Journal Issue: Volume: 23, No. 1 (2025)
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Volume
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Issue Date
2025
Journal Title
Journal ISSN
ISSN 2091-0231 eISSN 2091-167X
Journal Volume
Articles
Cutaneous Manifestations in Obese Patients Attending Outpatient Department of a Tertiary Care Hospital
(Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON), 2025) Pandit, Shashwata Raj; Neupane, Saraswoti
Abstract:
Introduction: Obesity can have many effects on skin physiology. It is involved in dermatologic diseases like acanthosis nigricans, acrochordons, keratosis pilaris, hirsutism, and striae distensae.
Objectives: To determine the proportion of various cutaneous manifestations in obese patients.
Materials and Methods: This cross-sectional study was conducted at the Outpatient Department of Dermatology in a tertiary care hospital. Any patients over 18 years old with a BMI greater than or equal to 30 kg/m2 attending the dermatology OPD were included. The history-taking and examination were done, and the preformed proforma was completed. Statistical analysis was done using Microsoft Excel 2016 and SPSS Version 20.0 for Windows.
Results: Our study included 226 patients. The mean age of patients in our study was 37.45± 13.60 years. There were more females than males in our study. The mean BMI of patients in our study was 32.09±1.81. According to BMI, most patients fell into grade I obesity (89.4%), followed by grade II obesity with 10.6%, and there were no patients with grade III obesity. Acrochordons was the most common dermatosis seen in the study, followed by acanthosis nigricans. The dermatoses that showed a statistically significant relationship with obesity grades were plantar hyperkeratosis (P = 0.001) and lymphoedema (P = 0.0036).
Conclusion: Skin diseases are so common among obese patients that they can be considered a marker for obesity.
Assessing Body Dysmorphic Disorder Prevalence among Patients Seeking Cosmetic Dermatology Procedures in a Tertiary Care Hospital
(Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON), 2025) Singh, Neha; YG, Anupama; Tumbal, Namita A; HJ, Dadapeer
Abstract:
Introduction: Body Dysmorphic Disorder (BDD) is a psychiatric condition, with the primary symptom being an impairing preoccupation with a non-existent or slight defect in appearance, leading to seeking multiple cosmetic procedures. It is often difficult to diagnose, causing a lot of suffering, and is more prevalent in dermatology patients. There are few reports on the prevalence of BDD in the Indian population.
Objectives: To determine the prevalence of BDD among patients seeking cosmetic dermatologic procedures, to analyse the relationship between dermatological and sociodemographic variables and possible cases of BDD, and to provide data on the phenomenology of compulsive behaviours associated with BDD.
Materials and Methods: A total of 150 patients seeking cosmetic procedures in Shimoga Institute of Medical Sciences, Shivamogga were included in the study. Body Dysmorphic Disorder Questionnaire- Dermatology Version was used to screen the possible cases of BDD.
Results: In our sample, we obtained a prevalence for BDD of 11.3% (95% CI: 6.05% -16.61%). The median age in the BDD group was 28 (26,33) which was slightly lower compared to the non-BDD group. 70.6% of BDD patients were females. 76.5% of BDD patients had a history of previous treatments. This was high compared to non BDD group and is statistically significant. 47.1% of BDD patients had facial pigmentation as their primary concern. The most frequent compulsive behaviour in BDD patients was in comparison with others (47.1%).
Conclusion: BDD is relatively common in a dermatologic setting, especially among patients seeking cosmetic treatments. Dermatologists should be aware of its clinical characteristic of BDD to avoid unnecessary procedures and refer these patients to mental health professionals.
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 Prasad
Abstract:
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.
Dermatological Manifestations of Overweight and Obesity Among Adult Nepalese Population in a Tertiary Care Centre: A Case-Control Study
(Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON), 2025) Sharma, Mukta; Agrawal, Sudha
Abstract:
Introduction: Overweight and obesity are significant global public health concerns, with prevalence rising alarmingly in recent decades. Despite this, few studies have investigated the association between overweight/obesity and skin conditions.
Objectives: This study aimed to assess the frequency of dermatological manifestations among overweight and obese adults attending a dermatology department and compare these findings with normal-weight, age- and sex-matched controls.
Material and Methods: The study included 184 cases (BMI ≥ 25 kg/m²) and 184 controls (BMI 18.5–24.99 kg/m²) attending the dermatology outpatient department. Data were collected using a pre-designed pro forma, including clinical details and laboratory parameters. Skin conditions were categorized into overweight, Grade I, II, and III obesity. Univariate and multivariate logistic regressions were conducted to determine associations between BMI categories and skin diseases.
Results: Among the cases, 60.3% were overweight, 21% were Grade I obese, and 8.7% were Grade II obese. Compared to controls, overweight and obese participants had a higher prevalence of skin conditions, including dermatophyte infections (29.3%), acanthosis nigricans (21.2%), and acrochordons (16.3%).
Conclusion: Overweight and obesity are linked to various skin conditions, with most patients presenting at least one dermatological manifestation. These findings highlight the need for specialized dermatological care in this population.
Correlation between Psoriasis Area Severity Index and Dermatology Life Quality Index in Patients of Psoriasis: A Cross-Sectional Study
(Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON), 2025) Drishya, S; Kalegowda, Deepadarshan; Madegowda, Shashikumar Basavapura; Halevoor, Phani
Abstract
Introduction:Psoriasis is a chronic skin disease that affects both the physical and social aspects of a patient’s life. The disease's severity, as measured by the Psoriasis Area Severity Index (PASI), can significantly impact the patient’s quality of life, which can be calculated using the Dermatology Life Quality Index (DLQI).
Objectives: To assess the correlation between PASI and DLQI in patients with clinically proven psoriasis, describe the impact of psoriasis on quality of life among study participants, and explore the relationship.
Materials and Methods:A cross-sectional study was conducted over three months, including 45 psoriasis patients at the Dermatology Department in a tertiary care hospital. Demographic data, disease severity, and quality of life were assessed using the PASI and DLQI, respectively. Data was analysed using SPSS, and Spearman's correlation was employed to determine the relationship between PASI and DLQI.
Results:The mean PASI score was 8.4 (±3.6), while the mean DLQI score was 11.2 (±4.7). There was a significant positive correlation between PASI and DLQI (r=0.639, p<0.0001) in males, but the correlation in females was weaker and not statistically significant. Younger patients (under 30 years) and those with longer disease duration also showed a substantial correlation between PASI and DLQI.
Conclusion:A strong correlation between PASI and DLQI was observed, particularly in males and patients with more extensive disease. The DLQI may not fully capture the disease burden in female patients and older individuals, suggesting the need for more culturally and gender-relevant tools for assessing the quality of life in psoriasis patients.