Paradoxical Hypertrichosis after Laser Therapy

2021 ◽  
Vol 8 (4) ◽  
pp. 55-60
Author(s):  
Naseem Ullah ◽  
Abdur Rahim Khan ◽  
Shahida Naz ◽  
Kalsoom Aslam ◽  
Muhammad Suhail ◽  
...  

OBJECTIVES: In numerous cultures, unwanted hair is considered a common aesthetic problem. For hair removal, the use of lasers is a common medical procedure that is comparatively safe and has few side effects. Paradoxical hypertrichosis has been reported rarely in previous studies. The aim of this study was to find out the frequency of paradoxical hypertrichosis after laser treatment. METHODOLOGY: This cross sectional study was done for a period of one year from January 2020 to January 2021. This study was conducted at Al-Shifa Clinic and Skin Aesthetic, Nowshera, Khyber Pakhtunkhwa.  All those patients who go-through the laser hair removal were included in the study. Diode laser with 808nm wavelength was used. All the patients were observed for paradoxical hypertrichosis after laser treatment.  RESULTS: Total 140 patients underwent laser hair removal during a one-year study. There were 120 females and 20 male in our study. The mean age of male was 28±1.2 while the mean age of females was 26±1.4. Amongst 140 patients, the overall prevalence of paradoxical hypertrichosis after laser treatment was 7.8% (n=11). This side effect was observed dominantly on the neck and face. Skin phototype III and 1V were observed with this side effect. CONCLUSION: Our research study concludes that paradoxical hypertrichosis occurs rarely after laser therapy. Study with high sample size and risk factors should be done for better understanding. 

Author(s):  
Suhasini Kanyadi ◽  
Chandra S. Metgud

Background: The period of adolescence, beginning with the onset of puberty, is a crucial transition into adulthood. There is a substantial lacuna in the knowledge, belief and practice about menstruation. This study addresses the gap in knowledge, belief and practice regarding menstruation among adolescent girls. Methods: A community based cross sectional study was conducted over a period of one year, in an urban area of Belagavi among 625 adolescent girls in the age group of 16–19 years. Data was collected by house to house visit using a predesigned, pretested questionnaire. Results: The mean age (±SD) at menarche was found to be 12.8±1.73 years. Our study showed that as the knowledge increased, there was increase in the use of sanitary pad (p<0.001) and increase in the number of girls practicing cleaning of external genitalia during menstruation (p<0.01). However, it was found that 276 (50.5%) and 175 (37.7%) of the girls did not use sanitary pads and practice cleaning of external genitalia during menstruation even after having correct knowledge showing a gap in knowledge and practice. Similarly, among the 494 girls who knew that menstruation is a natural process, 93 (18.8%) girls wrongly believed she shouldn’t sleep in the same place as usual, 124 (25.1%) said she shouldn’t enter the kitchen, 186 (37.7%) believed that certain foods should be avoided and only 37 (7.5%) rightly believed that girls could go to place of worship during menstruation showing a gap in knowledge and belief. Conclusions: The study reported a gap in knowledge, belief and practice among adolescent girls. To bridge this gap causes have to be identified and addressed. 


2019 ◽  
Vol 14 (3) ◽  
pp. 217-224
Author(s):  
Sundeep Kaushik ◽  
Deepti Chopra ◽  
Suvasini Sharma ◽  
Satinder Aneja

Background: Adverse drug reactions (ADRs) due to antiepileptic drugs (AEDs) in children contribute to poorer patient outcomes. However, reliable data ragarding such ADRs is not available. Objectives: Thus, the aim of the present study was to determine the incidence and patterns of ADRs of antiepileptic drugs in children aged 2-17 years presenting to a tertiary care teaching hospital. Methods: An observational study was conducted in the Department of Pediatrics, Kalawati Saran Children’s Hospital for a period of one year. Two hundred consecutive eligible patients (aged 2-17 yrs with epilepsy on AED) with consenting parents were enrolled. ADRs were noted using Paediatric Epilepsy Side Effect Questionnaire (PESQ) at clinic visits and any other ADRs reported by parents were also recorded. Causality, severity and avoidability assessments were done. Results: The mean age was 10.5 ± 3.6 years. A total of 139 ADRs occurred in 97 patients. One hundred and nine ADRs were reported by use of PESQ, in addition, 30 ADRs were reported by parents. Poor school result (33.8%) was the commonest ADR. Valproate (61.9%) was the main drug causing ADRs. Valproate, when used in polytherapy, was associated with more number of children experiencing ADRs (72.2%). The most common add on drug was clobazam (42.3%). Children with poorly controlled epilepsy were associated with more ADRs. Causality assessment revealed that 91.3% of the ADRs were probable. Most (94.9%) ADRs were of ‘mild’ category and 95.7% were probably preventable. Treatment was discontinued only in 6 patients of phenytoin toxicity.R Conclusion: Cognitive and neurological problems were the most common ADRs seen in children with epilepsy. Polytherapy significantly increases the likelihood of ADRs in children.


