May 2018
Official Publication of the Philippine Dermatological Society
Editorial
JPDS online: what are the advantages?
In this day and age, information is power and a physician can empower himself with digital information obtained from academic journals. When given a task to prepare a lecture, write a case report, and review current literature for a research assignment, one can easily access credible information from academic journals and databases. The “old school” style of spending the whole day at the library to retrieve valuable scientific information from print copies, has now been replaced by the convenience of a laptop, a tablet, a smart phone, and an internet connection.
Let's Hear From a Colleague
Updates on Sexually Transmitted Infections in the Philippines
Sexually transmitted infections (STIs) remain a public health problem worldwide. Hence in 2011, the Philippine Dermatological Society (PDS) started to take the initiative to document STI cases in all its institutions.
One major barrier to STI prevention and control is the stigma associated with STIs. STI counselling in primary care can help encourage patients to undergo STI testing, treatment and partner referral. HIV
In 2017, the Philippines has registered the fastest-growing HIV/AIDS epidemic in the Asia-Pacific.
ABC’S (Application of Basic Concepts) in Dermatology Research
Writing results in a clinical trial report
During the course of a clinical trial, large amounts of data are usually collected at different time points (i.e. at baseline and during follow-up visits). This results in the possibility of multiple statistical tests and various ways that the results can be reported. Some authors would naturally hope to show ‘interesting’ data, and this can lead to a tendency to hype the results. This must be resisted. It is of the utmost importance to report a balanced view of the results. This is why it is essential, before a trial starts, to have a protocol that states the primary and secondary endpoints and includes a pre-specified analysis plan.
Clinical Trials
A randomized, double-blind, comparative study on the safety and efficacy of virgin coconut (Cocos nucifera l.) oil against 1% hydrocortisone lotion as an anti-inflammatory and antipruritic preparation for mosquito reactions
Authors: Uy, Veronica S, MD; Gracia B. Teodosio, MD, FPDS; Ma. Teresita G. Gabriel, MD, FPDS; Mary Catherine T. Galang, MD; Mohammad Yoga A. Waskito, MD; Johannes F. Dayrit, MD, FPDS Abstract Background: Virgin coconut oil (VCO) has been reported...
Observational Studies

Dermoscopic features of red tumors among Filipino patients seen at two centers
Authors: Katrina Carmela M. Belen, MD, DPDS, Jasmin J.Jamora, MD, FPDS , Ma. Cecilia P. Ingente MD, DPDSAbstractBackground: Dermoscopy, a non-invasive diagnostic tool, has been proven to improve the diagnostic accuracy of vascular tumors since it can aid in...

Occupational skin diseases among institutional housekeeping personnel in a government hospital
Occupational dermatoses are among the most commonly encountered occupational-related diseases worldwide, with housekeeping personnel among those at high risk. Disease impact to the individual and public health includes prolonged absences and unemployment leading to decreased quality of life.
Demographic and clinical profiles of adult Filipino patients with psoriasis in Davao City: A cross sectional study
The Psoriasis Registry (PsorReg) was created by the Psoriasis Foundation of the Philippines with the goal of assessing the true magnitude of psoriasis in Davao City.
Case Reports

Primary cutaneous anaplastic large-cell lymphoma with metastases in an 81-year-old Filipino female
Primary Cutaneous Anaplastic Large Cell Lymphoma (PC-ALCL) is a rare Non-Hodgkin lymphoma (NHL) representing approximately 9% of all cutaneous lymphomas.3 It usually manifests as a slow-growing, solitary tumor which has a tendency to regress spontaneously. However, metastasis is reported in 5-10% of cases.

It’s a bumpy ride : A report of a 9- year-old Filipino female with dermatomyositis
There are very few reported incidences of juvenile dermatomyositis in the Philippine setting.

