K. Deepadarshan, M. Harish, B. Shashikumar, PriyankaR Chandran
Background: Idiopathic guttate hypomelanosis (IGH) is a common benign acquired leukodermic dermatosis characterized by multiple, discrete, hypopigmented-to-depigmented macules. Various treatment modalities were tried for this condition with varied results. Purpose: This study was conducted to compare the efficacy and safety of fractional carbon dioxide laser and 88% phenol in the treatment of IGH. Methods: A total of 40 patients with five IGH macules on each side were treated with one session of fractional carbon dioxide laser on the right side and a single application of 88% phenol on the left side and were assessed monthly for 3 months. The improvement in pigmentation was graded as ≤25% - poor, 26%–50% - minimal, 51%–75% - good, and >75% - excellent response. Results: A total of 32 patients completed the study. Out of the 160 macules treated with laser, 16 (10%) macules showed an excellent response and 40 (25%) showed a good response, and 40 (25%) and 48 (30%) macules in the phenol group showed excellent and good improvement, respectively. Side effects such as persistent scabbing and ulceration were seen only on the phenol side. Conclusion: Single application of 88% phenol was more efficacious than one session of fractional carbon dioxide laser in inducing pigmentation in IGH macules in this study. However, fractional carbon dioxide laser can be considered a safer alternative modality.
{"title":"Efficacy and safety of 10,600 nm fractional carbon dioxide laser versus 88% phenol in treatment of idiopathic guttate hypomelanosis: A prospective study","authors":"K. Deepadarshan, M. Harish, B. Shashikumar, PriyankaR Chandran","doi":"10.4103/jdds.jdds_24_22","DOIUrl":"https://doi.org/10.4103/jdds.jdds_24_22","url":null,"abstract":"Background: Idiopathic guttate hypomelanosis (IGH) is a common benign acquired leukodermic dermatosis characterized by multiple, discrete, hypopigmented-to-depigmented macules. Various treatment modalities were tried for this condition with varied results. Purpose: This study was conducted to compare the efficacy and safety of fractional carbon dioxide laser and 88% phenol in the treatment of IGH. Methods: A total of 40 patients with five IGH macules on each side were treated with one session of fractional carbon dioxide laser on the right side and a single application of 88% phenol on the left side and were assessed monthly for 3 months. The improvement in pigmentation was graded as ≤25% - poor, 26%–50% - minimal, 51%–75% - good, and >75% - excellent response. Results: A total of 32 patients completed the study. Out of the 160 macules treated with laser, 16 (10%) macules showed an excellent response and 40 (25%) showed a good response, and 40 (25%) and 48 (30%) macules in the phenol group showed excellent and good improvement, respectively. Side effects such as persistent scabbing and ulceration were seen only on the phenol side. Conclusion: Single application of 88% phenol was more efficacious than one session of fractional carbon dioxide laser in inducing pigmentation in IGH macules in this study. However, fractional carbon dioxide laser can be considered a safer alternative modality.","PeriodicalId":15535,"journal":{"name":"Journal of Dermatology and Dermatologic Surgery","volume":"13 1","pages":"1 - 5"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74356013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-02DOI: 10.38207/jmcrcs/2021/0216239
Fatimah Jawad Al Muqarrab, Mohammed Al Mozayen, Ayah Al Muqarrab, Mohammed J Almosbeh
Herpes zoster infection represents a localized reactivation state of latent varicella-zoster virus. Zoster presents as a grouped vesicular rash on an erythematous base distributed over sensory dermatomes. Disseminated zoster is defined as the presence of >20 vesicles outside the primary area or adjacent dermatomes. Atypical manifestations of zoster infection, especially in immunocompromised patients, may lead to delayed diagnosis, infection dissemination, and potentially life-threatening systemic complications. Bacterial superinfection of zoster lesions is a common complication; however, more serious deep soft-tissue infection is not. Here, we present two atypical cases of zoster infection, which needed a high index of suspicion to avoid misdiagnosis and inappropriate treatment. Our first patient is a 30-year-old Saudi male, with systemic lupus erythematosus on oral steroids who presented with a tense vesiculobullous eruption over two adjacent dermatomes. Biopsy revealed herpes infection. The second case is for a 58-year-old diabetic female who presented to the emergency department for evaluation of an extremely painful eruption in a dermatomal distribution 1 week after zoster resolution. Clinical and radiologic evaluation of the lesions identified necrotizing fasciitis. Although zoster commonly affects immunocompromised individuals, the atypical presentation of the initial lesions in our two patients was challenging. A high index of suspicion is required for early detection, with special consideration of the painful lesion in a cropped configuration.