1970 ◽  
Vol 6 (4) ◽  
pp. 26-30
Author(s):  
Jai Kirshin ◽  
Sameena Afghan ◽  
Aqeela Ayub ◽  
Kishor Shah ◽  
Maqbool Hussain

BACKGROUND: Measles is highly endemic disease in Pakistan that can be prevented by vaccinating the child.Patients with rash and fever are the major syptoms of this infection. The aim of this study was to find the associationof clinical and serological outcome of measles and rubella with demographic profiles in patients hospitalised withclinical suspicion of these conditions. METHODS: A descriptive cross sectional study was conducted in children hospital of PIMS Islamabad where allchildren presenting with maculopapular rash in outdoor patient, indoor patient and accident and emergencydepartment were enrolled. The study duration was one year or the completion of required sample size. A total of 73children who fulfilled the inclusion criteria were enrolled in this study. A purposive sampling technique was used toselect cases. Data was collected through a structured proforma especially designed for this study. Permission wastaken from the Hospital Ethical Committee before the commencement of the study. A written consent was also takenfrom the parents of children prior to conduct the study. RESULTS: All the children in this study was 46.5 (± 40.1) months of age, the mean (SD) age was 4 years and 10months (± 3 years and 4 months). The median age of all children was 24 months (2 years). The youngest child was 7months old while the eldest child was 12 years (144 months) of age. Out of 73 children enrolled in the current studywho presented with maculopapular rash and their serological outcome was assessed, 50 (68.5 percent) were boyswhereas 23 (31.5 percent) were girls. Koplik's spots were present among 56 (76.7 percent) children whereas 17(23.3 percent) did not have Koplik's spots at the time of enrolment. lymphadenopathy was assessed in 35 (47.9percent) children while 38 (52.1 percent) did not have lymphadenopathy at the time of enrolment. CONCLUSION: Study concluded that a higher proportion of children presenting with maculopapular rash werediagnosed to have measles on the basis of serology.


2021 ◽  
Vol 23 (2) ◽  
pp. 109-113
Author(s):  
Kricha Pande ◽  
Shraddha Koirala ◽  
Astha Shrestha

Bacterial vaginosis is the most common cause of vaginitis. It is caused by depopulation of lactobacilli from the normal vaginal flora and overgrowth of Gardnerella vaginalis and other anaerobic species. Pap smear being a screening and diagnostic tool for malignancy, is equally important to diagnose infective pathology as well. This study tried to establish the significance of reporting the presence of cannon balls in Pap smears and whether their presence suggested bacterial vaginosis or not. This was a cross sectional study conducted at Nepal Medical College, Teaching Hospital (NMCTH), Kathmandu for duration of one year (January 2020 to December 2020). Pap smears were sent from gynaecology department and standard routine Pap stain was done in Pathology Department. Presence of bacterial vaginosis and cannon balls were noted. Total of 799 Pap smears were received. The mean age of bacterial vaginosis was 38.2 ± 9.6 years. The age group of 31-40 years (n=32, 39%) was most commonly affected. Bacterial vaginosis was seen in 81 pap smears out of 799 pap smears. The prevalence of bacterial vaginosis was 10.1%. Of the total of 799 cases of Pap smears, cannon balls were seen in 9.1% cases and among the bacterial vaginosis, cannon balls were seen in 48% cases. There was significant association between cannonballs and bacterial vaginosis (p < 0.0001). Thus, the present study re-enforces the fact that Pap smear is also very effective tool to diagnose bacterial vaginosis.


2021 ◽  
Vol 10 (1) ◽  
pp. 041-047
Author(s):  
Ömer Faruk Tekin

The aim of this study is to evaluate the change of air pollutants in the province of Van compared to the previous year during the COVID-19 pandemic. The study is a cross-sectional study conducted in Van where is a city in eastern Turkey. PM10 and SO2 values obtained from the National Air Quality Monitoring Network website. The lockdowns imposed in the province of Van within the scope of combating COVID-19 have been recorded by examining the decisions of the Sanitary Board on the Van Governorship's official website. The mean of PM10 measurement values in the period before and after COVID-19 were 40.89±19.6 µg/m3 and 41.3±20.39 µg/m3, respectively. The mean of SO2 measurement values were 17.76±18.48 µg/m3 and 23.49±20.96 µg/m3 before and after COVID-19, respectively. When one year after and before COVID-19 was evaluated, there was no difference in PM10 values in terms of year averages, while SO2 value was found to be increased compared to the previous year. However, when analyzed by months, there were months when PM10 values were found to be increased (March, September and October) and decreased (July, August and November) compared to the previous year.


