DNB Dermatology, Venereology and Leprosy: Admissions, Medical Colleges, Fees, Eligibility criteria

Published On 2022-11-28 11:34 GMT   |   Update On 2023-12-16 06:43 GMT

DNB Dermatology, Venereology and Leprosy or Diplomate of National Board in Dermatology, Venereology and Leprosy also known as DNB in Dermatology, Venereology and Leprosy is a Postgraduate level course for doctors in India that is done by them after completion of their MBBS. The duration of this postgraduate course is 3 years, and it focuses on the study of various concepts related to...

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DNB Dermatology, Venereology and Leprosy or Diplomate of National Board in Dermatology, Venereology and Leprosy also known as DNB in Dermatology, Venereology and Leprosy is a Postgraduate level course for doctors in India that is done by them after completion of their MBBS. The duration of this postgraduate course is 3 years, and it focuses on the study of various concepts related to the field of diagnosis of different types of hair, nails, skin related diseases and including the management and prevention of the conditions.

The course is a full-time course pursued at various accredited institutes/hospitals across the country. Some of the top accredited institutes/hospitals offering this course are Base Hospital- Delhi, College of Medicine and JNM Hospital- West Bengal, Darbhanga Medical College Hospital- Bihar, and more.

Admission to this course is done through the NEET PG Entrance exam conducted by the National Board of Examinations, followed by counselling based on the scores of the exam that is conducted by DGHS/MCC/State Authorities.

The fee for pursuing DNB (Dermatology, Venereology and Leprosy) from accredited institutes/hospitals is Rs. 80,000 to Rs. 3,15,000 per year.

After completion of their respective course, doctors can either join the job market or pursue a super-specialization course where DNB Dermatology, Venereology and Leprosy is a feeder qualification. Candidates can take reputed jobs at positions as Senior residents, Junior Consultants, Consultants, etc. with an approximate salary range of Rs. 8,00,000 to Rs.20,00,000 per year.

DNB is equivalent to MD/MS/DM/MCh degrees awarded respectively in medical and surgical super specialties. The list of recognized qualifications awarded by the Board in various broad and super specialties as approved by the Government of India are included in the first schedule of the Indian Medical Council Act, 1956.

The Diplomate of National Board in broad-specialty qualifications and super specialty qualifications when granted in a medical institution with the attached hospital or in a hospital with the strength of five hundred or more beds, by the National Board of Examinations, shall be equivalent in all respects to the corresponding postgraduate qualification and the super-specialty qualification granted under the Act, but in all other cases, senior residency in a medical college for an additional period of one year shall be required for such qualification to be equivalent for the purposes of teaching also.

What is DNB in Dermatology, Venereology and Leprosy?

Diplomate of National Board in Dermatology, Venereology and Leprosy, also known as DNB (Dermatology, Venereology and Leprosy) or DNB in Dermatology, Venereology and Leprosy is a three-year postgraduate programme that candidates can pursue after completing MBBS.

Dermatology, Venereology and Leprosy is the branch of medical science dealing with the study of skin, nails, hair, and diseases.

The National Board of Examinations (NBE) has released a curriculum for DNB in Dermatology, Venereology and Leprosy.

The curriculum governs the education and training of DNB in Dermatology, Venereology and Leprosy.

PG education intends to create specialists who can contribute to high-quality health care and advances in science through research and training.

The required training done by a postgraduate specialist in the field of Dermatology, Venereology and Leprosy would help the specialist recognize the community's health needs. The student should be competent to handle medical problems effectively and should be aware of the recent advances in their speciality.

The candidate should be a highly competent specialist in Dermatology, Venereology and Leprosy possessing a broad range of skills that will enable her/him to practice Dermatology, Venereology and Leprosy independently. The PG candidate should also acquire the basic skills in the teaching medical/para-medical students.

The candidate is also expected to know the principles of research methodology and modes of the consulting library. The candidate should regularly attend conferences, workshops, and CMEs to upgrade her/ his knowledge.

Course Highlights

Here are some of the course highlights of DNB in Dermatology, Venereology and Leprosy

Name of Course

DNB in Dermatology, Venereology and Leprosy

Level

Postgraduate

Duration of Course

Three years

Course Mode

Full Time

Minimum Academic Requirement

MBBS degree obtained from any college/university recognized by the Medical Council of India (now NMC)

Admission Process / Entrance Process / Entrance Modalities

Entrance Exam (NEET PG)

Course Fees

Rs. 80,000 to Rs. 3,15,000 per year

Average Salary

Rs. 8,00,000 to Rs.20,00,000 per year

Eligibility Criteria

The eligibility criteria for DNB in Dermatology, Venereology and Leprosy are defined as the set of rules or minimum prerequisites that aspirants must meet in order to be eligible for admission, which includes:

  • Candidates must be in possession of an undergraduate MBBS degree from any college/university recognized by the Medical Council of India (MCI) now NMC.
  • Candidates should have done a compulsory rotating internship of one year in a teaching institution or other institution which is recognized by the Medical Council of India (MCI) now NMC.
  • The candidate must have obtained permanent registration of any State Medical Council to be eligible for admission.
  • The medical college's recognition cut-off dates for the MBBS Degree courses and compulsory rotatory Internship shall be as prescribed by the Medical Council of India (now NMC).
  • Candidates who have passed the final examination, leading to the award of a Post Graduate Degree (MD/MS) from an Indian University, which is duly recognized as per provisions of the National Medical Commission (NMC) Act, 2019 and the first schedule of the IMC Act can apply for the DNB Final examination in the same broad specialty.

