Inpatient Dermatology: Characteristics of Patients and Admissions in a Tertiary Level Hospital in Eastern India.

Abstract:

INTRODUCTION:Dermatology is primarily a non-acute, outpatient-centered clinical specialty, but substantial number of patients need indoor admission for adequate management. Over the years, the need for inpatient facilities in Dermatology has grown manifold; however, these facilities are available only in some tertiary centers. AIMS AND OBJECTIVES:To analyze the characteristics of the diseases and outcomes of patients admitted in the dermatology inpatient Department of a tertiary care facility in eastern India. MATERIALS AND METHODS:We undertook a retrospective analysis of the admission and discharge records of all patients, collected from the medical records department, admitted to our indoor facility from 2011 to 2014. The data thus obtained was statistically analyzed with special emphasis on the patient's demographic profile, clinical diagnosis, final outcome, and duration of stay. RESULTS AND ANALYSIS:A total of 375 patients were admitted to our indoor facility during the period. Males outnumbered females, with the median age in the 5th decade. Immunobullous disorders (91 patients, 24.27%) were the most frequent reason for admissions, followed by various causes of erythroderma (80 patients, 21.33%) and infective disorders (73 patients, 19.47%). Other notable causes included cutaneous adverse drug reactions, psoriasis, vasculitis, and connective tissue diseases. The mean duration of hospital stay was 22.2±15.7 days; ranging from 1 to 164 days. Majority of patients (312, 83.2%) improved after hospitalization; while 29 (7.73%) patients died from their illness. About 133 patients (35.64%) required referral services during their stay, while 8 patients (2.13%) were transferred to other departments for suitable management. CONCLUSION:Many dermatoses require inpatient care for their optimum management. Dermatology inpatient services should be expanded in India to cater for the large number of cases with potentially highly severe dermatoses.

journal_name

Indian J Dermatol

authors

Sen A,Chowdhury S,Poddar I,Bandyopadhyay D

doi

10.4103/0019-5154.190104

subject

Has Abstract

pub_date

2016-09-01 00:00:00

pages

561-4

issue

5

eissn

0019-5154

issn

1998-3611

pii

IJD-61-561

journal_volume

61

pub_type

杂志文章
  • Progressive and extensive ulcerations in a girl since 4 months of age: the difficulty in diagnosis of pyoderma gangrenosum.

    abstract::A female child developed multiple, progressive, therapy-resistant, painful large ulcers, vesicles, and pustules since her 4 months of age. The ulcers were large, some even measured more than 8 cm; most had violaceous undermined margin with surrounding erythematous halo, raw and crusted surface and were distributed ext...

    journal_title:Indian journal of dermatology

    pub_type: 杂志文章

    doi:10.4103/0019-5154.92678

    authors: Sarma N,Bandyopadhyay SK,Boler AK,Barman M

    更新日期:2012-01-01 00:00:00

  • POEMS Syndrome with Extensive Calciphylaxis: A Case Report and Literature Review.

    abstract::POEMS syndrome, a paraneoplastic disorder, caused by plasma cell dyscrasia, is characterized by polyneuropathy, organomegaly, endocrinopathy, M-protein, and skin changes. Calciphylaxis is a vasculopathy of subcutaneous arteries with calcification and skin ulceration, most commonly associated with end-stage renal disea...

    journal_title:Indian journal of dermatology

    pub_type:

    doi:10.4103/ijd.IJD_492_18

    authors: Liu CH,Chen YC,Chen TY,Huang HW,Lee JY

    更新日期:2020-11-01 00:00:00

  • Eccrine poroma on the face: an atypical presentation.

    abstract::An eccrine poroma is a solitary tumor arising from the eccrine duct epithelium in the epidermis. The lesions commonly occur on the sole of the foot, the hands, and occasionally on the nose, eyelids, neck, and chest. We report a patient who presented with a slow-growing nodular lesion over her left cheek, prompting a d...

    journal_title:Indian journal of dermatology

    pub_type: 杂志文章

    doi:10.4103/0019-5154.123515

    authors: Mahajan RS,Parikh AA,Chhajlani NP,Bilimoria FE

    更新日期:2014-01-01 00:00:00

  • The Evaluation of Endothelin-1 and Endothelin Receptor Type A Gene Polymorphisms in Patients with Vitiligo.