2019 ◽  
Vol 10 (4) ◽  
pp. 2602-2606
Author(s):  
Dlawer Abdulhammed Ahmad

Occupational exposure to petrol has been reported to cause serious health hazards especially liver and kidney disease. Electrolytes like Na+, K+, and Cl- are the important mediators of several physiological functions. The present study aims to evaluate the effect of petrol exposure on the serum electrolyte concentration among the workers at the Kirkuk petrol station. The cross-sectional study analyzed 29 petrol pump workers who were continuously exposed to petrol more at least one year in the Kirkuk city and did not have a history of any systemic illness, and 10 healthy age-matched controls who never had exposure to petrol were enrolled. The serum electrolyte levels (Na+, K+, and Cl-) were assessed in the petrol station workers working at Kirkuk city petrol station and the controls by FUJI DRI-CHEM system (Fujifilm (Japan) and expressed as mmol/l. These serum electrolyte levels were compared between the workers and the controls by Mann-Whitney U test and p values ≤ 0.05 was considered statistically significant. All the participants in the study were males. None of the participants was smokers or alcohol consumers. No significant (p=0.32) difference was found in the mean age of the petrol station workers (34.22±6.57) years and the controls (36.70±6.33) years. The serum Na+ levels were significantly higher in the petrol station workers as compared to the controls. Similarly, serum Cl- levels were significantly higher in the petrol station workers as compared to the controls. Although the levels of the electrolytes studied were in the normal recommended range but the levels of Na+ and Cl-were significantly higher in the petrol station workers than the controls. Extensive studies involving larger sample sizes should be conducted to conclude the effect of petrol exposure on the electrolyte levels.


2021 ◽  
Vol 7 (2) ◽  
pp. 36-39
Author(s):  
Abu Sayeed Mohammad ◽  
Tarequzzan Mia ◽  
MA Hamid ◽  
Shahadat Hossain ◽  
Zulfiqur Hossain Khan

Background: Hormonal dysfunction is reported among the leprosy patients. Objective: The purpose of the present study was to see the association of testosterone level among male patients presented with lepromatous and borderline leprosy. Methodology: This cross-sectional study was conducted in the Leprosy Hospital, Dhaka, Bangladesh from January to December 2016 for a period of one year. All patients with a known diagnosis of leprosy under follow up at the hospital were included in the study. The serum concentration of testosterone was measured using an enzyme immunoassay technique (ELISA) (DiaMetra, Spello, Italy). Result: A total number of 30 cases of leprosy were recruited for this study. The mean with SD of the study population was 39.20±9.065 years. Among 30 cases of study population 26 cases were lepromatous leprosy patents and the rest 4 cases were Borderline Leprosy patients. The mean with the standard deviation of testosterone level in serum was 6.41±4.756 mg/dL and 4.71±2.396 mg/L in lepromatous leprosy and borderline leprosy respectively (p=0.497). Conclusion: In conclusion there is no statistically significant relationship between leprosy and testosterone; however, lower level of testosterone is found among the study population Bangladesh Journal of Infectious Diseases 2020;7(2):36-39


Author(s):  
Awadia G. Suliman ◽  
Mohammed A. Adam ◽  
Rihab Y. Ahmed ◽  
Raga A. Aburaida ◽  
Ahmed A. Ebrahim