Admission Process

The admission process contains a few steps to be followed in order by the candidates for admission to DNB in Dermatology, Venereology and Leprosy. Candidates can view the complete admission process for DNB in Dermatology, Venereology and Leprosy mentioned below:

  • The NEET PG or National Eligibility Entrance Test for Post Graduate is a national-level master's level examination conducted by the NBE for admission to MD/MS/PG Diploma Courses.
  • The requirement of eligibility criteria for participation in counselling towards PG seat allotment conducted by the concerned counselling authority shall be in lieu of the Post Graduate Medical Education Regulations (as per the latest amendment) notified by the MCI (now NMC) with prior approval of MoHFW.

S.No.

Category

Eligibility Criteria

1.

General

50th Percentile

2.

SC/ST/OBC (Including PWD of SC/ST/OBC)

40th Percentile

3.

UR PWD

45th Percentile

Fees Structure

The fee structure for DNB in Dermatology, Venereology and Leprosy varies from accredited institute/hospital to hospital. The fee is generally less for Government Institutes and more for private institutes. The average fee structure for DNB in Dermatology, Venereology and Leprosy is Rs. 80,000 to Rs. 3,15,000 per year.

Colleges offering DNB in Dermatology, Venereology and Leprosy

Various accredited institutes/hospitals across India offer courses for pursuing DNB (Dermatology, Venereology and Leprosy).

As per the National Board of Examinations website, the following accredited institutes/hospitals are offering DNB (Dermatology, Venereology and Leprosy) courses for the academic year 2022-23.

Hospital/Institute

Specialty

No. of Accredited Seat(s) (Broad/Super/Fellowship)

DNB- Post Diploma Seat(s)

Accreditation Valid up to*

Faculty for Accredited Programme

Base Hospital Delhi Cantt., Delhi-110010

Dermatology, Venereology and Leprosy

2

2

Dec-2025

View Faculty

College of Medicine and JNM Hospital P. O.: Kalyani District, Nadia West Bengal-741235

Dermatology, Venereology and Leprosy

1

1

Dec-2026

View Faculty

Darbhanga Medical College Hospital Laheriasarai P.O. -DMC, Laheriasarai, Darbhanga Bihar-846003

Dermatology, Venereology and Leprosy

1

1

Dec-2025

View Faculty

Dr. Baba Saheb Ambedkar Hospital Sector- 06 Rohini Delhi-110085

Dermatology, Venereology and Leprosy

1

1

Dec-2025

View Faculty

Dr. R N Cooper Municipal General Hospital (Associated with H B T (Hinduhridayasamrat Balasaheb Thackeray) medical College) North South Road No.1, Juhu Scheme, Vile Parle (West), Mumbai Maharashtra-400056

Dermatology, Venereology and Leprosy

1

1

Dec-2026

View Faculty

GMERS Medical College Nr. Pathikasharam, Civil Hospital Campus, Sector-12, Gandhinagar Gujarat-382012

Dermatology, Venereology and Leprosy

1

1

Dec-2024

View Faculty

Government Medical College and Associated Hospital Janglat Mandi, Anantnag Jammu and Kashmir-192101

Dermatology, Venereology and Leprosy

1

1

Dec-2025

View Faculty

Government Multi Specialty Hospital Sector-16, Chandigarh-160016

Dermatology, Venereology and Leprosy

2

2

Dec-2025

View Faculty

Hindu Rao Hospital Subzi Mandi, Malkaganj Delhi-110007

Dermatology, Venereology and Leprosy

2

2

Dec-2026

View Faculty

Indira Gandhi Medical College and Research Institute Vazhudavur Road, Kathirkamam Puducherry 9 Pondicherry Pondicherry-605009

Dermatology, Venereology and Leprosy

2

2

Dec-2025

View Faculty

JLNM Hospital Rainawari Srinagar Jammu and Kashmir-190001

Dermatology, Venereology and Leprosy

1

1

Dec-2026

View Faculty

Medical Trust Hospital M G Road, Kochi Kerala-682016

Dermatology, Venereology and Leprosy

1

1

Dec-2027

View Faculty

Rajiv Gandhi Medical College and Chhatrapati Shivaji Maharaj Hospital Thane Belapur Road, Kalwa, Thane Maharashtra-400605

Dermatology, Venereology and Leprosy

1

1

Dec-2025

View Faculty

Sai Sudha Hospital D No: 21-1-24, Jawahar Street, Salipeta, Kakinada Andhra Pradesh-533001

Dermatology, Venereology and Leprosy

1

1

Dec-2025

View Faculty

SETH V. C. GANDHI and M. A. VORA MUNICIPAL GENERAL HOSPITAL (RAJAWADI HOSPITAL) NEAR POST OFFICE, GHATKOPAR EAST MUMBAI Maharashtra-400077

Dermatology, Venereology and Leprosy

1

1

Dec-2026

View Faculty

South Central Railways Hospital Lallguda, Secunderabad Andhra Pradesh-500017

Dermatology, Venereology and Leprosy

2

2

Dec-2023

View Faculty

Syllabus

A DNB in Dermatology, Venereology and Leprosy is a three years specialization course that provides training in the stream of Dermatology, Venereology and Leprosy.

