Role of sequential chemical peel in cutaneous amyloidosis: a pilot case series

Cutaneous amyloidosis can be a part of a systemic disease or can result from a localized process limited to the skin. It usually presents as pruritic hyperpigmented macules, papules or nodules, which are notoriously resistant to treatment. We performed a hospital-based pilot case series to assess the efficacy and safety of sequential salicylic acid (SA) and glycolic acid (GA) chemical peels. Patients underwent sequential chemical peel therapy with SA 20% and GA 35% used alternately each week for a total of 6 weeks. At subsequent follow-up visits, good clinical outcome and long-term maintenance was observed. This study highlights the promising role of chemical peels in this difficult and distressing disorder.

Variation in chemical composition and sources of PM2.5 during the COVID-19 lockdown in Delhi

The Government of India (GOI) announced a nationwide lockdown starting 25th March 2020 to contain the spread of COVID-19, leading to an unprecedented decline in anthropogenic activities and, in turn, improvements in ambient air quality. This is the first study to focus on highly time-resolved chemical speciation and source apportionment of PM_2.5 to assess the impact of the lockdown and subsequent relaxations on the sources of ambient PM_2.5 in Delhi, India. The elemental, organic, and black carbon fractions of PM_2.5 were measured at the IIT Delhi campus from February 2020 to May 2020. We report source apportionment results using positive matrix factorization (PMF) of organic and elemental fractions of PM_2.5 during the different phases of the lockdown. The resolved sources such as vehicular emissions, domestic coal combustion, and semi-volatile oxygenated organic aerosol (SVOOA) were found to decrease by 96%, 95%, and 86%, respectively, during lockdown phase-1 as compared to pre-lockdown. An unforeseen rise in O₃ concentrations with declining NO_x levels was observed, similar to other parts of the globe, leading to the low-volatility oxygenated organic aerosols (LVOOA) increasing to almost double the pre-lockdown concentrations during the last phase of the lockdown. The effect of the lockdown was found to be less pronounced on other resolved sources like secondary chloride, power plants, dust-related, hydrocarbon-like organic aerosols (HOA), and biomass burning related emissions, which were also swayed by the changing meteorological conditions during the four lockdown phases. The results presented in this study provide a basis for future emission control strategies, quantifying the extent to which constraining certain anthropogenic activities can ameliorate the ambient air. These results have direct relevance to not only Delhi but the entire Indo-Gangetic plain (IGP), citing similar geographical and meteorological conditions common to the region along with overlapping regional emission sources. SUMMARY OF MAIN FINDINGS: We identify sources like vehicular emissions, domestic coal combustion, and semi-volatile oxygenated organic aerosol (SVOOA) to be severely impacted by the lockdown, whereas ozone levels and, in turn, low-volatility oxygenated organic aerosols (LVOOA) rise by more than 95% compared to the pre-lockdown concentrations during the last phase of the lockdown. However, other sources resolved in this study, like secondary chloride, power plants, dust-related, hydrocarbon-like organic aerosols (HOA), and biomass burning related emissions, were mainly driven by the changes in the meteorological conditions rather than the lockdown.

Variations in Black Carbon concentration and sources during COVID-19 lockdown in Delhi

A nationwide lockdown was imposed in India due to COVID-19 pandemic in five phases from 25th March to May 31, 2020. The lockdown restricted major anthropogenic activities, primarily vehicular and industrial, thereby reducing the particulate matter concentration. This work investigates the variation in Black Carbon (BC) concentration and its sources (primarily Fossil Fuel (ff) burning and Biomass Burning (bb)) over Delhi from 18th February to July 31, 2020, covering one month of pre-lockdown phase, all the lockdown phases, and two months of successive lockdown relaxations. The daily average BC concentration varied from 0.22 to 16.92 μg/m³, with a mean value of 3.62 ± 2.93 μg/m³. During Pre-Lockdown (PL, 18th Feb-24th March 2020), Lockdown-1 (L1, 25th March-14th April 2020), Lockdown-2 (L2, 15th April-3rd May 2020), Lockdown-3 (L3, 4th-17th May 2020), Lockdown-4 (L4, 18th-31st May 2020), Unlock-1 (UN1, June 2020), and Unlock-2 (UN2, July 2020) the average BC concentrations were 7.93, 1.73, 2.59, 3.76, 3.26, 2.07, and 2.70 μg/m³, respectively. During the lockdown and unlock phases, BC decreased up to 78% compared to the PL period. The BC source apportionment studies show that fossil fuel burning was the dominant BC source during the entire sampling period. From L1 to UN2 an increasing trend in BC_ff contribution was observed (except L3) due to the successive relaxations given to anthropogenic activities. BC_ff contribution dipped briefly during L3 due to the intensive crop residue burning events in neighboring states. CWT analysis showed that local emission sources were the dominant contributors to BC concentration over Delhi.

Diurnal variation of BTEX at road traffic intersection points in Delhi, India: source, ozone formation potential, and health risk assessment

The present study was carried out to observe the variation of volatile organic compounds (VOCs) namely benzene, toluene, ethylbenzene, and xylene isomers (BTEX) at three different sites of Delhi, during 2016-2017. Four hourly sampling was carried out day and night separately. Results showed that BTEX concentration was highest in post-monsoon and lowest in monsoon season. Again, daily variation shows that benzene (47%) and toluene (35%) were more during night than day when it was 44% and 33% respectively. Mean concentration of BTEX was observed in following order: ethylbenzene ~ o-xylene < m,p-xylene < toluene < benzene, while overall seasonal variation was observed as follows: post-monsoon > summer > winter > monsoon. Possible emission sources of BTEX were also established through corresponding ratios of individual compounds. Xylene isomers together accounted highest ozone formation potential. The risk assessments of BTEX were carried out in terms of non-cancer (the hazard quotient, HQ) and cancer (the incremental lifetime cancer risk, ILCR) regarding the inhalation exposure only. It was observed that benzene and xylene isomers possessed higher HQs than ethylbenzene and toluene at all sites throughout the study. Again, benzene was found with higher mean ILCR (3.58 × 10^-5) than ethylbenzene (1.47 × 10^-5).

Source identification and metallic profiles of size-segregated particulate matters at various sites in Delhi

A study of elemental composition in the ambient air of Delhi was carried out in the monsoon, winter and summer seasons at four different sites from August 2012 to April 2013 in the size ranges <1, 1-2.5, 2.5-10 and >10 μm using "Dekati PM10" impactor. At each site, three samples were collected and were analyzed by energy-dispersive X-ray fluorescence (EDXRF). The presence of elements was found to be very common and highly concentrated in aerosol particles at all the sites, which are Na, Al, Si, K, Ca, Zn and Ba. Total suspended particulate matters (TSPMs) of fine particles were found high in comparison to coarse particles at all seasons. The TSPM of fine particles was found to be varied in the range from 303.6 to 416.2 μg/m(3). Similarly, the range of coarse TSPM was observed from 162.9 to 262.8 μg/m(3). Correlation matrices were observed between fine (size ranges <1 and 1-2.5 μm) and coarse (size ranges 2.5-10 and >10 μm) size particles for all elements with seasons. Source apportionments of elements were carried out using MS Excel 2010 through XLSTAT software. The source apportionments between fine and coarse particles were carried out through factor analysis and dominated sources found to be crustal re-suspension and industrial activities.