prevailing belief is that Prototheca species infect humans either through direct contact with exposed areas or via traumatic inoculation of materials contaminated with the algae. 1,[7][8][9][10] This infection typically manifests in three primary forms: intra-cutaneous to subcutaneous nodules and plaques, olecranon bursitis, and systemic (disseminated) disease. 11 Notably, the skin emerges as the organ most frequently affected. ...
... Nearly 35 years later, the first evidence to support his hypothesis was confirmed with the identification of AR CARD9 deficiency in four patients with pheohyphomycosis due to P. verrucosa [447]. This inborn error of immunity has since been identified in pheohyphomycosis due to Exophiala [448][449][450][451], other Phialophora species [452], Aureobasidium [453], Alternaria [454,455], and Exserohilum [456], as well as more esoteric dematiaceous fungi, including Pallidocercospora crystallina, Ochroconis musae, and Corynespora cassiicola [449,[457][458][459]. Intriguingly, disseminated infection with C. cassiicola (with extension into the CNS) has also been reported in a patient with compound heterozygous mutations in CLEC7A (encoding Dectin-1, which is a fungal pattern recognition receptor that signals through CARD9) [460]. Other pheohyphomyces have also been reported with single heterozygous variants in CLEC7A or CARD9, although with distinct fungal etiologies than those for AR CARD9 deficiency [460]. ...
... Bullous pemphigoid (BP) is a common autoimmune subepidermal bullous disease characterized by immunoglobulin G (IgG) autoantibodies mainly against the NC16A domain of BP180 (type XVII collagen, 180 kDa), causing tense bullae [1,2]. IgG anti-BP180 NC16A antibodies are related to the disease severity of BP [3][4][5][6][7][8][9][10][11][12][13][14][15][16]. ...
... Although dracunculiasis has been considered to have been an eradicated disease in Rajasthan state, India, since 1997, 8 and in India since 1999, 12,13 with the WHO declaration that India had eradicated dracunculiasis being made in 2000, 14 some sporadic cases have continued to be reported. Following the declaration that Rajasthan was dracunculiasis free in 1997, three cases were detected in the Dungarpur district, Rajasthan, in July 1997, 8,15 in 1999, 15 and in 2006. ...
... Dermoscopic findings outlined by the authors included multiple pink to whitish areas surrounded by a finely pigmented network. Similar structures were also encountered in other anatomical locations [44]. ...
... The histology shows a well-defined area of vascular proliferation with large epithelioid endothelial cells with abundant eosinophilic cytoplasm, accompanied by an inflammatory infiltrate of lymphocytes and eosinophils [1,3,5,7]. Surgery had been considered to be the best treatment modality for ALHE, but the recurrence is frequent also, there are other modalities such as intralesional bleomycin, corticosteroids, propranolol, imiquimod and pulsed dye laser [10][11][12][13][14][15][16][17][18]. The objective of this paper is to report 4 new cases with focus on the clinical and histological characteristics of AHLE. ...
... Since the 1990s, some of these formulations went into clinical use: AmB lipid complex with the commercial name Abelcet ® [183,184], which is formed in a ribbon-like shape [185]; there is also a colloidal dispersion of AmB and cholesteryl sulfate that forms disk complexes and is sold under the commercial name of Amphotec ® or Amphocil ® [186][187][188][189][190]; a liposomal formulation of AmB in cholesterol-containing lipid vesicles sold under the name of Ambisome ® [191][192][193][194]; and a multilamellar vesicle formulation, with a different lipid mixture and sold under the name Fungisome TM [195][196][197][198][199][200]. In the case of Nys, a liposomal formulation called Nyotran ® [201][202][203][204][205] is currently undergoing phase III clinical trials [178], and the available results are promising. ...
... 6 Furthermore, there was no information on the gene mutations in two individual cases (Cases 19, Table 2 and Table S1). 15,16 In all, we analysed the FAM111B gene mutations in thirty-four cases. Even though, 55% of these mutations resulted from a paternal and maternal inheritance, compared with the 42% of spurious (i.e. de novo) mutations, suggesting this syndrome may also result from a non-mendelian pattern of inheritance ( Table 2). ...