Dr Dipti Shukla
About Me
Dr Dipti Shukla
MBBS
Dermatologist
10 Years Experience
Biography
My Clinic
OPD Hours
| Monday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Tuesday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Wednesday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Thursday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Friday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Saturday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Sunday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM |
Treatments
Specialised care and treatments offered
NECROTIZING FASCIITIS
This rare but quickly advancing bacterial infection destroys soft tissue including fascia beneath the skin surface. Early identification is critical due to its potentially life-threatening nature requiring urgent intervention.
- Symptoms/causes :Severe pain disproportionate to visible damage initially accompanied by swelling redness rapidly spreading at affected site ; bacteria like Streptococcus pyogenes commonly implicated;
- Diagnosis :Clinical suspicion supported by imaging (MRI or CT scan) showing fascial involvement plus laboratory markers indicating systemic infection ; surgical exploration often necessary;
- Treatment/management :Emergency surgical debridement combined with intensive intravenous antibiotics ; supportive care including fluids , pain management , possible intensive care monitoring required;
- What to expect :Early treatment improves survival though extensive tissue loss may occur necessitating reconstructive procedures ; delays markedly increase mortality risk .
Rapid action upon signs suggestive of necrotizing fasciitis remains essential for positive outcomes given its aggressive progression .
ACUTE URTICARIA
The rapid onset of raised itchy wheals on the skin characterizes acute urticaria. This allergic-type reaction can be triggered by foods, infections, medications, or environmental factors causing transient swelling in superficial skin layers.
- Symptoms/causes:Lumpy red or pale swellings (wheals) appear suddenly with severe itching; triggers vary widely from allergens like nuts or insect bites to viral illnesses;
- Diagnosis:A thorough history identifying potential exposures along with physical exam usually suffice. Additional allergy testing may help if repeated episodes occur;
- Treatment/management:Mainly involves oral antihistamines for symptom relief; avoiding known triggers is essential; short courses of corticosteroids used for severe reactions;
- What to expect:The hives typically resolve within hours to days without lasting marks but recurrence risk exists depending on continued allergen exposure;
Prompt recognition ensures rapid treatment preventing progression toward more serious allergic responses such as angioedema or anaphylaxis.
HERPES ZOSTER (SHINGLES)
An infection caused by reactivation of the varicella-zoster virus results in herpes zoster, commonly referred to as shingles. It manifests as a painful rash along nerve distributions after years of virus dormancy in nerve ganglia.
- Symptoms/causes: Initial symptoms include burning pain or tingling followed by unilateral blistering rash limited to one dermatome; nerve irritation causes intense discomfort; occurs mostly in older adults or immunocompromised individuals.
- Diagnosis: Clinical appearance and history are usually sufficient for diagnosis; laboratory tests like PCR confirm atypical presentations.
- Treatment/management: Antiviral medications initiated within 72 hours reduce severity; analgesics manage pain; corticosteroids may be prescribed cautiously in some cases.
- What to expect: Rash heals over 2-4 weeks though pain (postherpetic neuralgia) can persist longer especially without early treatment support.
Efficacious antiviral therapy paired with supportive care helps minimize complications associated with herpes zoster episodes.
ERYTHEMA MULTIFORME
Erythema multiforme presents as a hypersensitivity reaction affecting skin and sometimes mucous membranes. It often occurs following infections or medication exposure, resulting in distinctive target-like lesions.
- Symptoms/causes: Sudden appearance of symmetrical red spots with central clearing, usually on palms, soles, and extremities; possible mild fever or malaise precedes rash onset; precipitated by herpes simplex virus or certain drugs.
- Diagnosis: Primarily clinical; biopsy may assist if diagnosis is uncertain by revealing characteristic histopathological features.
- Treatment/management: Identifying and discontinuing triggering factors; supportive care includes topical corticosteroids and antihistamines for symptom relief; severe cases may need systemic steroids.
- What to expect: Lesions typically resolve within 2-3 weeks without scarring if treated promptly; recurrences can occur especially with recurrent infections.
This self-limited condition generally has a good prognosis but requires careful management of triggers to prevent future episodes.
BULLOUS PEMPHIGOID
Bullous pemphigoid is an autoimmune skin disease characterized by large, tense blisters mainly seen in older adults. It arises when the immune system mistakenly attacks skin layers, leading to separation and fluid accumulation under the epidermis.
- Symptoms/causes: Intense itching precedes the development of raised blisters that do not easily rupture. The exact cause is unknown but involves autoimmune processes.
- Diagnosis: Confirmed by skin biopsy with direct immunofluorescence showing antibodies along the basement membrane zone.
- Treatment/management: Systemic corticosteroids and immunosuppressive agents are mainstays. Wound care for blisters prevents infection.
- What to expect: The disease follows a chronic course but responds well to treatment; early intervention improves prognosis.
A timely diagnosis combined with effective therapy can control symptoms and enhance quality of life for those affected by bullous pemphigoid.
ACUTE CONTACT DERMATITIS
Exposure to irritants or allergens can trigger a sudden inflammatory skin reaction known as acute contact dermatitis. This condition often develops rapidly after skin contact with a specific substance, causing discomfort and visible changes.
- Symptoms/causes: Redness, itching, swelling, and blistering at the site of contact are common signs. Causes include chemicals, soaps, plants like poison ivy, or metals such as nickel.
- Diagnosis: A clinical evaluation based on patient history and examination is typical; patch testing may be employed to identify specific allergens.
- Treatment/management: Avoidance of the offending substance is crucial. Topical corticosteroids and soothing emollients help reduce inflammation. Severe cases might require systemic steroids.
- What to expect: Symptoms usually improve within 1-3 weeks if managed properly. Persistent or recurrent exposure can worsen the condition.
Prompt recognition and avoidance strategies paired with appropriate medication usually lead to a full recovery from acute contact dermatitis.