Browsing by Author "Piya, Smriti"
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Publication Clinico-epidemiological Profile and Photoprotective Behaviour among Patients with Photodermatosis: A Hospital-based Cross-sectional Study(Institute of Medicine, Tribhuvan University, 2025) Bhusal, Mohan; Dhungana, Sanjay; Rana, Arnija; Shrestha, Shristi; Thapa, Deeptara Pathak; Piya, SmritiAbstract: Introduction Photodermatoses (PD) encompass a spectrum of skin conditions induced or exacerbated by sunlight. There is limited data on their clinico-epidemiological profile in Nepal. This study aimed to assess the prevalence and study the clinic-epidemiological profile and photoprotective behaviour among patients with photodermatoses. Methods This hospital-based descriptive cross-sectional study was conducted between September 2023 to August 2024 in the outpatient department of dermatology of a tertiary care centre. Ethical approval was obtained from the Institutional Review Committee. The number of patients diagnosed with PD were determined using Sukraa Hospital Information Management System software, V1.2.24.5 for the calculation of prevalence. Non-probability convenience sampling was used. A total of 69 patients clinically diagnosed with photodermatoses were included in study. Data were collected using a structured proforma and analyzed using Statistical Package for Social Sciences (SPSS) version 16. Results Prevalence of photodermatitis was 2.24% (338/15116). Polymorphic light eruption was the most common diagnosis 48 (69.57%), followed by photo-contact dermatitis. The prevalence was higher among females 41 (59.42%), with a mean age of 37.21±18.18 years. Most patients were in the 21–30 years age group. The neck 28 (28.28%) and face 20 (20.20%) were the most commonly affected sites, and papules were the predominant lesion morphology 41(42.27%). Only 15 (21.74%) used photoprotective measures, of which sunscreen was the most common 10 (66.67%). Conclusion Polymorphic light eruption was the most common type of photodermatosis, particularly among females and younger individuals. There was a notably low use of photoprotective measures among patients with PD, particularly sunscreen usage.Publication Clinico-epidemiological Profile of Facial Dermatoses among Adolescents(Nepal Health Research Council, 2026) Rana, Arnija; Bhusal, Mohan; Shrestha, Rit; Thapa, Deeptara Pathak; Shrestha, Shristika; Shah, Amit Kumar; Piya, SmritiAbstract: Background: The face is an important component of individual identity and undesirable changes in facial skin affect the quality of life of individuals, particularly adolescents (10–19 years). They often experience issues like acne vulgaris due to hormonal changes and the consequent psychosocial impact is higher. In Nepal, adolescents represent 23.6% of the population. This study investigates the prevalence and types of facial dermatoses among Nepalese adolescents attending a tertiary care center. Methods: A cross-sectional study was conducted among 290 adolescents with facial dermatoses presenting to Nepal Medical College Teaching Hospital from October 2023 to September 2024. Data was collected using a structured proforma and clinical examinations, with additional tests as required. Statistical analysis was performed using SPSS version 16. Results: Of the 290 participants, 48.62% were male and 51.38% female, predominantly aged 17–19 years (36.55%). The majority (66.90%) were Hindu. The most common facial dermatoses were appendageal disorders (43.07%), infections and infestations (20.34%), and eczemas (16.55%). In appendageal disorders, acne vulgaris was most common representing 42.07% of all facial dermatosis. In infections, viral infection was the most common (11.72%) of all facial dermatosis and pityriasis alba was most common (7.59%) of eczemas seen, Males had higher rates of infections (67.80%), while eczemas were more common in females (58.33%). No significant association was found between gender and acne status (p=0.1), severity (p=0.19), bacterial infection (p-value= 0.502), fungal infection (p- value= 1), viral infection (p= 0.85), eczema (p= 0.449), pigmentary disorder (p= 0.071), vascular lesions (p= 1.2) and nevus (p= 0.069). Conclusions: Facial skin disorders, particularly acne vulgaris, are prevalent among Nepalese adolescents and affect their well-being. The findings accentuate the importance of addressing these conditions to reduce their psychological and social impacts. Further research is needed to explore facial dermatoses across different regions of Nepal. Keywords: Acne; adolescent; facial dermatosis.Publication Graham-Little-Piccardi-Lassueur Syndrome: Two Case Reports(Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON), 2024) Piya, Smriti; Bhusal, Mohan; Thapa, Deeptara Pathak; Shrestha, JoshanaAbstract: Graham-Little-Piccardi-Lassueur Syndrome (GLPLS) is a rare lichen planopilaris (LPP) subtype associated with scarring alopecia. It is thought to be an immune-mediated cause of alopecia. It is characterized by a triad of multifocal cicatricial alopecia of the scalp, noncicatricial alopecia of the axilla, and groin and a follicular lichen planus (LP) eruption. Herein, we present 2 cases of GLPLS. The first case is of a 33-year-old female presented with classical lichen planopilaris (LPP) of the scalp, follicular hyperkeratosis of bilateral arms, and noncicatricial alopecia of armpits. In the second case, a 17-year-old female presents with frontal fibrosing alopecia (FFA) of the scalp, follicular hyperkeratotic papules of the scalp, and noncicatricial alopecia of the bilateral armpits and genitalia. The physician can miss GLPLS due to the rarity of the condition.