Dermatology JURNAL DERMATOLOGI MALAYSIA
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Volume 29 • Dec 2012 • ISSN: 1511-5356 Malaysian Journal of Dermatology JURNAL DERMATOLOGI MALAYSIA Indexed in: Western Pacific Research Index Medicus www.dermatology.org.my PERSATUAN DERMATOLOGI MALAYSIA • DERMATOLOGICAL SOCIETY OF MALAYSIA Malaysian Journal of Dermatology Notice to Authors The Malaysian Journal of Dermatology welcomes manuscripts Manuscripts should include a title page bearing the title of the on all aspects of cutaneous medicine and surgery in the form of paper, the author(s)’ name(s), degrees, and affiliation(s), the original articles, research papers, case reports and correspondence. category of the article, the number of figures and tables, and Contributions are accepted for publication on condition that they three key words for indexing purposes. The name and full postal are submitted exclusively to the Malaysian Journal of Dermatology. address (including a street address), phone and fax numbers The Publisher and Editors cannot be held responsible for errors or and an email address of the corresponding author who will be any consequences arising from the use of information contained in responsible for reading the proofs must also be given on the title this journal; the views and opinions expressed do not necessarily page. The author(s) must also declare any affiliation or significant reflect those of the publisher and Editors, neither does the financial involvement in any organizations or entity with a direct publication of advertisements constitute any endorsement by the financial interest in the subject matter or materials discussed in the publisher. manuscript on this page. Manuscripts should be submitted via email: All measurements should be according to the metric system. If [email protected] confusion could result, please include other measurement systems in parentheses. Questions regarding the Malaysian Journal of Dermatology can be sent to me at: [email protected] Refer to patients by number or letters; names or initials should not be used. Contributions should be written for one of the following categories: References must be listed in the order in which they appear in the manuscript. References from journals should include: (1) name(s) Case Report* followed by the initials of the author(s), up to four authors: if more A report of 400-600 words, illustrated by no more than three than four authors, include the first three authors followed by et al.; illustrations. This category offers a means for rapid communication (2) title of paper; (3) title of the journal as abbreviated in the Index about a single subject. Medicus; (4) year of publication; (5) volume number; (6) first and final page numbers of the article. Clinical Trial An article of 700-1200 words concerning a drug evaluation. This For example: category provides rapid publications and is meant to be a succinct Ambrose D, Gangaram HB, Hussein SH. Sporotrichosis: A Hospital presentation with a minimum of graphs and tables. Kuala Lumpur experience. M J Dermatol 2006;19:52-55. Commentary* References to books should include: (1) author(s) or editor(s); (2) An editorial 700-1200 words in length with approximately five chapter (if any) book titles; (3) edition, volume, etc.; (4) place of references. The author may express his or her opinion without publication; (5) publisher; (6) year; (7) page(s) referred to. complete documentation. For example: Clinicopathological Challenge Foong HBB. Transcontinental Dermatology: Virtual Grand A photographic essay that includes both clinical and pathological Rounds. In: Wootton R and Oakley A, editors. Teledermatology. photographs in color. The diagnosis and legends for the London. Royal Society of Medicine 2002. p.127-134. photographs should be listed after the references in the article. The article should be no more than 2-3 pages in length. The author is responsible for the accuracy and completeness of all references; incomplete references may result in a delay to Correspondence* publication. Letters to the editor and short notes. Contributions should not exceed 600 words, two figures, and 10 references. Tables should be typed, double-spaced with a heading, each on a separate sheet, and should only include essential information. Dermatological Surgery Drawings, graphs, and formulas should be submitted on separate An article relating to the surgical aspects of treatment. Article types pages. may include Review, Report or Case Report Format. Send illustrations as tiff or jpeg files. In the case of photomicrographs, Original Article the stain type and original magnification should be stated. Each An original article including, whenever possible, an Introduction, figure should bear a reference number corresponding to a similar Materials and