8/14/2019 Dr Saraf Paper Tumescent Anaesthesia

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Vol 49 No 4October - December 2004 ABAtop ic;_diathes~j!L_here.dR~rv.j~blbYQ$l$p~tie.J:lj:~L!,'Ittertiary health care center in Saudi ArabiaOmar M AI-Amro AI-AklobyThe occurrence of atopic diathesis in hereditary ichthyosis (HI) has notSaudi patients. The atopic manifestations in histopathologically coattending the dermatology clinic of King Fahad Hospital of the UniversSaudi Arabia is discussed in this study. From the dermatology OPDpatients with cOr;JfirmedHI seen between January 1990 to December 1the study. The findings regarding atopic manifestations were extractelforms and analyzed.During the 5 year study period, 10,455 new cases were seen in our (these, 61 had hereditary ichthyosis, with 37 males and 24 females wratio of 1.5:1. Thus, the frequency of HI among Saudi hospital attencnew cases. The type of HI was ichthyosis vulgaris in 25 (41 %) patientichthyosis in 11 (18%), lamellar ichthyosis in 4 (7%), bullous ichthyosif2 (3%) and nonbullous ichthyosiform erythroderma was seen in 19pruritus was present in 49 (80%) cases, atopic dermatitis in 7, elevatecnoted in 27 and bronchial asthma in 3 cases. Dandruff was reported ilpilaris in 15, recurrent skin infection in 7. Combination of hereditary icpruritus and high serum IgE level was reported in 27 (44.3%) patients.

Indian J Dermatol 200,Key Words: Ichthyosis, Atopic diathesis, Atopic der.

TQ_picaI $Y~r~lf~te._Ye.r.~I,t$_bydIQ~Qrti$Qne.~I~a_rn..ilttJmanagement of diaper dermatitis: a randomized, d(clinical trialFariba Iraji, Asadolah Kiyani, Marzieh RezazadehTopical corticosteroids are currently used for treatment of diaperstudies have shown the efficacy of sucralfate in the treatment of dcontact dermatitis in peri-stomal areas. To evaluate the efficacy ofcomparison with hydrocortisone cream in the treatment of diaper destudy was under taken. In a double-blind randomized clinical trial, 64dermatitis were treated with sucralfate cream 4% or hydrocortisone (duration of the treatment was 8 weeks and the patients were evalualuntil complete healing. The results were evaluated by chi-square te:

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8/14/2019 Dr Saraf Paper Tumescent Anaesthesia

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Indian Journal of Dermatology ... Page 2 of 5

(more than 50% improvement) occurred in 90.6% and partieimprovement) in rest of the patients in each group (p>0.05). Topeffective, cheap therapeutic intervention for diaper dermatitis. which hitopical hydrocortisone cream.Indian J Dermatol 200,

Key Words: Diaper rash, Sucralfate, h

Tu mescent a nesthesiCt_;ma_Y$JITYl te~h ni.g!l~fQxtuU:Y4thickness skin graftSanjay Saraf, Prashant Goyal, Pankaj Ranka

M -Tumescent anesthesia is now an established technique for regional aland the subcutaneous fatty tissue. The unsurpassed simplicity and safhave opened up the gates for newer indications. We have employeharvesting split-thickness grafts in various conditions. We have found Iextremely simple in which large areas can be anesthetized for harvestingrafts safely. The good passive resistance achieved facilitates easythickness grafts along with minimal bleeding and long lasting pain reliefan inexpensive, safe and simple technique with elimination of risks andanesthesia.

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Indian J Dermatol 200,Key Words: Tumescent anesthesia, Split

Prognostic valu-e of immunoglobulin E in atopic denS P ChattopadhyayAtopic dermatitis (AD) constituted about 6% of total dermatological canew cases (165877) attending the outpatient of a hospital. Serum IgE 1patients with AD. It was observed that IgE level Was raised in 84%,below normal in 4% of cases. In the present study the family history 01found in 66% of the cases. IgE level fell in 14 of 16 patients during fallfree from active disease for six months or more.

Indian J Dermatol 200,Key Words: IgE Level, Atopic (-' 'm

Pattern of dermatosis among pediatric patients attEmedical.colleg,e hospital in the nortl1:_eastern regiol1MM Huda, Pranab Kumar SahaA total of 500 children from first day of life to twelve completed yeDermatology OPD of Assam Medical College Hospital were analyzed fordisorders and modalities of pre-hospital care received. School-agemajor segment (45.0%) followed by pre-school age children (37.8%).were 63.2% and non-infective 34.4%. Bacterial infections (34.4%scabies (11.8%), fungal infections (8.8%), nutritional dermatoses(3.8%), viral infections (2.2%), urticaria (2%), and a miscellaneoustwenty four categories (8%) were seen. About 65% had not received aattending hospital. Those who received pre-hospital treatment incl18.8%, treatment from primary care physician 7.8%, from pedialapplications 3%, rituals by faith healers 1.6%, and treatment from der0.4%.

Indian J Dermatol 200,Key Words: J

Irj~J:lQ-9r~.mtQ__mooitoLll:t~r~p~utic J)enefit inMir I(J

http://www.e-ijd.org/oldsite/oct_dec_2004_abstracts.html 22/02/2009