Follicular mycosis fungoides: A report of 2 cases in Filipino octogenarians
Folliculotropic mycosis fungoides is a rare and aggressive subtype of mycosis fungoides characterized by small to medium-sized malignant T-cells that typically infiltrate the hair follicle. It represents 4% of primary cutaneous lymphomas and less than 10% of patients with MF.

Unusual presentation of erythema elevatum diutinum mimicking a giant wart on the heels of a Filipino male : a case report
Erythema elevatum diutinum (EED) is a rare condition believed to be a form of chronic recurrent leukocytoclastic vasculitis possibly secondary to vascular immune complex deposition. The disease is characterized by symmetrical, red, brownish-purple, and yellow papules, plaques, and nodules distributed mainly over the extensor surfaces of the extremities. We report a 61-year-old male with an atypical presentation of such disease as a giant warty lesion on the heels. Histologically, a spectrum from leukocytoclastic vasculitis to vessel occlusion and dermal fibrosis is seen in EED.
Tropical Grove

Mistaken identity: Eumycetoma Masquerading as Squamous Cell Carcinoma
We report a case of eumycetoma in a Filipino patient who presented with a solitary reddish brown, moist, multinodular tumor on the dorsum of the left foot of 2 years duration. Biopsy with Periodic acid Schiff (PAS) & Gomori methenamine silver (GMS) staining, fungal culture, ultrasound and X-ray of the foot were done in our institution which confirmed the diagnosis of eumycetoma. The patient was successfully treated with itraconazole 400/day for 3 months, followed by 200mg/day for the succeeding 9 months, leading to complete resolution of the lesion leaving an atrophic hypopigmented scar. A high index of suspicion supported by diagnostic tests aided in the early detection of the disease which also resulted to complete resolution of the disease.
What Lies Beneath

Dermatofibrosarcoma protuberans on the leg: pearls in diagnosis and surgical management
Dermatofibrosarcoma protuberans(DFSP) is a rare, slow-growing soft tissue tumor accounting for less than 0.1% of all malignant neoplasms and approximately 1% of all soft tissue sarcomas
Current Evidence

A critical appraisal of an article on therapy: Safety and efficacy of oral fusidic acid as a steroid-sparing agent in the treatment of lepra reactions: an assessor-blinded, randomized controlled clinical trial
A 23-year-old male diagnosed with Hansen’s disease, BB-BL, was started on multi-drug therapy (MDT). On his 6th month of therapy, he was started on prednisone 40mg/day for management of type 2 lepra reaction.
Special Articles

Clinician’s handbook in Dermatology 1st edition
The Clinician’s Handbook in Dermatology is a comprehensive compilation of subjects that tackles the basic principles of Dermatology, and features an excellent roster of authors who dealt with topics on clinical, diagnostic, therapeutic and procedural dermatology.

Melasma and Vitiligo in Brown Skin
The book was divided into 4 parts, the basics of brown skin, melasma in brown skin, vitiligo in brown skin, and finally other management options available for both conditions. It has a total of 33 chapters, each of which was equipped with clear photos and well-illustrated tables. It is an excellent well-written comprehensive textbook that is well-referenced and is highly recommended for all clinicians.
Frequently Asked Questions
Have any questions about how to use the JPDS?
Read about commonly asked questions and their answers.
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Praesent non massa egestas?
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Praesent non massa egestas?
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Donec ornare in neque rutrum imperdiet. Quisque ante ante, lobortis at dapibus et, congue a orci. Sit Etiam porttitor ligula id massa lorem ipsum dolor sit amet, consectetur amet
Praesent non massa egestas?
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Donec ornare in neque rutrum imperdiet. Quisque ante ante, lobortis at dapibus et, congue a orci. Sit Etiam porttitor ligula id massa lorem ipsum dolor sit amet, consectetur amet
Praesent non massa egestas?
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Donec ornare in neque rutrum imperdiet. Quisque ante ante, lobortis at dapibus et, congue a orci. Sit Etiam porttitor ligula id massa lorem ipsum dolor sit amet, consectetur amet