Journal Issue: Volume: 15 No. 1 (2017)
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Volume
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Issue Date
2017
Journal Title
Journal ISSN
ISSN 2091-0231 eISSN 2091-167X
Journal Volume
Articles
Letter of Editor
(Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON), 2017) Bhattarai, Sabina
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How, where and when to make a biopsy?
(Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON), 2017) Burg, Guentur
Abstract:
Considering the more than 2000 dermatoses it gets clear, that clinical morphology alone in many cases is not sufficient for making a correct diagnosis. Histomorphology can provide additional significant information in many but not in all cases. In order to save efforts, patient’s inconvenience and costs it is important to know not only how and where to make a biopsy but also when a dermatopathologic investigation is mandatory and helpful in order to avoid misdiagnoses and wasting patients distress, time and money. Without being comprehensive some typical examples for various possible constellations are described.
Keywords: dermatopathology, diagnosis, biopsy, clinic-histologic correlation
Curriculum Development and Dermatology Training
(Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON), 2017) Betkerur, Jayadev
Abstract:
Curriculum is an integral part of any educational cycle. Curriculum development is a systematic process involving designing, implementing , evaluating and redesigning. There are different types of curriculums being practiced by institutions. Subject based curriculum is a widely used but competency based curriculum is the best. There is an urgent need to have relook at the existing curriculum as it is beset with many problems. The faculty development (FD) is one factor affecting curriculum development. We need to identify the other issues and address them.
Presently Dermatology postgraduate training is more concentrated in imparting more knowledge based learning. Acquiring and assessing skills not included in the program.The curriculum is decades old and does not address the present needs. The classification of diseases can be modified. Evaluation methods have to be structured to assess knowledge and skill. Dermatosurgery, dermatotherapeutics and cosmetic dermatology needs to be added to the curriculum. The teachers , institutions and regulatory authorities to plan strategies to bring about these changes to present to the society a knowledgeable, skillfull,sensitive and ethically correct.
Keywords: Curriculum development, faculty development, dermatology curriculum
A Study on the Efficacy of Immunotherapy with Purified Protein Derivative for the Treatment of Recalcitrant Warts
(Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON), 2017) Puri, Neerja
Abstract:
Introduction: There are many treatment modalities of warts, but most of them are destructive therapies which have propensity to cause scarring. Many antigens especially purified protein derivative (PPD) of tuberculin bacilli are being used for the regression of warts.
Aims: To study the efficacy of purified protein derivative of tuberculin bacilli in the treatment of warts.
Methods A randomized controlled trial was done in which 25 patients of recalcitrant warts were taken up for the study. In all the patients, 2.5 units of PPD was injected in each wart and upto maximum of 25 units PPD was given and the injections were given every 3 weeks for a total of 3 sessions.
Results: Commonest type of wart seen in our study was verruca vulgaris in 15(60%) patients, verruca plana in 5(20%) patients, palmoplantar warts in 3 (12%) patients and genital warts in 2 (8%) patients. Regarding the number of warts 15 (60%) patients had more than 20 warts, 5 (20%) patients had number of lesions between 11 – 20 and another 5(20%) patients had lesions between 1 – 10. Complete clearance of lesions after 3 sessions was seen in 18 (72%) patients, partial clearance of lesions was seen in 4 (16%) patients and no response was seen in 3 (12%) patients.
Conclusion: Immunotherapy with PPD causes boosting up of the cell mediated immunity of the patients which causes spontaneous regression of the warts.
Keywords: Immunotherapy, purified protein derivative, regression, cell mediated immunity
A Study of the Efficacy of Skin Needling and Platelet Rich Plasma in the Treatment of Acne Scars
(Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON), 2017) Ranjan, Shivani; Gupta, RS; Gupta, S
Abstract:
Introduction: Permanent scars are the major complications of acne. Correction of scars is the priority for acne patients. Platelet-rich plasma (PRP) may be useful in the treatment of atrophic acne scars by promoting collagen deposition. Skin needling also releases growth factors, initiate a cascade of wound healing resulting in collagen production. Hence, skin needling and PRP should act synergistically to improve acne scars.
Objective: To assess the effectiveness of the combined use of skin needling and PRP application in acne scar treatment.
Material and Methods: The study enrolled 10 patients of acne scars. Platelet rich plasma therapy with needling was given to them at monthly interval for a therapeutic period of 6 months. The effects of therapy were evaluated based on photographic assessment and patient’s satisfaction.
Results: Mean age of the patients was 28.10 ± 5.065. Twenty percent of patients showed excellent response, 80% showed good response. The results were found to be significant with p value < 0.014. Pain and edema were major complaints which subsided in 1-2 days.
Conclusion: Platelet rich plasma therapy combined with skin needling is a safe and effective treatment for management of acne scars.
Keywords: platelet rich plasma, skin needling, dermaroller, acne scars