Y U V A D E R M A November - 2017, Vol. 1, No. 4 Executive committee THE EDITORS NICHE President t is with immense pleasure that Shweta and I have taken over as Dr. Arun C Inamadar Ijoint editors for the upcoming edition of YUVADERMA e-bulletin. After the grand success of our first three issues, we are delighted to President Elect release the fourth issue where we showcase a myriad of interesting Dr. Chandrashekar B S articles and puzzles bound to jog your minds. The bulletin touches upon various aspects of Dermatology, Venereology and Leprosy and is Imm. Past President a humble attempt to help residents better understand the vast expanse Dr. Manjunath Shenoy of our subject. We welcome on board two new associate editors, Vice-Presidents who straightaway fit right into our team. Our editorial team has been Dr. Umashankar N pumped ever since the beginning of our YUVADERMA journey and Dr Satish Pai B together we bring about this issue with equal, if not more, zest. This would not be possible without the support of IADVL KN to whom we Hony. Gen. Secretary have an immense gratitude for providing an incredible platform where Dr. Shashikumar B M residents have the freedom to express and showcase their clinical, literary and creativity skills. Hony. Treasurer We begin by exploring the life and discoveries of a historic Dr Manjunath R persona- Von Hebra, and left no stone unturned. This is followed by an interactive session with another great academician, but this time of Joint Secretaries the present era, Dr Arun C Inamdhar, President of IADVL-KN. Gear up Dr. Savitha A S for this intense discussion, which I’m sure will leave you inspired. Dr. Manjunath Hulmani Next, we steam off by stepping a little outside of Dermatology, with an interesting debate between two enthusiastic doctors who discuss about present day environmental issues. Now back to puzzling your Editorial Board minds, have a go at cracking our brain teaser by figuring out the clues and filling the crossword (no peaking). Readers if you like Ornithology, you will love the next section which is a spin off on various signs named Advisor after birds, in Dermatology. Dr. Saloni Katoch July 25th is observed as World Vitiligo day and this year IADVL Editors in Chief KN organized a massive awareness campaign that reached out to all Dr. Shweta Bhadbhade districts of Karnataka, urban and rural alike. The movement focused Dr. Vaishnavi Gopal on debunking myths and spreading Associate Editors awareness about the disease Dr. Dharam Kumar process and treatment modalities as Dr. Kirti Katwe explained in the article titled “Vitiligo Jatha : An awareness Ratha”. Dr. Manoj Srinivasa In the next segment, we head Dr. Preethi B Nayak back to basics with “spot on”- a Dr. Sanjay Thejaswi R revelation into some of the more Dr. Shilpitha Srinivas interesting cutaneous spots that one mustn’t miss if ever encountered. 2 November - 2017 Y U V A D E R M A We end our issue by talking about a pressing matter on the disease than shuns- Leprosy. Leprosy deformities are a source of incredible physical, mental and Treasury emotional distress. In addition, the societal discrimination, disdain and neglect makes leading their daily lives exponentially more difficult. We must lend an Pioneers in Dermatology empathetic ear and spend those Dr. Kirti Katwe extra few minutes in counselling affected patients and their families as reassurance makes all Cognizance - Pearls of wisdom by Dr Arun Inamadar the difference. Dr Sanjay Thejaswi R To end this note we are proud of what our team has accomplished. This issue has been formulated over many months The Debate : Go Green or Go Digital with countless discussions and Dr. Dharam Gowda many sleepless nights but it was all worth the effort. We encourage more residents to join Brain Teaser our team and send in interesting Dr. Shilpitha articles and case files which we are always happy to publish. Hope you have a great read! Birds in Dermatology Signing off! Dr. Shweta Bhadbhade The Vitiligo Jaatha Dr. Thabassum Yuvaderma Art Galleria Dr. Shweta Bhadbhade Dr. Preethi B. Nayak, Dr. Shilpitha Spot On- Know Your Spots Dr Vaishnavi Gopal Shedding light on a disease that shuns Dr. Preethi B Nayak Dr. Vaishnavi Gopal November - 2017 3 Y U V A D E R M A PRESIDENTS PREAMBLE am happy to note that 4th edition of ‘Yuvaderma’ E I bulletin is going to be published online. I congratulate team led by Dr. Saloni. The present generations of dermatologists are lucky to grow with the developing dermoscience. The armamentarium to treat myriad of skin diseases has increased and are also easily available too. Now it is time to treat skin diseases with the correct knowledge of molecular targets. In our days of dermatology learning, tuberous sclerosis manifestations use to be only for record purpose. Now effective treatment with sirolimus is available. The dramatic effect of Propranolol for treating infantile hemangiomas is history now. New small molecules in pipeline are going to change the dermatology therapeutics. The change is permanent and we all should be in run to learn best things which can improve patient’s quality of life. I wish a happy reading to all. Warm regards, Dr. Arun C Inamadar President, IADVL Karnataka. 