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Egyptian Journal of Dermatology and Venereology最新文献

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Burden of Leprosy Patients at Post-Elimination Stage: Evidence from Bangladesh 麻风病患者在消灭后阶段的负担:来自孟加拉国的证据
IF 0.4 Q4 DERMATOLOGY Pub Date : 2021-06-15 DOI: 10.12970/2310-998X.2021.09.03
M. R. Mowla, Sabrina Shahrin, Tahmina Sonali, Papri Dutta, Mizanur Rahman, A. Ghosh, J. A. Khan, Wazed Mridha, M. Choudhury, D. Barua
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引用次数: 1
Abducens Palsy Associated with Herpes Zoster Opthalmicus: Case Report 眼带状疱疹伴外展肌麻痹1例
IF 0.4 Q4 DERMATOLOGY Pub Date : 2021-05-25 DOI: 10.12970/2310-998X.2021.09.02
T. Quint, C. Jantschitsch, H. Maier
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引用次数: 0
Syphilitic Balanitis of Follmann, A Rare Case Report 福尔曼氏梅毒balbalitis 1例报告
IF 0.4 Q4 DERMATOLOGY Pub Date : 2021-04-02 DOI: 10.3126/NJDVL.V19I1.26767
P. Agarwal, Ashish Jagati, P. Vadher, Malay Chaudhary
Syphilitic balanitis of Follmann is a rare presentation of primary syphilis. It can occur before or after the appearance of primary chancre and some time without any associated primary chancre. We are reporting a case of syphilitic balanitis of Follmann, in a 23 years old heterosexual male, who presented with balanitis associated with single indurated lesion over coronal sulcus and few superficial ulcers over prepuce.
福尔曼梅毒是一种罕见的原发性梅毒。它可以发生在原发性下疳出现之前或之后,有时没有任何相关的原发性下疳。我们报告一例23岁异性恋男性的Follmann梅毒balbalitis,其表现为balbalitis与冠状沟单一硬化病变和包皮上少数浅表性溃疡相关。
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引用次数: 0
The Histopathological Spectrum and Clinico-Pathological Concordance in 85 Cases of Skin Biopsy: A Single Center Experience 85例皮肤活检的组织病理谱和临床病理一致性:单中心经验
IF 0.4 Q4 DERMATOLOGY Pub Date : 2021-04-02 DOI: 10.3126/NJDVL.V19I1.33534
Harendra Kumar Jha, A. Pokharel
Introduction: Skin disease is common in developing countries but the spectrum varies widely. Skin biopsy is an important tool in confirming or establishing diagnoses in cases with diagnostic dilemmas. And, there may be a discrepancy between clinical and pathological diagnoses. Objectives: To determine the spectrum of histological diagnoses in skin disease and to know the consistency between clinical and pathological diagnoses. Materials and methods: A retrospective review of histological and clinical diagnoses was done at a multi-specialty hospital. A total of 85 cases were included in the study. Clinical and histological data along with demographic details, the site of the biopsy was noted. Concordance between clinical and pathological diagnosis was determined as concordant, partially concordant and discordant. Results: There were 60% female and 40% male patients out of 85 biopsies. The most common age group was 31-40 years and the mean age was 41.24 years. The most common histological spectrum was infectious group in 29.4%, followed by papulosquamous disorders in 22.4% and eczema in 12.9% cases. The concordance between clinical and pathological diagnosis was 60%, while partial concordance was seen in 16.5% and discordance was seen in 23.5% cases. Conclusion: Infections followed by papulosquamous disease and eczema were the three most common groups of histological diagnosis. This study also found an overall concordance of 76.5% and discordance in 23.5% between clinical and histopathological diagnosis.
