Dr Varun Mishra
About Me
Dr Varun Mishra
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
HERPES ZOSTER (SHINGLES)
A reactivation of the varicella-zoster virus causes this painful rash commonly called shingles. It affects nerve roots causing distinctive patterns along dermatomes.
- Clinical signs: Localized burning pain followed by clusters of vesicular eruptions on one side of the body usually along a single dermatome territory like the torso or face.
- Causative factors: Virus resurfaces from dormant state in nerve ganglia often due to immunosuppression or aging immune system decline. true
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STEVENS-JOHNSON SYNDROME
This serious dermatologic emergency involves widespread skin blistering and mucous membrane involvement. It requires immediate medical attention due to potential life-threatening complications.
- Painful symptoms: Rapid onset of painful red rash, blisters, and peeling skin accompanied by fever and malaise.
- Main causes: Strongly associated with adverse drug reactions such as antibiotics or anticonvulsants; sometimes triggered by infections.
- Diagnostic criteria: Clinical diagnosis confirmed through patient history, physical exam, and sometimes skin biopsy showing epidermal necrosis.
- Treatment protocols: Hospitalization often necessary for supportive care including wound management, fluid replacement, pain control, and stopping the offending agent immediately.
- Expected outcomes: Mortality risk exists; early intervention improves prognosis greatly but long-term sequelae may include scarring or pigment changes.
This condition demands urgent specialist evaluation because it impacts multiple organ systems beyond just the skin surface.
ERYTHEMA MULTIFORME
Erythema multiforme is an acute skin disorder often triggered by infections or medication reactions. It manifests as distinctive target-like lesions on the skin.
- Symptoms and presentation: Symmetrical red patches or target-shaped spots primarily on hands and feet with possible mucosal involvement.
- Causes: Frequently caused by herpes simplex virus infection or adverse drug reactions.
- Diagnostic approach: Diagnosis is made clinically supported by patient history; biopsy may be needed in uncertain cases.
- Treatment and management: Mild cases resolve on their own; severe symptoms may require corticosteroids or antiviral therapy if linked to herpes infection.
- Prognosis: Lesions usually heal within 2-3 weeks without scarring but recurrent episodes can occur in some individuals.
Erythema multiforme requires early identification to guide treatment strategies, especially when mucosa is involved to avoid complications.
ACUTE URTICARIA
Acute urticaria is a sudden onset skin reaction characterized by red, itchy welts. It often appears rapidly and can be alarming, but most cases resolve within days.
- Symptoms: Intense itching, raised hives or wheals that may vary in shape and size, swelling around the affected areas.
- Causes: Common triggers include allergic reactions to foods, medications, infections, or insect bites.
- Diagnosis: Based on clinical examination and detailed history of exposure to potential allergens; no specific tests are usually required initially.
- Treatment options: Antihistamines are first-line treatment to reduce itching and inflammation. Severe cases might need corticosteroids.
- What to expect: Most episodes improve within a few days to weeks but avoiding known triggers helps prevent recurrence.
This condition is typically self-limiting but prompt recognition and management can greatly improve comfort and prevent complications.