The course content for DNB in Dermatology, Venereology and Leprosy is given in the NBE Curriculum released by the National Board of Examinations, which can be assessed through the link mentioned below:

ANATOMY AND ORGANIZATION OF HUMAN SKIN

Must know

Should know

Good to know

♦ Components of normal human skin

♦ Epidermis

♦ Dermoepidermal Junctional

♦ Dermis

♦ Langerhan's cells

♦ Mast cells

♦ Nerves and sense organs

♦ Merkel cells

♦ Basophils

♦ Blood vessels

♦ Lymphatic systems

♦ Embryology

♦ Regional variation of lymphatic

FUNCTION OF THE SKIN

Must know

Should know

Good to know

♦ Barrier functions

♦ Temperature regulation

♦ Skin Failure

♦ Immunological function

♦ Mechanical function

♦ Sensory and autonomic function

♦ Bioengineering and the skin

♦ Socio sexual communication

DIAGNOSIS OF SKIN DISEASE

Must know

Should know

Good to know

♦ Fundamental of diagnosis

♦ Disease definition

♦ The history

♦ Examination of the skin

♦ Additional clinical investigation (Diascopy, Wood's light, F.N.A.C. of lymph nodes, etc.)

♦ Skin testing

♦ Radiological and imaging

♦ Commonly used laboratory tests examination

♦ Oral provocation test

EPIDEMIOLOGY OF SKIN DISEASE

Must know

Should know

Good to know

♦ What is epidemiology and why is it relevant to dermatology

♦ Describing the natural history and association of specific skin disease

How much of public health problem is a skin disease

What determines the frequency of skin disease

HISTOPATHOLOGY OF THE SKIN GENERAN PRINCIPLES

Must know

Should know

Good to know

♦ Biopsy of the skin

♦ Laboraory methods

♦ Artefacts

♦ The approach to the microscopic examination of tissue sections

MOLECULAR BIOLOGY

Must know

Should know

Good to know

♦ Basic Molecular biology of the cell

♦ Molecular techniques

♦ Cancer genetics

♦ Complex traits

♦ Strategies for identification of disease-causing genes

♦ Future strategies

INFLAMMATION

Must know

Should know

Good to know

♦ Characteristics of inflammation

♦ Phases of inflammation

♦ Innate defence mechanisms

♦ Apoptosis

♦ Major histocompatibility complex

♦ Vasculature and inflammation

♦ Mediators of inflammation

CLINICAL IMMUNOLOGY, ALLERGY, AND PHOTO IMMUNOLOGY

Must know

Should know

Good to know

♦ Innate immunity

♦ Acquired immunity

♦ Photo immunology

♦ Overview of the structure and function of the immune system

♦ Overview of immunological disease

♦ Overview of diagnostic testing for immunological and allergic disease

WOUND HEALING

Must know

Should know

Good to know

♦ Clinical aspects of wound healing

♦ Biological aspects of wound healing

GENETICS AND GENODERMATOSES

Must know

Should know

Good to know

♦ Genetics and disorders of the skin

♦ Histocompatibility antigens and disease association

♦ Chromosomal disorders – down's syndrome, trisomy 18, trisomy 13 (clinical features, diagnosis, management)

♦ Ectodermal dysplasias

o Hypohidrotic ED – definition, etiology, clinical features, diagnosis, treatment

o EEC syndrome

o Hidrotic ED

o Rapp Hodgkin syndrome

♦ Syndromes associated with DNA instability

o Xeroderma pigmentosa – definition, etiology, clinical features, diagnosis, treatment

o Bloom's syndrome

o Cockayane's syndrome

♦ Sex chromosomal defects – turner's, klinefelter's, noonan syndrome

o Familial multiple tumour syndromes – neurofibromatosis syndrome 1,2 – (definition, etiology, clinical features, treatment)

o Tuberous sclerosis complex

♦ Nosology of genetics in skin disease

♦ Principles of medical genetics

♦ Genetic counseling

♦ Poikilodermatous syndromes: dyskeratosis congenital, rothmund Thompson syndrome

