Time filter

Source Type

Qayoom S.,SKIMS Medical College Hospital | Sultan J.,SKIMS Medical College Hospital | Khan K.,SKIMS Medical College Hospital
Journal of Pakistan Association of Dermatologists | Year: 2016

A case of keratosis follicularis spinulosa decalvans in young Kashmiri male is presented. This rare disorder with genetic and clinical heterogeneity, inherited in an X-linked recessive pattern is secondary to mutation in SAT1 gene located at Xp22.1. Although multigenerational families with male to male transmission suggestive of autosomal dominant inheritance have been reported, we present a case with no family history.


Hayat H.,Sheri Kashmir Institute of Medical science | Hayat G.,SKIMS Medical College Hospital
Indian Journal of Surgery | Year: 2013

Pilonidal sinus is a chronic intermittent disease, usually involving the sacrococcygeal area. This study was undertaken to compare the results of rhomboid excision followed by Limberg flap with that of excision and primary closure in patients with primary pilonidal sinus. A total of 120 patients with pilonidal disease were randomly divided into group A who underwent excision and primary closure (n = 60) and group B who underwent the rhomboid transposition flap procedure (n = 60). Length of hospital stay and postoperative complications in two groups were compared. Duration of hospital stay (P < 0.001) and time to resumption of work (P < 0.001) was less for group B, and postoperative complications were fewer in group B (P < 0.05). During follow-up of 2 years, no recurrence was detected in patients in group B, whereas five patients developed recurrence in group A (P = 0.02). Limberg flap procedure is better than the simple excision and primary closure for the management of sacrococcygeal pilonidal disease. © 2012 Association of Surgeons of India.


Zaz M.A.,SKIMS Medical College Hospital | Dass T.,SKIMS Medical College Hospital | Muhee A.,FVSc and AH | Kawoosa U.,Government Medical College
Hernia | Year: 2011

Spontaneous evisceration is a very rare and potentially fatal complication of abdominal wall hernia. It has been commonly reported in the case of umbilical hernia in patients with chronic liver disease with tense ascites. With other hernias, such as incisional hernia and inguinal hernia, the complication has been reported only once. Here we present a case report of spontaneous evisceration in an inguinal hernia in a patient with comorbid chronic obstructive airway disease. Management of the condition using prosthetic mesh repair risks mesh infection, while the use of non-prosthetic repair risks recurrence of the hernia due to the absence of stout natural tissues. Use of a biological mesh for the condition seems quite plausible. Thorough saline washes of the eviscerated organ, excision of redundant/unhealthy skin and strict adherence to the fundamental principles of hernia repair is desired in managing the condition. © 2010 Springer-Verlag.


Khan H.A.,University Of Kashmir | Ahad H.,Skims Medical College Hospital | Sharma P.,Holy Family Hospital | Bajaj P.,Holy Family Hospital | And 2 more authors.
Trauma Monthly | Year: 2015

Objectives: The purpose of this study was to explore the diagnostic capabilities of clinical examination, magnetic resonance imaging (MRI), and arthroscopy in traumatic disorders of the knee joint, to seek correlation between clinical findings, MRI findings and arthroscopic.Background: The knee joint is the largest and the most complex joint of the human body. It is not covered by any thick muscular covering anteriorly.Patients and Methods: A total of 26 patients with a presentation suggestive of traumatic knee pathology were studied prospectively. A detailed history was taken and relevant clinical examination was done, which was followed by MRI of the knee. The patients were scheduled for arthroscopy under general/spinal anesthesia, whenever indicated.Results: Keeping arthroscopic examination as standard, the correlation between clinical and arthroscopy showed a sensitivity of 80%, specificity of 86%, accuracy of 63.16%, negative predictive value of 93.48%; whereas MRI vs. arthroscopy showed a sensitivity of 74.42%, specificity of 93.10%, accuracy of 84.21%, and negative predictive value of 88.04%.Conclusions: The clinical examination is an important and accurate diagnostic modality for evaluation of traumatic derangement of the knee joint. It is noninvasive, easy, available, and valuable diagnostic modality. The MRI is an accurate diagnostic modality. It can be used whenever there is an uncertain indication for arthroscopy. However, costs have to be kept in mind, especially in patients with low socioeconomic status. Copyright © 2015, Trauma Monthly.


