Publications by authors named "Sahana Srinivas"

Congenital atrichia a rare form of alopecia in children, presents with complete absence or sparse hair over the scalp and body, while the teeth, nails, and sweat glands are normal. Uncommonly, this hair abnormality can be associated with any systemic or cutaneous abnormalities. We report three cases of congenital atrichia with parental nonconsanguinity and central nervous associations such as developmental delay,spastic quadriparesis, failure to thrive, myoclonic seizures, and attention deficit hyperactivity disorder.

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 Neuronal ceroid lipofuscinosis-type 1 (NCL-1) is a neurodegenerative lysosomal storage disorder. Vitamin D-dependent rickets type 1 (VDDR-1) is a rare cause of refractory rickets. Here, we report an unusual association of NCL-1 with VDDR-1.

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Background: PRDM12 polyalanine tract expansions cause two different disorders: midfacial toddler excoriation syndrome (MiTES; itch with normal pain sensation associated with 18 homozygous alanines (18A); and congenital insensitivity to pain (CIP) with normal itch associated with 19 homozygous alanines (19A). Knowledge of the phenotype, genotype and disease mechanism of MiTES is incomplete. Why 18A vs.

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Article Synopsis
  • - Atopic dermatitis (AD) is a significant global skin condition affected by climate and pollution, but its link to increasing climate hazards is not well understood.
  • - A review of 18 studies showed that various climatic hazards, such as wildfires and droughts, can worsen AD either directly or indirectly.
  • - The research identified important knowledge gaps needing further exploration, including the combined effects of climate hazards on AD, long-term impacts, and how these issues affect different vulnerable groups.
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Hypereosinophilic syndrome is a myeloproliferative disorder characterized by abnormal accumulation of eosinophils in the blood or peripheral tissues. It is uncommonly seen in children. We describe a 14-year-old girl diagnosed with idiopathic hypereosinophilic syndrome presenting with recurrent, painful oral and genital ulcers, hepatosplenomegaly along with consistently high eosinophil count and leucocytosis.

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  • Piebaldism is a rare genetic disorder characterized by congenital leukoderma due to a mutation in a specific proto-oncogene receptor tyrosine kinase.
  • A 10-year-old boy was diagnosed with piebaldism after presenting with depigmented macules, café au lait macules, and skin fold freckling, which complicated the diagnosis.
  • Exome sequencing confirmed the diagnosis by identifying a pathogenic variant, enhancing our understanding of the tyrosine kinase function, and clarifying that these symptoms do not imply an overlap with Neurofibromatosis type 1.
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Background Filaggrin (FLG) gene encoding the protein filaggrin plays an important role in barrier function of the skin and its alteration is a predisposing factor for atopic dermatitis. FLG gene variants result in absent or decreased filaggrin protein. Worldwide, the prevalence of FLG variants ranges from 14 to 56%.

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  • - Psoriasis is an immune-related inflammatory disorder affecting people of all ages, often starting in childhood, and can significantly impact the quality of life for both children and their families.
  • - In kids, the most common type is chronic plaque psoriasis, which manifests differently than in adults, with less itching, smaller plaques, and variations in appearance on darker skin.
  • - Managing pediatric psoriasis is tough due to limited treatment options, but a new approach called "proactive therapy" aims to prevent severe flare-ups and improve overall quality of life for affected children.
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Hyperphosphatemic familial tumoral calcinosis (HFTC) presents with varied neurological manifestations that have been reported in the literature like facial palsy, vision and hearing impairment, stroke, and headache. In this article, we reported a 12-year-old girl child patient with recurrent facial weakness with bilateral hearing impairment and multiple ulcerative lesions on lower limbs and elbows. On examination, she had lower motor neuron (LMN) facial palsy with conductive hearing loss.

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The majority of cases of multisystem inflammatory syndrome in children (MIS-C) manifest non-specific mucocutaneous features. We report the case of a 3-month-old infant presenting with purpura, acral desquamation, and scrotal ulcers. Scrotal ulcers have not been previously reported in MIS-C and add to the spectrum of cutaneous findings associated with the disorder.

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Infantile systemic hyalinosis is a very rare fatal autosomal recessive genetic disorder with a mutation in capillary morphogenesis gene-2- /Human anthrax toxin-2 resulting in spindle cell proliferation, altered collagen metabolism along with extensive deposition of hyaline material in the skin and several tissues. To date only a few cases have been reported in the literature, hence we reported this series. This study is a retrospective chart review of infants diagnosed with infantile systemic hyalinosis from January 2015 through December 2020 at a tertiary care children's hospital in South India.

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Introduction: Treatment of moderate to severe atopic dermatitis (AD) is a real challenge for the dermatologists. Dupilumab is the first targeted biologic therapy approved for the treatment of children and adults with moderate-to-severe AD. The efficacy and safety of dupilumab in Indian patients is limited to date, it is necessary to assess the performance of this treatment in real clinical practice in the Indian context.

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A healthy 4-month-old girl presented with widespread scaly papules and a nodule over the site of BCG immunization. A diagnosis of disseminated cutaneous tuberculosis in an immunocompetent child was confirmed with biopsy. The child was treated with antituberculosis therapy without recurrence.

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