    abstract:BACKGROUND:Endothelin-1 (EDN1) and EDN receptor type A (EDNRA) are implicated in melanocyte functions. AIM AND OBJECTIVES:This study examines the role of EDN1 (G5665T and T-1370G) and EDNRA (C + 70G and G-231A) polymorphisms as a risk factor for vitiligo, and evaluates the relationship between genotypes and clinical c...

    journal_title:Indian journal of dermatology

    pub_type: 杂志文章

    doi:10.4103/0019-5154.174076

    authors: Bingül İ,Aydıngöz İE,Vural P,Doğru-Abbasoğlu S,Uysal M

    更新日期:2016-01-01 00:00:00

  • Electrophysiological Study of Nerves in Type-II Reaction in Leprosy.

    abstract:Background:Leprosy is a chronic granulomatous infection primarily affecting the peripheral nervous system, skin and reticuloendothelial system. Cutaneous nerves are severely affected in lepra reaction and this leads to morbidity. Objective:To study electrophysiological pattern of different nerves involved in Type-II r...

    journal_title:Indian journal of dermatology

    pub_type: 杂志文章

    doi:10.4103/ijd.IJD_38_17

    authors: Singh SK,Gupta SK,Mukhija RD,Thacker AK

    更新日期:2017-11-01 00:00:00

  • Summer-Associated Dermatitis: A Cross-Sectional Study of a Unique Eczematous Dermatosis in South India.

    abstract:Background:In our hospital setup located in the tropical zone, during each summer, we frequently come across a unique eczematous dermatosis among elderly females that typically occur in summer. Aims and Objectives:We carried out this study with the objective of studying the demographic and clinical features of this de...

    journal_title:Indian journal of dermatology

    pub_type: 杂志文章

    doi:10.4103/ijd.IJD_668_16

    authors: Rajesh G,Rafeek M,Karthikeyan K

    更新日期:2019-03-01 00:00:00

  • Immunohistochemistry: relevance in dermatology.

    abstract::Use of immunohistochemical technique is increasing in diagnosing various diseases. In many situations it may not be possible to differentiate entities with overlapping clinical and histopathological features. Immunostaining of cellular antigens is immensely helpful in such cases. Immunohistochemistry (IHC) has also be...

    journal_title:Indian journal of dermatology

    pub_type: 杂志文章

    doi:10.4103/0019-5154.91818

    authors: Palit A,Inamadar AC

    更新日期:2011-11-01 00:00:00

  • Nonfamilial Multiple Trichoepithelioma: Few and Far Between.

    abstract::Trichoepithelioma is a rare benign adnexal tumor which may be of solitary nonfamilial type or multiple familial trichoepitheliomas. Here, we describe a rare presentation of nonfamilial case of trichoepithelioma in a 50-year-old female with multiple skin colored facial papules and nodules over the face, upper back, and...

    journal_title:Indian journal of dermatology

    pub_type: 杂志文章

    doi:10.4103/0019-5154.174030

    authors: Sehrawat M,Jairath V,Jain VK

    更新日期:2016-01-01 00:00:00

  • Erythema Dyschromicum Perstans: Response to Topical Tacrolimus.

    abstract:BACKGROUND:Erythema dyschromicum perstans, a rare dermatosis of obscure etiopathogenesis and significant cosmetic morbidity, have no satisfactory treatment. OBSERVATIONS:Two patients with having characteristic asymptomatic and slowly progressive, slate-grey macular lesions with distinct red borders involving the face,...

    journal_title:Indian journal of dermatology

    pub_type: 杂志文章

    doi:10.4103/0019-5154.164452

    authors: Mahajan VK,Chauhan PS,Mehta KS,Sharma AL

    更新日期:2015-09-01 00:00:00

  • Nerve growth factor, neuropeptides and cutaneous nerves in atopic dermatitis.

    abstract:INTRODUCTION:Neurogenic components, as neurotrophic factors and neuropeptides, are probably involved in the pathogenesis of atopic dermatitis (AD) with the neuroimmunocutaneous system as they modify the functions of immunoactive cells in the skin. Nerve growth factor (NGF) is the best-characterized member of the neurot...

