Browsing by Author "Agarwal, Pooja"
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Publication Aneurysmal Dermatofibroma: Uncommon Presentation of Common Disease(Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON), 2024) Patel, Shraddha; Agarwal, Pooja; Chaudhary, Raju; Baxi, KalgiAbstract: Aneurysmal dermatofibroma is an uncommon, benign variant of dermatofibroma due to the slow extravasation of blood. Clinically, it is difficult to differentiate from other vascular occurring lesions like verrucous hemangioma and malignancies like malignant melanoma and nodular basal cell carcinoma. Hence, an excisional biopsy followed by a thorough histopathological examination is necessary to avoid misdiagnosis. Here, we report a case of a 38 year old female who presented with a brown colored nodular lesion on her left upper back for the last one year, and histopathological examination was consistent with aneurysmal dermatofibroma.Publication Angiolymphoid Hyperplasia with Eosinophilia- Think Twice with Scalp Papules! A Case Report(Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON), 2023) Agarwal, Pooja; Baxi, Kalgi; Shah, MalharAbstract: Angiolymphoid hyperplasia is an uncommon condition characterized by multiple erythematous papules and nodules which are vascular and present over the head and neck area, predominantly around the ears. It is a benign condition but treatment is often sought for the appearance of lesions. We report a case that had a recurrence of erythematous lesions after incomplete electrocoagulation and the diagnosis of angiolymphoid hyperplasia with eosinophilia was confirmed on histopathological evaluation after complete excision of the lesion. In conclusion, as angiolymphoid hyperplasia can be clinically misdiagnosed, histopathological evaluation is warranted in erythematous nodules presenting over the sites of predilection.Publication Herlyn-Werner-Wunderlich Syndrome: A Case Report(Nepal Medical Association, 2023) Vaidya, Priyanka; Agarwal, Pooja; Vaidya, AchalaAbstract Herlyn-Werner-Wunderlich syndrome is a rare Mullerian and mesonephric ductal anomaly characterized by a triad of didelphys uterus, obstructed hemivagina, and ipsilateral renal agenesis complex. This entity is also known as obstructed hemivagina and ipsilateral renal anomaly. We present a case of a 24-year-old nulliparous female with Herlyn-Werner-Wunderlich who presented with dysmenorrhea and intermenstrual bleeding. The diagnosis was initially made through ultrasound and confirmed on magnetic resonance imaging. The nonspecific nature of symptoms and variability in presentation depending on the classification and type of Herlyn-Werner-Wunderlich syndrome often leads to misdiagnosis or a delay in diagnosis. Therefore, a high index of suspicion is required.Publication IgA Vasculitis Mimicking Obstructed Umbilical Hernia and Presenting as Gastrosurgical Emergency(Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON), 2024) Agarwal, Pooja; Shah, Harsh; Shah, Jay; Shah, Malhar; Baxi, KalgiAbstract: IgA vasculitis (previously known as Henoch-schonlein purpura) is a systemic vasculitis which is more common in children than in adults. The classical triad clinically suggests the diagnosis includes purpuric rash, arthritis and abdominal pain. We report a case of a forty-seven-year-old male presented with an acute abdomen to a gastro-surgeon, and on exploratory laparotomy, multiple petechial lesions were found on the entire intestinal walls. Multiple petechiae were present over both the legs and hands as well, which prompted a dermatological consult, and the diagnosis of IgA vasculitis was confirmed with histopathological and immunofluorescence evaluation of the skin lesions.Publication Malignant Transformation in a Genitocrural Porokeratosis : A Case Report(Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON), 2024) Joshi, Mrunali; Agarwal, Pooja; Chaudhary, Raju; Baxi, KalgiAbstract: Porokeratosis is a rare heterogenous group of keratinization disorder with an unclear pathogenesis, and has varied clinical presentations. It may present with annular papules or plaques with central atrophy and clinically and histologically distinct ridge-like border called 'cornoid lamella'. Common variants include porokeratosis of Mibelli (PM), disseminated superficial actinic porokeratosis (DSAP), linear porokeratosis, punctate porokeratosis and porokeratosis palmaris et plantaris disseminata (PPPD). Here we report the case of a 79 year old female, who developed malignancy of porokeratosis over the groin region which had been mismanaged as eczema for many months and has been eventually diagnosed as Squamous cell carcinoma.Publication Mucopolysachharidosis-II: A Rare Case Report(Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON), 2020) Baxi, Kalgi; Jagati, Ashish; Agarwal, PoojaAbstract: Mucopolysaccharidosis belongs to a group of metabolic disorders caused by absence or defective activity of lysosomal enzymes. Mucopolysaccharides are major components of intercellular connective tissue and defect in their metabolism leads to an accumulation of incompletely degraded mucopolysaccharides in the lysosomes which affect various body systems through enzymatic activity. We present a case of mucopolysaccharidosis type II with hallmark cutaneous features, mild mental retardation associated with radiological changes. Keywords: Glycosaminoglycans, Iduronic Acid, Lysosomes, Mucopolysaccharidosis IIPublication Papuloerythroderma with Associated Non Hodgkin’s Lymphoma : A Rare Entity(Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON), 2020) Jagati, Ashish; Agarwal, Pooja; Neazee, Sabha; Shah, Sanjeev YAbstract: Papuloerythroderma of Ofuji was first described by Ofuji in 1984. This rare entity is characterized by presence of polygonal, erythematous to brown papules, covering the entire body surface, with a characteristic sparing of body folds (deck chair sign). On hematological investigations, there is characteristic eosinophilia with lymphopenia. It may or may not be associated with underlying malignancies. We report a case of a 81 year male patient where a diagnosis of Papuloerythrodrma secondary to non-Hodgkin`s lymphoma was made based on the criteria laid by Torchia et Al. Our patient satisfied 4 out of 5 major criteria and all 5 of the minor criteria. This case is reported because of its rarity and characteristic clinical presentation. Keywords: Eosinophilia, Leucocytosis, Lymphoma, PrednisolonePublication Pustular Pyoderma Gangrenosum with Ulcerative Colitis an Uncommonly Seen Association(Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON), 2024) Parmar, Pradipsinh; Agarwal, Pooja; Baxi, Kalgi; Chaudhary, Vikram; Chaudhary, RajuAbstract: We report a case of a 36-year-old female having ulcerative colitis who had multiple papulo-pustular lesions over trunk and face. She had received treatment as acne vulgaris but due to lack of satisfactory response, histopathological evaluation was done which was consistent with pustular pyoderma gangrenosum. The diagnosis of pustular pyoderma gangrenosum is often challenging as there is no defining diagnostic clinical, laboratory or histopathological feature. Thus a high index of suspicion is essential to diagnose this condition.Publication Syphilitic Balanitis of Follmann, A Rare Case Report(Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON), 2021) Agarwal, Pooja; Jagati, Ashish; Vadher, Priyanka; Chaudhary, MalayAbstract: Syphilitic balanitis of Follmann is a rare presentation of primary syphilis. It can occur before or after the appearance of primary chancre and some time without any associated primary chancre. We are reporting a case of syphilitic balanitis of Follmann, in a 23 years old heterosexual male, who presented with balanitis associated with single indurated lesion over coronal sulcus and few superficial ulcers over prepuce. Keywords: Balanitis, Syphillis, Syphilitic balanitis of Follmann