{"title":"Atypical presentation of bullous herpes zoster and necrotizing fasciitis in immunocompromised patients","authors":"Fatimah Jawad Al Muqarrab, Mohammed Al Mozayen, Ayah Al Muqarrab, Mohammed J Almosbeh","doi":"10.38207/jmcrcs/2021/0216239","DOIUrl":"https://doi.org/10.38207/jmcrcs/2021/0216239","url":null,"abstract":"Herpes zoster infection represents a localized reactivation state of latent varicella-zoster virus. Zoster presents as a grouped vesicular rash on an erythematous base distributed over sensory dermatomes. Disseminated zoster is defined as the presence of >20 vesicles outside the primary area or adjacent dermatomes. Atypical manifestations of zoster infection, especially in immunocompromised patients, may lead to delayed diagnosis, infection dissemination, and potentially life-threatening systemic complications. Bacterial superinfection of zoster lesions is a common complication; however, more serious deep soft-tissue infection is not. Here, we present two atypical cases of zoster infection, which needed a high index of suspicion to avoid misdiagnosis and inappropriate treatment. Our first patient is a 30-year-old Saudi male, with systemic lupus erythematosus on oral steroids who presented with a tense vesiculobullous eruption over two adjacent dermatomes. Biopsy revealed herpes infection. The second case is for a 58-year-old diabetic female who presented to the emergency department for evaluation of an extremely painful eruption in a dermatomal distribution 1 week after zoster resolution. Clinical and radiologic evaluation of the lesions identified necrotizing fasciitis. Although zoster commonly affects immunocompromised individuals, the atypical presentation of the initial lesions in our two patients was challenging. A high index of suspicion is required for early detection, with special consideration of the painful lesion in a cropped configuration.","PeriodicalId":15535,"journal":{"name":"Journal of Dermatology and Dermatologic Surgery","volume":"109 1","pages":"44 - 47"},"PeriodicalIF":0.0,"publicationDate":"2021-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76102949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-07-01DOI: 10.4103/jdds.jdds_113_20
P. Mathew, Deepthi Benny, Anoop Makkuni, Anoop Thyvalappil, R. Sridharan, AV Druhin
Background: Vitiligo is a common, acquired, idiopathic, depigmenting disorder with a profound effect on the patient's quality of life (QoL). Purpose: The objective of the study was to measure the QoL of patients with vitiligo using the dermatology life quality index (DLQI) and to assess psychiatric comorbidity in vitiligo patients using the General Health Questionnaire-28 (GHQ-28). Methods: Sixty patients above 16 years of age with vitiligo were enrolled. Age, sex, occupation, marital status, duration of disease, extent of involvement, visibility of lesions, details of treatment, duration of treatment, and response to treatment were collected. Independent t-test and ANOVA were used to test for significance of continuous variables and Chi-square test for categorical variables. Correlation between DLQI and GHQ-28 was assessed using Spearman's rho correlation coefficient. Results: Females scored higher than males on overall GHQ-28 scores and in individual domains of anxiety/insomnia, social dysfunction, and severe depression. Unmarried participants had higher scores compared to married subjects in all dimensions of DLQI and GHQ-28, indicating worse QoL and mental health. Conclusion: More than half of vitiligo patients had psychiatric comorbidity. There was a strong correlation between DLQI and GHQ-28 score, indicating strong association of QoL impairment with psychological problems. Proper counseling of patients of vitiligo along with specific treatment may be prudent.
