Browsing by Author "Bhattarai, Sabina"
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Publication Editorial View(Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON), 2016) Bhattarai, SabinaNAPublication Iatrogenic Cushing Syndrome due to Application of Potent Topical Corticosteroid: A Case Report(Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON), 2019) Bhusal, Mohan; Aryal, Eliz; Bhattarai, Sabina; Shrestha, Sanju Babu; Rajouria, AlarkAbstract: Corticosteroids are over the counter and cheaper drugs available in every medical stores in Nepal. Iatrogenic Cushing syndrome due to topical steroids application is a very rare phenomenon in adults.A 32 year female from Janakpur presented with complaints of swelling of face, weight gain, excessive facial hair and fatigue since two years that gradually increased over last one year. She had a past medical history of on and off application of multiple potent topical corticosteroids for disseminated Tinea infection. She was obese with moon facies, buffalo hump and multiple striae over her abdomen. Her blood pressure was raised and her blood sugar was in pre-diabetic range. Laboratory studies were consistent with iatrogenic Cushing syndrome. Patient recovered after discontinuation of topical corticosteroids and treatment with antifungals.Although iatrogenic Cushing syndrome following application of topical corticosteroid is a rare phenomenon in adults, this can happen in a setup like ours where corticosteroids are prescribed as over the counters and patients have very little knowledge about their use. Therefore, we emphasize that patients and pharmacist should be well educated about the consequences of their prolong application and their side effects. Keywords: Adrenocorticotropic hormone, Clobetasol, Pituitary-adrenal systemPublication Lansoprazole – Induce Black Hairy Tongue- A Case Report(Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON), 2017) Aryal, Eliz; Rajbhandari, M; Bhattarai, SabinaAbstract: Lansoprazole induced black hairy tongue has been rarely reported. The purpose of this paper is to report a case of lansoprazole induce black hairy tongue and review the literature. A 75 year man from eastern part of Kathmandu presented with black hairy fine growth from tongue along with discomfort, burning and halitosis from oral cavity after taking lansoprazole for acute peptic disease(APD) from over the counter and after discontinuation of lansoprazole, black hairy tongue was resolving. Clinically and histopathologically: lansoprazole induced black hairy tongue was confirmed. Black hairy tongue is characterized by abnormal hypertrophy and elongation of filliform papillae. Lansoprazole is a proton-pump inhibitor (PPI) with a racemic 1:1 mixture of the enantiomers dexlansoprazole which inhibits the stomach’s production of gastric acids. Keywords: lansoprazole, induce black hairy tonguePublication Letter of Editor(Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON), 2017) Bhattarai, SabinaNAPublication Zinc Therapy in Dermatology: A Review and Update(Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON), 2021) Aryal, Eliz; Bhattarai, Elisa; Bhattarai, SabinaAbstract: Zinc is a micronutrient used over the years for many dermatological conditions such as infections, inflammatory dermatoses, pigmentary disorders, neoplasias etc. It is used in both elemental as well as salt form, either in topical or in oral form as a therapy. An average adult weighing 70 kg has a body zinc content of 1.4–2.3 gm. The role of zinc in deficiency disorder like acrodermatitis enteropathica is already established and used widely as treatment. Zinc has been identified as effective in the treatment of various disorders but it cannot be used as the replacement for proven first line treatment. Zinc can be used as adjuvant therapy in many dermatological disorders. This is a narrative review where various use of zinc as therapy in dermatological disorders is highlighted. Keywords: Acrodermatitis enteropathica, Micronutrients, Zinc