Browsing by Author "Rijal, A"
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Publication Clinico-epidemiological Profile of Rosacea at a Tertiary Care Hospital in Eastern Nepal(Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON), 2012) Bhattarai, S; Agrawal, S; Rijal, ANA Keywords: Rosacea, epidemiology, aggravating factorsPublication Do Contacts have a Role in the Transmission of Leprosy?(Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON), 2012) Rijal, A; Agrawal, S; Bhattarai, SNA Keywords: Contact, Transmission, LeprosyPublication Impact of Patch Testing on Quality of Life in Patients with Hand Eczema: A Follow-up Study(Kathmandu University, 2013) Agrawal, S; Rijal, A; Bhattarai, SABSTRACT Background Patch testing has previously been shown to influence the quality of life, although a very few studies have shown if this is dependent on the result of the patch tests. Objective To assess the impact of patch testing on the quality of life (QOL) in patients with hand eczema (HE). Methods A total of 50 patients diagnosed of hand eczema at the time of patch testing, aged 16 years and above participated in this study. Detailed demographic information and diagnosis of hand eczema were collected on the day of the patch test. After six weeks, the patients were asked about the hand eczema, knowledge of their allergies and change in their life style to avoid the relevant allergens demonstrated on the patch test. Dermatology Life Quality Index (DLQI) was used to measure the QOL on both occasions. Results The patch test positivity was found in 68% of patients to one or more allergens. The sum score of DLQI at baseline was 12.16 ± 5.58 with median 12.0. HE had most impact on symptoms and feelings. Patients with both positive patch test (mean baseline= 11.94± 5.88; mean at six weeks=2.81± 2.01; P<0.001) and negative patch test (mean baseline=12.63± 5.03; mean at 6 weeks=5.4± 3.56; P=0.001) showed significant improvement in DLQI scores, however it was more improved in patients with positive patch test than in patients with negative patch test. Conclusions Hand eczema had an appreciable impact on the QOL. Patch testing had been beneficial to most patients in improving patient quality of life considerably. KEY WORDS Dermatology life quality index (DLQI), hand eczema, patch test, quality of life (QOL)Publication Leprosy after the Elimination: A BPKIHS experience(Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON), 2013) Bhattarai, S; Agrawal, S; Rijal, A; Marahatta, SNo Abstract:Publication Skin Rejuvenation(Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON), 2009) Bhattarai, S; Rijal, A; Sapam, RAbstract: NAPublication Study of pregnancy dermatoses in patients attending outpatient of B P Koirala Institute of Health Sciences, Dharan, Nepal(Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON), 2015) Bastola, Prabha Dawadi; Rijal, A; Upreti, DAbstract Background: Pregnancy causes immense hormonal, vascular and immunologic changes affecting every organ system including skin. It can have a positive as well as a negative effect on the course of pre-existing skin diseases. Specific dermatoses of pregnancy constitute a heterogenous group of inflammatory dermatoses associated exclusively with pregnancy. Objectives: To study the spectrum and frequency of pregnancy dermatoses and to compare the clinico- epidemiological profile of non-specific dermatoses among pregnant versus non-pregnant women of reproductive age. Material and Methods: This descriptive hospital based study recruited 300 patients with skin lesions; the test group comprised 150 pregnant ladies while the control group comprised 150 non-pregnant female of reproductive age. Demographic characteristics, medical history, examination findings, and relevant investigation reports were noted and diagnosis established. The patients of test group were then classified into distinct subgroups of dermatoses and were compared with non-pregnant patients of control group. Results: Specific dermatoses of pregnancy was very common (41.33%) in our study among which Prurigo of pregnancy was the commonest (24%). Inflammatory lesions were predominant in pregnant group (57.33%, p=<0.001) whereas infectious diseases were predominant in the non-pregnants (44.67%). The demographic variables had no significant role in determining the distribution of any of the skin lesions in this study. Conclusion: Inflammatory lesions mostly specific dermatoses of pregnancy are found to be the commonest skin lesions among the pregnant ladies whereas infectious diseases are found to be comparable among pregnant and non pregnant ladies in our study. Keywords: Infectious dermatoses, Pregnancy dermatoses, Prurigo of pregnancyPublication The Study of Prevalence of Helicobacter Pylori in Patients with Acne Rosacea(Kathmandu University, 2012) Bhattarai, S; Agrawal, S; Rijal, A; Majhi, S; Pradhan, B; Dhakal, SSABSTRACT Background Acne rosacea is an inflammatory disease affecting the central part of the face characterized by erythema, papules, papulo pustules and telangiectasias of unknown etiology. More recently numerous studies have described an association with Helicobacter pylori (Hp) and the extra gastric symptoms of cutaneous origin. Objectives To establish the prevalence of Helicobacter pylori (Hp) infection in the stomach in patients with rosacea based on standard Hp serological test. Methods All patients with the clinical staging of 2, 3 and 4 rosacea attending the Dermatology Out Patient Department from May 2009 – April 2010 were included in the study. Quantitative serological test using the SERION ELISA classic Helicobacter pylori IgG was done. Result A total of 26 patients were enrolled in the study with the age ranging from 26- 82 years. There were 14 males and 12 females and the male: female ratio was 1.6:1. Three (11.53%) patients presented with Grade IV rosacea, a severe clinical presentation and symptoms suggestive of acid peptic diseases were found in 14/26 (53.8%) patients. A positive serology to H. pylori was found in 17/26 (65.4%) of patients. A statistically significant correlation was found when association of H.pylori positivity in patients of rosacea compared with the seropositivity in controls. However correlation in the seropositivity was not found amongst the patients having gastritis and rosacea. Conclusion There still proves to find a correlation of Hp infection with patients with rosacea but it can still be hypothesised as a cutaneous manifestation of an internal peptic ulcer disease . KEY WORDS H.pylori, rosacea