Browsing by Author "Sharma, Ashu"
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Publication Management of Telogen Effluvium: A Survey among Dermatologists and Dermatology Residents of Nepal(Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON), 2025) Sharma, Ashu; Khadka, Anupa; Gurung, Tsering Dolma; Shrestha, Dwarika PrasadAbstract: Introduction: Telogen effluvium (TE) is a common form of non-cicatricial alopecia, marked by excessive shedding of hairs in the telogen phase. Despite its prevalence, there is no consensus on the best approach to diagnosing, investigating, and managing TE, leading to varying practices among dermatologists. This study aims to understand current practices in Nepal regarding the diagnosis and treatment of TE. Objectives: To explore the management modalities of TE among the dermatologists and dermatology residents of Nepal Materials and Methods: An online, questionnaire-based survey was conducted among Nepalese dermatologists and dermatology residents. The questionnaire consisted of twelve multiple-choice questions related to TE. The responses were recorded and analyzed. Results: A total of 150 responses were recorded, with 53.33% attending 5-10 hair loss patients weekly. Most (94%) diagnosed TE based on history and clinical examination, and 82% commonly ordered thyroid function tests. Iron and vitamin deficiency was identified as the leading cause by 78%, and 53.33% felt no treatment was necessary. Counseling (92.66%) and iron/vitamin supplements (88%) were the most frequent management strategies. TE was reported to have a "moderate" impact on Quality of Life (QoL) by 69.33%, and 50.67% of participants reported a “good level” of satisfaction among patients with the outcomes of their treatments. Conclusions: Telogen Effluvium is one of the most common causes of hair fall, with a moderate impact on the quality of life. Most dermatologists agree on many aspects of TE management. A consensus management guideline of TE would be handy.Publication Recurrent Angioedema: A Case Series of C1 Esterase Inhibitor Deficiency(Perinatal Society of Nepal (PESON), 2025) Paudel, Upama; Parajuli, Sudip; Chapagain, Laxman; Sharma, AshuAbstract: We report a case series of recurrent angioedema, hereditary and acquired, diagnosed after a long period of time. The first and the second patient presented initially at the age of 13 years and were diagnosed finally at the age of 27 years and 18 years respectively. The third case is reported in an adult and was finally diagnosed as case of acquired angioedema. The patients were managed with danazol and tranexamic acid in absence of standard recommended drugs. The cases highlight the importance of diagnosing cases during childhood and emphasize the need of standard drugs in our scenario.