{"title":"Quality of life and psychiatric comorbidity in vitiligo: A hospital-based cross-sectional study from a tertiary care center in South India","authors":"P. Mathew, Deepthi Benny, Anoop Makkuni, Anoop Thyvalappil, R. Sridharan, AV Druhin","doi":"10.4103/jdds.jdds_113_20","DOIUrl":"https://doi.org/10.4103/jdds.jdds_113_20","url":null,"abstract":"Background: Vitiligo is a common, acquired, idiopathic, depigmenting disorder with a profound effect on the patient's quality of life (QoL). Purpose: The objective of the study was to measure the QoL of patients with vitiligo using the dermatology life quality index (DLQI) and to assess psychiatric comorbidity in vitiligo patients using the General Health Questionnaire-28 (GHQ-28). Methods: Sixty patients above 16 years of age with vitiligo were enrolled. Age, sex, occupation, marital status, duration of disease, extent of involvement, visibility of lesions, details of treatment, duration of treatment, and response to treatment were collected. Independent t-test and ANOVA were used to test for significance of continuous variables and Chi-square test for categorical variables. Correlation between DLQI and GHQ-28 was assessed using Spearman's rho correlation coefficient. Results: Females scored higher than males on overall GHQ-28 scores and in individual domains of anxiety/insomnia, social dysfunction, and severe depression. Unmarried participants had higher scores compared to married subjects in all dimensions of DLQI and GHQ-28, indicating worse QoL and mental health. Conclusion: More than half of vitiligo patients had psychiatric comorbidity. There was a strong correlation between DLQI and GHQ-28 score, indicating strong association of QoL impairment with psychological problems. Proper counseling of patients of vitiligo along with specific treatment may be prudent.","PeriodicalId":15535,"journal":{"name":"Journal of Dermatology and Dermatologic Surgery","volume":"79 1","pages":"114 - 118"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73014144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Immunocompromised patients, including those with acquired immunodeficiency syndrome (AIDS), are susceptible to a variety of opportunistic infections, cutaneous malignancies, and other skin lesions, which can present with nonspecific cutaneous findings. Herein, we present the case of a 28-year-old male with AIDS who presented with fatigue, left axillary lymphadenopathy, and a necrotic, red papule on the left upper arm. This case reviews the differential diagnosis of this presentation in an immunosuppressed patient including the key pathological findings.
{"title":"Red, necrotic papule and lymphadenopathy in an immunocompromised patient: Case report","authors":"E. Clarke, T. Willenbrink, B. Keeling","doi":"10.4103/jdds.jdds_66_20","DOIUrl":"https://doi.org/10.4103/jdds.jdds_66_20","url":null,"abstract":"Immunocompromised patients, including those with acquired immunodeficiency syndrome (AIDS), are susceptible to a variety of opportunistic infections, cutaneous malignancies, and other skin lesions, which can present with nonspecific cutaneous findings. Herein, we present the case of a 28-year-old male with AIDS who presented with fatigue, left axillary lymphadenopathy, and a necrotic, red papule on the left upper arm. This case reviews the differential diagnosis of this presentation in an immunosuppressed patient including the key pathological findings.","PeriodicalId":15535,"journal":{"name":"Journal of Dermatology and Dermatologic Surgery","volume":"6 1","pages":"131 - 133"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79610510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Erratum: Effect of oral isotretinoin therapy on thyroid function in patients with moderate-to-severe acne vulgaris: A prospective study","authors":"","doi":"10.4103/jdds.jdds_22_22","DOIUrl":"https://doi.org/10.4103/jdds.jdds_22_22","url":null,"abstract":"","PeriodicalId":15535,"journal":{"name":"Journal of Dermatology and Dermatologic Surgery","volume":"211 1","pages":"137 - 137"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74608645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Janus kinase (JAK) inhibitors have been identified as an effective treatment option for severe alopecia areata (AA), but response is variable among patients. Intramuscular triamcinolone acetonide (IMTA), which has a greater bioavailability than other forms of steroids, has been used effectively to treat refractory AA with very few side effects. However, the use of IMTA in combination with JAK inhibitors is not well characterized. We present two patients with severe patch type AA and alopecia totalis who failed to achieve substantial regrowth after at least 6 months of oral tofacitinib and were treated with a single dose of IMTA 60 mg. Both patients had more than 50% increase in hair regrowth in areas of hair loss that had persisted on tofacitinib with no reported adverse effects.
