DR DV Shrma
About Me
DR DV Shrma
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
PHOTOTHERAPY
Phototherapy involves controlled exposure to ultraviolet (UV) light to treat various chronic skin disorders that do not respond well to topical medications alone. It harnesses specific wavelengths beneficially modifying immune responses within the skin layers.
- Indications: Conditions such as psoriasis, vitiligo, atopic dermatitis can show significant improvement with phototherapy sessions.
- Procedure details: Administered using UVA or narrowband UVB lamps multiple times weekly over several weeks depending on severity and response.
- Safety measures: Protective eyewear must be worn during treatment; dose adjustments minimize risks like burning or long-term photoaging effects.
- Expected outcomes: Gradual reduction in redness, scaling, and symptom relief generally observed with consistent treatment adherence.
This modality offers an alternative therapeutic option particularly useful when systemic drugs carry higher side effect risks or contraindications exist due to patient health status.
TZANCK SMEAR TEST
The Tzanck smear test is a rapid cytological procedure commonly employed for diagnosing certain viral infections such as herpes simplex and varicella-zoster virus affecting the skin and mucous membranes.
- Sample collection: Scrapings from fresh vesicular lesions are obtained using a scalpel blade gently without discomfort.
- Microscopic examination: Cells stained with special dyes reveal characteristic changes like multinucleated giant cells confirming viral etiology.
- Clinical relevance: Enables immediate differentiation from other blistering diseases thereby allowing prompt antiviral treatment initiation.
- Limitations: While helpful for initial diagnosis, further confirmatory tests could be necessary depending on clinical context.
This straightforward diagnostic test offers timely insights into blistering viral infections ensuring appropriate management early in their course.
WOOD'S LAMP EXAMINATION
The Wood's lamp examination uses ultraviolet light to detect certain bacterial or fungal infections and pigmentary changes in the skin. It's a quick way to aid diagnosis during clinical visits.
- The technique involves: Exposing affected areas to UV light emitted from a special lamp in a darkened room.
- Disease identification: Certain pathogens fluoresce distinctly under this light enabling differentiation between types of infections or assessing pigment disorders like vitiligo.
- No pain involved: The test is painless and non-invasive without any preparation required beforehand.
- Treatment implications: Helps dermatologists decide on suitable antimicrobial therapies or manage pigmentation abnormalities effectively after evaluation results are obtained.
This simple yet effective diagnostic tool supports an informed clinical approach by revealing subtle changes invisible under regular light conditions on the skin’s surface.
SKIN BIOPSY
A skin biopsy involves removing a small sample of skin tissue for microscopic examination. This procedure assists in confirming diagnoses when clinical evaluation alone is insufficient.
- Purpose: It helps diagnose conditions such as infections, inflammatory diseases, tumors, and autoimmune disorders affecting the skin.
- Methods: Techniques include punch biopsy, shave biopsy, or excisional biopsy depending on lesion characteristics and location.
- The process: Conducted under local anesthesia; samples are sent to pathology laboratories for detailed analysis.
- Post-procedure care: Minor discomfort may occur; wound care instructions are provided to prevent infection and promote healing.
This diagnostic approach ensures precise characterization of ambiguous lesions and guides appropriate treatment decisions based on histological findings.
PATCH TESTING
Patch testing is a specialized investigation used to identify allergens responsible for allergic contact dermatitis. It plays a crucial role in diagnosing delayed hypersensitivity reactions affecting the skin.
- Indications: Patients experiencing unexplained rash, itching, or eczema suspected due to contact allergens benefit from this test.
- How it works: Small amounts of common allergens are applied onto the back under adhesive patches and left for 48 hours.
- Reading results: After removal, the skin is examined at specified intervals for redness, swelling, or blisters indicating sensitization.
- Treatment guidance: Identifying triggers enables avoidance strategies and tailored management plans to alleviate symptoms effectively.
This test provides vital information in managing chronic dermatitis by pinpointing causative substances and helping improve quality of life through targeted preventive measures.
DERMATOSCOPY
Dermatoscopy is a non-invasive diagnostic technique used to examine skin lesions with enhanced clarity. By magnifying the skin surface, it allows for better visualization of structures not visible to the naked eye.
- Purpose: It helps differentiate benign from malignant lesions, aiding in early detection of skin cancers such as melanoma.
- Procedure: A special handheld device called a dermatoscope is used to inspect suspicious moles or spots on the skin.
- Benefits: This method improves diagnostic accuracy without requiring invasive biopsies immediately.
- When performed: Usually recommended when irregular or changing lesions are noticed during routine skin examinations.
- Follow-up: Based on findings, further tests like biopsy may be advised, or routine monitoring might be sufficient.
This technique is a valuable tool in dermatology for early and accurate assessment of various pigmented lesions, minimizing unnecessary procedures while prioritizing patient safety.