4 November - 2017 Y U V A D E R M A SECRETARY SPEAKS t is a matter of great pride that “YUVADERMA” has Icompleted 2 years and released 4 issues. It is getting better every year. It has addressed residents’ concerns and provided a platform for exchange of ideas. It also motivated youngsters by the inspiring stories and interviews of the seniors. I must thank Dr Saloni who carried out the editorial work very meticulously till now. The new issue is brought out under the editorial ship of Dr Shweta Bhadbhade, a young and talented student of mine and Dr Vaishnavi Gopal. I also welcome our new talented and enthusiastic editorial team. I offer my congratulations and best wishes to the new editorial team. I wish that this magazine will continue to resonate with fresh ideas and inspiring stories, which will motivate many young minds. I also wish, it will provide platform for many residents to know about the association and get involved with the various Activities in the future. My tenure as Honorary Secretary comes to an end; I offer my sincere thanks to all those who contributed to the success of the magazine. Long live IADVL. Dr. Shashikumar B M, Hon. General Secretary, IADVL KN November - 2017 5 Y U V A D E R M A PIONEERS IN DERMATOLOGY The Father of modern Dermatology Ferdinand Karl Franz Schwarzmann, Ritter von Hebra (1816-1880) scabies and termed it as ‘scabies Norvegica Boecki’. • Erythema Multiforme was first described by Hebra in 1860. • Erythema multiforme minor is also known as Erythema multiforme von Hebra • In 1860, Hebra described the clinical manifestations of Erythema nodosum and suggested ‘dermatitis contusiformis’ as a synonym for the disorder • In 1868 Hebra described lichen scrofulosorum, a lichenoid eruption of minute papules occurring predominantly in children and • Hebra was born on 7th adolescents with tuberculosis. September 1816, in Bruno, • The term erythroderma was introduced in 1868 Moravia. by Hebra • He was an Austrian physician • Epidermolysis bullosa was first described in and dermatologist who 1870 by Hebra under the name ‘erblichen founded the New Vienna pemphigus’ School of Dermatology. • In 1872, Hebra was first to describe pustular • Ferdinand von Hebra was the psoriasis of pregnancy – impetigo herpetiformis. first to introduce the new • Hebra and Kaposi in 1874 gave the initial report on ‘xeroderma science of pathology into pigmentosum’ dermatology. • Hebra introduced the term prurigo to denote papules induced by scratching. • He reclassified skin diseases • The term ‘livedo reticularis’ was first used by Hebra using an anatomical and • Lichen planus was previously termed as lichen ruber coined by Hebra pathological framework, • The first detailed account of alopecia areata was given by Hebra defined cutaneous fungal along with Kaposi. infections and made • Hebra described the flexural localization of lesions in Atopic dermatitis. significant contributions to the • ‘Hebra nose’ seen in nodular stage of Rhinoscleroma is characterized definitions of many inflammatory by slowly growing nodules and plaques in the nasal vestibule, the disorders including eczema. ala, the septum and the neighbouring upper lip. • Hebra authored one of the • In the second half of the 19th century, Hebra introduced most acclaimed books on dermatology of all times, resurfacing and restoring skin the Atlas der Hautkrankeiten with chemical peel. He used (Atlas of skin diseases). exfoliative agents, like phenol, • In 1841 Hebra definitively croton oil, nitric acid in separated the clinical features of various cautious combination psoriasis from those of leprosy. for treating freckles and skin • In 1844 Ferdinand von Hebra irregularities. Dr. Kirti Katwe, PG-2, Mandya Institute of discovered the cause of scabies. • Eczema marginé of Hebra is Medical sciences, Mandya. • Hebra described Norwegian French term for Tinea cruris. 6 November - 2017 Y U V A D E R M A Cognizance - Pearls of wisdom by Dr. ArunInamadar Sanjay Thejaswi R (SR) : Good morning sir, everyone knows you as a renowned professor & dermatologist, but our readers would like to know a little bit about your childhood life? SIR : As a child, I was a very social person who loved being with friends and having a great time. I loved watching movies. My friends and I would watch at least one Kannada movie every weekend! SR : Sir, as a child we all aspire to do different things when we grow up, were you a medical aspirant since childhood? SIR : I studied in a Kannada medium government primary school in It is a privilege to a town which was bestowed with great teachers.