<p class="abstract"><strong>Background:</strong> Medical students are more prone to self-medication because of background knowledge and easy availability of medication. Dermatological disorders are affecting quality of life in adolescent and can motivate self-medication behaviour. The objective of the study was to study the prevalence and patterns of self-medication for skin conditions in among medical students.</p><p class="abstract"><strong>Methods:</strong> A cross-sectional questionnaire based study was carried out in medical students in western India. A self-administered questionnaire included information on socio-demographic details, general aspects of self-medication behaviour like used for which disease, drugs used, source of knowledge, reason for use etc. and analyzed.<strong></strong></p><p class="abstract"><strong>Results:</strong> Self-medication was prevalent in 90.09% participants for skin conditions. Mean age of participants was 20.35±1.23 years with male predominance. Most common skin conditions/symptoms for self-medication were acne (82.46%), sun tan (52.11%) followed by superficial fungal infections while common hair conditions were hair fall (80.10%) and dandruff (57.07%). The most commonly used drugs for self-medication were topical antifungal drugs (96.07%), sunscreen lotions (91.10%) and topical antimicrobials (80.10%). Most common source of information for self-medication was medical staff and seniors (92.67%) followed by internet (81.15%). Most common reasons for favoring self-medication were perceived the illness as minor/non-serious (62.83%) and time constraint (26.70%). 3.14% participants reported to have some adverse events with the drugs used by self-medication.</p><p class="abstract"><strong>Conclusions:</strong> Prevalence of self-medication for dermatological disorders was alarming high. Self-medication practices are highest for acne, superficial fungal infections, hair fall and dandruff. Proper training of medical undergraduates in diagnosis and treatment of dermatological problems with special emphasis on drug usage aspects are needed.</p>
Lipoid proteinosis is a very rare autosomal recessive disorder characterized by deposition of hyaline material in the skin and the upper aerodigestive tract. Hoarseness of voice occurs very early in life and airway obstruction may occur. Characteristic skin lesions include multiple brown atrophic scars over face and distal extremities, beaded papules over the margins of the eyelids and verrucous nodules over the friction bearing areas (elbows, knees). The overall prognosis is good. There is no definitive treatment.
Palmoplantarkeratodermas (PPKs) are a heterogeneous group of hereditary and acquired disorders with underlying gene defects, and characterized by hyperkeratosis of palms and soles with or without other ectodermal and systemic abnormalities. Huriez syndrome is a rare autosomal dominant transgradient type of PPK with high frequency of squamous cell carcinoma in the affected skin. We hereby describe a case of a very rare autosomal dominant PPK in a 40-year-old male patient presenting since birth with PPK extending onto the dorsal aspects of hands and feet with peeling of the skin. The complaints were associated with sclerodactyly, hyperhidrosis, and nail abnormalities. Also superadded dermatophyte infection was observed involving abdomen. No history of loss of any digit. No mucosal, dental, or any systemic involvement was present. No sign of malignancy was noted. Baseline investigations, including ultrasonography of abdomen were normal. Histological findings were nonspecific with only orthohyperkeratosis and acanthosis. Diagnosis was mainly done on clinical grounds. The patient is better with oral retinoids and topical emollients and keratolytics along with antifungal treatment for dermatophyte infection. He is under follow up.
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