scholarly journals Study of profile of polymorphous light eruption at a tertiary referral center

Author(s):  
Amruta A. Kulkarni ◽  
Yoganand J. Phulari

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Polymorphous light eruption (PMLE) is the most common endogenous photodermatosis.But only few studies are available from India regarding this photodermatosis. It is common in women, often worse in spring. The lesions are usually monomorphous in an individual patient but polymorphic in different patients.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">The study was conducted between October 2010 and March 2012. 78 patients with clinical diagnosis of PMLE, who attended Dermatology OPD at Dr. D. Y. Patil Hospital and Research Institute, Kolhapur were included in present study. Detailed history, clinical examination and relevant investigations were done. The collected data were tabulated and analyzed</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">The age group of the patients ranged from 3 years to 58 years. Maximum number of patients were seen in the age group of 21-30 years. The female to male ratio was found to be 1.78:1.Onset of PMLE lesions was maximum in the month of March. Majority of patients were housewives. Itching was the most common symptom. In 32.05% of patients, lesions developed within 30 minutes of sun exposure. Family history of PMLE was present in 6 (7.69%) cases. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-GB">PMLE was found most commonly in second and third decades of life since</span><span lang="EN-IN"> people in this age group are more exposed to sun,</span><span lang="EN-GB"> more in women probably because of hormonal differences.</span><span lang="EN-IN">The maximum number of cases was noted in the month of March when the sun exposure is high. The maximum cases in housewives, as they have short intermittent sun exposure and absence of hardening phenomenon. Higher incidence was noted with cotton clothing as it has lower UV protection. Most of the patients developed lesions within 30 minutes of sun exposure. History of recurrence of PMLE was noted in 30 patients. Only 6 patients gave family history of PMLE because of milder nature of the disease along with difference in clothing and working environment.</span></p>

2021 ◽  
Vol 12 (4) ◽  
pp. 850-852
Author(s):  
Joshi Mrudula Vinayak ◽  
Shendye Hemangi Vasudeo ◽  
Bhole Nilima ◽  
Joshi Vinayak

Amlapitta (Hyperacidity) is one of the ever growing diseases observed in society. Intake of salt in excess can lead into Amlapitta due to its Vidahi and Agneya property. Foods like cheese, chips, sauces, buttermilk, etc. contains variety of salts including common salt. The disease Amlapitta/ Amlika can be interpreted as Hyperacidity; is not separately described in Samhita, but  mentioned as Lakshana (symptom) of Atiyoga (excessive intake) of Lavana Rasa. Hence an observational study was designed. Aim: To examine whether Atiyoga of Lavana Rasa (common salt) can be a Hetu (causative factor) of Amlapitta. Methodology: Study included 100 identified patients of Amlapitta; both males and females from the age group of 20-60 years suffering from Amlodgar (sour blenching) as the predominant symptom. A structured, pilot tested 6 item questionnaire was used to collect data. Statistical Analysis: Descriptive data was analyzed using number and percentage. Results: Maximum patients were from 20-29 years age group; with Kapha-Pittaja Prakruti (77.78 %) and Pitta-Kaphaja Prakruti (68.75%) who used to consume Lavana rasa in variety of type and in excess quantity.   Family history of the disease Amlapitta showed maximum % in female patients as 31.03% whereas only 4.76% males suffered from the disease. Liking towards Lavana, Katu and Amla rasa in population was found to be 36%, 28%, 16% respectively. In causative factors of Amlapitta, Lavana Rasadhikya was noted in 62 patients whereas Vidahi Anna followed by spicy food and oily food was found in 60, 58, 56 number of patients respectively. Conclusion: From the study, it is observed that there is proneness of Amlapitta mostly in age group 20-29 years having liking towards salty, spicy and Katu Rasa. Maximum (58) female patients, with 31.03% who had family history of Amlapitta and 77.78% patients found to have Kapha-Pitta dominent Prakruti which indicate towards importance of  Prakriti and family history of  an individual in disease manifestation. 


