DOI: http://dx.doi.org/10.3126/njdvl.v11i1.7935 Nepal Journal of Dermatology, Venereology & Leprology Vol.11(1) 2013 pp.49-58

We report a case of chondroid syringoma (CS) in a 44-year-old male. He presented with a firm asymptomatic nodule in his left upper lip of 2-year duration. The initial clue to the diagnosis was made on fine needle aspiration cytology (FNAC), and a final diagnosis was based on histopathological examination. The case highlights the importance of FNAC in providing clues to the diagnosis of suspected cases of chondroid syringoma before performing large excisions and repair, which would require more skill and time. We have also reviewed the cytological findings of all the cases of benign CS reported until the current date.

Apocrine skin carcinoma is an aggressive cutaneous tumour. We report a case of apocrine carcinoma developing in a naevus sebaceous of scalp in a 45 years old male. Malignant transformation of Naevus sebaceous is a rare complication usually found in elderly patients. Most of these tumours are basal cell carcinoma or squamous cell carcinoma. Only few cases of apocrine carcinoma on naevus sebaceous have been previously reported. This report highlights the potential of naevus sebaceous for malignant transformation. Kathmandu University Medical Journal | Vol.10 | No. 2 | Issue 38 | Apr – June 2012 | Page 103-105 DOI: http://dx.doi.org/10.3126/kumj.v10i2.7356

Introduction Inpatient dermatology has been described only in few countries. Characteristics of inpatient might be important in the evaluation of its usefulness and best use of dermatological beds for the care of the patient ObjectivesTo describe inpatient activity in dermatology department of TU teaching hospital, Kathmandu, Nepal. MethodsThis was cross-sectional retrospective study in a single hospital. All patients admitted from (15 th April 2008 to 14 th April 2012) in the dermatological ward were taken from the admission and discharge record of the department. The data was analysed for the number of admissions, demographic profile of patients, clinical diagnosis, readmission rates, length of hospital stay and outcome ResultsThere were a total of 505 admissions in a four years period. Out of this 283(56%) were new admissions and 222(44%) were readmissions. The most common diagnosis among new admissions was drug reaction (21.6%), followed by immunobullous diseases (14.5%) and connective tissue diseases (14.1%). The other most common reasons for admissions were infections, erythroderma, eczema, erythema multiforme, urticaria and vasculitis. The mean length of stay in the hospital was 6.83 ± 6.150 days. Out of 505 admissions there were 487(96.4%) discharges after improvement, 12(2.4%) cases were transferred to other wards and ICU for management. There were 4(0.8%) mortalities in this 4 years period. ConclusionImmunobullous diseases, connective tissue diseases, drug reactions, infections, erythroderma, eczema, psoriasis, erythema multiforme, urticaria and vasculitis were the top 10 conditions for the admission. Policy makers could take these data as evidence to allocate beds for Dermatological patients for better management of these subsets of patients.

Introduction:The patterns of positive patch test in Nepal have not been defined so far. The aim of this study was to describe the patterns of patch test reactivity in suspected Allergic Contact Dermatitis (ACD) patients. Methods: This was a hospital based retrospective study performed to investigate patch test reactivity in patients with ACD from April, 2016 through October, 2016. The data of patients who underwent patch test during this period were extracted and analyzed. Results: A total of 35 patients were included in the study. Nineteen (54.3%) tested positive to either one or more allergens. Among them, 17 (89.4%) reacted positively to a single allergen. The following patterns of positives were seen: nickel sulfate, 5 (26.3%), fragrance mix 3 (15.7%), and parthenium 3 (15.7%). Cobalt sulfate, formaldehyde, potassium dichromate, benzocaine, nitrofurazone, chlorocresol each was positive in single patient. Majority of the patients were housewives (22.6%) followed by students and officers (13% each), farmers (10%), health care workers (9.7%), wet work (6.5%) and others (20). Less than half (45%) of the hand eczema showed positive patch test. Similarly,40% of the patient of scattered generalized dermatitis showed reactivity to parthenium, nickel sulfate and multiple antigens. Conclusions: The most common allergens identified were nickel sulfate, fragrance mix and parthenium. Since, there is no well defined contact allergen in the Nepalese community, so patch test kits developed elsewhere might not have been beneficial and calls for need of large scale investigation to identify the local allergens.