Browsing by Author "Parajuli, Niraj"
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Publication Cutaneous Larva migrans: A Case Series of a Skin-related Neglected Tropical Diseases from Nepal(Nepal Health Research Council, 2024) Shrestha, Shraddha; Hirachan, Shashi; Parajuli, NirajCutaneous larva migrans is a tropical dermatosis acquired through the helminthic infection. It is caused by penetration of animal hookworm larva in patient with history of walking barefoot on soil or beaches or with history of travel to tropical areas. It usually presents clinically as a pruritic serpiginous lesion with a trailing. Here, we report three cases who presented as asymptomatic to pruritic thread like serpiginous lesion on cutaneous examination. Cutaneous larva migrans was diagnosed clinically and proper treatment was done with complete regression of manifestations within a week. Although the condition is self-limiting, it is an under-diagnosed entity leading to delay in treatment and exacerbation of clinical manifestations including rare pulmonary manifestation called Loefflers syndrome. Keywords: Creeping eruption; ivermectin; larva migrans; skin-NTDs.Publication Genodermatoses Picture: Difficulties Faced And Way Forward in Nepal(Nepal Health Research Council, 2022) Parajuli, Niraj; Baskota, Rabindra; Jain, RituAbstract Genodermatoses are group of genetic disorders that present with cutaneous manifestations. The exact prevalence on many of these conditions are unknown due to its rarity, need of specialized tests for diagnosis and lack of proper reporting system. Most of the patients are faced with life-long disability and associated stigma. There is a need for specialized centers for proper diagnosis of these conditions and a very elaborated yet simple reporting system in Nepal. These rare conditions should be kept in priority by the government in align with the sustainable development goals to ensure healthy-lives and promote well-being for all. A wider engagement of patient-led support groups might be useful in providing necessary information on the disease to the general population and alleviate the stigma associated with these diseases. Keywords: Epidermolysis bullosa; genodermatoses; rare diseases; NepalPublication Teledermatology- A Life-Saving Experience and its Usefulness in Nepal: A Case Report(Nepal Health Research Council, 2025) Parajuli, Niraj; Buda, Caleb; Tiwari, Sanjibeledermatology is a means of diagnosing and managing dermatological cases virtually using digital tools. This is an important method which has been in use in Nepal and has a lot of potential to provide quality care to the patients from the remote corners of Nepal. It has been mostly used to manage chronic dermatological conditions. Here. we report a patient, suffering from multiple painful ulcers and a steadiliyy declining quality of life, was diagnosed with pyoderma gangrenosum via mobile teledermatology. Prompt intervention based on this remote diagnosis led to successful management and significant clinical improvement. We try to put an emphasis on the mobile teledermatology that it is even useful in hard to diagnose cases and provide proper management. We also would like to highlight that this modality should be promoted and used more often to provide specialists medical services to the rural communities Nepal. Keywords: Digital dermatology; pyoderma gangrenosum; teledermatology; telemedicine.