PubMed | Government Medical College Srinagar, Holy Family Hospital, University Of Kashmir and Skims Medical College Hospital
Type: Journal Article | Journal: Trauma monthly | Year: 2015

The knee joint is the largest and the most complex joint of the human body. It is not covered by any thick muscular covering anteriorly.The purpose of this study was to explore the diagnostic capabilities of clinical examination, magnetic resonance imaging (MRI), and arthroscopy in traumatic disorders of the knee joint, to seek correlation between clinical findings, MRI findings and arthroscopic.A total of 26 patients with a presentation suggestive of traumatic knee pathology were studied prospectively. A detailed history was taken and relevant clinical examination was done, which was followed by MRI of the knee. The patients were scheduled for arthroscopy under general/spinal anesthesia, whenever indicated.Keeping arthroscopic examination as standard, the correlation between clinical and arthroscopy showed a sensitivity of 80%, specificity of 86%, accuracy of 63.16%, negative predictive value of 93.48%; whereas MRI vs. arthroscopy showed a sensitivity of 74.42%, specificity of 93.10%, accuracy of 84.21%, and negative predictive value of 88.04%.The clinical examination is an important and accurate diagnostic modality for evaluation of traumatic derangement of the knee joint. It is noninvasive, easy, available, and valuable diagnostic modality. The MRI is an accurate diagnostic modality. It can be used whenever there is an uncertain indication for arthroscopy. However, costs have to be kept in mind, especially in patients with low socio-economic status.


Khan P.S.,SKIMS Medical College Hospital | Hayat H.,Sher i Kashmir Institute of Medical science Soura | Hayat G.,SKIMS Medical College Hospital
Surgical Innovation | Year: 2012

Avoiding a scar on the breast is an inherent feminine desire. We devised a new approach for breast fibroadenoma excision:Transaxillary approach with use of traction suture (TATS), in 50 patients with breast fibroadenoma. The swelling was present in the outer breast. The wound healed without noticeable scarring and the original shape of the breast was preserved. All the patients expressed their great satisfaction with the procedure. © The Author(s) 2012.


PubMed | SKIMS Medical College Hospital
Type: Journal Article | Journal: Hernia : the journal of hernias and abdominal wall surgery | Year: 2011

Spontaneous evisceration is a very rare and potentially fatal complication of abdominal wall hernia. It has been commonly reported in the case of umbilical hernia in patients with chronic liver disease with tense ascites. With other hernias, such as incisional hernia and inguinal hernia, the complication has been reported only once. Here we present a case report of spontaneous evisceration in an inguinal hernia in a patient with comorbid chronic obstructive airway disease. Management of the condition using prosthetic mesh repair risks mesh infection, while the use of non-prosthetic repair risks recurrence of the hernia due to the absence of stout natural tissues. Use of a biological mesh for the condition seems quite plausible. Thorough saline washes of the eviscerated organ, excision of redundant/unhealthy skin and strict adherence to the fundamental principles of hernia repair is desired in managing the condition.


PubMed | SKIMS Medical College Hospital
Type: Journal Article | Journal: Indian journal of dermatology | Year: 2011

Topical corticosteroids were first introduced for use in 1951. Since then uncontrolled use (abuse) has caused many different reactions resembling rosacea - steroid dermatitis or iatrosacea. Multiple pathways including rebound vasodilatation and proinflammatory cytokine release have been proposed as the mechanism for such reactions.The aim was to study the adverse effects of topical steroid abuse and the response to various treatment modalities.Two hundred patients with a history of topical steroid use on face for more than 1 month were studied clinically and various treatments tried.The duration of topical corticosteroid use varied from 1 month to 20 years with an average of 19.76 months. Majority of patients were using potent (class II) topical steroids for trivial facial dermatoses. The common adverse effects were erythema, telangiectasia, xerosis, hyperpigmentation, photosensitivity, and rebound phenomenon. No significant change in laboratory investigations was seen.A combination of oral antibiotics and topical tacrolimus is the treatment of choice for steroid-induced rosacea.


PubMed | SKIMS Medical College Hospital
Type: Journal Article | Journal: Indian journal of dermatology | Year: 2010

Reactive perforating collagenosis (RPC) is one of the rare forms of transepidermal elimination in which genetically altered collagen is extruded from the epidermis. This disease usually starts in early childhood as asymptomatic umbilicated papules on extremities, and the lesions become more conspicuous with age.The objective of our study was to determine the clinico-pathological features of RPC and the response to various treatment modalities.Ten patients of RPC, belonging to five different families, were studied clinically. Various laboratory investigations were carried out and diagnosis was made by histopathology of the lesions. Patients were given various topical and oral treatments.RPC is familial in most cases without any definite inheritance pattern. It begins in childhood and the lesions are usually recurrent and become profuse and large with age. Systemic diseases have no role in the onset of lesions.Oral and topical retinoids in combination with emollients is the best treatment option.


PubMed | SKIMS Medical College Hospital
Type: Journal Article | Journal: Surgical innovation | Year: 2012

Avoiding a scar on the breast is an inherent feminine desire. We devised a new approach for breast fibroadenoma excision:Transaxillary approach with use of traction suture (TATS), in 50 patients with breast fibroadenoma. The swelling was present in the outer breast. The wound healed without noticeable scarring and the original shape of the breast was preserved. All the patients expressed their great satisfaction with the procedure.

Loading SKIMS Medical College Hospital collaborators
Loading SKIMS Medical College Hospital collaborators