{"title":"Use of intramuscular triamcinolone acetonide in intermediate responders to janus kinase inhibition for alopecia areata: Case report","authors":"E. Araoye, C. Aguh","doi":"10.4103/jdds.jdds_38_20","DOIUrl":"https://doi.org/10.4103/jdds.jdds_38_20","url":null,"abstract":"Janus kinase (JAK) inhibitors have been identified as an effective treatment option for severe alopecia areata (AA), but response is variable among patients. Intramuscular triamcinolone acetonide (IMTA), which has a greater bioavailability than other forms of steroids, has been used effectively to treat refractory AA with very few side effects. However, the use of IMTA in combination with JAK inhibitors is not well characterized. We present two patients with severe patch type AA and alopecia totalis who failed to achieve substantial regrowth after at least 6 months of oral tofacitinib and were treated with a single dose of IMTA 60 mg. Both patients had more than 50% increase in hair regrowth in areas of hair loss that had persisted on tofacitinib with no reported adverse effects.","PeriodicalId":15535,"journal":{"name":"Journal of Dermatology and Dermatologic Surgery","volume":"44 2","pages":"129 - 130"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91522264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Nail is an important structure both functionally and cosmetically. Nail examination is an integral part of a complete dermatological examination and can provide a clue in the diagnosis and severity of skin diseases. Purpose: The aim of the study is to study the pattern of nail changes in various dermatoses. Methods: The present study was a cross-sectional study conducted among 550 patients attending dermatology outpatient department in a tertiary care center in North India. A prestructured pro forma captured detailed demographic profile, clinical examination related to various dermatoses, and associated nail changes. KOH examination, fungal or bacterial culture, nail biopsy, and radiographic studies were done when indicated. The data analysis was done using the Statistical Package for Social Sciences (SPSS) version 21.0. Results: Majority of patients had onychomycosis (48%) followed by psoriasis (29%), paronychia (5%), vitiligo (4.7%), lichen planus (4%), and alopecia areata (2.3%). Twenty-nail dystrophy was noticed in three patients. The most common type of onychomycosis was distal lateral subungual onychomycosis (89%). Pits were seen in all psoriatic patients. Longitudinal ridges were the most frequent nail change in lichen planus (83%) and vitiligo (80%). Conclusion: Nails, in spite of being easily accessible for examination, are often overlooked. A variety of nail changes occur in various dermatological conditions and may be helpful in achieving a diagnosis.
{"title":"Nail abnormalities associated with various dermatoses in a tertiary care center in North India: A cross-sectional study","authors":"A. David, E. Alexander, A. Bhatia","doi":"10.4103/jdds.jdds_22_21","DOIUrl":"https://doi.org/10.4103/jdds.jdds_22_21","url":null,"abstract":"Background: Nail is an important structure both functionally and cosmetically. Nail examination is an integral part of a complete dermatological examination and can provide a clue in the diagnosis and severity of skin diseases. Purpose: The aim of the study is to study the pattern of nail changes in various dermatoses. Methods: The present study was a cross-sectional study conducted among 550 patients attending dermatology outpatient department in a tertiary care center in North India. A prestructured pro forma captured detailed demographic profile, clinical examination related to various dermatoses, and associated nail changes. KOH examination, fungal or bacterial culture, nail biopsy, and radiographic studies were done when indicated. The data analysis was done using the Statistical Package for Social Sciences (SPSS) version 21.0. Results: Majority of patients had onychomycosis (48%) followed by psoriasis (29%), paronychia (5%), vitiligo (4.7%), lichen planus (4%), and alopecia areata (2.3%). Twenty-nail dystrophy was noticed in three patients. The most common type of onychomycosis was distal lateral subungual onychomycosis (89%). Pits were seen in all psoriatic patients. Longitudinal ridges were the most frequent nail change in lichen planus (83%) and vitiligo (80%). Conclusion: Nails, in spite of being easily accessible for examination, are often overlooked. A variety of nail changes occur in various dermatological conditions and may be helpful in achieving a diagnosis.","PeriodicalId":15535,"journal":{"name":"Journal of Dermatology and Dermatologic Surgery","volume":"82 1","pages":"119 - 123"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83759254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-07-01DOI: 10.4103/jdds.jdds_139_20
A. Almudimeegh, K. Alekrish, Rakan A Bahammam, Ibrahim Alhedaithi, Khalid A Al Dakheel
Background: Androgenic alopecia (AGA) is a common type of chronic progressive hair loss that affects both males and females. AGA was shown to be associated with metabolic syndrome (MS) in many studies; the correlation between the AGA grade and MS, however, is still debatable. Purpose: The objective of the study was to assess the severity of AGA in a sample of patients suffering from this condition and its association with MS. Methods: This case–control study included 319 patients attending a dermatology clinic at a tertiary care hospital. Anthropometrics, blood pressure, lipid profile, and fasting blood sugar were collected from patients' records. Patients with AGA were allocated to the case group and were stratified based on severity using the Ludwig hair loss scale for females and the Norwood scale for males. The control group was composed of patients free of any hair condition. Data were analyzed using version 25 of SPSS. Results: MS was seen in 26.4% and 10.2% in cases and controls, respectively (P < 0.05). In terms of severity, MS was found in 21.6% of Grade I, 30.5% of Grade II, and 42.9% of Grade III patients. Although the findings showed no statistical significance (P > 0.05), the burden of MS was associated with the severity of AGA. Conclusion: Our findings suggest an association between MS and AGA and that burden of MS is associated with the severity of AGA, although the analysis showed no statistical significance. Based on our results, we think that early screening for MS might be beneficial to patients with AGA, as this will encourage early lifestyle modification to hopefully prevent future complications.
