: Viral infections can be diagnosed and treated accordingly. Atypical presentation or sometimes presenting with other dermatological condition can be difficult for diagnosis. Dermoscopy provide rapid diagnostic aid for diagnosis. To evaluate dermoscopic patterns in viral infections. This study was conducted in dermatology department in tertiary hospital. Ethical clearance and informed consent was obtained. Patients with viral infection were subjected to dermoscopy. DermLite4 with 10x magnification, attached to a smartphone was employed for dermoscopy. 106 patients were enrolled. Dermoscopy of Pityriasis rosea (n=10, 9.43%) showed brown dots and red dots in patients (100%). Light pink back ground in 80% patients. Molluscum (n=9, 8.49%) showed whitish structure in poly lobulated pattern (40%). In chicken pox (n=08. 7.54%), erythematous background (100%) and brown dots (100%). All the warts (n=48, 45.28%) showed red or blackish red dots (100%). Grouped red dots with white halo, finger-like projection with hairpin vessel surrounding white halo, knob like structure with hairpin like vessels were observed in common, filiform, genital warts respectively. Black dots in plantar and periungual warts. In herpes labialis (n=10, 9.43%) 3 zones, centre brown pigmentation, white colour and peripheral erythema. Cloudy white polyglobular structure with central brown dots in Herpes Zoster (n=8, 7.43%). Yellowish/brown pigmentation, brown dots, brown globules and crusting in Hand Foot Mouth Disease (n=5, 4.71%). Bluish globules and whitish area in Orf nodule (n=1, 0.94%). Dermoscopy is gaining importance in the realm of dermatology. In this study, dermoscopic patterns in viral infections were correlated clinically.

Objective: to describe the impact of COVID-19 on the management of patients with ectopic pregnancy. Design: a multicentre study comparing outcomes from a prospective cohort during the pandemic [Covid-ectopic pregnancy registry (CEPR)] compared to an historical pre-pandemic cohort [non-Covid ectopic pregnancy registry (NCEPR)]. Setting: five London university hospitals. Population and Methods: consecutive patients diagnosed clinically and/or radiologically with ectopic pregnancy (March/2020-Aug/2020) were entered into the CEPR and an exploratory matched analysis was performed comparing results to NCEPR patients (January/2019-June/2019). Main outcome measures: patient demographics, management (expectant, medical and surgical), length of treatment, number of hospital visits (non-surgical management), length of stay (surgical management) and 30-day complications. Results: 341 patients met inclusion: 162 CEPR and 179 NCEPR. A significantly higher percentage of women underwent non-surgical management versus surgical management in the CEPR versus NCEPR (58.6% [95/162] vs 72.6% [130/179]; p= 0.0084]. Amongst patients managed with expectant management the CEPR had a significantly lower mean number of hospital visits compared to NCEPR [3.6 [SD 1.4] vs 13.7 [SD 13.4], p= 0.0053]. Amongst patients managed with medical management, the CEPR had a significantly lower mean number of hospital visits [NCEPR 6.4 [SD 2.3] vs 8.8 [SD 3.9], p= 0.0014]. There was no observed difference in complication rates between cohorts. Conclusion: women were found to undergo significantly higher rates of non-surgical management during COVID-19 first wave vs NCEPR cohort. Women managed non-surgically in CPER cohort were also managed with fewer hospital attendances. This did not lead to an increase in observed complications rates.