Saturday, 23 August 2014
Tuesday, 29 July 2014
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
Sunday, 6 July 2014
Interleukin 17 is an important cytokine in pathogenesis of psoriasis.Biologics targetting this cytokine are in the pipeline
Wednesday, 2 July 2014
Monday, 30 June 2014
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
Saturday, 28 June 2014
In vitiligo there are increased chances of atopic background.Prospective studies are required to assess this association
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
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.
Tuesday, 24 June 2014
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.
Saturday, 21 June 2014
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
Friday, 20 June 2014
Iron deficiency is an important cause of diffuse hair fall.Even if hemoglobin levels are ok iron supplements are a must
Thursday, 19 June 2014
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
Tuesday, 17 June 2014
Met amitabh and amrish puri in 1989 on sets of aaj ka arjun.Spent about 45 minutes talking to them .Wonderful moments
Monday, 16 June 2014
Friday, 13 June 2014
Ciclosporin is a wonderful drug for treatment of psoriasis.it is also very useful in management of toxic epidermal necrolysis and atopic dermatitis
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
Monday, 26 May 2014
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
Tuesday, 20 May 2014
Sunday, 11 May 2014
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