♦ Gardner syndrome

♦ Cowden syndrome

♦ Miscellaneous syndromes

♦ Focal dermal

♦ hypoplasia

♦ Nail patella syndrome

♦ Pachydermoperi ostosis

PRENATAL DIAGNOSIS OF GENETIC SKIN DISEASE

Must know

Should know

Good to know

♦ Methods in prenatal diagnosis

♦ Complication of fetal skin biopsy

♦ Ethical aspects of prenatal diagnosis

♦ Current indications for fetal skin biopsy

♦ DNA techniques

♦ Preimplantation genetic diagnosis

THE NEONATE

Must know

Should know

Good to know

♦ Skin disorders in the neonate

♦ Collodion baby

♦ Eczematous eruption in the newborn

♦ Inflantile psoriasis and napkin psoriasis

♦ Disorders caused by transplacental transfer of maternal autoantibody

♦ Blueberry muffin baby

♦ Disorders caused by transfer of toxic

♦ Acute hemorrhagic oedema of childhood

♦ Infections

♦ Primary immunodeficiency disorders

♦ Disorders of subcutaneous fat

♦ Substances in maternal milk

♦ Neonatal purpura

NAEVI AND OTHER DEVELOPMENTAL DEFECTS

MUST KNOW

SHOULD KNOW

GOOD TO KNOW

♦ Definitions

o Etiology

o Classification

♦ Epidermal naevi

o Keratinocyte naevi

o VEN

o ILVEN

o Follicular naevi

o Comedonaevus

o Nevus sebaceous

o Epidermal naevus syndrome

♦ Vascular naevi

o Infantile hemangioma

o Kasabach merritt syndrome

♦ Vascular malformations

♦ Capillary

o Salmon patch

o Portwine stain

o Naevusanemicus

o Sturge weber syndrome

♦ Mixed vascular

♦ Klippel trenauny

♦ Parkas weber syndrome

♦ Cutis marmorata telangiectatica

o Angiokeratomas

♦ Angiokeratoma circumscriptum

♦ Angiokeratoma of Mibelli

♦ Solitary popular

♦ Angiokeratoma of scrotum

♦ Preauricular cyst and sinus

♦ Aplasia cutis congenita

♦ Linear porokeratosis

♦ Apocrine naevus

♦ Eccrine naevus

♦ Dermal and subcutaneous naevi

♦ Eruptive collagenoma

♦ Shagreen patch

♦ Knuckle pads

♦ Pseudoxanthoma elasticum

♦ Proteus syndrome

♦ Zosteriform venous malformation

♦ Branchial cyst

♦ Branchial sinus and fistula

PRURITUS

♦ Classification

♦ Measurement

♦ Pathophysiology

♦ Central itch

♦ Factors modulating itching

♦ Scratching

♦ Itching in non-inflamed skin

♦ Itching in disease states

♦ Aquagenic pruritus

♦ Psychogenic pruritus

♦ Postmenopausal pruritus

♦ Pruritus of atopic eczema

♦ Acquired immune deficiency syndrome

♦ Investigation of generalized pruritus

♦ Management of itching

♦ Important miscellaneous causes of intense itching

ECZEMAS

MUST KNOW

SHOULD KNOW

GOOD TO KNOW

♦ Definitions, classification, histopathology

♦ Secondary dissemination: mechanism, C/F

♦ Infective dermatitis

♦ Dermatophytide

♦ Seborrheic dermatitis: definition, etiology, C/F, morphology, variants, diagnosis, treatment

♦ Seborrheic folliculitis

♦ Asteatotic eczema

♦ Discoid eczema

♦ Hand eczema

♦ Pompholyx

♦ Hyperkeratotic palmar eczema

♦ Ring eczema

♦ Wear tear dermatitis

♦ Finger tip eczema

♦ Gravitational eczema

♦ Juvenile plantar dermatosis

♦ Pityriasis alba

♦ Diagnosis and treatment of eczemas

♦ Lichenification

♦ Lichen simplex

♦ Lichen chronicus

♦ Prurigo

♦ Nodular prurigo

♦ Prurigo pigmentosa

♦ Prurigo of pregnancy

♦ Actinic prurigo

♦ Neurotic excoriation

♦ Metabolic eczema

♦ Eczematous drug eruption

♦ Chronic superficial scaly dermatitis

♦ Papuloerythro derma of Ofujii

♦ Eosinophilic pustular folliculitis

ATOPIC DERMATITIS

MUST KNOW

SHOULD KNOW

GOOD TO KNOW

♦ Aetio pathogenesis

♦ Clinical features

♦ Associated disorders

♦ Complications

♦ Natural history and prognosis

♦ Diagnosis

♦ Differential diagnosis

♦ Investigation

♦ Treatment

♦ Disease prevention and occupational advice

CONTACT DERMATITIS: IRRITANT

MUST KNOW

SHOULD KNOW

GOOD TO KNOW

♦ Pathogenesis, Pathology

♦ Predisposing factors

♦ Clinical features

♦ Specific irritant

♦ Investigations

♦ Management

♦ Prevention

♦ Prognosis

CONTACT DERMATITIS: ALLERGIC

MUST KNOW

SHOULD KNOW

GOOD TO KNOW

♦ Pathogenesis, Pathology

o Predisposing factors

o Clinical features

♦ Photo allergic contact dermatitis

♦ Non-eczematous responses

♦ Differential diagnosis

♦ Allergic contact dermatitis

o to specific allergens (airborne contact allergens, plants, cosmetic, robber, latex.)

