Indian Dermatology Online Journal最新文献

{"title":"A Questionnaire-based Evaluation of the Impact of District Residency Program on Dermatology Training: Challenges, Experiences, and Need for Reform.","authors":"Bharti Aggarwal, Chander Grover","doi":"10.4103/idoj.idoj_857_25","DOIUrl":"10.4103/idoj.idoj_857_25","url":null,"abstract":"<p><strong>Background: </strong>The District Residency Program (DRP), introduced by the National Medical Commission (NMC), envisages a three-month mandatory posting of all Indian postgraduate (PG) residents in district hospitals. It is aimed at strengthening the district health system; however, its impact on specialty training in dermatology remains unclear.</p><p><strong>Materials and methods: </strong>After obtaining institutional ethical clearance, we conducted an anonymized online survey among dermatology PG residents across India, who had completed their DRP posting. It was based on a pre-designed and validated questionnaire, circulated via social media resident networks. The objective and subjective responses were collated and statistically analyzed.</p><p><strong>Results: </strong>Responses from 292 dermatology residents from government (156, 53.4%), private (91, 31.2%), deemed university (35, 12.1%), and government-aided (10, 3.4%) institutions were analyzed. Majority belonged to the PG-2022 batch (185, 63.4%). A significant hindrance to academics was reported by 96 (39.2%) residents, while it remained unaffected for 46 (15.8%). Thesis work was adversely impacted for 190 (65%) residents, with 133 (45.5%)reporting significant disruption. Dermatology procedural skill training during DRP was limited with no procedural dermatology exposure being reported by 159 (54.5%) respondents, while 42 (14.4%)performed procedures supervised, and 68 (23.3%) performed unsupervised. Accommodation was not provided for 229 (78.4%), while transport was not provided for 259 (88.7%) respondents. Lack of access to hygienic meals (206, 70.5%) and safety concerns (103, 35.3%) were significant issues reported. Regarding training outcomes, communication skills reportedly improved for 133 (45.6%). Exposure to the district health system was rated adequate by only 97 (33.2%), while only 59 (20.2%)felt that DRP strengthened district services. Only 93 (31.9%) agreed with the need for DRP posting during post-graduation, while 98 (33.6%) felt that it hampered their training.</p><p><strong>Limitations: </strong>Lack of formal psychometric validation of the questionnaire, a relatively small sample size, and the use of a voluntary online Google Form survey, which may have introduced selection and response bias.</p><p><strong>Conclusion: </strong>Targeted reforms are essential to align the program with dermatology specialty education, while upholding public health objectives at the same time.</p>","PeriodicalId":13335,"journal":{"name":"Indian Dermatology Online Journal","volume":"17 5","pages":"661-667"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13588445/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148864780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multifocal Lupus Vulgaris at Unusual Sites in an Immunocompetent Host.","authors":"Sushama Sushama, Gargi Kapatia, Bhavnish Bansal, Vishal Thakur","doi":"10.4103/idoj.idoj_518_25","DOIUrl":"10.4103/idoj.idoj_518_25","url":null,"abstract":"","PeriodicalId":13335,"journal":{"name":"Indian Dermatology Online Journal","volume":" ","pages":"728-731"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13588456/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147689434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cryotherapy Versus Intralesional Bleomycin in Keloids: A Randomized Controlled Trial Comparing the Effectiveness, Safety, and Quality of Life.","authors":"Somenath Das, Dhiman Tarafdar, Sudipta Roy, Arghyaprasun Ghosh, Amrita Sil, Nilay K Das","doi":"10.4103/idoj.idoj_825_25","DOIUrl":"https://doi.org/10.4103/idoj.idoj_825_25","url":null,"abstract":"<p><strong>Background: </strong>Keloid is a benign, well-demarcated overgrowth of fibrous tissue due to abnormal wound healing in response to cutaneous injury, hampering quality of life. Multiple treatment options are available with unsatisfactory results. Cryotherapy is limited by edema, swelling, blister formation, oozing, and depigmentation. Bleomycin, a cytotoxic antibiotic, induces apoptosis with sclerosing action on endothelial cells and inhibits collagen synthesis.</p><p><strong>Aim and objectives: </strong>The study compared the effectiveness, safety, and quality of life in patients of keloid receiving cryotherapy versus intralesional bleomycin.