简介:皮肤病在发展中国家很常见,但范围差别很大。皮肤活检是一个重要的工具,在确诊或建立诊断困境的情况下。而且,临床和病理诊断之间可能存在差异。目的:确定皮肤病的组织学诊断谱,了解临床与病理诊断的一致性。材料和方法:回顾性分析在一家多专科医院进行的组织学和临床诊断。研究共纳入85例。临床和组织学数据以及人口统计学细节,活检的位置被记录下来。将临床诊断与病理诊断的一致性分为一致、部分一致和不一致。结果:85例活检中,女性占60%,男性占40%。年龄以31 ~ 40岁最常见,平均年龄41.24岁。感染组占29.4%,其次是丘疹鳞状病变(22.4%)和湿疹(12.9%)。临床诊断与病理诊断一致的占60%,部分一致的占16.5%,不一致的占23.5%。结论:感染后继发丘疹鳞状病变和湿疹是三组最常见的组织学诊断。本研究还发现临床诊断与组织病理学诊断的总体一致性为76.5%,不一致性为23.5%。
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引用次数: 1
The Challenges of COVID-19 in Medical Education in Nepal COVID-19在尼泊尔医学教育中的挑战
IF 0.4 Q4 DERMATOLOGY Pub Date : 2021-04-02 DOI: 10.3126/NJDVL.V19I1.35308
Vikash Paudel, S. Neupane
The Coronavirus Disease-2019 (COVID-19) pandemic has caused an unparalleled disruption in all forms of scientific learning process including medical education. It has presented a challenge for scientists, educators, and students. Widespread interruptions to medical education, scientific discussions, conference, and seminars have also been seen at times of major conflicts and pandemics in the past as well, which resulted in major changes in medical curriculum. This editorial discusses the medical education and how COVID-19 has affected medical education in Nepal. Besides, it also explores the potential implications of COVID-19 for the future of medical education.
2019冠状病毒病(COVID-19)大流行对包括医学教育在内的所有形式的科学学习过程造成了前所未有的破坏。这对科学家、教育工作者和学生都提出了挑战。在过去发生重大冲突和大流行病时,医学教育、科学讨论、会议和研讨会也曾被广泛中断,导致医学课程发生重大变化。这篇社论讨论了医学教育以及COVID-19如何影响尼泊尔的医学教育。此外,还探讨了COVID-19对未来医学教育的潜在影响。
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引用次数: 1
Efficacy of Topical 5% 5-Fluorouracil and 0.05% Tretinoin and Electrosurgery in the Treatment of Plane Warts: A Randomized Controlled Comparative Trial 外用5% 5-氟尿嘧啶和0.05%维甲酸及电手术治疗平面疣的疗效:一项随机对照比较试验
IF 0.4 Q4 DERMATOLOGY Pub Date : 2021-04-02 DOI: 10.3126/NJDVL.V19I1.28322
Rashmi Singh, S. Pandey
Introduction: Human papilloma virus (HPV) is capable of causing varieties of dermatological conditions differing in morphology, histopathology and site of occurrence. Plane wart is one of the morphological variants accounting for approximately one fifth of HPV lesions. Treatment of plane warts is difficult and recurrence quite common. Objectives: To compare the efficacy and safety of 5% 5 –fluorouracil (5 FU) and 0.05% tretinoin and electrosurgery in the treatment of plane wart. Materials and methods: Seventy-five patients, 38 males and 37 females were included in this randomized controlled comparative trial. Patients were age and sex matched and divided into three groups, GROUP A: Patients treated with 5% 5-FU, GROUP B: Patients treated with 0.05% tretinoin and GROUP C: Patients treated with electrosurgery. While topical treatments were applied once nightly for 4 weeks (5% 5-FU for four hours and tretinoin overnight), electrosurgery was done at first visit only. Result: While electrosurgery had shown faster results, results were more consistent with least recurrence in 5-FU and fair recurrence with 0.05% tretinoin. Conclusion: All three treatments i.e. 5 FU, topical tretinoin and electrosurgery showed excellent response in treatment of plane warts with minimal side effects.
