scholarly journals Frequency of cutaneous manifestations in drug abuse patients.

2021 ◽  
Vol 28 (04) ◽  
pp. 497-503
Author(s):  
Zahid Rafiq ◽  
Syed Muntazir Mehdi ◽  
Urfa Shafi

Objective: Drug abuse and drug addiction cases have been increased immensely in last few decades in Pakistan. This study was conducted to assess the frequency of cutaneous manifestations in drug abuse patients. Study Design: Cross Sectional study. Settings: Dermatology Department of a DHQ Teaching Hospital/Sahiwal Medical College, Sahiwal and Central Jail Hospital, Sahiwal. Period: November 2019 to June 2020. Material & Methods: 50 patients with drug abuse irrespective of age and gender were selected. Skin manifestations based on history and examination recorded on predesigned proforma. Laboratory investigations and skin biopsies were performed to confirm diagnoses in doubtful cases. Results: A total of 50 male patients with age above 16 years were enrolled. Single drug addiction was noticed in 62% (n=31) and polydrug abuse was observed in 38% (n=19). Regarding mode of drug intake, single and multiple modes of drug administration were seen in equal number 50% (n=25) each. Major bulk of skin manifestations were chronic including skin scars 66% (n=33), xerosis 60% (n=30), hyperpigmentation 58% (n=29), oral mucosal changes 94% (n=47) and facial skin changes 60% (n=30). Acute along with chronic skin changes were observed in 30% (n=15) mainly including injection marks 30% (n=15), vascular changes 12% (n=6) and infections 8% (n=4). Conclusion: Skin scars, xerosis, hyperpigmentation and oral mucosal changes are the common skin changes observed among drug abusers. Thus, physicians need to be aware of skin signs of drug abuse for timely recognition of substance abuse disorders and effective management.

Author(s):  
Kumara Lakshmanan Sengotuven ◽  
Rangaraj Murugaiyan ◽  
Karthikeyan Kaliaperumal

<p class="abstract"><strong>Background:</strong> Alcoholism is a chronic fatal disease of worldwide concern. Alcohol abuse can present in a variety of ways, and dermatological disease is emerging as an important marker of alcohol misuse. The aim is to find out the various skin manifestations associated in chronic alcoholics, to find out the most common skin manifestations among chronic alcoholics and to identify the early skin changes in chronic alcoholics.</p><p class="abstract"><strong>Methods:</strong> A cross sectional study conducted in patients attending medicine, psychiatry and dermatology clinics at a tertiary care centre, Puducherry. Inclusion criteria were patients with history of chronic alcoholism, aged above 18 years. After obtaining history, cutaneous examination was done including skin, mucosa, hairs, and nails. Alcohol dependency pattern was calculated using short alcohol dependency score (SADD).<strong></strong></p><p class="abstract"><strong>Results:</strong> A total of 130 patients were included. All were male and 59.2% of them belonged to high dependency pattern. About 128 of them had dermatological manifestations pityriasis versicolor was the most common dermatoses followed by psoriasis. Alcohol specific dermatoses were not seen in our study.</p><p><strong>Conclusions:</strong> In our study, 98.4% of alcoholics had skin manifestations, of which cutaneous infections were the most common. </p>


Author(s):  
Prathyusha Dasari ◽  
Swetha A. Chowdary ◽  
Haritha Samanthula ◽  
Soumya Ruvva

<p class="abstract"><strong>Background:</strong> COVID-19, initially started as respiratory illness and evolved to involve various systems. Skin has been the least targeted organ with manifestations limited to case reports and series in a foreign scenario. Here, we tried to understand a same in an Indian scenario.</p><p class="abstract"><strong>Methods:</strong> This was cross-sectional study done in district COVID centre among patients with a confirmed diagnosis of COVID-19 with cutaneous manifestations for 3 months. A detailed history, complete cutaneous examination was carried out. Timing in relation to other symptoms and severity was assessed.<strong></strong></p><p class="abstract"><strong>Results:</strong> Among the 1603 patients, 39 (2.4%) had skin manifestations. Urticaria (20.5%), petechiae/purpura (17.9%), pruritis (15.4%) were the most common followed by maculo-papular rash (7.7%), manifestations secondary to drugs (7.7%), diffuse hair fall (7.7%), pseudo-chilblains (5.1%), vesicular eruptions (5.1%), infections (5.1%), cellulitis, gangrene and livedoid vasculitis. Timing of skin lesions ranged from 2 days before (10.3%) onset of COVID-19 symptoms or diagnosis to 10 days after (69.2%). Urticaria, petechiae, maculopapular rash were seen more commonly in patients with fever and respiratory symptoms. Asymptomatic cases showed urticaria, petechiae and pseudo-chilblains. Majority were in mild and moderate disease and livedoid vasculitis patient had severe disease.</p><p class="abstract"><strong>Conclusions:</strong> Skin manifestations in COVID-19 are relatively uncommon in Indian scenario. However, few of the manifestations give a hint of infection while some correlate with the severity of disease.</p>


