Scientific Program

Conference Series Ltd invites all the participants across the globe to attend 25th Asia - Pacific Dermatology Conference Osaka, Japan.

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Scientific Program Day 1

Day 1 :

  • Dermatology

Session Introduction

Najlaa Alsubeeh

Medical Intern, College of Medicine, King Saud University,

Title: Treatment Adherence Among Patients with Five Dermatological Diseases and Four Treatment Types - A Cross-Sectional Study
Biography:

Najlaa Alsubeeh is medical intern. I’m 24 years old from King Saud University, Riyadh,Saudi Arabia . I submitted 3 papers in reputed journals. I previously presented poters and oral presentations in many conferences in Saudi Arabia and I got 2 wards for 2  poters.

Abstract:

Purpose : This study aims to compare the mean adherence scores among patients with five dermatological diseases and four treatment types and to identify the associated patient-related factors
Patients and methods : This is a cross-sectional study conducted from January 2019 to August 2019. The questionnaire was distributed among patients attending the outpatient dermatology clinic at King Khalid University Hospital, Riyadh, Saudi Arabia. It included 2330 patients who were over 16 years old and diagnosed with any of the five dermatological diseases (psoriasis, chronic dermatitis, acne vulgaris, hair disorders, and vitiligo). The 12-item Medication Adherence Scale was used to quantify the mean adherence score.
Results: Patients with psoriasis or chronic dermatitis were less adherent to treatments than patients with acne vulgaris, hair growth disorder, or vitiligo. Oral treatment and phototherapy had higher mean adherence scores than injection or topical treatment. High adherence was found in female, single patients; those who did not feel stigmatized from using treatment; those who did not have bad experience with the treatment; those who did not suffer from forgetfulness; those who connected receiving treatment with a habit; those who did not lack treatment responsiveness; those who had an excellent relationship with a dermatologist; and patients with a lesion in an exposed area.
Conclusions: Psoriasis and chronic dermatitis patients had the lowest mean adherence scores. Patient who were on topical medication had the lowest score. The thoughtful consideration of factors associated with high adherence is important for optimal therapeutic outcomes.

Ma. Cristina Georgina T. Paloma

MD, DPDS Dr. Jose N. Rodriguez Memorial Hospital,

Title: A Rare Presentation of CD30 Negative Mycosis Fungoides Mimicking Erythema Nodosum Leprosum in a 68-Year Old Filipino Male
Biography:

Dr. Paloma completed her medical degree from the Ateneo School of Medicine and Public Health. She is a first year dermatology resident at Dr. Jose N. Rodriguez Memorial Hospital. She recently presented her epidemiologic study on Hansen’s Disease at the 20th International Leprosy Congress held in Manila.

Abstract:

Mycosis Fungoides is a type of primary cutaneous lymphoma of T-cell origin. It generally begins as erythematous patches and plaques before progressing to the tumor stage. It can be similar in presentation to a multitude of other cutaneous conditions making it difficult to diagnose early in the course. Multiple biopsies are often needed before a definite diagnosis can be reached. A 68-year old male presented with a 13-year history of multiple erythematous patches and plaques on the arms and trunk. Lesions were pruritic and chronically relapsing over the years, temporarily relieved by topical corticosteroids. Thereafter, there was onset of multiple nodules on the trunk, extremities and face. Biopsy was done which revealed Hansen’s Disease, Borderline spectrum. Despite being treated for Hansen’s Disease for seven months, lesions continued to worsen, eventually developing spontaneous ulcerations over the trunk and extremities. Impression during this time was Erythema Nodosum Leprosum. Another biopsy was done which revealed Cutaneous T-Cell Lymphoma. Immunohistochemistry was done for confirmation of diagnosis: CD3 positive on diffuse stain, CD20 positive on focal stain, and CD30 negative. Fite faraco was also negative. Histopathology of Hansen’s disease and Cutaneous T-Cell Lymphoma may appear similar on routine H&E staining. Immunohistochemistry remains the gold standard for diagnosing this condition. The histopathologic and immunohistochemistry findings combined with the clinical presentation led to the diagnosis of Mycosis Fungoides. Workup was done for proper staging and referral to oncology was made for definitive management.

Betelhem teshome

M.D,2nd year Dermatovenerology resident ,Black lion hospital /College of health sciences ,Department of Dermatovenerology.

Title: Primary cutaneous TB of the penis (tumor like lupus vulgaris)
Biography:

Betelhem teshome M.D,2nd year Dermatovenerology resident ,Black lion hospital College of health sciences ,Department of Dermatovenerology  ,AAU,Addis ababa, Ethiopia

Abstract:

Cutaneous tuberculosis constitutes a minor portion of extra pulmonary tuberculosis (2%) mainly caused by mycobacterium tuberculosis, from cutaneous tuberculosis the external genitalia is very rarely involved (0.2-2%), and the penis is extremely rare site of involvement and few cases described in the literature
Clinical case-A 64 years old male patient presented with initially few and small lesions on the shaft of the penis and progressively increased in number and in size over 04 years, the lesions have associated foul smelling discharge, but no ulceration or discharge per the urethral meatus and repeatedly treated at local health center for STI with unspecified injections and po medication but no improvement  
Pertinent physical finding- grossly deformed penis (?saxophone penis) multiple skin colored to hyper pigmented firm nodules with variable size with associated minimal foul smelling purulent discharge over the shaft of the penis and extension to the glans and discrete nodule with scarred edges over the perineum, No lymphadenopathy. 
Lab finding leukocytosis with raised ESR,discharge analysis is positive for AFB,FNAC-granuloma with caseaous necrosis ,no focus of active TB on other organs(Chest XRAY and abdominal u/s normal)
Culture and sensitivity –no growth seen 
Conclusion – with the above findings TB of the penis was entertained and patient was started on first line Anti TB and all family members and close contact were screened and all had no evidence of TB, appointed to plastic surgery for reconstructive surgery.

Ranjan Jeevannavar

Jeevannavar Skin Care, Hubli, Karnataka, India

Title: Variation of efficacy of Melanocyte Cell Suspension Surgery with respect to the type of Collagen dressing used.
Biography:

Dr Ranjan Jeevannavar completed post Masters Fellowship in Dermatosurgery from Cutis Academy of Cutaneous Sciences, Bangalore at the age of 28 and presently the Chief Dermatologist at Jeevannavar Skin Care which is the only center in North Karnataka to perform Vitiligo surgeries and have done more than 30 of Melanocyte Cell Suspension surgeries till now.

Abstract:

Vitiligo is a common disorder with a worldwide prevalence of 1–2%. In India the psychological and social impact of the disease is significant and is detrimental to patients. surgical treatment gives best results with large affected areas. During Melanocyte cell suspension the graft is individual cells dissolved in a liquid and this is transferred, as these cells are sensitive for the uptake use of non adherent dressings like collagen sheets playan important role. Wide range of collagen sheets are available in market from bovine, porcine, equine, fish derivatives.We found variation in the uptake of cells between Bovine[Kollagen®] and Fish derived[Neuskin-F®] collagen sheets when used during surgery and also the duration required for devlopment of pigmentation post surgery. There has been no guidelines nor published database to which Collagen should be used during the surgery and often dermatologist end up with paraffin dressings which wont give optimal results. This study was performed in same patient with different collagen dressing utilised for two legs respectively and also data for surgery in other vitiligo patients.