Browsing by Author "Rai, Anjan"
Now showing 1 - 3 of 3
Results Per Page
Sort Options
Publication Dyslipidemia in Patients with Xanthelasma Palpebrarum Visiting the Department of Dermatology of a Tertiary Care Centre: A Descriptive Cross-sectional Study(Nepal Medical Association, 2022) Rai, Anjan; Karki, Sunita; Sah, Shree Prasad; Kamat, Laxmi Narayan; Pradhan, ManishAbstract Introduction: Xanthelasma palpebrarum refers to lipid deposition that occurs on eyelids and inner canthi. It is an important cutaneous manifestation of hyperlipidemia, atherosclerosis and coronary artery disease. Few studies have been done in Nepal regarding lipid abnormality in xanthelasma patients. The aim of this study was to find out the prevalence of dyslipidemia among patients with xanthelasma palpebrarum visiting the Department of Dermatology of a tertiary care centre. Methods: This is a descriptive cross-sectional study conducted among 80 patients from January, 2021 to February, 2022 in the Department of Dermatology of a tertiary care centre. Ethical approval was taken from the Institutional Review Committee (Reference number: 60512021). Convenience sampling was used. Lipid profile analysis was done among patients with clinical diagnosis of xanthelasma palpabrarum. Data was collected using Microsoft Excel for Mac version 16.16.27 and analyzed using the Statistical Package for the Social Sciences version 22.0. Point estimate at 90% Confidence Interval was calculated along with frequency and proportion for binary data. Results: Out of 80 patients with xanthelasma palpebrarum, the prevalence of dyslipidemia was 64 (80.00%) (74-86 at 90% Confidence Interval). Among them, 29 (45.31%) were males and 35 (54.69%) were females. Conclusions: In our study, the prevalence of dyslipidemia among patients with xanthelasma palpebrarum was found to be higher than in similar studies conducted in similar settings.Publication The Cost of Diagnosis of Leprosy by Active Case Detection in Kailali, Nepal(Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON), 2023) Baskota, Rabindra; Rupakheti, Dinesh; Rai, Anjan; Gyawali, Bikram; Baral, RashmiAbstract: Introduction: Leprosy is a is a chronic infectious disease caused by Mycobacterium leprae. Current modalities for early diagnosis of leprosy include active case detection campaigns, contact tracing, and skin camps. Active case detection is an effective strategy that enables early treatment, prevents impending disability, and potentially stops the spread of leprosy. Objectives: This study was conducted to determine the cost of early diagnosis of leprosy by active case detection method in Lamkichuha Municipality of Kailali district. Materials and Methods: In coordination with the Municipality, Leprosy Control and Disability Management Section of Ministry of Health and Population conducted a survey in July of 2022. Using active case detection method, orientation on leprosy was given to health workers followed by household visit and screening of skin lesions suggestive of leprosy. Suspected cases were confirmed by dermatologists. Data obtained from the campaign was analyzed and results presented as cost per patient. Results: The team screened 4526 families that included 21472 persons in the Lamkichuha Municipality. Among them, 195 were suspected as leprosy by the health workers and referred to referral health facility for diagnosis. Three of them were confirmed as leprosy resulting the prevalence rate of 1.4 per 10,000 populations. The average cost spent per patient was NRS 250000 (2000 USD). Conclusion: The cost of diagnosis of leprosy by active case detection is high. The national programs should prioritize cost-effective modalities including the awareness raising campaigns for early diagnosis.Publication Varicella Pneumonia in an Immunocompetent Middle-aged Adult Male: A Case Report(Nepal Medical Association, 2022) Shrestha, Nischal; Bhatta, Karuna; Rai, Anjan; Khatun, SanzidaAbstract Varicella pneumonia is uncommon among adults and can present as potentially life-threatening complications of varicella. Here we report a case of a 43-year-old man with no known history of chronic disease and no allergic history who presented to our hospital emergency department with widespread skin eruptions over the entire body and hemoptysis. Varicella pneumonia was diagnosed based on the patient being in contact with his 6-year-old son who had contracted chickenpox 10 days back, typical cutaneous lesions, pulmonary symptoms and radiographic findings. The patient was treated with oral acyclovir and was admitted to the intensive care unit for monitoring. The patient recovered completely after 10 days of treatment.