简介:人乳头瘤病毒(HPV)能够引起不同形态、组织病理学和发生部位的各种皮肤病。平面疣是一种形态变异,约占HPV病变的五分之一。平面疣的治疗是困难的,复发是很常见的。目的:比较5% 5 -氟尿嘧啶(5fu)与0.05%维甲酸联合电刀治疗平面疣的疗效和安全性。材料与方法:随机对照比较试验75例,男38例,女37例。患者年龄和性别匹配,分为三组,A组:5% 5-FU治疗的患者,B组:0.05%维甲酸治疗的患者,C组:电手术治疗的患者。局部治疗每晚1次,持续4周(5% 5-FU 4小时,维甲酸过夜),仅在首次就诊时进行电手术。结果:电刀治疗效果快,但与0.05%维甲酸治疗5-FU的复发率低、正常复发率一致。结论:5 FU、局部维甲酸和电手术治疗平面疣疗效好,副作用小。
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引用次数: 0
Epidemiological Profile of Skin Diseases in a Tertiary Hospital of Kathmandu: An Annual Census 加德满都三级医院皮肤病流行病学概况:年度人口普查
IF 0.4 Q4 DERMATOLOGY Pub Date : 2021-04-02 DOI: 10.3126/NJDVL.V19I1.34349
S. Paudel, R. Sharma, S. Dahal, Indu Acharya Paudel
Introduction: Skin diseases are eighth most common reasons for outpatient in Nepal, and fourth cause of disability globally. Skin diseases varies with the reason, season and socioeconomic status. As the socioeconomic conditions are changing, so are the disease patterns. We planned to report the current trend of skin diseases in Kathmandu and compare with similar studies in past. Materials and methods: Outpatient department records of Civil Service Hospital from the year 2075 Bikram Sambat were reviewed after ethical clearance from institution review committee and were analyzed after tabulation. Results: Total number of cases were 9886 (4.51% of total hospital attendance). In total 8097 cases were new, males were 4218 (52.1%) and females 3879 (47.9%). Most common diagnosis was eczemas (18.47%), followed by dermatophytosis (15.29%). Eczemas, chronic urticaria, psoriasis and lichen planus were more common in the adult population of more than 30 years. While infections and acne were more common in young adults, 15-30 years, in both the sexes. Tinea was common during summer and so was scabies in males, while in females, melasma peaked in summer and chronic urticaria during spring and winter. Conclusion: The pattern of skin diseases is changing with the time. Diseases of possible allergic and immunologic etiology are increasing and diseases with infective etiology are still a huge burden on society.
在尼泊尔,皮肤病是第八大最常见的门诊原因,也是全球第四大致残原因。皮肤病因病因、季节和社会经济地位而异。随着社会经济条件的变化,疾病模式也在变化。我们计划报道加德满都目前皮肤病的趋势,并与过去的类似研究进行比较。材料与方法:通过机构审查委员会的伦理审查,对公务员医院2075年的门诊记录进行审查,并进行制表分析。结果:总病例9886例,占住院总人数的4.51%。新发病例8097例,其中男性4218例(52.1%),女性3879例(47.9%)。最常见的诊断是湿疹(18.47%),其次是皮肤癣(15.29%)。湿疹、慢性荨麻疹、牛皮癣和扁平苔藓在30岁以上的成年人中更为常见。而感染和痤疮在15-30岁的年轻人中更为常见,男女都是如此。男性以夏季多发癣、疥疮,女性以夏季多发黄褐斑,春季和冬季多发慢性荨麻疹。结论:皮肤病的发病模式随时间的变化而变化。可能是过敏性和免疫性病因的疾病越来越多,而感染性病因的疾病仍然是社会的巨大负担。
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引用次数: 2
Zinc Therapy in Dermatology: A Review and Update 锌治疗在皮肤病学:回顾和更新
IF 0.4 Q4 DERMATOLOGY Pub Date : 2021-04-02 DOI: 10.3126/NJDVL.V19I1.36118
E. Aryal, E. Bhattarai, S. Bhattarai
Zinc is a micronutrient used over the years for many dermatological conditions such as infections, inflammatory dermatoses, pigmentary disorders, neoplasias, etc. It is used in both elemental as well as salt form, either in topical or in oral form as a therapy. An average adult weighing 70 kg has a body zinc content of 1.4–2.3 gm. The role of zinc in deficiency disorders like acrodermatitis enteropathica is already established and used widely as treatment. Zinc has been identified as effective in the treatment of various disorders, but it cannot be used as the replacement for proven first-line treatment. Zinc can be used as an adjuvant therapy in many dermatological disorders. This is a narrative review where the various uses of zinc as therapy in dermatological disorders is highlighted.
