RFP Journal of Dermatology

 Tangential excision and immediate cover of the wound with split skin graft forms the gold standard for treatment of deep burns. However split skin grafting has its own disadvantages. Donor area may not be available in patients with extensive burns. Split skin grafts contract, provide poor cosmetic appearance and functional outcome. Due to advances in biological and cellular engineering many substitutes have been developed. However most of these substitutes are expensive and may not be applicable for routine use in our population. In this article we have described a novel method for cover of wounds after tangential excision in the form of collagen and dermal extract scaffold. This scaffold is safe, easy to prepare, inexpensive and effective in the management of post tangential excision raw areas.

Keywords: Tangential excision; Dermal Extract Scaffold. 

 Introduction: Autologous Platelet Rich Plasma (APRP) and its clinical applications have drastically evolved since its first use in an open heart surgery to avoid excessive blood transfusion [8]. It is being widely used in the field of plastic surgery and cosmetic medicine because of its wound healing properties [9,10]. Split skin grafts are mostly commonly performed resurfacing procedures in plastic surgery and it mainly depends on the wound bed for its take. We present a case report of 11year old female with post burn contracture right foot for which contracture release and split skin grafting with APRP application for augmenting the take was performed under GA.

Keywords: APRP; Split Skin Grafts; Post Burn Contracture. 

 Keratosis follicularis spinulosa decalvans (KFSD) is a rare genodermatoses characterized by hyperkeratotic follicular papules on the scalp, with progressive cicatricial alopecia of the scalp, eyelashes, and eyebrows. Ocular involvement with photophobia and keratitis, and dental anomalies may also be seen. Due to the genetic and clinical heterogeneity of similar disorders, a definitive diagnosis of KFSD is often daunting. We report a case series from India of three siblings, including a young girl and her two elder brothers, all of whom had features consistent with KFSD. There morphological heterogeneity and differential diagnosis of the condition is also discussed.

Keywords: Keratosis Pilaris; Follicularis; Keratosis; Alopecia; Cicatricial. 

 Introduction: The skin manifestations of diabetes mellitus (DM) are important, to prevent cutaneous complications, and to detect diabetes based upon the suspicion raised from certain dermatoses. Methods: In this hospital-based, non-interventional, observational study, 250 diabetic patients of either gender were evaluated for cutaneous manifestations of diabetes. Patients were categorized into obese and non-obese, and the percentages of various dermatoses in the study population was calculated and compared with similar Indian published studies. Results: The proportion of men was higher, and the peak incidence of DM with cutaneous manifestation was in 40-70 years of age (72.8%). Of the total cases, 66 (26.4%) were obese. Majority of cutaneous manifestations associated with DM were infections, seen in 110 patients (44%), with fungal infections being most common (65 cases, 26%), followed by bacterial infections (36 cases, 14.4%). Cutaneous markers of metabolic syndrome including acanthosis nigricans, and xanthelasma palebrarum were also seen. Disorders of immune dysregulation such as psoriasis lichen planus alopecia areata, and vitiligo were seen in a substantial number of cases. However, specific diabetesassociated skin disorders were sparingly encountered; necrobiosis lipoidica diabeticorum, and sclerederma diabeticorum were not seen. Diabetic foot ulcers were seen in 13 cases (5.2%). Conclusion: In view of the high incidence of cutaneous infections in diabetics, they must be closely monitored for the same for early treatment. The association of psoriasis, lichen planus, vitiligo, alopecia areata etc. can be explained on the common pathogenetic involvement of a dysregulated immunity. Complications like foot ulcers are common and need early intervention.

Keywords: Cutaneous; Skin; Diabetes; Infections; Ulcer. 

 Management of burn patients is a challenging task because of involvement of multiple systems and high risk of complications. Acute major burns presents with significant physiological and metabolic changes and are associated with high risk of sudden, multiple organ failure. Early, timely and appropriate management of altered physiology based on intensive monitoring findings can significantly reduce burn morbidity and mortality. Another serious threat to these patients is burn wound infection due to compromised immunity, associated co morbidities, extreme ages, cross infection from patients or care givers, inappropriate infection control protocols etc. Hence effective intensive monitoring and simultaneously not breaching the barrier nursing practice can reduce burn related complications and improve outcomes. Usually for burn monitoring nursing staff or doctors comes frequently in contact with the patients, which increases chances of cross infection. Here with this article we would like to share the role of PTZ-IP camera as an effective technique in burn monitoring.

Keywords: Burn; Monitoring; PTZ-IP Camera.