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Leprosy and Eye Injuries

Aim: To study the prevalence of eye injuries in leprosy and normal patients. Methods: This is an observational study conducted in 200 members, of which 100 leprosy patients were taken as cohort and 100 healthy normal individuals were taken as controls in a village Kumrudih over the period from June 2017 – June 2018. After taking consent detailed medical history was taken from each individual and clinical eye examination was done and findings were recorded. Results: Out of 100 leprosy patients 8 had trauma to eye, 20 had corneal foreign body, 20 had corneal ulcer had undergone delayed treatment as they were unaware of injuries mostly so visual outcome was worse. Out of 100 healthy controls 2 had history of trauma to eye, 6 had corneal foreign body, 4 had corneal ulcer had undergone early treatment and visual outcome was good. Conclusion: Leprosy patients are more prone to eye injuries than healthy normal individuals. So early diagnosis and early intervention prevents the poor visual ...
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Vulvar Dermatoses in Libyan Adult Patients

Vulvar dermatoses are common problems in women and they are associated with significant morbidity. Their frequency and importance are often underestimated. In a prospective study we evaluated 200 adult females presenting vulvar symptoms and determined the spectrum and frequency of vulvar dermatoses in a Libyan population. Mean age was 38 years, 90% was married and 5% was pregnant ladies. The commonest condition was vulvovaginal candidiasis (22%) followed by genital warts (19%), bacterial infections (15%) contact dermatitis (11%), lichen simplex chronicus (8%) and other conditions. This study provided important data on the spectrum of vulvar dermatoses in Libyan adult patients and to the best of our knowledge it is the first study carried out on vulvar dermatoses in Libya. Go through the below link for full article https://medwinpublishers.com/CDOAJ/CDOAJ16000168.pdf
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Effect of Systemic Isotretinoin Treatment on Melasma: A Case Study and Literature Review

Melasma is a commonly acquired hyper-melanotic condition characterized by brown to grey colored irregular macules and patches on sun-exposed surfaces of the skin, most commonly on the malar prominence and forehead. It is most common in females, generally of childbearing age, and especially prominent in darker skinned individuals, particularly those of Asian descent. Chronic ultraviolet (UV) light exposure, genetic factors and reproductive hormones are generally accepted to be contributing factors to this process, however the exact pathogenesis has not been fully elucidated. The current gold standard in melasma treatment is lightening cream containing hydroquinone (HQ). Tretinoin can be added to increase efficacy, and the combination of both agents plus a topical corticosteroid is the most effective regimen currently available. Overuse can lead to fixed erythema and telangiectasias, acneiform eruptions and hypertrichosis. Other treatment options with minimal to moderate efficacy includ...
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Rowell Syndrome Presenting as Stevens - Johnson Syndrome / Toxic Epidermal Necrolysis

Stevens-Johnson syndrome and toxic epidermal necrolysis are severe forms of cutaneous adverse drug reaction often due to medication. Rarely these cutaneous manifestations can be the firstpresentation of systemic lupus erythematosus and more rarely in its Rowell Syndrome form. We report a case of a 32-year-old patient who had a clinical presentation of TEN toxidermia and based on several clinical and biological criteria, the diagnosis of Rowell syndrome was established with adequate management of the patient. Kindly go through the link for full article https://medwinpublishers.com/CDOAJ/CDOAJ16000181.pdf
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Psoriasis

It's new for all. We are just one trial away to cure psoriasis. Human body jaws can move left to right then no reaction of body. If Jaws move turn right to body suffer psoriasis. In any accidental cause when Jaws turn right to left then trigeminal nerves and it branches stretch. Trigeminal nerves pull bones and other skin layer of body, because of this process back bone, spine misalign it cause Inflammation, depression, soreness, anxiety all as a result of psoriasis. Kindly go through the link for full article https://medwinpublishers.com/CDOAJ/CDOAJ16000180.pdf  
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Removing the Invisible Barrier to Medical Resources for Individuals with Leprous Histories: Report from a Communitybased Clinic in Japan

Japan has long had a Leprosy Prevention Law. The experience of compulsory segregation often damaged patients’ selfesteem, causing most to break off their family relations. Even after their disease was cured, individuals with a history of leprosy were made to live in a restricted society. When sick, these individuals often don’t want to visit a clinic because they fear disclosure of their leprous history. We set up our clinic to serve as a gateway to medical resources for these individuals, through collaboration with medical social workers. We have several medical specialists, one of whom has many years of experience in working with patients with leprosy. Our clinic actively manages 54 patients, with 2 deaths to date. The average age of the 52 living patients is 78.4 (62–99) years old. Majority of the patients had lepromatous leprosy (LL), followed by borderline leprosy. The disability rates for upper- and lower-extremities and lateral part of the eyes are very high. Patient’s biggest ...
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Socio-Demographic Profile of HIV-Positive Mothers under the B + Option Followed by Mother-To-Child Transmission Prevention Sites in Bangui City, Central African Republic

Introduction: According to the data of the mother-to-child transmission program with the B + option in 2015, only 28% of HIV-positive pregnant women benefited from an antiretroviral (ARV) intervention to reduce the risk of mother-tochild Transmission. The aim of this work was to study the demographic profile of HIV-positive mothers under the B + option in the sites of Bangui. Material and Methods: This was a cross-sectional, retrospective, descriptive study, from January 1st to December 31, 2017 in five sites for the prevention of mother-to-child transmission in the city of Bangui in the Central African Republic. The study population consisted of all HIV-positive pregnant women followed under the B + option during the year 2017 and meeting the criteria defined during the period of our study. Results: A total of 293 HIV-positive pregnant women have been identified. The average age was 30 years with extremes of 17 and 43 years. The 25 – 35 year-old pregnants were the most affected, eith...
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