锌是一种微量营养素,多年来被用于治疗许多皮肤病,如感染、炎症性皮肤病、色素紊乱、肿瘤等。它以元素形式和盐形式使用,无论是局部形式还是口服形式作为治疗。一个平均体重70公斤的成年人体内锌含量为1.4-2.3克。锌在肠病性肌亢性皮炎等缺乏性疾病中的作用已经得到证实,并被广泛用于治疗。锌已被确定为有效的治疗各种疾病,但它不能被用作已证实的一线治疗的替代品。锌可以作为许多皮肤病的辅助治疗。这是一个叙述性的审查,其中锌作为治疗皮肤病的各种用途是突出。
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引用次数: 0
A Hospital Based Cross Sectional Study Evaluating Haemoglobin, Iron Profile and Thyroid Function Tests in Women with Telogen Effluvium, Female Pattern Hair Loss, and Alopecia Areata 一项基于医院的横断面研究评估血红蛋白、铁谱和甲状腺功能测试在休止期脱发、女性型脱发和斑秃的妇女
IF 0.4 Q4 DERMATOLOGY Pub Date : 2021-04-02 DOI: 10.3126/NJDVL.V19I1.34551
B. Amatya, S. Joshi
Introduction: Hair loss is one of the most frequent complaints for which patients see a dermatologist. The three most common causes of hair loss in women are telogen effluvium, alopecia areata and female pattern hair loss. Objectives: The aim of this study was to investigate haemoglobin, iron profile and thyroid function tests in women with telogen effluvium, alopecia areata and female pattern hair loss. Materials and Methods: This was a hospital based cross sectional study conducted at the Department of Dermatology and Venereology, Nepal Medical College and Teaching Hospital (NMCTH). We recruited female patients with telogen effluvium, alopecia areata or female pattern hair loss who presented to our outpatient department between June 2019 and July 2020. Clinical and demographic data were collected and haemoglobin, serum iron profile and thyroid function investigated. Results: A total of 80 patients were recruited in the study period. The most common diagnosis was telogen effluvium (49, 61.25%) followed by alopecia areata (18, 22.5%) and female pattern hair loss (13, 16.25%). Although mean haemoglobin levels were within normal limits, inadequate ferritin levels for normal hair cycle were found in 77.55% of patients with telogen effluvium, 88.89% with alopecia areata and 84.61% with female pattern hair loss. Thyroid abnormalities were less commonly observed with more than 75% of the patients being euthyroid. Conclusion: Haemoglobin levels are not representative of true iron status in females with acquired alopecia. We therefore recommend investigating iron profile in all females with telogen effluvium, alopecia areata or female pattern hair loss.