2020 ◽  
pp. 1-4
Author(s):  
Sonal Khade Ahuja ◽  
Ashish Deshmukh ◽  
Sanmitra Aiholli ◽  
Omkar Kulkarni

Background: Periorbital hypermelanosis also called dark circles form the major percentage of dermatology consultations. Importance of these disorders is growing as they cause easy visible cosmetic disfigurement and significant psychosocial consequences. Aims: To assess the patients of POH disorders for demographic, etiological and clinical profile. Methods: This prospective hospital-based clinical study, conducted in a tertiary medical center over a period of two years, involved 200 patients with POH disorders, assessed using detailed history taking and clinical examination for demographic, etiological and clinical data. Data is statistically described in frequencies (number of cases) and percentages(%) . Results: Majority of patients were in age group 18-40 years. Females dominated the study with a number of 169 (84.5%) , only 31 (15.5%) were males. Most of the patients belonged to Grade 2 (53%), grade 3 was seen in 27% patients followed by grade 1 (16.5% ) and grade 4 (3.5% ) POH. Family history was positive in 81.5% patients. POH was observed mostly in housewives 93 (46.5%) and patients with indoor occupation 69 (34.5%) and less commonly in patients with outdoor occupation 29 (14.5%). Almost all cases of POH gave history of exacerbation following sun exposure. Not a single patient showed hepatic, renal complaints, hypothyroidism or ecchymosis. Majority of patients (86.5%) had altered Sleeping habits. Alcohol and smoking did not have a significant co-relation with POH. It was found that only five percent females on oral contraceptives developed POH and there was no change in Pigmentation of POH in relation to menstrual cycle in any of the females. Limitations: The quantitative assessment of melanin by specialized instrument ( mexameter) could not be done because of lack of resources.


2017 ◽  
Vol 24 (04) ◽  
pp. 511-515
Author(s):  
Nayyab Zehra ◽  
Ahmed Hassaan Malik ◽  
Zahabia Khalid ◽  
Misha Sabir ◽  
Simra Tanvir ◽  
...  

Objectives: To determine the frequency of risk factors i.e. consanguinity andmaternal age associated with spontaneous abortions in Pakistan and to propose ways toreduce them. Study design: Cross sectional descriptive study. Place of study: Gynecologydepartment of Military Hospital and Combined Military Hospital, Rawalpindi. Duration ofstudy: 6 months (September 2015 to February 2016). Sampling technique: Non probabilityconvenient sampling. Methodology: 150 married female patients in reproductive age group(15-49 years), who were confirmed cases of pregnancy and presented with abortions, wereinterviewed and responses were filled in a structured questionnaire after written consent.The collected data was then entered and analyzed by SPSS 20.0. Results: The major bulkof spontaneous abortions occurred in the maternal age group of 25-35 years (55.3%). A totalof 53.3% of abortions occurred in the gestational age of less than 12 weeks. Around 54.7% offemales had family history of spontaneous abortions and 65.3% had consanguineous marriage.Conclusion: Spontaneous abortions occur more frequently in the females of 25-35 yearsage group and among the fetuses with gestational age less than 12 weeks (1st trimester ofpregnancy). Family history of spontaneous abortions and consanguinity are associated withspontaneous abortions.


2019 ◽  
Vol 02 (01) ◽  
pp. 16-20
Author(s):  
M. B. Bharathi ◽  
Thanzeem Unisa ◽  
Swathi Chandresh ◽  
Venkatesh C. R. ◽  
Harsha S.

Abstract Introduction Bell's palsy (BP) is the common cause of facial palsy. This study aims to report and analyze the age, sex distribution, symptomatology, site of lesion, and prognosis in 101 patients with (BP). Materials and Methods This is a cross-sectional study conducted at tertiary referral center, JSS Hospital, Mysuru. All patients consenting to participate in this study, of all ages, of either sex, both outpatients and inpatients with a diagnosis of BP during this study period were included. Results Of the 101 patients analyzed, maximum cases (25.7%) were in third decade of age; 55.4% were males, and both right and left sides of the face were equally involved. Maximum number of patients (50.5%) had a history of postaural pain at presentation Topodiagnostic tests showed majority of BP cases involving geniculate or suprageniculate regions (67.3%) in our study. 20.8% had lesion above the nerve to stapedius, and 11.9% had lesion below the nerve to stapedius. Electrodiagnostic test—electroneuromyography (ENMG)—was abnormal in 57 (67.1%) individuals at day 4. 50.4% of patients had a House-Brackmann (HB) facial nerve grade IV at presentation. 90% of the BP group in our study recovered normal to near-normal facial nerve function by the end of 28 days’ time. Conclusion Each case of BP should be evaluated with thorough clinical examination, topodiagnostic tests, and electrodiagnostic tests. Appropriate management will help in almost full recovery of disease.


