ABSTRACT
Introduction: Cutaneous tuberculosis is an uncommon form of extrapulmonary tuberculosis. It can present in various morphological presentations leading to a late diagnosis in many cases. It is mainly associated with significant scarring and morbidity. It is classified as paucibacillary or multibacillary depending on the bacillary load. Similarly, it can be acquired through either an endogenous or an exogenous source. The mainstay of treatment is anti-tubercular medications. The objective of the study was to find out the prevalence of cutaneous tuberculosis among patients presenting to the dermatology outpatient department of a tertiary care centre. Methods: A descriptive cross-sectional study was done among the patient presenting to the outpatient department of dermatology and venerology in a tertiary care centre where all patients data from medical records were taken from April 2016 to March 2021 after taking ethical approval from the Institutional Review Committee (Reference number: 503/2078/79). Demographic details of the patients including age, sex, site and duration of the lesion were recorded. Convenience sampling was done. Point estimate and 95% Confidence Interval were calculated. Results: Among 1,30,924 cases, 40 (0.03%) (0.02-0.04, at 95% Confidence Interval) cutaneous tuberculosis was seen. Conclusions: The prevalence of cutaneous tuberculosis was similar to the studies done in similar settings. Keywords: cutaneous; extrapulmonary tuberculosis; tuberculid.
Subject(s)
Dermatology , Tuberculosis, Cutaneous , Tuberculosis, Extrapulmonary , Humans , Outpatients , Cross-Sectional Studies , Tuberculosis, Cutaneous/diagnosis , Tuberculosis, Cutaneous/drug therapy , Tuberculosis, Cutaneous/epidemiology , Tertiary Care CentersABSTRACT
Herpes zoster is an infection caused by reactivation of varicella-zoster virus presenting as multiple grouped vesicular eruptions in a dermatomal pattern with associated pain. Recurrent herpes zoster is an uncommon event in an immunocompetent host. Here, we report a case of a young male presenting with herpes zoster over the T9 and T10 dermatome with the previous scarring of herpes zoster over the T6 dermatome over the right upper trunk. The patient improved on treatment with oral acyclovir and analgesics. In any patient with recurrenrt hepes zoster, work-up should be done to rule out immunosuppresion.
Subject(s)
Exanthema , Herpes Zoster , Acyclovir/therapeutic use , Exanthema/complications , Herpes Zoster/complications , Herpes Zoster/diagnosis , Herpes Zoster/drug therapy , Herpesvirus 3, Human , Humans , Male , PainABSTRACT
Cutaneous leishmaniasis (CL) can present with various skin lesions ranging from a single ulcer to diffuse multiple nodules. Here, we present a case of a 67-year-old man with a large erythematous well-defined indurated plaque over the left face for a duration of 4 months. A slit skin smear was performed, and it was stained with Giemsa stain which showed multiple amastigotes confirming the diagnosis of CL. Oral miltefosine was started at a dose of 150 mg/day but had to be stopped after 20 days as the patient developed diarrhea, bipedal edema, and renal impairment. This case emphasizes an uncommon variant of CL and the role of systemic treatment with oral miltefosine and its associated adverse effects.
Subject(s)
Antiprotozoal Agents/therapeutic use , Leishmaniasis, Cutaneous/diagnosis , Leishmaniasis, Cutaneous/drug therapy , Phosphorylcholine/analogs & derivatives , Administration, Oral , Aged , Antibodies, Protozoan/blood , Antiprotozoal Agents/administration & dosage , Erysipeloid/drug therapy , Erysipeloid/parasitology , Humans , Leishmaniasis, Cutaneous/immunology , Male , Phosphorylcholine/administration & dosage , Phosphorylcholine/therapeutic useABSTRACT
Medical conferences are held by different medical societies around the world on a regular basis. The society of Dermatologists, venereologists and leprologists of Nepal organized their 15th annual national conference in a complete digital platform making it the first paperless medical conference in Nepal. This conference initiated the use of digital platform for information dissemination and discouraged the use of paper. The mobile applications built for the conference provided information on the scientific programs and also created an unique identity of each registered delegate with an unique quick response code. The code was very valuable during registration and served as meal coupons too. This conference was our small effort towards creating an eco-friendly medical conference. Keywords: Conference; dermatology; digital; eco-friendly; medical; mobile apps; paperless.
Subject(s)
Societies, Medical , Humans , NepalABSTRACT
Anetoderma presents as a circumscribed area of slack skin. It can present as either primary or secondary, if associated with other conditions. Leprosy is one of the causes of secondary anetoderma, but it is not commonly reported, especially in multibacillary leprosy. Here, we report a case of a 16-year-old young girl who presented with fever, joint pain, and only three anetodermic plaques. A slit skin smear from the lesion showed multiple acid-fast bacilli with a bacillary index of 3+, thus confirming the diagnosis of leprosy. This case is unique since multibacillary leprosy presented with only few anetoderma lesions in a young teenager girl from a leprosy-eliminated country.