简介:脱发是患者看皮肤科医生最常见的抱怨之一。女性脱发的三个最常见原因是休止期脱发、斑秃和女性型脱发。目的:本研究的目的是研究休止期脱发、斑秃和女性型脱发妇女的血红蛋白、铁谱和甲状腺功能测试。材料和方法:这是一项基于医院的横断面研究,在尼泊尔医学院和教学医院(NMCTH)皮肤性病科进行。我们招募了2019年6月至2020年7月期间到我们门诊就诊的患有休止期脱发、斑秃或女性型脱发的女性患者。收集临床和人口统计资料,并调查血红蛋白、血清铁谱和甲状腺功能。结果:在研究期间共招募了80例患者。最常见的诊断是休止期脱发(49例,61.25%),其次是斑秃(18例,22.5%)和女性型脱发(13例,16.25%)。虽然平均血红蛋白水平在正常范围内,但在77.55%的休止期脱发患者、88.89%的斑秃患者和84.61%的女性型脱发患者中发现铁蛋白水平低于正常头发周期。甲状腺异常较少见,超过75%的患者甲状腺功能正常。结论:血红蛋白水平不能代表获得性脱发女性的真实铁状态。因此,我们建议在所有患有休止期脱发、斑秃或女性型脱发的女性中调查铁谱。
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引用次数: 1
Association Between Serum Uric Acid Level and Psoriasis: A Case Control Study 血清尿酸水平与牛皮癣的关系:一项病例对照研究
IF 0.4 Q4 DERMATOLOGY Pub Date : 2021-04-02 DOI: 10.3126/NJDVL.V19I1.35958
A. Sayami, A. Gupta, N. Gautam
Introduction: Psoriasis is a common, chronic, inflammatory and proliferative condition of the skin, associated with various disorders including metabolic syndrome. High serum uric acid levels are also associated with metabolic syndrome. Hyperuricemia is associated with psoriasis and psoriatic arthritis. Objectives: To find out the association of serum uric acid with psoriasis. Materials and Methods: It was a case-control study including 104 patients, among them 52 were psoriatic patients (case) and 52 had disease other than psoriasis (control) after matching for age and sex. The study was conducted at Department of Dermatology, Universal College of Medical Science, from JanuaryDecember 2017. Clinical examination and proforma documentation including patient details, laboratory values of serum uric acid level, Psoriasis Area and Severity Index score were studied. Results: Mean SUA in psoriasis patients was 4.70±1.37 mg/dl in female, 5.57±1.18 mg/dl in male whereas 4.85±0.74 mg/dl in female and 4.34 ± 0.98 mg/dl in male respectively in control group (p=0.002). Six (18.88%) male and three (15.78%) female patients with psoriasis had higher serum uric acid value whereas only four (3.84%) patient had higher serum uric acid value in control group (p=0.012). There was association between serum uric acid and psoriasis. Conclusion: Our study concludes that serum uric acid level is increased in psoriasis patients when compared with controls. Monitoring of psoriatic patients for high serum uric acid levels during treatment and follow up should be done to prevent its deleterious effect on psoriasis.
简介:牛皮癣是一种常见的慢性皮肤炎症和增生性疾病,与多种疾病有关,包括代谢综合征。高血清尿酸水平也与代谢综合征有关。高尿酸血症与银屑病和银屑病关节炎有关。目的:探讨血清尿酸与银屑病的关系。材料与方法:104例患者为病例-对照研究,其中银屑病患者52例(病例),年龄、性别匹配后非银屑病患者52例(对照)。该研究于2017年1月至12月在环球医学院皮肤学系进行。研究了临床检查和形式文件,包括患者详细资料、血清尿酸水平的实验室值、牛皮癣面积和严重程度指数评分。结果:对照组银屑病患者的平均SUA女性为4.70±1.37 mg/dl,男性为5.57±1.18 mg/dl,女性为4.85±0.74 mg/dl,男性为4.34±0.98 mg/dl (p=0.002)。男性6例(18.88%)、女性3例(15.78%)银屑病患者血清尿酸值较高,而对照组只有4例(3.84%)患者血清尿酸值较高(p=0.012)。血清尿酸与牛皮癣有相关性。结论:与对照组相比,银屑病患者血清尿酸水平升高。治疗期间应监测银屑病患者的高血尿酸水平,并进行随访,以防止其对银屑病的有害影响。
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引用次数: 1
期刊
Egyptian Journal of Dermatology and Venereology
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