2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Cindy L. Lamerson ◽  
Kristina Eaton ◽  
Joel L. Sax ◽  
Mohammed Kashani-Sabet

This study examined whether patient-identified melanomas were more advanced than dermatologist-identified tumors at routine clinic visits, and whether a personal or family history of skin cancer was associated with patterns of detection. A retrospective chart review was performed on melanoma patients (N=201) in a private dermatology clinic. Variables included age, gender, pattern of detection (i.e., patient or a board certified dermatologist), personal or family history of skin cancer, skin type, and previous sun exposure, as well as tumor location and severity. Dermatologist-diagnosed melanomas were less invasive (P<0.0005), and more likely present on the chest, back, and legs (P<0.01). Conversely, patient-identified lesions were more likely to occur on the face, neck and scalp, be associated with younger patients, and a family history of melanoma, but not other types of skin cancer (P<0.01). In a post-hoc analysis examining these factors as predictors of tumor invasiveness, only diagnostic source was significant. Specifically, dermatologist-identified tumors were significantly less invasive than patient-identified tumors. Although age, family history, and tumor location played roles in the early detection of melanomas, the most important factor was diagnostic source. Thus, board-certified dermatologists play a key role in the early detection of malignant melanoma.


Author(s):  
Sapna Gupta ◽  
Sharminder Kaur ◽  
Shamiya Sadiq ◽  
Vijay Khajuria

Background: Dysmenorrhea is a very common condition in females in fertile age group and its affective and somatic features often limit female mobility which results in loss of work hours. The aim of the study was to evaluate prevalence, severity, drug usage and loss of work days among young female medical students.Methods: The current questionnaire based study was done in Department of pharmacology, GMC Jammu over a period of 3 months. Female students aged between 17-24 years who consented for participation were included. The demographic profile and detailed history of dysmenorrhea was recorded.Results: Out of 342 participants, 218 females (63.7%) had history of dysmenorrhea. Most of the dysmenorrhic females had menarche between 13-14 yrs of age (73.3%) and menstrual cycle of 21-34 days (82.5%), duration of bleeding less than 6 days (91.6%) and had a positive family history of dysmenorrhea (58.7%). Majority of females had mild to moderate features of dysmenorrhea (93.4%). Most common medication was Mefenemic acid alone and in combination (90.5%). Most of the females took self-medication (69.8%) and only 30.2% took medicines on advice of doctor. 71.5% students missed their classes due to symptoms of dysmennorhea.Conclusions: Dysmenorrhea is quite prevalent among college going medical students. Most of them had positive family history. Mefenemic acid and its combination was frequently used to treat symptoms. On an average 1-2days were lost due to dysmenorrhea.


Author(s):  
Shiwani Gupta ◽  
Animesh Gupta ◽  
M. Nehal ◽  
Kalyani Pandey ◽  
Ananta Kreesna ◽  
...  

Background: Cataract is considered as one of the most common causes of visual impairment and the leading cause of blindness in the world. Age related cataract occurs in people above 50 years of age and the its pathogenesis is multifactorial. Therefore, the present study was aimed to assess the prevalence and risk factors for cataract.Methods: Community based cross sectional study was conducted among adults residing at urban areas of South Bihar. The data was collected by interview method, using pre-tested semi-structured questionnaire which contains socio-demographic data, dietary habits, history of diabetes or hypertension, family history of cataract and long-term sun exposure.Results: Among 240 participants, 94 (39.2%) were male and 146 (60.8%) were female. Maximum participants were aged more than 70 years. The prevalence of cataract was 52.1%.Conclusions: The prevalence of cataract was quite high and was significantly associated with age, long term sun exposure and family history of cataract.


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