    journal_title:Indian journal of dermatology

    pub_type: 杂志文章

    doi:10.4103/0019-5154.62735

    authors: Hodeib A,El-Samad ZA,Hanafy H,El-Latief AA,El-Bendary A,Abu-Raya A

    更新日期:2010-04-01 00:00:00

  • Variable response to propranolol therapy for infantile hemangiomas.

    abstract::Since propranolol was accidentally discovered to induce involution of hemangiomas, it is being used by many clinicians with a favourable response. We present our experience with use of propranolol and report three infants with hemangiomas who were treated with propranolol. First infant had a marked involution of the l...

    journal_title:Indian journal of dermatology

    pub_type: 杂志文章

    doi:10.4103/0019-5154.94281

    authors: Jain V,Roychoudhury S,Chadha R,Puri A

    更新日期:2012-03-01 00:00:00

  • Dermatitis neglecta -- a dirty dermatosis: report of three cases.

    abstract::Dermatitis neglecta is a condition that results from inadequate frictional cleansing leading to accumulation of corneocytes, sebum and sweat ultimately resulting in hyper-pigmented patch or verrucous plaque. Recognizing this condition avoids unnecessary, aggressive diagnostic and therapeutic procedures. Here we report...

    journal_title:Indian journal of dermatology

    pub_type: 杂志文章

    doi:10.4103/0019-5154.152525

    authors: Saha A,Seth J,Sharma A,Biswas D

    更新日期:2015-03-01 00:00:00

  • Disseminated cysticercosis with huge muscle hypertrophy.

    abstract::Cysticercosis is caused by cysticercus cellulose, which is the larva of Taenia solium, the pork tapeworm. The larvae are carried in the blood stream after penetrating the walls of the alimentary tract and they lodge in different tissues like the skin, skeletal muscles, brain, fundus and heart, to cause disseminated cy...

    journal_title:Indian journal of dermatology

    pub_type: 杂志文章

    doi:10.4103/0019-5154.48987

    authors: Bandyopadhyay D,Sen S

    更新日期:2009-01-01 00:00:00

  • Under-reported Finding in Acral Erythema Multiforme.

    abstract::Erythema multiforme is an acute muco-cutaneous hypersensitivity reaction with a variety of etiologies. It is characterized by a skin eruption, with or without oral or other mucous membrane lesions. General characteristics and treatmet have been described, but nail findings are rarely reported Here we present a 26-year...

    journal_title:Indian journal of dermatology

    pub_type: 杂志文章

    doi:10.4103/0019-5154.169157

    authors: Peña-Romero AG,Domínguez-Cherit J,Guzmán-Abrego AC

    更新日期:2015-11-01 00:00:00

  • Decreased vitamin B12 and folic Acid concentrations in acne patients after isotretinoin therapy: a controlled study.

    abstract:BACKGROUND:Oral isotretinoin treatment might influence the levels of vitamin B12 and folic acid. AIMS AND OBJECTIVES:The aim of this study is to compare vitamin B12 and folic acid levels in patients with moderate and severe acne vulgaris with those of the healthy control group and to investigate the effect of isotreti...

    journal_title:Indian journal of dermatology

    pub_type: 杂志文章

    doi:10.4103/0019-5154.143533

    authors: Gökalp H,Bulur I,Gürer M

    更新日期:2014-11-01 00:00:00

  • Acrokeratosis verruciformis of hopf along lines of blaschko.

    abstract::Acrokeratosis verruciformis of Hopf (AKV) is a rare genodermatosis presenting as multiple plane wart-like lesions symmetrically distributed on dorsum of hands and feet. Its pathogenesis is unknown. A case of 24 years old female is described with multiple hyperpigmented, hyperkeratotic papules on the left side of body ...

    journal_title:Indian journal of dermatology

    pub_type: 杂志文章

    doi:10.4103/0019-5154.117324

    authors: Nair PA

    更新日期:2013-09-01 00:00:00

  • Methodology Series Module 1: Cohort Studies.

