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      Histopathological Analysis of the Cutaneous Changes Due to Kangri Use in Kashmiri Population: A Hospital Based Study

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          Abstract

          Background:

          Kangri cancer is peculiar to the valley of Kashmir as people of all age groups are accustomed to warm their bodies by the use of Kangri baskets. The clinical spectrum of skin cancer in the Kashmir valley is entirely different from the rest of the country, which could be attributed to the use of Kangri in this geographical region.[ 1 2]

          Aims:

          Histopathological analysis of the cutaneous changes due to kangri use in Kashmiri population.

          Materials and Methods:

          This is a prospective hospital based study. All the patients attending the outpatient department of Dermatology, STD and Leprosy at SMHS Hospital, an associated hospital of govt. medical college in Srinagar and presented with suspicious lesions (i.e., erythema ab igne, papular or nodular skin growths) due to Kangri use were taken up for the study. A detailed history including the use of Kangri and a physical examination was done in each patient followed by a histopathological examination in case of suspicious lesions.

          Results:

          The cutaneous changes which were observed during the study period of 8 months were erythema ab igne, bowen's disease and squamous cell carcinoma.

          Conclusion:

          Although this is a preliminary study we will be studying more of such changes caused due to Kangri use in the future.

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          Most cited references9

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          Public education and cancer of the skin. What do people need to know about melanoma and nonmelanoma skin cancer?

          Cutaneous melanoma (CM) and nonmelanoma skin cancer (NMSC) have a high chance for cure if detected in an early phase of development. Patients who have these tumors may now be treated in the outpatient setting with a minimum of discomfort, inconvenience, and cost. Most skin cancer deaths are caused by CM. Until recently, CM incidence in the United States has been increasing faster than any other potentially lethal cancer, attributable at least in part to aggressive case detection and greater public awareness about the significance of risk factors and early warning signs of evolving tumors, resulting in increased numbers of curable tumors. Most CMs are discovered by patients or close acquaintances. Most CM deaths are related to patient delay in seeking medical care. Patient delay is attributed mostly to lack of knowledge rather than to fear and denial. In the United States, primary prevention of CM and NMSC has focused on encouraging sensible sun-exposure behaviors, while secondary prevention consists of a yearly national campaign that promotes skin awareness and self-examination and free examinations to detect evolving tumors, sponsored by the American Academy of Dermatology and the American Cancer Society. More attention is needed to encourage timely consultation for evolving tumors and predisposing risk factors and to focus screening and surveillance efforts of those people at greatest risk. Public education must continue to promote personal responsibility in the intervention process to reduce the morbidity and mortality associated with CM and NMSC.
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            Kangri cancer in Kashmir valley: preliminary study.

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              KANGRI-BURN CANCER.

              E Neve (1923)
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                Author and article information

                Journal
                Indian J Dermatol
                Indian J Dermatol
                IJD
                Indian Journal of Dermatology
                Medknow Publications & Media Pvt Ltd (India )
                0019-5154
                1998-3611
                May-Jun 2013
                : 58
                : 3
                : 188-190
                Affiliations
                [1] From the Department of Dermatology, Government Medical College, Srinagar, Jammu and Kashmir, India
                [1 ] Department of Pathology, Government Medical College, Srinagar, Jammu and Kashmir, India
                Author notes
                Address for correspondence: Prof. Iffat Hassan, Department of Dermatology, STD and Leprosy, Government Medical College, Srinagar, University of Kashmir, Jammu and Kashmir, India. E-mail: hassaniffat@ 123456gmail.com
                Article
                IJD-58-188
                10.4103/0019-5154.110825
                3667279
                23723467
                8ae27392-1b62-4965-8504-15f173d755bb
                Copyright: © Indian Journal of Dermatology

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : February 2012
                : March 2012
                Categories
                Original Article

                Dermatology
                bowen's disease,erythema ab igne,squamous cell carcinoma
                Dermatology
                bowen's disease, erythema ab igne, squamous cell carcinoma

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