{"title":"The association between androgenic alopecia severity and the development of metabolic syndrome in Saudi Arabia: A case-control study","authors":"A. Almudimeegh, K. Alekrish, Rakan A Bahammam, Ibrahim Alhedaithi, Khalid A Al Dakheel","doi":"10.4103/jdds.jdds_139_20","DOIUrl":"https://doi.org/10.4103/jdds.jdds_139_20","url":null,"abstract":"Background: Androgenic alopecia (AGA) is a common type of chronic progressive hair loss that affects both males and females. AGA was shown to be associated with metabolic syndrome (MS) in many studies; the correlation between the AGA grade and MS, however, is still debatable. Purpose: The objective of the study was to assess the severity of AGA in a sample of patients suffering from this condition and its association with MS. Methods: This case–control study included 319 patients attending a dermatology clinic at a tertiary care hospital. Anthropometrics, blood pressure, lipid profile, and fasting blood sugar were collected from patients' records. Patients with AGA were allocated to the case group and were stratified based on severity using the Ludwig hair loss scale for females and the Norwood scale for males. The control group was composed of patients free of any hair condition. Data were analyzed using version 25 of SPSS. Results: MS was seen in 26.4% and 10.2% in cases and controls, respectively (P < 0.05). In terms of severity, MS was found in 21.6% of Grade I, 30.5% of Grade II, and 42.9% of Grade III patients. Although the findings showed no statistical significance (P > 0.05), the burden of MS was associated with the severity of AGA. Conclusion: Our findings suggest an association between MS and AGA and that burden of MS is associated with the severity of AGA, although the analysis showed no statistical significance. Based on our results, we think that early screening for MS might be beneficial to patients with AGA, as this will encourage early lifestyle modification to hopefully prevent future complications.","PeriodicalId":15535,"journal":{"name":"Journal of Dermatology and Dermatologic Surgery","volume":"14 1","pages":"70 - 75"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81162403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Dermatologic surgical procedures are expanding. Residents' training in procedural dermatology must evolve with the changes in the field. Purpose: We assessed the current status of surgical dermatology training in all Saudi Commission for Health Specialties (SCFHS)-accredited dermatology residency programs in Saudi Arabia. Methods: The survey was mailed to all 4th-year dermatology residents who completed the full 4 years of training at 5 SCFHS-accredited dermatology residency programs in December 2020. Statistical software SPSS (Version 22) was used to analyze responses. Results: A total of 26 4th-year residents participated, with a response rate of 89.6%. About 53.8% of the participants were equally assigned as the primary surgeons in laser for acne scar treatment and botulinum toxin for hyperhidrosis. Most of residents reported higher levels of nonexposure, especially for hair transplant procedures at 88.5%, fat transfer at 84.6%, fillers injection, and chemical peels at 65.4%. Regarding Mohs surgery, 73.1% of them are only knowledgeable through lectures and observations, without any hands-on training. The majority of residents (92.3%) were not satisfied with their dermatologic surgery training during residency. Conclusion: Residents express dissatisfaction with procedural and surgical dermatology training. Exposure in important areas of dermatologic surgery training could be better.