    abstract::Cohort design is a type of nonexperimental or observational study design. In a cohort study, the participants do not have the outcome of interest to begin with. They are selected based on the exposure status of the individual. They are then followed over time to evaluate for the occurrence of the outcome of interest. ...

    journal_title:Indian journal of dermatology

    pub_type: 杂志文章

    doi:10.4103/0019-5154.174011

    authors: Setia MS

    更新日期:2016-01-01 00:00:00

  • Kindler'S syndrome: a case series of three Indian children.

    abstract::Kindler's syndrome is a very rare genodermatosis characterized by acral blistering starting in infancy, photosensitivity, progressive poikiloderma, cutaneous atrophy, and various forms of mucosal involvement. A large number of other cutaneous and extracutaneous features have also been described. We report here three c...

    journal_title:Indian journal of dermatology

    pub_type: 杂志文章

    doi:10.4103/0019-5154.74568

    authors: Ghosh SK,Bandyopadhyay D,Das J,Chatterjee G,Sarkar S

    更新日期:2010-10-01 00:00:00

  • Genital Ulcerative Pyoderma Gangrenosum in Behçet's Disease: A Case Report and Review of the Literature.

    abstract::Behçet's disease (BD), first described by Hulusi Behcet, is a multisystemic disease characterized by recurrent oral and genital ulcerations, ocular and cutaneous lesions, arthritis and vascular disease. Pyoderma gangrenosum (PG) is a rare, chronic, sterile pustular and progressive ulcerative process of unknown cause; ...

    journal_title:Indian journal of dermatology

    pub_type: 杂志文章

    doi:10.4103/0019-5154.147866

    authors: Ozuguz P,Kacar SD,Manav V,Karaca S,Aktepe F,Ulu S

    更新日期:2015-01-01 00:00:00

  • Chicken pox in pregnancy : an obstetric concern.

    abstract::Chicken pox is a common viral infection presenting with fever and discrete vesicular lesions. This infection can be widely detected in developing countries, especially for those tropical countries. The pregnant can get chicken pox, and this becomes an important obstetrical concern. In this specific paper, the author h...

    journal_title:Indian journal of dermatology

    pub_type: 杂志文章

    doi:10.4103/0019-5154.74527

    authors: Wiwanitkit V

    更新日期:2010-10-01 00:00:00

  • Cowden Syndrome: Case Report, Update and Proposed Diagnostic and Surveillance Routines.

    abstract::Cowden syndrome (CS) is an infrequent autosomal dominant multisystem genodermatosis, generally involving the skin, oral mucosa, thyroid, breast and gastrointestinal tract. It is characterized by a late onset in the 2(nd) or 3(rd) decade of life, an extraordinary potential for malignant transformation, especially of br...

    journal_title:Indian journal of dermatology

    pub_type: 杂志文章

    doi:10.4103/0019-5154.156360

    authors: Molvi M,Sharma YK,Dash K

    更新日期:2015-05-01 00:00:00

  • Clothing-related Eponyms and Signs.

    abstract::The world of dermatology is pieced together by clinical conditions unique in their colors, morphology, and configuration. Dermatological signs and terms are influenced by etymology, language, and history. Eponyms also make dermatology a fascinating but linguistically challenging subject. This article reviews dermatolo...

    journal_title:Indian journal of dermatology

    pub_type: 杂志文章

    doi:10.4103/0019-5154.177799

    authors: Long V

    更新日期:2016-03-01 00:00:00

  • Adult Onset Langerhans Cell Histiocytosis Limited to the Skin.

    abstract::Langerhans cell histiocytosis (LCH) is a proliferative disease commonly seen in the pediatric population but rarely encountered in the adult population. The exact etiology remains unclear. It has various clinical features and is very likely to be misdiagnosed. Histopathology and immunohistochemistry are very important...

    journal_title:Indian journal of dermatology

    pub_type:

    doi:10.4103/ijd.IJD_504_18

    authors: Gurung I,Gao Y,Han K,Peng XB

    更新日期:2019-09-01 00:00:00

  • Propionibacterium acnes and the Th1/Th17 Axis, Implications in Acne Pathogenesis and Treatment.