Methods, Results, Comment, and References. A number in the text. Structured Abstract of not more than 240 words must be included. It should consist of four paragraphs, labelled Background, To minimise the publication time of your manuscript it is Methods, Results, and Conclusions. It should describe the problem important that all electronic artwork is supplied to the Editorial studies, how the study was performed, the main results, and what Office in the correct format and resolution. the author(s) concluded from the results. Disclaimer Review The Publisher and Editors cannot be held responsible for errors or By invitation only. A major didactic article that clarifies and any consequences arising from the use of information contained in summarizes the existing knowledge in a particular field. It should this journal; the views and opinions expressed do not necessarily not be an exhaustive review of the literature, and references should reflect those of the publisher and Editors, neither does the not exceed 100 in number. Tables, diagrams, and selected figures publication of advertisements constitute any endorsement by the are often helpful. The length is left to the judgment of the author, publisher and Editors of the products advertised. although it generally should not exceed 5000 words. Topics may include updates in clinically relevant basic science and cutaneous biology. *No abstract required i • MJD 2012 Dec Vol 29 Malaysian Journal of Dermatology editorial Dermatology Practice in the 21st Century Editor-in-Chief Rohna Ridzwan, MRCP Introduction of internet world wide has Email: [email protected] increased the patients’ awareness of their own Editorial Office illness and this has led to an increase in their Malaysian Dermatological Society curiosity in the way doctors manage them. Rumah Dermatology 2-16, 16th Floor, Blk 2 (Remis) Providing immediate therapy is insufficient to Pantai Panorama Condominium the present patients who aspect their frontline Jln 112 Off Kerinchi 59200 Kuala Lumpur dermatology care clinician to investigate and Malaysia ascertain the cause of their illness especially Editorial Board those with eczema. In today’s review article, Gangaram Hemandas, FRCP, Kuala Lumpur we have a Polish dermatologist Dr. Radoslaw Henry Foong Boon Bee, FRCP, Ipoh Perak Chan Lee Chin, MMed, Penang Spiewak discussing on epidemiology of eczema. Agnes Heng Yoke Hui, MRCP, Ipoh Perak We welcome you to share your views and Founding Editor feedback on the articles in this journal. Steven Chow Kim Wing, FRCPI Dermatological Society of Malaysia / Persatuan Dermatologi Malaysia Executive Staff Malaysian Dermatological Society Najeeb Ahmad Safdar, MRCP President Rumah Dermatolgy Koh Chuan Keng, MRCP Past President 2-16, 16th floor, Blk 2 (Remis) Henry Foong Boon Bee, FRCP Vice President Pantai Panorama Condominium Agnes Heng Yoke Hui, MRCP Secretary Jln 112 Off Kerinchi Noor Zalmy Azizan, MRCP Treasurer 59200 Kuala Lumpur Rohna Ridzwan, MRCP Malaysia Chan Lee Chin, MMed Md Noh Idris, MRCP Khaw Guat Ee, MRCP Published by Dermatological Society of Malaysia twice a year from year 2009 (July and December issues) Printed by Percetakan Sri Jaya, No. 27, Jalan Emas SD 5/1A, Bandar Sri Damansara, 52200 Kuala Lumpur © 2012 Persatuan Dermatologi Malaysia. All rights reserved. No part of this journal can be reproduced without the written permission from editorial board. The inclusion of an advertisement in MJD is not to be construed or publicized as an endorsement or approval by the Society of any product, service, or company; nor may the advertiser represent that its advertising claims have been approved or endorsed by the Society. MJD 2012 Dec Vol 29 • ii Malaysian Journal of Dermatology Dermatologists and allergists may greatly benefit from this “epidemiological approach” in case of diseases from the spectrum dermatitis and eczema, a heterogeneous group of diseases with similar clinical appearance. iii • MJD 2012 Dec Vol 29 REVIEW ARTICLE Malaysian Journal of Dermatology Epidemiology of Skin Diseases from the Spectrum of Dermatitis and Eczema Agnieszka Dorynska1, MSc, MPH, Radoslaw Spiewak1,2, MD, PhD, Professor of Experimental Dermatology Abstract Particular types of eczema may affect up to 29% individuals in certain populations (lifetime prevalence), thus placing the diseases among most frequent clinical problems. Nevertheless, diseases from the spectrum of dermatitis and eczema are poorly defined and frequently misdiagnosed; they also frequently overlap, making the diagnostic process even more difficult. In doubtful cases, where no further means of clinical or laboratory differentiation are available, reliable epidemiological data may provide relevant help in the diagnostic process, as the best candidate for a tentative diagnosis seems the most frequent among