♦ Patch testing

♦ Photopatch testing

o Prevention

o Management

o Prognosis

♦ Oral desensitization

♦ Immune contact urticaria

♦ Multiple patch-test reaction

♦ Other test

OCCUPATIONAL DERMATOSES

MUST KNOW

SHOULD KNOW

GOOD TO KNOW

♦ Eczematous dermatoses

♦ Non-eczematous occupational dermatoses

♦ Medicolegal aspects of occupational dermatoses

♦ Specific occupational hazards

MECHANICAL AND THERMAL INJURY

MUST KNOW

SHOULD KNOW

GOOD TO KNOW

♦ Penetrating injuries

♦ Skin lesions in drug addicts

♦ Skin hazards of swimming and diving

♦ Vibration

♦ Reactions to internal mechanical stress

♦ Mechanical trauma and skin neoplasia

♦ Effects of heat and infrared radiation

♦ Burns

♦ Biomechanical considerations

♦ Effects of friction

♦ Pressure ulcer

♦ Effects of ction

♦ Miscellaneous reactions to mechanical trauma

□Foreign bodies

REACTIONS TO COLD

MUST KNOW

♦ Physiological reactions to cold

♦ Disease of cold exposure

♦ -Frostbite

♦ Trench foot

♦ Diseases of abnormal sensitivity to cold

♦ Perniosis

♦ Acrocyanosis

♦ Erythrocyanosis

♦ Livedo reticularis

♦ Raynaud's phenomenon

♦ Cryoglobulinaemia

♦ Cryofibrinogenaemia

♦ Cold agglutinins

♦ Cold haemolysins

♦ Cold urticaria

♦ Cold erythema

SHOULD KNOW

♦ Other syndromes caused by cold

♦ Neonatal cold injury

♦ Cold panniculitis

♦ Hypothermia

GOOD TO KNOW

BACTERIAL INFECTIONS

MUST KNOW

SHOULD KNOW

GOOD TO KNOW

♦ Normal flora of the skin

♦ Gram positive bacteria

o Staphylococcus aureus

o Streptococci

♦ Impetigo

♦ Ecthyma

♦ Folliculitis

♦ Furunculosis

♦ Carbuncle

♦ Sycosis

♦ Ecthyma

♦ Erysipelas

♦ Cellulitis

♦ Vulvovaginitis

♦ Perianal infection

♦ Streptococcal ulcers

♦ Blistering distal dactylitis

♦ Necrotising fasciitis

♦ Cutaneous disease due to the effect of bacterial toxin

o Staphylococcal Scalded Skin Syndrome

o Toxic Shock Syndrome

♦ Non-infective Folliculitis

♦Skin lesions due to allergic hypersensitivity to streptococcal antigens

♦ Erythema nodosum

♦Vasculitis

♦ bacteria

o Diphtheria

o Erythrasma

o Trichomycosis axillaris

o Pitted Keratolysis

♦ Erysipeloid

♦ Gas gangrene

♦ Gram negative bacteria

o Meningococcal infection

o Gonococcal infection

o Chancroid

o Salmonella infection

o Pseudomonas infection

o Rhinocleroma

o Plague & Yersinia infections

o Bacillary angiomatosis

o Anaerobic bacteria

o Tropical ulcer

o ranuloma inguinale

o Spirochetes & spiral bacteria

o Lyme disease

o Leptospirosis

o Botryomycosis

o Necrotising subcutaneous infections

o Mycoplasma infections

o Lymphogranuloma venerum

o Actinomycete infections

o Nocardiosis

♦ Dermatoses possibly attributed to bacteria

♦ Chancriform pyoderma

♦ Dermatitis vegetans

♦ Kawasaki disease

♦ Supurative hidradenitis

♦Tissue damage from circulating toxins

♦ Scarlet fever

♦ Toxic-shock-like syndrome

♦ Propionibacterium

♦ Anthrax

♦ Tularaemia

♦ Pasturella infection

♦ Brucellosis

♦ Rickettsial infections

♦ Listeriosis

MYCOBACTERIAL INFECTIONS

MUST KNOW

SHOULD KNOW

GOOD TO KNOW

♦ Mycobacterium tuberculosis-

♦ -Microbiology

♦ -Epidemiology

♦ -Immunology

♦ -The tuberculin test

♦ -Cutaneous tuberculosis-clinical features,classification,histopathology,prognosis, diagnosis,treatment,BCG vaccination,M.tuberculosis

♦ co-infection with HIV

♦ Non-tuberculous mycobacteria- classification, clinical features, diagnosis, and treatment

MYCOLOGY

MUST KNOW

SHOULD KNOWGOOD TO KNOW

♦Superficial and cutaneous mycoses- Dermatophytosis,laboratory investigations(KOH,Wood's light,culture),candidiasis,pityriasis versicolor, piedra,tinea nigra,onychomycosis

♦ Subcutaneous and deep fungal infections-lab diagnosis and management

♦ Sporotrichosis, mycetoma, chromoblastomycosis

♦ Phaeohyphomycosis, lobomycosis, rhinosoridiosis, subcutaneous zygomycosis, histoplasmosis, blastomycosis, coccidiomycosis, paracoccidio mycosis.

PARASITIC WORMS AND PROTOZOA

Must Know

Should Know

Good to Know

♦ Lymphatic filariasis, leishmaniasis- epidemiology, clinical features, diagnosis and treatment

Larva migrans

♦ Cutaneous amoebiasis

ARTHROPODS AND NOXIOUS ANIMALS

Must Know

Should Know

Good to Know

♦ Scabies and pediculosis- epidemiology, clinical features, diagnosis and management

♦ Cutaneous myiasis, Insect bites

DISORDERS OF KERATINIZATION

Must Know

Should Know

Good to Know

♦ ICHTHYOSIS –

definition, classification

♦ Congenital ichthyosis – histopathology, etiology, pathogenesis, clinical features, treatment

