November 2018
Volume 27, Number 2
Official Publication of the Philippine Dermatological Society
Editorial
JPDS: then and now
The first issue of the JPDS was released in September of 1992 as one of the projects of Dr. Lina Torralba as PDS president. It was envisioned as the PDS members’ venue for scientific communication and publication of researches related to dermatology. Through the years, the JPDS has regularly upgraded to meet the continuing medical education needs of PDS members. The JPDS has maintained its role as one of our most powerful tools in fulfilling our vision to be the recognized and respected “dermauthority” in the country.
Let's Hear From a Colleague
Melasma in brown skin: part 2
The first part of this series has touched on the relevance of melasma in the brown skin populace, from the definition, epidemiology, clinical patterns, etiopathogenesis to diagnosis and clinical assessment. This second part aims to optimize medical management of melasma, with emphasis on the topical and oral options available for people of brown skin.
Clinical Trials

A Prospective, Randomized, Double-Blind, Comparative Study on the Efficacy and Safety of 2% Enzymatic Virgin Coconut Oil Monoglyceride Cream versus 5% Benzoyl Peroxide Cream in the Treatment of Mild to Moderate Acne Vulgaris
Acne vulgaris is a common dermatologic disorder caused by follicular colonization of Propionibacterium acnes leading to inflammation. Enzymatic virgin coconut oil monoglyceride has been shown to have anti-inflammatory effects and antimicrobial activity against Propionibacterium acnes.
Observational Studies

A descriptive study on the clinical, dermoscopic and histopathologic features of pigmented skin lesions among Filipino adults
Dermoscopy increases the diagnostic accuracy of clinical visual inspection by 5% to 30%. This has led to a reduction of unnecessary excision of benign skin lesions and the earlier diagnosis of malignant skin lesions.
Objectives: To compare the concordance agreement of the clinical versus histopathologic diagnosis to the concordance agreement of the dermoscopic versus histopathologic diagnosis of pigmented lesions.
Cross-sectional survey on the knowledge, attitudes and practices of Philippine Dermatological Society members related to HIV/AIDS
Human Immunodeficiency Virus (HIV) infection/Acquired Immunodeficiency Syndrome (AIDS) remains a major challenge worldwide. Physicians have a crucial role in the struggle against HIV/AIDS and must be equipped with proper knowledge, attitude and practices (KAP). No study has been done to assess the KAP of dermatologists related to HIV-AIDS.Objective: The study’s objective was to determine the KAP of Philippine Dermatological Society (PDS) members related to HIV/AIDS.
Content Analysis of Complementary and Alternative Medicine Literature in the Journal of the Philippine Dermatological Society
Complementary and alternative medicine (CAM) is a popular treatment option among patients. There is a need to assess the content of published local literature on complementary and alternative medicine in dermatology in the Journal of the Philippine Dermatological Society (JPDS) to provide evidence for its integration into clinical practice and to guide future research .
ABC’S (Application of Basic Concepts) in Dermatology Research
An introduction to observational studies
A clinical trial is a planned experiment designed to evaluate the benefits of a treatment for a specific medical condition. A welldesigned clinical trial is the most rigorous research design for evaluating treatments. However, there several situations where it is neither possible nor ethical to conduct a clinical trial.
Case Reports

Schimmelpenning syndrome with didymosisaplasticosebacea in an infant
Schimmelpenning syndrome may encompass abnormalities of the cardiovascular, skeletal, ophthalmologic and urogenital systems. Nevus sebaceous is a hallmark finding and ophthalmologic findings are seen in 59% of the cases which include colobomas and choristomas.

A fatal case of staphylococcal scalded skin syndrome associated with iatrogenic Cushing syndrome due to potent topical steroid application in a 3-month-old female: A case report
Cushing syndrome caused by application of topical corticosteroids is rarely reported. Systemic side effects like suppression of hypothalamic-pituitary-adrenal axis, growth retardation in children and iatrogenic Cushing syndrome can occur even in small doses of potent topical steroids.1

Behçet’s disease in 2 Filipinos: a case report
Behçet’s disease is a chronic multisystem disease that is characterized by vasculitis. Recurrent oral aphthous ulcers, genital ulcers, skin and ocular lesions, and arthritis are the most frequent clinical manifestations. Pathergy may or may not be present. Due to its distinct clinical presentation, knowledge and clinical expertise are needed in order to promptly establish the diagnosis and address the disease. We report two cases of Behcet’s Disease in 2 Filipinos on the basis of history, clinical presentation, and supported by skin punch biopsy findings.

Acquired hemochromatosis: a case report in a Filipino patient and literature review
Hemochromatosis is a hereditary or acquired chronic iron overload syndrome that presents with organ damage to the liver, pancreas, heart, joints and skin due to pathologic iron deposition. Hereditary hemochromatosis is a common genetic disorder with human hemochromatosis protein (HFE) mutations found in European ethnic groups but has low-prevalence in the Asian population.

Cutaneous leishmaniasis in an overseas Filipino worker who responded favorably to oral itraconazole
Cutaneous leishmaniasis is non-endemic in the Philippines. Antiparasitic pentavalent antimonials are acknowledged as first-line therapy for all forms of the disease. Amphotericin B is the second drug of choice but its use is limited due to side effects.
Tropical Grove

Single lesion lepromatous leprosy in a teenager: an unexpected scenario
Hansen’s disease (HD) is a chronic granulomatous disease principally affecting the skin and peripheral nervous system caused by Mycobacterium leprae. The incubation period varies from months to more than 30 years. The tuberculoid form of HD usually presents with a single hypoesthetic patch and skin biopsy shows epithelioid granulomas with absence of bacilli on Fite-Faraco stain. In contradistinction, lepromatous leprosy usually presents with numerous papules, plaques and nodules with induration of the ears and nose. Biopsy shows foamy granulomas with presence of acid-fast bacilli on Fite-Faraco stain.
What Lies Beneath

A case of disseminated granuloma annulare successfully treated with acitretin and narrowband UV-B phototherapy
Granuloma annulare(GA) is a benign, inflammatory skin condition characterized by asymptomatic, flesh colored or erythematous papules. The disseminated variant of granuloma annulare is uncommon, usually affecting women older than 40 years.
Brief Communication

Pigmented purpuric dermatosis (PPD)-like mycosis fungoides on the leg of a Filipino male
Mycosis fungoides (MF) is an epidermotropic, primary cutaneous T-cell lymphoma (CTCL) composed of small to medium-sized T-lymphocytes with cerebriform nuclei and with a T-helper phenotype.1 This is the most common type of cutaneous lymphoma, which represents almost 50% of all lymphomas arising in the skin.1-3 The incidence of MF is approximately 0.36 per 100,000 person-years in the United States.4-5

Dyskeratosis congenita diagnosed in an adult male: clinical, dermoscopy and histopathological features
Dyskeratosis congenita (DC), otherwise known as Zinsser-Engman Cole Syndrome is associated with the mucocutaneous triad of nail dystrophy, oral
leukoplakia and abnormal reticulate skin pigmentation.
Frequently Asked Questions
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Read about commonly asked questions and their answers.
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