No abstract
Background: Keratosis pilaris (KP) is cosmetically displeasing and psychologically distressing. Many treatments are being tried, but they have not been very effective. There is a need for the evaluation of newer therapeutic modalities. Aim: Evaluation of efficacy and safety of tacrolimus 0.1% ointment in KP. Methods: A prospective hospital-based interventional study was conducted on 60 KP patients who presented to our outpatient department between January 2017 and June 2018. All patients were advised to apply tacrolimus ointment 0.1% twice daily to the right arm and petrolatum ointment twice daily to the left arm, over a period of 4 weeks. The treated sites were assessed using the investigator's global assessment (IGA) scale and comparing patient satisfaction scores at baseline and at the end of the treatment. Clinical and dermoscopic pictures were taken at baseline and at the end of the treatment. Results: Fifty-one patients completed the study. The IGA mean score was reduced by 0.58 in the tacrolimus group, compared to 0.39 in the petrolatum group. Although there was a statistically significant improvement in each arm, the difference in improvement between the right and left arms was not significant. However, the patient satisfaction score was higher in the tacrolimus group. Dermoscopy showed an improvement in the absence of follicular hyperkeratosis and erythema. Conclusion: Tacrolimus 0.1% ointment is an alternative and safe treatment in the treatment of KP. It has shown moderately higher patient satisfaction as compared to petrolatum and was tolerated well.
Background: Cosmetic procedures are on the rise and practiced by all age groups, especially by teenagers. These procedures enhance the individual appearance and confidence levels, but they are not without side effects. Aims and Objectives: The aim of this study was to evaluate the side effects occurring after various parlor procedures such as facials, threading, waxing, and laser hair reduction. Setting and Design: A prospective study for 12 months in a tertiary hospital. Materials and Methods: Patients attending the department of dermatology at a tertiary care hospital for 12 months (July 2018–June 2019) were evaluated for any skin lesions, developed after one of the above parlor procedures. Detailed history, clinical examination, and correlation with the parlor procedure were noted. Results: A total of 102 patients were found to have dermatoses after various parlor procedures during the 1-year study period (81 F and 21 M). Acneiform eruptions 26 (25.4%), followed by post-waxing folliculitis 17(16.7%), and hyperpigmentation of face 15 (14.7%) were the most common dermatoses. Molluscum contagiosum, verrucae plana, and tinea faciei were observed in 11, 6, and 3 patients, respectively. Conclusion: Side effects are not uncommon after parlor procedures. Awareness of these is necessary and educating the patients is extremely important to avoid these unwanted complications.
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