1.It’s a bumpy ride: A report of a 9–year-old Filipino female with dermatomyositis
Carmelie Marisse A. Villespin ; Lunardi Bintanjoyo ; Gracia B. Teodosio ; Mary Ann P. Aguado
Journal of the Philippine Dermatological Society 2018;27(1):68-70
Introduction:
There are very few reported incidences of juvenile dermatomyositis in the Philippine setting.
Case Summary:
This is a case of a 9-year-old female from Batangas City, who came in with a 3-year history of multiple non-
tender, non-pruritic erythematous papules which started on the dorsal aspect of the metacarpophalangeal (MCP) and
interphalangeal joints of the hands, with some progressing into plaques on the face and extremities. No other associated
symptoms such as fever, cough, colds or weakness were noted. Three months prior to consult, there was persistence of
the above-mentioned lesions with body weakness described as difficulty getting out of bed and climbing stairs. Consult
with a dermatologist and rheumatologist was done.
A skin punch biopsy showed hyperkeratosis of the stratum corneum. There was focal vacuolar alteration of the basal cell
layer with thickening of the basement membrane zone. The papillary dermis showed pigment-laden macrophages, a
calcified nodule, fibrosis, and a sparse perivascular inflammatory infiltrate of lymphocytes. There was also thickening of
the basement membrane zone on Periodic acid-Schiff stain. Both clinical and histopathological findings point to Juvenile
Dermatomyositis.
Conclusion
Juvenile Dermatomyositis requires prompt diagnosis for proper treatment and prognostication. This entails
extensive diagnostic procedures such as skin punch biopsy, muscle enzymes such as CK-MB and CK- MM, and blood tests.
Co-management with a pediatric rheumatologist is highly advised for initiation and regulation of oral corticosteroids as
well as vitamin supplementation.
Dermatomyositis
;
Connective Tissue
;
Rheumatology
2.Cross-sectional survey on the knowledge, attitudes and practices of Philippine Dermatological Society members related to HIV/AIDS
Emmerson Gale S. Vista ; Ma. Teresita G. Gabriel ; Lunardi Bintanjoyo ; Reynaldo L. Ugalde ; Abigael Villanueva ; Eunice Kaye Rayos-Lopez ; Ma. Angela Lavadia ; Ma. Kriselda Dar Santos-Cabrera
Journal of the Philippine Dermatological Society 2018;27(2):41-51
Background:
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.
Methods:
A cross-sectional study was done among PDS members from February to November 2017 utilizing a questionnaire consisting
of socio-demographic questions and KAP questions related to HIV.
Results:
Out of 210 participants, 71.43% show good working knowledge, 60.95% show negative attitudes, 55.71% show bad practices
related to HIV/AIDS. Members aged 29 to 37 years old, having worked as dermatologists for 1 to 8 years, and having worked in the
health care sector for 1 to 8 years have better working knowledge on HIV/AIDS. Although with lesser duration of work as dermatologist,
these members have more positive attitudes towards HIV/AIDS. These findings may be attributed to greater exposure to HIV cases and
better ability to access information by internet among younger dermatologists. Gender is not significantly associated with KAP related to
HIV/AIDS. Practice related to HIV/AIDS is not significantly associated with any demographic variables. Bad working knowledge related to
HIV/AIDS is associated with negative attitude and bad practices. This can be attributed to insufficient training in the field of HIV/AIDS.
Conclusion
Majority of PDS members show negative attitudes, bad practices, but good working knowledge related to HIV/AIDS.
HIV
;
Acquired Immunodeficiency Syndrome
;
Knowledge
;
Attitude
;
Dermatologists
3.Molluscum contagiosum-like lesions: A telltale sign of disseminated cryptococcosis
Audi ; Emmerson Gale S. Vista ; Marie Claudine Francesca B. Perlas ; Lunardi Bintanjoyo ; Johannes F. Dayrit
Journal of the Philippine Dermatological Society 2019;28(2):70-74
Introduction:
Cryptococcosis is an opportunistic fungal infection caused by Cryptococcus neoformans. This systemic
fungal infection affects 6 to 13% of patients with acquired immunodeficiency syndrome (AIDS). Only 10% of patients
with this condition develop cutaneous manifestations.
Case Summary:
A 20-year-old male, newly diagnosed case of HIV (Human Immunodeficiency Virus), presented with
multiple skin-colored molluscum contagiosum-like umbilicated papules on the face, neck and both arms. Lesions
increased in number rapidly and were associated with respiratory distress. Histopathologic examination revealed
findings of opportunistic fungal infection suggestive of cryptococcosis. Serum Cryptococcal Antigen Latex
Agglutination System (CALAS) test was also positive. Patient was then diagnosed as a case of cryptococcosis and was
a candidate for intravenous amphotericin B. However, before the planned medication was given, the patient
experienced severe respiratory distress and expired several hours later.
Conclusion
Molluscum-like skin lesions may be a telltale sign of a disseminated opportunistic fungal infection,
including Cryptococcosis. Early diagnosis followed by prompt and aggresive treatment would improve outcome and
survival of the patient.
Cryptococcosis
;
Acquired Immunodeficiency Syndrome
;
HIV