    abstract::Acne vulgaris is one of the most commonly seen conditions and the immunological link is a topic of active research. Recently, the Th17 pathway has been found to play a pivotal role in acne. The adaptive immune response toward Propionibacterium acnes leads to activation of Th17 axis. Consequently, the Th17 cytokines (I...

    journal_title:Indian journal of dermatology

    pub_type: 杂志文章

    doi:10.4103/ijd.IJD_483_16

    authors: Sardana K,Verma G

    更新日期:2017-07-01 00:00:00

  • A Study of Risk Factors of Chronic Venous Insufficiency and its Association with Features Suggestive of Preceding or Present Deep Venous Thrombosis.

    abstract:Background:Deep venous thrombosis (DVT), even though resolved, may damage the valves and may lead to chronic venous insufficiency (CVI). We designed the present study to examine the thrombotic markers or other ultrasound features in the absence of active thrombosis in patients presenting with features suggestive of CVI...

    journal_title:Indian journal of dermatology

    pub_type: 杂志文章

    doi:10.4103/ijd.IJD_271_18

    authors: Malkani RH,Karia R,Thadani S

    更新日期:2019-09-01 00:00:00

  • Aquagenic keratoderma treated with tap water iontophoresis.

    abstract::Aquagenic keratoderma (AK) is a rare acquired skin condition characterized by recurrent and transient white papules and plaques associated with a burning sensation, pain, pruritus and/or hyperhidrosis on the palms and more rarely, soles triggered by sweat or contact with water. Often AK cause significant discomfort, t...

    journal_title:Indian journal of dermatology

    pub_type: 杂志文章

    doi:10.4103/0019-5154.152568

    authors: Errichetti E,Piccirillo A

    更新日期:2015-03-01 00:00:00

  • Increased Plasma Levels of S100A8, S100A9, and S100A12 in Chronic Spontaneous Urticaria.

    abstract:Background:Chronic spontaneous urticaria (CSU) is a skin disorder with an important immunologic profile. S100A8, S100A9, and S100A12 are the members of S100 family that have been reported to play important role in autoimmune diseases, but the characteristics of these three S100 members have not been defined in CSU. Ai...

    journal_title:Indian journal of dermatology

    pub_type: 杂志文章

    doi:10.4103/ijd.IJD_375_18

    authors: Zhou QY,Lin W,Zhu XX,Xu SL,Ying MX,Shi L,Lin BJ

    更新日期:2019-11-01 00:00:00

  • Tuberculosis verrucosa cutis (a case report).

    abstract::A case of tuberculosis verrucosa cutis in an unusual site is being reported. The patient had presented with recurrence of a perianal growth which had been excised in the past. A histopathological study done during the recurrence confirmed tuberculosis. The patient's chest X-ray showed pulmonary tuberculosis, though he...

    journal_title:Indian journal of dermatology

    pub_type: 杂志文章

    doi:

    authors: Sayal SK,Falleiro JJ,Motwani H,Rao VS

    更新日期:1989-03-01 00:00:00

  • Comparative evaluation of long pulse Alexandrite laser and intense pulsed light systems for pseudofolliculitis barbae treatment with one year of follow up.

    abstract:BACKGROUND:Existing remedies for controlling pseudofolliculitis barbae (PFB) are sometimes helpful; however the positive effects are often short lived. The only definitive cure for PFB is permanent removal of the hair follicle. AIMS:Our aim was to compare the efficacy of the Alexandrite laser with the intense pulsed l...

    journal_title:Indian journal of dermatology

    pub_type: 杂志文章

    doi:10.4103/0019-5154.57615

    authors: Leheta TM

    更新日期:2009-01-01 00:00:00

  • Idiopathic calcinosis cutis of the vulva.

    abstract:BACKGROUND:In the present study, calcinosis cutis (CC) is defined as the deposition of amorphous calcium and phosphate salts under epidermis and it may be caused by a pre-existing event such as extravasation injury or hypercalcemic conditions. Idiopathic CC cases have no underlying disease or pre-existing cause. AIM:A...

    journal_title:Indian journal of dermatology

    pub_type: 杂志文章

    doi:10.4103/0019-5154.119960

    authors: Coban YK,Aytekin AH,Aydin EN

    更新日期:2013-11-01 00:00:00