RFP Journal of Dermatology

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 Erythema multiforme (EM) is an acute, self- limited, inûammatory disease of the skin and mucous membranes involving oral mucosa most often, although other mucosal surfaces, such as the genitalia may also be involved Oral lesions are often an important component of the clinical picture and are occasionally the only component, making it important to identify and distinguish them from other ulcerative disorders, for early management and preventing subsequent more severe form. Oral erythema multiformeis often triggered by HSV infections and rarely by adversedrug reactions.This article highlights one such case of drug induced erythema multiforme with a detailed review of literature.

Keywords: Oral Erythema Multiforme; Ulcerations; Vesiculobullous; Drug Induced.

 Ankyloglossia is a developmental condition wherein there is a short lingual frenulum that causes restricted mobility of the tongue. It results in feeding problems, speech abnormalities and dental caries. Various methods of ankyloglossia release have been used over the years. These procedures can be simple snipping of the band, or release by V Y Plasty or Z Plasty. One of the main problems associated with the release is bleeding from the mucosa leading to obscuration of the surgical field. Sometimes severe hemorrhage from the sublingual veins can lead to respiratory distress. Thus we have described a safe way of ankyloglossia release using the diode laser which provides excellent hemostasis.

Keywords: Ankyloglossia; Diode Laser; Z Plasty.

 Diabetic foot ulcer is almost always associated with reconstructive challenges because of associated morbidities. Involvement of multiple systems and organs makes the disease more complex in nature hence a multidisciplinary team approach is required for its management. Owing to raised blood sugar, micro angiopathy and neuropathy the healing is usually delayed and prolonged wound bed preparation is needed before definitive reconstruction. Wound assessment is mandatory in such long duration wounds to continue or change the treatment plan according to the response of the wound. Subjective assessment of wound may not be an accurate measurement of the wound response hence an objective and accurate assessment technique is mandatory for monitoring the wound behavior. Through this article we present role of digital planimetry as an effective and accurate technique for wound measurement in diabetic foot ulcer.

 keywords: Diabetic; Wound; Digital Planimetry.

Rural India is hardly served by specialist doctors. The country uses enormous resources and finances to educate these doctors. With modernization and shift of focus from clinical dermatology to cosmetic or aesthetic dermatology, young doctors and specialist are driven to cities. Relevant and feasible policies need to drawn and implemented for the services to reach the rural masses. Dermatological societies and the doctors need to understand the social and moral obligations to contribute & support government in providing the service to rural India.

Keywords: Dermatology; Rural Area; Cosmetology