American Research Journal of Medicine and Surgery

Dr. Shantanu Vyas1, Dr. Girish Chauhan2

Choledochal cysts in adults are often detected during the investigation of nonspecific symptoms. Choledochal cysts are uncommon and of unknown cause, with an incidence of 0.1% even among adults referred for endoscopic retrograde cholangiopancre atography (ERCP) investigation 2. There is a higher incidence in females 3, 4. The presentation is often vague and nonspecific, impending prompt diagnosis. However, the diagnosis is facilitated by modern imaging techniques. While some aspects of optimal management have been resolved, others remain controversial. Here in we report our experience concentrating particularly on current issues in management of the disease.
MRCP is the best imaging modality for diagnosis and characterization of these cysts. Complete excision and hepaticojejunostomy is the management of choice. Two drain (Subhiepatic and pelvis) should be put at time of surgery.

Salami T.A.T1, Akinkugbe A.O2

Dermatitis as an inflammatory skin disorder is characterized by erythema and scaling of the cutaneous surface of the body. The pattern of occurrence differs across the ages and varies in different parts of the body.
The records of all patients with a diagnosis of dermatitis presenting to the dermatologic clinic of Irrua Specialist Teaching Hospital, Irrua Edo State Nigeria over a ten years period between April 2005 and April 2015 were reviewed and analyzed retrospectively and subjected to simple statistical analysis.
One thousand six hundred and twenty patients (1620) with various types of dermatitis were seen during this period representing 22% of all dermatologic presentations. Among the different types of dermatitis encountered, atopic dermatitis accounted for the highest prevalence at 28.1% occurring equally in the young and the old, followed by contact dermatitis occurring in 18.2% of the patients (mainly in young adults). Those with the lowest prevalence were stasis dermatitis (2.4%) and asteatotic eczema (3.6%) both occurring majorly in the elderly. Seborrhoiec dermatitis (8%) and onchodermatitis (5%) were the major infective dermatitis found.
The spread of dermatitis in a tropical dermatology practice from this study varies greatly among different age groups and several factors such as inherent immunity and various environmental conditions from activities of daily living are responsible for these and the knowledge of this variation may help to exclude other lesions such as psoriasis and drug eruptions which can present with a similar clinical picture.