DR Ramnath Sharm
About Me
DR Ramnath Sharm
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
ACUTE STEVENS-JOHNSON SYNDROME
This severe hypersensitivity reaction affects skin and mucous membranes causing painful erosions and blistering. It is a medical emergency requiring immediate attention due to risk of life-threatening complications.
- Symptoms begin with fever , malaise followed by rapidly spreading painful red rashes evolving into blisters , epidermal detachment affecting mucosa including eyes , mouth , genitalia .
- Common causes are adverse drug reactions especially antibiotics , anticonvulsants ; infections also implicated .
- Diagnosis depends on clinical features supported by biopsy showing epidermal necrosis .
- Treatment mandates hospitalization providing supportive care including fluid balance , wound management , stopping offending agent , plus systemic steroids or immunoglobulin administration depending on severity .
- Outcome varies but early diagnosis improves survival rates ; scarring possible requiring long-term follow up for sequelae like vision impairment .
This critical dermatological condition underscores urgency in identification and multidisciplinary management protocols for best patient outcomes.
BULLOUS PEMPHIGOID - ACUTE PHASE
Bullous pemphigoid is an autoimmune blistering disorder primarily seen in elderly patients. The acute phase features tense blisters affecting large areas causing discomfort and risk of infection.
- Symptoms include large tense blisters over normal or reddened skin accompanied by itching .
- Causes involve autoantibodies attacking components beneath the epidermis leading to separation between skin layers .
- Diagnosis relies on clinical presentation complemented by biopsy and immunofluorescence studies confirming antibody deposits .
- Treatment includes systemic corticosteroids combined with immunosuppressive agents ; supportive wound care important as well .
- Prognosis involves controlling blister formation while preventing secondary infection ; long-term monitoring needed due to potential relapses .
Early recognition allows effective intervention reducing morbidity associated with extensive blistering disorders .
ACUTE ECZEMA EXACERBATION
Eczema flare-ups represent sudden worsening of chronic inflammatory skin conditions marked by redness and intense itching. Addressing flares promptly helps restore comfort quickly.
- Symptoms include widespread redness, swelling, blistering in some cases along with significant itching causing discomfort and sleep disturbance.
- Triggers often are environmental irritants, allergens, infections or stress that provoke immune response variability in susceptible individuals.
- Diagnosis involves physical examination looking for typical eczema features plus exclusion of infections like impetigo if suspected on damaged skin areas.
- Treatment strategies commonly used are potent topical corticosteroids alongside emollients; antibiotics may be necessary if secondary bacterial infections occur;
HERPES ZOSTER (SHINGLES)
This viral infection causes a painful rash resulting from reactivation of the varicella-zoster virus. It often affects older adults or those with weakened immunity.
- Symptoms: Painful blisters appearing on one side of the body or face accompanied by burning sensation and sensitivity.
- Causes: Reactivation of latent chickenpox virus residing in nerve cells following immune suppression or stress.
- Diagnosis: Clinical appearance combined with patient history; laboratory tests confirm atypical cases.
- Treatment methods: Early antiviral therapy (e.g., acyclovir) reduces severity; pain management is essential during recovery phase.
- What patients should expect: Rash usually heals within 2-4 weeks but postherpetic neuralgia may persist requiring specialized care.
A prompt diagnosis and treatment initiation improves outcomes and limits complications such as prolonged nerve pain after rash resolution.
ACUTE URTICARIA (HIVES)
Urticaria is characterized by sudden outbreaks of swollen, itchy welts on the skin. Acute urticaria episodes generally last less than six weeks but can be distressing due to rapid onset.
- Symptoms: Raised, red or skin-colored wheals that appear suddenly and often itch intensely.
- Causes: Allergic reactions to foods, medications, insect stings, infections, or stress.
- Diagnosis: Clinical examination is primary; detailed history helps identify triggers.
- Treatment options: Oral antihistamines are first-line; severe reactions may require corticosteroids or epinephrine in emergencies.
- What to expect: Most acute urticaria resolves quickly with treatment but avoiding known triggers is crucial for prevention.
The unpredictable nature of urticaria calls for timely recognition and management to alleviate symptoms effectively.
ACUTE CONTACT DERMATITIS
Contact dermatitis is a common skin reaction caused by exposure to irritants or allergens. It can develop rapidly after contact, leading to discomfort and visible skin changes.
- Symptoms: Redness, itching, swelling, and blistering localized to the area of contact.
- Causes: Direct skin exposure to substances like chemicals, soaps, plants (e.g., poison ivy), or metals.
- Diagnosis: Often clinical based on history and appearance; patch testing may identify specific allergens if necessary.
- Treatment: Removing the offending agent, using topical corticosteroids to reduce inflammation and antihistamines for itching relief.
- What to Expect: Improvement typically occurs within 1-3 weeks with proper care; severe cases might require systemic therapy.
This condition highlights the importance of identifying triggers and early intervention to prevent complications such as infection or chronic dermatitis.