Saravanan Narayanan | The Tamilnadu Dr MGR Medical University (original) (raw)
Address: Chennai, Tamil Nadu, India
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International Journal of Research in Dermatology
Acne vulgaris is a disorder of the pilosebaceous unit, seen in adolescents and young adults. Acne... more Acne vulgaris is a disorder of the pilosebaceous unit, seen in adolescents and young adults. Acne sequelae can be lifelong with atrophic, hypertrophic scar or keloid formation. 1 Atrophic acne scars result from loss of tissue and classified into ice-pick, rolling and boxcar scars and are not amenable to medical treatment. Surgical and procedural options include punch excision, punch elevation, elliptical excision, subcision, dermabrasion, percutaneous collagen induction by micro-needling, chemical peels. Newer treatment options include various ablative, non-ablative lasers and light energies. Treatment has to be individualised according to patients's needs, goals along with physicians assessment and skill. 2,3 Subcision (Subcutaneous incision less surgery)-a minor surgical procedure described by Orentreich and Orentreich in 1995. It is performed by inserting tribevelled hypodermic needle subcutaneously under the depressed scars, thereby breaking the fibrotic strands which tether scar to the underlying sub cutis. It is mainly used in the treatment of rolling scars. 4
International Journal of Research in Dermatology, Apr 26, 2019
INTRODUCTION Anogenital warts (Syn-condyloma acuminata) refer to the infection of anal and genita... more INTRODUCTION Anogenital warts (Syn-condyloma acuminata) refer to the infection of anal and genital mucosa with their adjoining area. They were certainly recognized by early Greek and Roman Physicians, such as Hippocrates and Gallen. 1 The term Condyloma is derived from ancient Greek meaning-a round swelling adjacent to anus‖. 2 Most commonly caused by human papilloma virus types 6, 11. Current evidence suggests that over 50% of sexually active adults have been infected with one or more HPV (human papilloma virus) types. The prevalence of genital warts in India is 5.1% to 25.2% of patients with STDs. 3,4 Genital warts pose a bigger challenge, because of the lack of cell mediated immunity and propensity to relapse and the reluctance of patients to consult a physician. In spite of various therapeutic modalities being available, no single therapy has been found to be universally efficacious and cosmetically acceptable. An ideal treatment for warts should be effective, safe, with low morbidity and no adverse effects. Cytotoxic T ABSTRACT Background: Ano-genital wart, an infection of the anal and genital mucosa with their adjoining area is caused by human papilloma virus. Genital warts pose a bigger challenge, because of the lack of cell mediated immunity and its propensity to relapse and the reluctance of patients to consult a physician. The main aim of our study is to determine whether autoinoculation is effective in treatment of ano-genital warts. Methods: 25 cases of anogenital warts of either sex, who attended RTI/STI clinic in Chengalpattu Medical College from September 2017 to September 2018. The study design was prospective. A detailed history taking, thorough clinical examination and appropriate relevant investigations were done for all the patients who fulfilled the inclusion and exclusion criteria. Autoinoculation was done for those patients. They were assessed periodically for clinical outcome. Results: A sample size of 25 patients (20 men and 5 women) was included in the study. After 3 months of therapy 8 (32%) patients recovered completely and more than 75% improvement occurred in another 7 (28%) patients. At 6 months 15 (60%) patients showed complete resolution. No significant complication was documented. Conclusions: Autoinoculation is a single time minimal invasive procedure effective in management of anogenital wart. It also reduces the recurrence of lesions.
International Journal of Research in Dermatology
Acne vulgaris is a disorder of the pilosebaceous unit, seen in adolescents and young adults. Acne... more Acne vulgaris is a disorder of the pilosebaceous unit, seen in adolescents and young adults. Acne sequelae can be lifelong with atrophic, hypertrophic scar or keloid formation. 1 Atrophic acne scars result from loss of tissue and classified into ice-pick, rolling and boxcar scars and are not amenable to medical treatment. Surgical and procedural options include punch excision, punch elevation, elliptical excision, subcision, dermabrasion, percutaneous collagen induction by micro-needling, chemical peels. Newer treatment options include various ablative, non-ablative lasers and light energies. Treatment has to be individualised according to patients's needs, goals along with physicians assessment and skill. 2,3 Subcision (Subcutaneous incision less surgery)-a minor surgical procedure described by Orentreich and Orentreich in 1995. It is performed by inserting tribevelled hypodermic needle subcutaneously under the depressed scars, thereby breaking the fibrotic strands which tether scar to the underlying sub cutis. It is mainly used in the treatment of rolling scars. 4
International Journal of Research in Dermatology, Apr 26, 2019
INTRODUCTION Anogenital warts (Syn-condyloma acuminata) refer to the infection of anal and genita... more INTRODUCTION Anogenital warts (Syn-condyloma acuminata) refer to the infection of anal and genital mucosa with their adjoining area. They were certainly recognized by early Greek and Roman Physicians, such as Hippocrates and Gallen. 1 The term Condyloma is derived from ancient Greek meaning-a round swelling adjacent to anus‖. 2 Most commonly caused by human papilloma virus types 6, 11. Current evidence suggests that over 50% of sexually active adults have been infected with one or more HPV (human papilloma virus) types. The prevalence of genital warts in India is 5.1% to 25.2% of patients with STDs. 3,4 Genital warts pose a bigger challenge, because of the lack of cell mediated immunity and propensity to relapse and the reluctance of patients to consult a physician. In spite of various therapeutic modalities being available, no single therapy has been found to be universally efficacious and cosmetically acceptable. An ideal treatment for warts should be effective, safe, with low morbidity and no adverse effects. Cytotoxic T ABSTRACT Background: Ano-genital wart, an infection of the anal and genital mucosa with their adjoining area is caused by human papilloma virus. Genital warts pose a bigger challenge, because of the lack of cell mediated immunity and its propensity to relapse and the reluctance of patients to consult a physician. The main aim of our study is to determine whether autoinoculation is effective in treatment of ano-genital warts. Methods: 25 cases of anogenital warts of either sex, who attended RTI/STI clinic in Chengalpattu Medical College from September 2017 to September 2018. The study design was prospective. A detailed history taking, thorough clinical examination and appropriate relevant investigations were done for all the patients who fulfilled the inclusion and exclusion criteria. Autoinoculation was done for those patients. They were assessed periodically for clinical outcome. Results: A sample size of 25 patients (20 men and 5 women) was included in the study. After 3 months of therapy 8 (32%) patients recovered completely and more than 75% improvement occurred in another 7 (28%) patients. At 6 months 15 (60%) patients showed complete resolution. No significant complication was documented. Conclusions: Autoinoculation is a single time minimal invasive procedure effective in management of anogenital wart. It also reduces the recurrence of lesions.