{"title":"Dermatologic surgery training in dermatology residency programs in Saudi Arabia: A cross-sectional survey","authors":"Norah Alsubait, Hadeel Mitwalli","doi":"10.4103/jdds.jdds_42_21","DOIUrl":"https://doi.org/10.4103/jdds.jdds_42_21","url":null,"abstract":"Background: Dermatologic surgical procedures are expanding. Residents' training in procedural dermatology must evolve with the changes in the field. Purpose: We assessed the current status of surgical dermatology training in all Saudi Commission for Health Specialties (SCFHS)-accredited dermatology residency programs in Saudi Arabia. Methods: The survey was mailed to all 4th-year dermatology residents who completed the full 4 years of training at 5 SCFHS-accredited dermatology residency programs in December 2020. Statistical software SPSS (Version 22) was used to analyze responses. Results: A total of 26 4th-year residents participated, with a response rate of 89.6%. About 53.8% of the participants were equally assigned as the primary surgeons in laser for acne scar treatment and botulinum toxin for hyperhidrosis. Most of residents reported higher levels of nonexposure, especially for hair transplant procedures at 88.5%, fat transfer at 84.6%, fillers injection, and chemical peels at 65.4%. Regarding Mohs surgery, 73.1% of them are only knowledgeable through lectures and observations, without any hands-on training. The majority of residents (92.3%) were not satisfied with their dermatologic surgery training during residency. Conclusion: Residents express dissatisfaction with procedural and surgical dermatology training. Exposure in important areas of dermatologic surgery training could be better.","PeriodicalId":15535,"journal":{"name":"Journal of Dermatology and Dermatologic Surgery","volume":"21 1","pages":"87 - 94"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84917996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ankit Singrodia, R. Mehta, Divyansha Sharma, P. Choudhary, B. Ghiya, Jyothi Bai S
Background: Vitiligo is a dermatological challenge with a major socio-psychological concern. Despite the availability of numerous medical and surgical treatment options, a single universally reliable therapeutic modality is yet to emerge due to the variability of response rate in different patients. Purpose: The objective of this study was to assess the safety and efficacy of microneedling along with topical 5-fluorouracil (5-FU) solution application in localized stable vitiligo. Methods: This open, nonrandomized, single-arm study was enrolled with 100 patients with localized stable vitiligo. Microneedling with topical 5-FU solution application was performed on 204 patches. The procedure was performed fortnightly for maximum 6 months. Results: At the end of 3 months, good to excellent (Grade IV) repigmentation was noted in 106 patches (51.96%) and Grade I to Grade II repigmentation was seen in 56 (27.45%) patches whereas at the end of follow-up, 128 (62.74%) patches showed good to excellent response. Conclusion: In conclusion, the results of this study showed that needling with 5-FU is a simple, cost-effective, and well-tolerated procedure which can be used as an alternative or additive modality in the treatment of localized stable vitiligo.
{"title":"Microneedling with topical 5-fluorouracil in the localized stable vitiligo – Is this the way out? – Our experience: A hospital-based study","authors":"Ankit Singrodia, R. Mehta, Divyansha Sharma, P. Choudhary, B. Ghiya, Jyothi Bai S","doi":"10.4103/jdds.jdds_35_21","DOIUrl":"https://doi.org/10.4103/jdds.jdds_35_21","url":null,"abstract":"Background: Vitiligo is a dermatological challenge with a major socio-psychological concern. Despite the availability of numerous medical and surgical treatment options, a single universally reliable therapeutic modality is yet to emerge due to the variability of response rate in different patients. Purpose: The objective of this study was to assess the safety and efficacy of microneedling along with topical 5-fluorouracil (5-FU) solution application in localized stable vitiligo. Methods: This open, nonrandomized, single-arm study was enrolled with 100 patients with localized stable vitiligo. Microneedling with topical 5-FU solution application was performed on 204 patches. The procedure was performed fortnightly for maximum 6 months. Results: At the end of 3 months, good to excellent (Grade IV) repigmentation was noted in 106 patches (51.96%) and Grade I to Grade II repigmentation was seen in 56 (27.45%) patches whereas at the end of follow-up, 128 (62.74%) patches showed good to excellent response. Conclusion: In conclusion, the results of this study showed that needling with 5-FU is a simple, cost-effective, and well-tolerated procedure which can be used as an alternative or additive modality in the treatment of localized stable vitiligo.","PeriodicalId":15535,"journal":{"name":"Journal of Dermatology and Dermatologic Surgery","volume":"36 1","pages":"124 - 128"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88603795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：