Background: Knowledge of the normal range of spleen size in the population being examined is very important because there are many different pathological conditions that may alter in spleen size. Also, gender, height, weight and BMI of individual, affect the splenic length and could result in incorrect interpretation of splenic measurements, spleen to left kidney ratio is one of recent parameter mention in literature aid in diagnosis of splenomegaly in children.Methods: The study was a cross-sectional study conducted in Khartoum state at Al-Buluk and Gaafar Ibnauf Paediatric Tertiary Hospital during the period from March 2018 to August 2018. A total of 101 children (males and females) with aged ranged 1 month to 5 years included in study. A transabdominal scan was performed, and measurement of spleen and left kidney taken after an ethical verbal consent from their parents, then data analyzed by SPSS, Mean±SD. Deviation for study variables calculated then correlation between patients factors and ultrasound measurements done.Results: The study found that the mean measurements of the normal size of the spleen and spleen to left kidney ratio for children up to five years of age, Splenic length was 7.24±1.12 cm, width was 3.83±0.81 cm , thickness 2.91±0.55 cm and spleen to left kidney ratio was 1.04±0.0.70 ranged (0.86-1.23). The male have larger spleen than female with no statistically significant differences in spleen sizes between the sexes. There was a strong significant correlation between age, weight, height  spleen and left kidney length (p<0.01)respectively and a moderate association with BMI (p<0.05).Conclusions: Spleen and left kidneys was growing rapidly and similarly in infant up to one year of life 1 mm\1 mm for each month and then decreasing growth rate of kidney in relate to spleen for 1 mm growth of spleen kidney grow 0.8 mm in up to five years of age. There was strong significant positive correlation between spleen and left kidney measurement with age, height, weight of individual. The spleen to left kidney ratio for children up to five years ranged (0.86-1.23) with mean 1.04, so if the ratio less or more than this ranged it should be considered in clinical context for diagnosis of splenomegaly or shrunken spleen in children up to five years of age.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Solomon Demissie ◽  
Prasad Mergu ◽  
Tadiwos Hailu ◽  
Getachew Abebe ◽  
Mengistu Warsa ◽  
...  

Abstract Introduction The spleen is a vital lymphoid soft organ that demands constant attention from the clinical point of view. It is a multi-dimensional organ that enlarges in its all dimensions during some disease condition. The detection of the spleen by palpation is not an indicator of an enlarged spleen because normal spleen may be palpable. Therefore, this study aimed to assess the morphometry of spleen dimensions and its determinants among individuals living in Arba Minch town by sonographic examinations. Methods and materials Community-based cross-sectional study was conducted in Arba Minch town from February 1 to March 30, 2020. Seven hundred and eight study participants were selected using a multi-stage systematic random sampling technique. Data were checked for completeness, edited, coded and entered into Epi-Data version 3.1 and exported to STATA software version 16 for analysis. Result The mean splenic length, width, thickness and volume were 10.24 cm, 4.79 cm, 3.93 cm, and 109.34 cm3, respectively. The mean spleen length, width, thickness and volumes among males were 10.64 cm, 4.92 cm, 4.05 cm and 119.81 cm3 and among females were 9.75 cm, 4.63 cm, 3.78 cm and 96.50 cm3 respectively. As age increased by one year the mean spleen length, width, thickness and volume was decreased by 0.032 cm, 0.018 cm 0.004 cm and 0.012 cm respectively. As height increased by 1 cm the mean spleen width and volume were increased by 0.096 cm and 0.052 cm respectively. As we go from male to female the mean spleen length decreased by 0.294 cm. Conclusion The spleen dimensions were higher in males than females. Splenic length was determined by age & sex, the spleen width was determined by age & height, the spleen volume was determined by age & height and the spleen thickness was determined by age.


2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
Rania Lahouimel ◽  
Toumi Salma ◽  
Hanen Abid ◽  
Emna Kharrat ◽  
Amira Saai ◽  
...  

Abstract Background and Aims Infectious complications represent the leading cause of death among the dialysis population, prompting early diagnosis and increased vigilance. Neutrophil-to-lymphocyte and platelets-to-lymphocyte ratios are newly emerging as more accessible and simple markers for the detection of the onset of infections. The objective of our study is to prove the value of these markers in the diagnosis of infections in hemodialysis patients. Method This is a cross-sectional study spread over one year including 85 chronic hemodialysis patients with duration of at least 6 months. patients with hemopathies, tumors, or with a history of hospitalization during the 3 months before the study were excluded. CRP was used as a biomarker of infections and N / L; P / L ratios were calculated to study the correlation between the two biomarkers. Based on the literature reviews, the threshold of the N / L ratio and the P / L ratio admitted for our stydy were respectively : &gt; = 2.5 and &gt; = 150. Results The mean age of our patients was 49 ± 19 years with a predominance of women (55%) .The average duration in hemodialysis was 67.2 months. An infectious complication was noted in 22% of our patients whose distribution was as follow: 4% as a pulmonary infection with 3 coronavirus cases, 6% a sepsis, one case of abscess of the nephrectomy compartment.The median value of the CRP was 37±10mg/l We found a positive correlation between the 2 ratios associated (RNL and RPL) and infection with (p = 0.03) . We noted throw this study that patients with both high ratios RPL&gt; 150 and RNL&gt; 2.5 have significantly elevated values of CRP. Conclusion N/L and P/L ratios are easy-to-calculate markers that are of great benefit to the hemodialysis population. We have shown through this study the existence of a positive correlation between the N/L and P/L ratios and the occurrence of infections in hemodialysis patients. We therefore encourage the use of this ratios to be included as markers to detect infections occurence.


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