ABSTRACT
Objective: To determine the clinical spectrum of pediatric dermatoses at a tertiary care unit
Methods: Three hundred and fifty cases aged up to 12 years, presenting to dermatology unit I, Jinnah Hospital, Lahore with skin diseases were enrolled over a period of 6 months. Detailed history and physical examination were done to diagnose the skin lesions. All the information was collected on a specially designed proforma
Results: A total of 350 children with skin diseases, 186 [53.1 percent] males and 164 [46.9 percent] females were seen. The mean age of patients in the study was 4.18+/-2.97 years. Infections and infestations were the common dermatoses seen in 158 [45.1 percent] and 105 [30 percent] children, respectively. Eczema was present in 79 [22.6 percent] patients and diseases of sweat gland in 8 [2.3 percent]
Conclusion: Infection and infestations were seen as the most common pediatric dermatoses
ABSTRACT
Toxic epidermal necrolysis [TEN] is an acute, life-threatening cutaneous drug reaction that predominantly involves the skin and mucous membranes. It is a rare disorder and treated as a medical emergency, due to its fatal outcome. The principles of management include immediate removal of culprit drug[s], supportive management and specific drug therapies or procedures, of which plasmapheresis is one treatment modality. We report two patients of TEN, being successfully treated with plasmapheresis, proving it to be a life saving treatment modality
ABSTRACT
Objective To determine the learning resources and procedures used for dermatology postgraduate training in Pakistan
Methods Trainees from different centers accredited for dermatology postgraduate training in Pakistan were approached. A pre-designed proforma was filled by 100 dermatology trainees of FCPS, MCPS and MD programs
Results Hundred percent trainees followed Rook's Textbook of Dermatology as a major learning resource. The most commonly read journal was Journal of American Academy of Dermatology. Scientific conferences had been attended by less than 50% students. Most of the students were participating in clinical case discussions, while clinical slide sessions and histopathology sessions were not being attended by all. Most commonly learnt diagnostic procedure was fungal scraping [92%], least common was immunofluorescence [16%]. Out of various therapeutic procedures, electrocautery was being performed by 100% students while dermal fillers and botox injections by none
Conclusion There is a wide variation in exposure of dermatology residents to various learning resources and procedural skills across different teaching units of the country. The most lacking part of training highlighted in this study is the aesthetic or cosmetic aspects of dermatology