2021 ◽  
Vol 8 (19) ◽  
pp. 1352-1356
Author(s):  
Kavana K ◽  
Sharath Kumar B.C

BACKGROUND “Skin is a mirror of internal diseases”. Diabetes mellitus (DM) is a metabolic disorder that needs considerations of many different specialities but the importance of dermatologist’s knowledge has not drawn much attention. As a result, we intend to study various cutaneous manifestation of diabetes mellitus. Prior to diagnosis of diabetes mellitus, patient may present with cutaneous manifestation. Thus, it can help in early diagnosis, management and prevention of complication and help in improvement of quality of life. METHODS This is a descriptive cross-sectional study. A total of 500 diabetic patients with cutaneous manifestations, who attended skin outpatient department (OPD) at Kempegowda Institute of Medical Sciences Hospital and Research Centre, Bengaluru, Karnataka, India, were evaluated. Detailed history was taken along with physical and mucocutaneous examination. Cutaneous manifestations, general description of diabetes mellitus like duration, type, and drug history as well as the demographic data were collected and analysed using descriptive statistics. RESULTS Among a total of 500 diabetes mellitus subjects, the most common cutaneous manifestations were infections (35 %) followed by pruritus (11 %). Among infections, tinea infections (48.29 %) were the most common followed by intertrigo (21 %). CONCLUSIONS The ignorance of skin manifestations in diabetes or improper treatment may worsen the condition. Early detection and treatment of common skin manifestations in diabetes will prevent further complications especially in cases of extensive tinea corporis, pruritus, psoriasis, lichen planus, macro and micro angiopathies, trophic ulcers etc. KEYWORDS Cutaneous manifestations, Diabetes mellitus


2014 ◽  
Vol 21 (06) ◽  
pp. 1232-1236
Author(s):  
Imtiaz Ahmad Dogar ◽  
Mirza Yasir Umer Baig ◽  
M. Arif Ali ◽  
Usman Nisar ◽  
Nighat Haider ◽  
...  

Objective: This study was undertaken with an objective of collecting basic data to assess the extent and variety of drug abuse in patients presenting to the model drug abuse and treatment center, DHQ hospital, Fsd as per social and demographic circumstances. Study design: cross sectional study. Place and duration of study: The study was conducted in the indoor Department of Model Drug Abuse Treatment Center of Department of Psychiatry and Behavioral Sciences, DHQ Hospital, Faisalabad from Jan-2014 to March-2014. Method: 80 patients dependent on different drugs participated in this study through purposive convenient sampling technique. Personal, Social, and Demographic variables were recorded on a demographic sheet. The results were obtained by using SPSS 17. Results: Descriptive statistics showed that 31 patients (38.8%) were HIV positive. Most of the patients were males (97.5 %), between 30 to 35 years of age (28.8%), married (61.3%), lived in urban areas (55%), illiterate (32.5%), had primary level education (21.3%), or middle level education (22.5%). 51.3 % patients were laborers. Conclusions: As illiteracy, low education, unemployment, labor as profession, and peer pressure are the key features of drug abusers. So, parents, health professionals, and state personals should take these as risk factors and focus upon these population segments to spread awareness and take measures of control to minimize the incidence of substance abuse.


2021 ◽  
Vol 12 (1) ◽  
pp. 50
Author(s):  
Gunjan Kumar ◽  
Shilpa Rai ◽  
AlokKumar Sethi ◽  
AkhileshKumar Singh ◽  
RanjanMani Tripathi ◽  
...  

2021 ◽  
Vol 1 (3) ◽  
Author(s):  
Shahrzad Mazhari ◽  
Hassan Ziaaddini ◽  
Nozar Nakhaee ◽  
Azam Kermanian

Background: It is generally accepted that due to various reasons, the age of drug abuse prevalence continues to decline, which imposes numerous personal and social dysfunctions. Objectives: This study aimed to assess the prevalence of drug abuse among adolescents in Kerman, Iran. Methods: This cross-sectional study was conducted on 2,000 10th - 12th-grade students in the academic year of 2017 - 2018 selected by random cluster sampling. Data collection tools included demographic characteristics checklist and alcohol smoking and substance involvement screening test (ASSIST). Data were analyzed using chi-square test. Results: The results showed that the highest prevalence of substance abuse among students was related to tobacco, alcohol, and sedatives. It was also demonstrated that the use of cigarettes, sedatives, cannabis, and amphetamine was significantly higher among male subjects compared to female participants (P < 0.05). Moreover, 16.4, 12.9, and 5.1% of the tobacco, alcohol, and sedative users required low interventions, respectively, whereas 1.5, 0.8, and 0.4% of them required high interventions, respectively. Conclusion: According to the results of the study, there was higher drug abuse prevalence in male students compared to female students. As such, it seems that consumption of alcohol, tobacco, and narcotics in adolescents requires serious intervention.


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