<p><strong>Background:</strong> Pediatric dermatoses are emerging distinct entities. The exact prevalence and pattern of dermatoses is not well known in India. This novel study attempts to simultaneously assess the prevalence and distribution of skin dermatoses in hospital and community among children of age 5-16 years in rural Bangalore, India.</p><p><strong>Methods:</strong> A cross sectional prospective descriptive study of one week duration in July 2019 was conducted in east point hospital and Government school in rural Bangalore in the vicinity.</p><p><strong>Results:</strong> The study had a total of 119 children, 72 from the hospital and 47 from the school with prevalence of dermatoses being 33.8% and 70% respectively (p<0.00001). Primary school children were most commonly affected. Non-infectious dermatoses were most common, more so in school with eczematous lesions predominating. Bacterial infectious dermatoses were found more frequently in hospital children, while parasitic infestations were encountered commonly in school. </p><p><strong>Conclusions:</strong> Pediatric dermatosis seems to be widely prevalent in India. Children visiting hospitals constitute only the tip of the iceberg present in the community.</p>
We describe a case where a secondary traumatic hematoma in a pre-existing palmoplantar wart of the sole was presenting a diagnostic dilemma where it simulated an acral lentiginous melanoma and was managed successfully with wide excision and local skin flap.
Central neuraxial blocked is one of the safest and efficacious methods of anaesthesia and analgesia. It has the added advantage of prolonged pain relief into the postoperative period. Epidural analgesia has increased steadily in popularity when compared to spinal anaesthesia due to its neurological consequences and improved post-operative analgesia with epidural Opioids and as a consequence decreased side effects and prolonged the duration of analgesia. Present study is undertaken to compare hemodynamic and analgesic characteristics using a 0.75% ropivacaine to a conventional dose of 0.5% bupivacaine for cesarean section under epidural anaesthesia. This study was conducted in ASA Grade I 50 singleton parturient to compare hemodynamics, APGAR scores and analgesic characteristics of ropivacaine and bupivacaine. We have observed that the onset of sensory blockade was slower with ropivacaine and the duration of sensory blockade was also less. Whereas there was no significant change in haemodynamics and APGAR scores with both the drugs.
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