♦ Ichthyosis vulgaris

♦ X linked recessive ichthyosis

♦ Colloidan baby

♦ Non bullous icthyosiform erythroderma

♦ Lamellar ichthyosis

♦ Harlequin ichthyosis

♦ Bullous icthyosiform erythroderma

♦ Ichthyosis bullosa of Seimens

♦ Ichthyosis hystrix

♦ Netherton syndrome

♦ Acquired ichthyosis

♦ Ichthosis with malignancy

♦ Ichthosis with non malignant disease

♦ Drug induced ichthyosis

♦ Erythrokeratoderma

♦ Erythrokeratoderma variabilis

♦ Progressive symmetrical erythrokeratoderma

♦ Keratosis pilaris

♦ Keratosis follicularis spinulosa decalvans

♦ Pityriasis rubra pilaris

♦ Darier's disease

♦ porokeratosis

♦ PALMOPLANTAR KERATODERMA

diffuse, transgradient, focal, striate

♦ -ACANTHOSIS NIGRICANS

confluent and reticulate

pappilomatosis

♦ Multiple sulphatase deficiency

♦ Sjogren larrson syndrome

♦ Refsum's disease

♦ IBIDIS syndrome

♦ X linked dominant ichthyosis

♦ Pityriasis rotunda

♦ Peeling skin syndrome – acquired, familial

♦ Transient and persistant acantholytic dermatosis

♦ Acrokeratosis verruciformis

♦ Perforating keratotic disorders

♦ Neutral lipid storage disorders

♦ KID syndrome

♦ HID syndrome

♦ CHILD syndrome

♦ Ichthyosis follicularis with alopecia and photophobia

♦ Ichthyosis with renal disease

♦ Ichthyosis with immune defects

♦ Ichthyosis with cancer

♦ Keratoderma and associated disorders

PSORIASIS

Must Know

Should Know

Good to Know

♦ Epidemiology

♦ Aetiology and pathogenesis

♦ Histopathology

♦ Clinical Features

♦Complications

♦ Differential diagnosis

♦ Prognosis

♦ Management- topical, systemic and biologic therapies

♦ Pustular psoriasis and psoriatic arthropathy

NON-MELANOMA SKIN CANCER AND OTHER EPIDERMAL SKIN TUMOURS

Must Know

Should Know

Good to Know

♦ Epidemiology and risk factors

♦ Clinical features, diagnosis, and management of NMSC

♦ Basal cell carcinoma

♦ Squamous cell carcinoma

♦ Premalignant epithelial lesions- Actinic keratosis, Bowen's disease, Cutaneous horn

♦ -Erythroplasia of Queyrat, seborrheic keratoses, dermatoses papulosa nigra, skin tags, keratoacanthoma, pseudoepi theliomatous hyperplasia, milia

♦ Molecular and cellular biology-role of UVR and HPV

♦ -Arsenical keratoses, Disseminated superficial actinic porokeratosis, Bowenoid papulosis

♦ steatomacystoma multiplex

♦ epidermal cyst

♦ trichlemmal cyst

♦ keratoacanthoma

TUMOURS OF THE SKIN APPENDAGES

Must Know

Should Know

Good to Know

♦ Syringoma, trichoepithelioma, pilomat ricoma, Paget's disease

♦ Comedone nevus

♦ Other appendageal tumours

DISORDERS OF CUTANEOUS MELANOCYTE

Must Know

Should Know

Good to Know

♦ Ephelids, lentiginosis and its types

♦ Naevi – melanocytic, spitz, halo, congenital melanocytic

♦ Nevus of ota and ito

♦ Mongolian spot

♦ Malignant melanoma of the skin-

♦ etiology,variants,histopathology,staging,management and prevention

syndromes

DISORDERS OF SKIN COLOUR

Must Know

Should Know

Good to Know

♦ The basics of melanocytes- EMU,distribution,embryology,fine structure,melanogenesis

♦ Hypermelanosis- Lentiginosis, ephelides, hereditary disorders, hypermelanosis due to systemic disorders and drugs, postinflammatory hypermelanosis, erythema dyschromicum perstans, facial melanoses, dermal melanoses, treatment

♦ Hypomelanosis-Vitiligo, genetic and naevoid disorders

♦ Melanocyte culture, pathogeness of disorders of pigmentation Acquired hypomelanosis, endogeneous and exogeneous non- melanin pigmentation

BULLOUS ERUPTIONS

1) CONGENITAL AND INHERITED DISEASES

MUST KNOW

SHOULD KNOW

GOOD TO KNOW

♦ Epidermolysis Bullosa

o Classification, diagnosis

♦ EB simplex:

o Molecular pathology

o Clinical features

o Diagnosis, d/d

o Management

♦ Junctional EB:

o Molecular pathology

o Clinical features

o Diagnosis, d/d

o Management

♦ Dystrophic EB:

o Molecular pathology

o Clinical features

o Diagnosis, d/d

o Management

♦ Hailey-hailey disease:

o Etiopathogenesis

o Clinical features

o complications, treatment

Subtypes

Subtypes

Subtypes

Genetics

IMMUNOLOGICAL Blistering DISORDERS

a) Intra-epidermal blistering

Must know

Should know

Good to know

♦ Structure and functioning of Desmosome & Hemi desmosome

♦ Dermo - epidermal

♦ Pemphigus:

o etiopathogenesis,

o immuno - pathology,

o genetics,

o clinical features,

o diagnosis (differential),

o Management,

o prognosis

♦ P. Vulgaris: as above

♦ P. Vegetans: as above

♦ P. Foliaceus: as above

♦ P. Erythematosus: as above

Paraneoplastic pemphigus: as above

Molecular functional

anatomy

Molecular functional

anatomy

b) Sub-epidermal blistering

Must know

Should know

Good to know

♦ Bullous Pemphigoid:

o etiopathogenesis,

o immuno - pathology,

o genetics,

o clinical features,

o diagnosis

(differential),

o Management,

♦ oprognosis

♦ Cicatricial Pemphigoid: as above

♦ Pemphigoid (Herpes) gestationis: as above

♦ Linear IgA Immuno- bullous disease: as above

♦ Epidermolysis Bullosa Acquisita: as above

♦ Bullous SLE: as above Dermatitis

♦ Herpetiformis: as above

c) Miscellaneous Blistering Disorders

Must know

Should know

Good to know

♦ Sub-corneal Pustular

Dermatosis

♦ Acantholytic

dermatoses: transient &

persistent

♦ Bullae in renal disease

♦ Diabetic bullae

LICHEN PLANUS & LICHENOID DISORDERS

Must know

Should know

Good to know

♦ Lichen Planus & Lichenoid Disorders:

