High hCG levels as a cut-off to guide medical management of ectopic pregnancy: our experience

The face is the most prominent part of the body. Facial blemishes and disorders directly reflect a person's physical appearance, cosmesis and self-image. They may contribute to dysmorphism and even lead to depression in susceptible individuals, especially women. Early identification and management of facial skin disorders are therefore important. The aim: To study the clinical pattern and epidemiological determinants of facial dermatoses among females above 10 years. Methods: The study was carried out at Mediciti Medical sciences from 2014 to 2017; institutional ethical clearance was obtained (dated 7/2//2015 with registration number FWA00002684) A total of 500 female patients with facial dermatoses, aged 10 to 85 years, were enrolled in this cross-sectional study for 18 months. Detailed history and clinical examination findings were recorded in a structured proforma. Patients with sexually transmitted infections (STIs) were excluded. In addition, woods lamp examination, skin scrapings for potassium hydroxide mount, skin biopsy and other relevant investigations were done as required. Results: A total of 500 patients were enrolled. The majority were in the 4th and 5th decades. Pigmentary dermatoses were highest, melasma predominating. Immunobullous dermatoses formed the smallest group. Occupation-wise, the majority were agricultural labourers. Many dermatoses, especially melasma, were related to occupation and lifestyle with photo-aggravation, cosmetics use and stress. Conclusion: This study assessed the pattern of facial dermatoses among the female clientele of this institution. Hyperpigmentary dermatoses, especially melasma, emerged as the most common dermatosis for which treatment was sought. This study assessed the pattern and epidemiologic determinants of facial dermatoses in female patients in a rural Tertiary hospital at Ghanpur, Telangana. Melasma was the most frequent dermatosis for which treatment was sought. Larger population-based studies would determine the actual socioeconomic burden of the problem