</p><p><strong>Patients and methods: </strong>It was an institution-based, open-labelled, randomized controlled trial (CTRI/2020/08/027352). The study included treatment naïve adult consenting patients with localized keloids, randomized (1:1) into group A (spray cryotherapy) or group B (intralesional bleomycin). Infected and ulcerated keloids were excluded. Six follow-up visits were conducted at 4 weekly intervals. Sample size was 26 in each arm. Decrease in thickness, Vancouver scar scale (VSS), patient and observer scar assessment scale (POSAS), dermatology life quality index (DLQI) were evaluated.</p><p><strong>Results: </strong>Mean reduction in thickness was found to be significantly more in bleomycin in comparison to cryotherapy ( P < 0.001). VSS score was found to be significantly reduced in both the treatment arms ( P < 0.001) from first follow-up onwards. VSS was found to be significantly less (analysis of co-variance [ANCOVA] test, P < 0.001) in bleomycin in comparison to cryotherapy from third follow-up (12 weeks) onwards. POSAS observer score was found to be significantly less (ANCOVA test, P < 0.001) in bleomycin in comparison to cryotherapy. DLQI was significantly improved ( P < 0.001) in bleomycin. Bulla formation and depigmentation (cryotherapy); hyperpigmentation and procedural pain (bleomycin) were the main adverse events.</p><p><strong>Limitations: </strong>The study was conducted during the COVID period, which affected the follow-up.</p><p><strong>Conclusion: </strong>Both spray cryotherapy and intralesional bleomycin were safe and effective agents in keloid treatment. Intralesional bleomycin was a better alternative to spray cryotherapy in reducing lesional thickness, itching, pain, stiffness, surface area, scar irregularity, and color difference associated with keloids. Thus, intralesional bleomycin has the potential to be used as monotherapy for localized keloids.</p>","PeriodicalId":13335,"journal":{"name":"Indian Dermatology Online Journal","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148792436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Four-Generation Familial Focal Facial Dermal Dysplasia Type I (Brauer Syndrome): Clinical and Dermoscopic Observations.","authors":"V Vijay, Manobalan Karunanandhan, Yogindher Singh","doi":"10.4103/idoj.idoj_142_26","DOIUrl":"https://doi.org/10.4103/idoj.idoj_142_26","url":null,"abstract":"","PeriodicalId":13335,"journal":{"name":"Indian Dermatology Online Journal","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148792463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bullous Gouty Tophi.","authors":"Ananya Sharma, Pravesh Yadav, Anuja Yadav","doi":"10.4103/idoj.idoj_1398_25","DOIUrl":"https://doi.org/10.4103/idoj.idoj_1398_25","url":null,"abstract":"","PeriodicalId":13335,"journal":{"name":"Indian Dermatology Online Journal","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148792503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perianal Pseudo-skin Tags in Crohn's Disease.","authors":"S Chirantan, Munazzah Khan, Tanvi Dev","doi":"10.4103/idoj.idoj_1435_25","DOIUrl":"https://doi.org/10.4103/idoj.idoj_1435_25","url":null,"abstract":"","PeriodicalId":13335,"journal":{"name":"Indian Dermatology Online Journal","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148792494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on Published Article \"A Comparative Analysis of the Performance of Large Language Models and Human Respondents in Dermatology\".","authors":"İstem Ş Çamur","doi":"10.4103/idoj.idoj_158_26","DOIUrl":"https://doi.org/10.4103/idoj.idoj_158_26","url":null,"abstract":"","PeriodicalId":13335,"journal":{"name":"Indian Dermatology Online Journal","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148792455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erythema Nodosum Leprosum Masquerading as an Inguinal Bubo.","authors":"Meghna Pandey, Dharmendra Kumar, Suvesh Singh","doi":"10.4103/idoj.idoj_313_26","DOIUrl":"https://doi.org/10.4103/idoj.idoj_313_26","url":null,"abstract":"","PeriodicalId":13335,"journal":{"name":"Indian Dermatology Online Journal","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148792499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From Purpura to Platelet Crisis: A Rifampicin-Induced Hematological Emergency.","authors":"Vaishnavi Modi, Sonika Garg, Srishti Dabas, Vishal Gaurav","doi":"10.4103/idoj.idoj_676_25","DOIUrl":"https://doi.org/10.4103/idoj.idoj_676_25","url":null,"abstract":"","PeriodicalId":13335,"journal":{"name":"Indian Dermatology Online Journal","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148792466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Utilization of Cling Film in Dermatological Practice.","authors":"Gopalsing Rameshsing Rajput, Jeeva John, Anil Kumar, Ann Maria Paulose","doi":"10.4103/idoj.idoj_283_25","DOIUrl":"https://doi.org/10.4103/idoj.idoj_283_25","url":null,"abstract":"","PeriodicalId":13335,"journal":{"name":"Indian Dermatology Online Journal","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148792511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}