o etiopathogenesis,

o clinical Definition,

o features,

o variants,

o Differential diagnosis,

o histology,

o complications,

o associations,

o Treatment,

o prognosis,

♦ Lichenoid reactions,

♦ Drug induced LP

♦ Lichen nitidus

♦ Concept of Ashy dermatosis and lichen

planus pigmentosus

♦ GVHD

♦ Bullous LP & LP pemphigoides

♦ LP- Psoriasis overlap

♦ Nekam's disease

DISORDERS OF THE SEBACEOUS GLANDS

Must know

Should know

Good to know

♦ Sebaceous Gland

o Structure,

o Function

o distribution

o Functn of sebum

o Composition &

biosynthesis of sebum

♦ Acne Vulgaris

o definition

o etiology

o Clinical features

o factors affecting

o (differential) diagnosis

o Management

♦ Acne variants

o acne excoriee,

o acneiform eruptions,

o cosmetic,

o occupational,

o chloracne,

o acne conglobata,

o pyoderma faciale,

o acne fulminans,

o G-ve folliculitis

o Steroid acne

o Drug induced acne

o Adult onset acne

♦ Seborrhea

Ectopic sebaceous glands

o Histochemistry &

ultrastructure

o Development

o Endocrine control of

sebaceous gland

o Associations of acne

♦ Sebaceous gland tumors

o Classification

o Sebaceous cyst

o Measurement of sebaceous activity & sebum production

DISORDERS OF SWEAT GLANDS

Must know

Should know

Good to know

♦ Sweat Gland (Eccrine)

o Anatomy & Physiology

♦ Hyperhidrosis

o generalized

o PalmoPlantar & Axillary

o Asymmetrical

o Gustatory

♦ An/Hypo - hidrosis

o Definition,

o Etiopathogenesis,

o Classification

♦ Miliaria

o Etio- pathogenesis,

o Clinical features,

o Variants/types,

o Management

♦ Apocrine sweat

glands

o Chromhidrosis,

o Bromhidrosis

o Fox-Fordyce disease

♦ Naevus sudoriferous

♦ Compensatory hyperhidrosis

o Associations

o Heat stress

o Granulosis rubra nasi

o Diseases associated with abnormal sweat gland histology

o Fish odour syndrome

o Hematohidrosis

DISORDERS OF CONNECTIVE TISSUE

Must know

Should know

Good to know

♦ Cutaneous atrophy

o Causes / classification,

o Generalized cutn.

atrophy

o Striae

♦ Localized cutaneous

o atrophy

o Atrophoderma

o Anetoderma

o Facial hemiatrophy

o Poikiloderma

♦ Disorders of Elastin

o Lax skin

o Elastotic striae

♦ Pseudo Xanthoma

Elasticum

o Definition

o Etio - pathology

o Clinical features,

o Diagnosis

(differential)

o Management

Actinic elastosis

o Etio- pathogenesis

o Clinical features,

o Diagnosis

(differential)

o Management

Marfan syndrome—

o Etio - pathogenesis,

o Clinical features

♦ Ehlers – Danlos syndrome

Types/ Classification,

Dupuytren's contracture

♦ Knuckle pads

Keloid V/s Hypertrophic

scars

o local panatrophy

o Plantar fibromatosis

♦ Osteogenesis imperfecta

♦ Pachydermoperiostosis

♦ Relapsing polychondritis

♦Peyronie's disease

o Achenbach's syndrome

o Chronic atrophic acrodermatitis

o Linear focal elastosis

♦ Actinic granuloma

o Clinical features

♦ Elastofibroma

♦ Elastoderma

♦ Prolidase deficiency

PREMATURE AGEING SYNDROMES

Must know

Should know

Good to know

♦ Pangeria

♦ Progeria

♦ Acrogeria

♦ Perforating dermatoses:

o Types/classification,

o Clinical features,

o (Etio.) pathology,

o Management

♦ Colloid milium

♦ Congenital progeroid syndrome

♦ Diabetic thick skin

♦ Ainhum & pseudo- ainhum

♦ leprechaunism

DISORDERS OF BLOOD VESSELS

Must know

Should know

Good to know

♦ Erythemas

♦ Diffuse erythematous eruptions

♦ Annular erythemas

o Types,

o Etio - pathology,

o Clinical features,

o Diagnosis

(differential)

o Management

♦ Telangiectasias

o primary & secondary

o etio(pathology)

