1.The Clinical Characteristics of Inpatients: An Audit in the Department of Dermatology Hospital Kuala Lumpur Between 2016 and 2020
Gin Peng Chan ; Suganthi Thevarajah ; Min Moon Tang
Malaysian Journal of Dermatology 2021;47(Dec 2021):56-62
Background:
Although Dermatology is primarily a non-acute, outpatient-centered clinical specialty, some of them
require in-patient care for intensive skin management. We aim to describe the demographic data,
clinical characteristics, and outcomes of Dermatology inpatients in Hospital Kuala Lumpur (HKL).
Methods:
This is a retrospective study on all dermatology inpatients in HKL between 2016 and 2020. Data was
obtained from admission records and further analyzed.
Results:
A total of 1567 patients were admitted to the Dermatology ward between 2016 and 2020 accounted
for 2292 admissions. The mean age was 45 years (range 8-93). The male to female ratio was 1.16:1.
The majority were Malaysian (99.2%). Most Malaysian were Malays (60%) followed by Chinese
(19.3%) and Indian (17.1%). About 91% of the admissions were arranged from the dermatology
clinic. The mean length of stay was 5.06 days (range 0-63). About 20% of the patients required
multiple admissions. The main dermatological diagnosis requiring inpatient care were non-infective
dermatoses (60.4%) which included eczematous dermatoses, autoimmune dermatoses, psoriasis,
cutaneous adverse drug reactions, inflammatory and non-inflammatory dermatoses. This was followed
by cutaneous infections (24.5%) and drug allergy testing & drug provocation tests (7.9%). About 3%
of patients were transferred to other departments for further intensive management, and the rest were
discharged home well. No mortality occurred in the Dermatology ward.
Conclusion
The Dermatology ward HKL managed 2292 admissions between 2016 and 2020. The three main
dermatological diagnoses requiring intensive skin management were eczematous conditions, cutaneous
infections, and autoimmune dermatoses.
Dermatology
;
Inpatients
;
Hospital Kuala Lumpur (Malaysia)
2.Cutaneous Manifestations in Patients Infected with Human Immunodeficiency Virus: An Audit in the Department of Dermatology Hospital Kuala Lumpur
Gin Peng Chan ; Meena Nithianandan ; Suganthi Thevarajah ; Min Moon Tang
Malaysian Journal of Dermatology 2020;45(2):11-21
Patients with human immunodeficiency virus (HIV) may have significant cutaneous morbidities
which can potentially affect their quality of life or be life-threatening. This study aimed to describe the
demographic data and the pattern of cutaneous manifestations of patients infected with HIV.
3.Adult Onset Still’s Disease: A Case Report in Hospital Kuala Lumpur
Choon Sian Lee ; Li Lian Tay ; Gin Peng Chan ; Zuliatul Faizah Baharom ; Bang Rom Lee ; Suganthi Thevarajah ; Min Moon Tang
Malaysian Journal of Dermatology 2020;44(1):41-49
Adult onset Still’s disease (AOSD) is a sporadic
complex autoinflammatory syndrome first described
in 1971.1 It is characterised by high spiking fever,
polyarthritis, sore throat, lymphadenopathy,
hepatosplenomegaly, serositis, and evanescent skin
eruptions.1,2 It is associated with life-threatening
complications too. Diagnosis of AOSD is laborious
as it requires extensive investigations to exclude
infections, autoimmune diseases and malignancy.
Here we illustrate a young female who exhibited a
turbulent presentation of ASOD.