Introduction:
The management of psoriasis is a daily challenge for dermatologists as most patients present with varied morphological presentations and exacerbations at every visit. This exerts a heightened responsibility on the dermatologists to tailor their treatments according to each patient.
Aims:
This study was conducted to assess the variation in treatment practices in the management of psoriasis patients among dermatologists of Kerala.
Materials and Methods:
A questionnaire-based survey was conducted among the practicing dermatologists of Kerala, South India.
Conclusions:
At the end of this questionnaire-based study, we concluded that there is a wide variation in the treatment practices among practicing dermatologists of Kerala. Dermatology Life Quality Index (DLQI) is not assessed by majority of dermatologists while planning treatment. Most dermatologists rely on body surface area while planning treatment due to time constraints and did not perform PASI (Psoriasis Area and Severity Index) or PGA (Physician Global Assessment) scoring. Satisfaction and challenges related to current therapies also impact treatment rates. Our dermatologists adhered to their own individual guidelines while treating and expressed a dire need for a unified guideline.
Acquired idiopathic generalized anhidrosis is a rare condition, where the exact pathomechanism is unknown. We report a case of acquired idiopathic generalized anhidrosis in a patient who later developed lichen planus. Here an autoimmune-mediated destruction of sweat glands may be the probable pathomechanism.
The diagnosis and management of atopic dermatitis are often challenging due to the complexity of its etiopathogenesis and the variety of presentation. Atopic dermatitis is one of the very prevalent dermatoses in which drug therapy alone will not suffice. However, it also requires a logical modification of the patient’s dayto-day activities and his microenvironment. For this, the patient has to understand the disease very well, and knowledge regarding the disease, conditions the patient, for the prolonged treatment course. Various nonpharmacological interventions play an important role in achieving this.
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