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Background and Aim: Cutaneous tuberculosis (TB) is a relatively uncommon form of extra pulmonary TB. Even in countries where TB still commonly occurs, cutaneous TB is rare. In our country accurate statistics of the forms of cutaneous tuberculosis are not available. The aim of this study was to assess the frequency of cutaneous tuberculosis during the years 1997 to 2012 in Gorgan, Iran.
Methods: In this retrospective cross-sectional study, patients affected with cutaneous tuberculosis referred to 5 Azar Hospital in Gorgan from April 1997 to September 2012 were studied. Data collected from the medical records of patients were statistically described and analyzed.
Results: In this study, 30 cases of cutaneous TB were found that 18 (60%) of them were women. The disease was most commonly observed in age group of 21 to 40 years. Lupus vulgaris (18, 60%), papulonecrotic tuberculid (6, 20%) and scrofuloderma (3, 10%) were the most common types of cutaneous tuberculosis in these patients.
Conclusion: Lupus vulgaris is the most frequent form of cutaneous tuberculosis in Gorgan.

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Background and Aim: Leprosy is a chronic infectious disease that typically affects the skin and peripheral nerves and can cause irreversible disabilities. The objective of this study was to assess the status of disability caused by leprosy in the Golestan Province in Iran.

Methods: In this retrospective cross-sectional study, patients affected with leprosy whom were referred to Health Network in Golestan Province from April 1971 to September 2008 were studied. Sampling method was simple census method. Data collected from the medical records of patients were statistically described and analyzed.

Results: In this 38-year period, from 100 leprosy patients investigated, 68% were men. Average age was 35.6±16.4 years. The majority of cases were in rural areas (78%) and mostly were labor jobs (39%). Clinical type of the disease was multibacillary (MB) in 64% cases. 62% of patients had MDT treatment. The majority of lesions in patients were macules (15%). Performance problem were positive in 6 percent and was negative or uncertain in others. Disability was more common in male patients, and most disable patients were 35-55 years old.

Conlusion: Most leprosy patients in Golestan Province had grade 0 or 1 disability.

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Background and Aim: Hirsutism is one of the most common reasons for which women visit dermatology and beauty clinics. Lasers have got considerable popularity during last two decades because they can reduce unwanted hairs. This study was conducted to evaluate the satisfaction of patients with hirsutism traeted with diode laser, IPL or combination of both. Methods: In this retrospective study, hirsute patients referred to Yazd Laser Center from October 2011 until October 2012 were studied. Patient satisfaction from the amount of hair loss one month after starting treatment, one month after the end of treatment and 6 months after treatment were asked using telephone. Results: Patient satisfaction one month after the end of the treatment with diode laser was higher than the other two methods (P=0.034). Patient satisfactions at one month after initiation of the treatment and six months after the end of the treatment were not the statistically significant. The number of laser sessions was similar in the three groups. Conclusion: Results of the current study revealed that there was no significant difference in the patient satisfaction with diode laser, IPL and combination of both methods in the treatment of hirsutism 6 months after the end of the treatment.

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Background and Aim: Malignant melanoma is a rare and most malignant type of skin cancer which is originated from melanocytes. It is capable of infiltrating into interior organs and could cause mortality. The aim of this study is to analyze the survival of patients with malignant melanoma according to their age, gender, mitosis count, tumor thickness, level of lymphocyte infiltration, tumor location and the stage of the tumor. Methods: This is a descriptive-analytical study which has been done on, the data of 61 patients with malignant melanoma registered in pathology laboratory of Shahid Sadoughi hospital, Yazd. A questionnaire was used to collect the data via phone call, examining pathology slides and reviewing patients information. Results: The average survival time was 61.09±6.12 months.The mean age of the patients was 67.9±6.0 with the range of 18 to 89 years. Stage Ι had the best and stage ΙΙΙ and VΙ had the worst prognosis. The best survival rate was seen in malignant melanomas located on trunk, head and neck. Malignant melanoma of extremities had the worst prognosis. There was a statistically significant relationship between survival rate and stage (P=0.033) as well as the location of the tumor (P=0.0421). Conclusion: The survival of patients with malignant melanoma in Yazd had a statistically significant relationship with stage and the location of tumor but there was no significant relationship with mitosis count, gender, age, tumor depth and lymphocyte infiltration.

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Paederus dermatitis is a common dermatitis in northern parts of Iran. Clinically, the most common presentation of paederus dermatitis is sudden onset of erythematous plaques with vesicles. The lesions usually affect exposed areas such as face, neck and arms. It is a common dermatitis between residents and tourists in northern provinces of Iran during spring and summer. Preventive measures include typical insect repellents precautions, such as using bed nets, long-sleeve clothing, and avoiding fluorescent lights. If the beetles are found on the skin, brushing them off, rather than crushing them, helps to prevent the dermatitis. Treatment includes washing the affected area immidiatley, applying cold and wet compresses, and in some cases, treatment with antibiotics, steroids, and antihistamines. Herein, we report a paederus dermatitis case in a 9-year old Kashani boy who had traveled to northern Iran as a tourist. We also review the related literature.

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Background and Aim: The purpose of this research was to compare the effectiveness of cognitive behavioral and emotion-focused group therapy on reducing the symptoms of psoriasis, psychological distress and perception of body image.

Methods: This was a semi-experimental research of pretest posttest type with a control group. The statistical population of this research included all patients who were diagnosed with psoriasis in spring of 2022 by referring to dermatologists in Mashhad. 45 psoriasis patients were selected by available sampling method and replaced randomly in two experimental groups (CBT and EFT) and control group (each groups 15). The experimental groups was treated for 8 sessions, one session of 90 minutes per week. The control group received no intervention. Parents completed the Psychological Distress Scale, Body Image Concern Inventory and the Physical Symptoms Questionnaire with Psoriasis Area Severity Index before and after the treatment sessions. The data were analyzed by Analysis of covariance. 

Results: The findings showed that cognitive-behavioral and emotion-focused reduced psychological distress (P<0.01, F=21.06), improved perception of body image (P<0.01, F=33.65) and reducing the severity of psoriasis symptoms (P>0.01, F=12.67) are effective. Also, cognitive behavioral therapy is more effective method to reduce psychological distress and improve perception of body image (P<0.01). However, there is no significant difference between the effectiveness of cognitive-behavioral therapy and emotion-focused therapy in reducing psoriasis symptoms of patients (P<0.05).

Conclusion: Both therapies can play a key and effective role in controlling the symptoms of psoriasis.