Thursday, 26 June 2014

Topical calcineurin inhibitors are wonderful drugs for preventing flares if atopic eczema.These do not have the side effects associated with topical steroids

It is a misconception that dandruff results in hair fall.

Narrow band uvb therapy is absolutely safe in pregnancy.infact it is the treatment of choice for psoriasis in pregnancy.

Antihistaminics are very safe drug and these can be taken for months and years together without any problems.Fexafonidine is available as allegra is indeed wonderful drug

Angioedema is a type of urticaria in which lesions occur around areas where the skin is lax like around the eyes lips and genitalia.The lesions persist for long periods sometimes 24 to 48 hours.These are not itchy.If it involves larynx it can be life threatening

Fixed drug eruption is an interesting type of drug reaction.It is called fixed because each time the drug is taken the lesions flare.There are many drugs which can cause this type of eruption.Pain killers are the usual culprits.

Thursday, 19 June 2014

Newer second and third generation mab against CD 20 may perhaps be more effective in pemphigus

Alzumab-it might be worth trying in cases of segmental vitiligo

Management of psoriasis in pregnancy is a challenging issue.Of all the systemic agents ciclosporin is the safest though it is a category C drug.Narrow bans uvb is the Best. Problem is its availability at all centres

Twenty nail dystrophy is an extremely difficult condition to treat.It is also known as platynychia.Twenty nail dystrophy can be due to various causes.For example if it is due to lichen planus treatment has to be directed on those lines

Saturday, 7 June 2014

Treatment of warts in the skin around nails can be difficult.In such cases topical application of 5 fluorouracil ointment is quite effective.

Management of oral lesions of pemphigus can at times be difficult.We have recently given intralesional rituximab with very good effects.

Intravenous immunoglobulins given in doses of 2gm/kg body weight over a period of 3 days to patients with pemphigus gives excellent or sults.This is the only therapy for pemphigus which does not have any side effects.After its administration the doses of steroids can be gradually tapered without any problems

Rituximab is a wonderful drug for treatment of pemphigus.I have given it to about 150 patients with excellent results

Tuesday, 20 May 2014

Alopecia areata

Loss of hair in patches
Disturbing
Autoimmune in nature

Lichen planus

A common disorder
5 p
Papule
Plane top
Pruritic
Purple
Polygonal

Melasma is very common in women

Hair fall


Warts



Fungal infections


Sunday, 11 May 2014

Acne

Treatment of pimples or acne has been revolutionized by use of isotretinoin

Pemphigus

Treatment of pemphigus is more easy with use of rituximab and intravenous immunoglobulins

Vitiligo

It is an interesting disorder
Treatable if diagnosed early
Cosmetic effect only
Lot of research is being done
We have lots of treatments available
Medical and surgical