In plane warts isotretinoin 30 mgs a day for 3 months is very effective

Minocycline shows least resistance less than 5% and resistance to doxycycline is to upto 30%

In a recent indian study azithromycin used in acne patients,the resistance was as high as 80%.it should no longer be used in acne

Interleukin 17 is an important cytokine in pathogenesis of psoriasis.Biologics targetting this cytokine are in the pipeline

Infliximab is an excellent biologic for treatment of Behcet syndrome

Today afternoon I am going to deliver a lecture on vitiligo during pleanary session of the British Association of Dermatologist annual meeting at Glasgow. Realky excited about it

In vitiligo there are increased chances of atopic background.Prospective studies are required to assess this association

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.

Hypopigmented spots on face of young children are considered to be due to deficiency of calcium.It is a myth.These spots should not be aggresssively treated.These are manifestation of an atopic diathesis.If parents are worried tacrolimus 0.1% ointment for a few days gives very good results.

Trichotillomania is a condition in which areas of hair loss occur in those parts of the scalp which are easily accessible.The hairs in affected areas are of unequal length.

Pemphigoid gestationis is a dermatosis specific to pregnancy.Fortunately it is not very common in India.some of these ladies develop bullous pemphigoid later in life

Iron deficiency is an important cause of diffuse hair fall.Even if hemoglobin levels are ok iron supplements are a must

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

Met amitabh and amrish puri in 1989 on sets of aaj ka arjun.Spent about 45 minutes talking to them .Wonderful moments

Alzumab a biologic marketed by Biocon is a great boon to psoriasis patients.

Ciclosporin is a wonderful drug for treatment of psoriasis.it is also very useful in management of toxic epidermal necrolysis and atopic dermatitis

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

White spots on face of young children are not because of calcium deficiency.This is a type of an endogenous eczema

Herpes zoster or shingles is due to reactivation of the chicken pox virus which is thete in the body in a dormant state.It is slightly more common in diabetics

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

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