♦ Erythema multiforme:

o Etio- pathogenesis,

o Clinical features,

o Diagnosis (differential),

o Management

♦ Toxic Epidermal

Necrolysis

o Etio - pathogenesis,

o Clinical features,

o Differential diagnosis,

o Management &

prognosis

o Functional anatomy of Cutn. blood vessels

♦Well's syndrome

o (Etio) pathology,

o Clinical features

o Management

♦ Ataxia-Telengectasia

o Assessment of Cutn. blood vessels

o Capillary microscopy

FLUSHING & FLUSHING SYNDROMES, ROSACEA, PERIORAL DERMATITIS

Must know

Should know

Good to know

♦ Flushing

o Definition

o Etio-pathogenesis,

♦ Flushing syndromes

o Classification

♦ Rosacea

o Definition

o Etio-pathology,

o Clinical features,

o Diagnosis (differential),

o Management

♦ Perioral dermatitis—

o Etio-pathology,

o Clinical features,

o Diagnosis (differential),

o Management & prognosis

♦ Carcinoid syndrome—

o Etiopathogenesis,

o Management

URTICARIAS, ANGIOEDEMA, and MASTOCYTOSIS

Must know

Should know

Good to know

♦ Urticaria: Definition

o Classification

o Etio – pathogenesis

o Provoking factors

o Clinical features,

♦ Chronic urticarias

o Definition,

o Classification

♦ Mastocytosis

♦ classification

♦ clinical features

♦ histopathology

♦ investigations

♦ management

♦ Urticarial vasculitis

o Definition,

o Etiopathogenesis,

o Clinical features,

o Management

♦ Angioedema

o Classification

o Etio-pathogenesis

o Management &

prognosis

♦ Physical

o Classification,

♦ Cholinergic urticaria

♦ Cold urticaria

♦ Contact urticaria

♦ Aquagenic

♦ Solar

♦ Autoimmune urticaria

♦ Hereditary angioedema

♦ Etiopathogenesis of mastocytosis

♦Omalizumab

YSTEMIC DISEASES AND SKIN

Must know

Should know

Good to know

Endocrine disorders

o Cushings disease

o Adrenal

insufficiency

o Hyper and

hypothyroidism

Cutaneous markers of

internal malignancy

o Paraneoplastic syndromes

o Migratory erythemas

GI Tract

o Crohn's disease

o Ulcerative colitis

o Celiac disease

Liver diseases

o Hepatitis

o Dermatosis

associated with liver

diseases

Pancreatic diseases

Renal disease

o Dermatosis associated with renal failure and dialysis

Hematological

o Anemia

o DIC

o Antiphospholipid syndrome

Annular and figurate reactive erythemas

Skin complications of stones

Hemochromatosis

o Subcutaneous fat necrosis

o Migratory thrombophlebitis

o Necrolytic migratory erythema

o Hyper and hypopituitarism

o Parathyroid

o Multiple endocrinopathies syndrome

o Autoimmune polyglandular syndrome

Dermatosis associated with esophagus and stomach disorders

Bowel associated dermatitis arthritis syndrome Intestinal polyposis

o Other pancreatic tumours and glucagonoma syndrome

o Renocutaneous syndromes

Cardiac disease and respiratory disease

Lymphoma, leukemia

Skin disorders associated with bony abnormality

PURPURA

Must know

Should know

Good to know

♦ Purpuras:

o Classification, diagnosis

♦ Anaphylactoid purpura (HSP)-- definition,

o Etio-pathogenesis,

o Clinical features,

o Differential diagnoses,

o Management

♦ Capillaritis (pigmented purpuric dermatoses)

o Schamberg's

o Pigmented purpuric lichenoid dermatosis of Gougerot & Blum

o Lichen aureus

o Gravitational purpura

♦Thrombocytopenic purpuras

o I.T. Purpura

♦ Senile purpura

♦ Toxic purpura

♦ Itching purpura

♦ Majocchi's ds

♦ Disseminated Intravascular Coagulation

♦ Painful bruising syndrome

♦ Purpura simplex

♦ Neonatal purpura

CUTANEOUS VASCULITIS

Must know

Should know

Good to know

♦ Cutaneous Vasculitis

o Classification c/f

♦ Erythema elevatum diutinum

♦ Paniculitides

♦ Poly Arteritis Nodosa

♦ Hypersensitivity angiitis

Vascular lesions of rheumatoid diseases

o Etio, path

o Investigations

♦ Leucocytoclastic angitis

o Definition,

o Etio-pathogenesis,

o Clinical features,

o Management

♦ Henoch Schonlein Purpura

o Definition,

o Etio-pathogenesis,

o Clinical features,

o Management

♦ Pyoderma gangrenosum—

o Definition,

o Etio-pathogenesis,

o Clinical features,

o Management

♦ Purpura fulminans—

o Definition,

o Etio-pathogenesis,

o Clinical features,

o Management

♦ Sweet`s syndrome

o Definition,

o Etio-pathogenesis,

o Clinical features, Management

♦ Erythema nodosum—

o Definition,

o Etio-pathogenesis,

o Clinical features,

o Management

♦ Erythema induratum—

o Definition,

o Etio-pathogenesis,

o Clinical features,

o Management

♦ Wegener's granulomatosis

o Definition,

o Etio-pathogenesis,

o Clinical features,

o Management

♦ Granuloma faciale

♦ Degos` disease

♦ Giant cell arteritis

DISEASES OF VEINS & ARTERIES: LEG ULCERS

Must know

Should know

Good to know

♦ Signs & symptoms of

arterial diseases

♦ Investigations

♦ Erythromelalgia

♦ Veins

o Functional anatomy,

o pathology

♦ Atrophie- blanche

♦ Thrombophlebitis migrans

♦ Venous thrombosis

♦ Oedema

♦ Varicose veins

♦ Post phlebitic syndr

♦ Causes of leg ulcers

♦ Venous ulcer--

management

♦ Atherosclerosis

o Prognosis & management

♦ Thromboangiitis obliterans

♦ Ischaemic ulcer

DISORDER OF LYMPHATIC VESSELS

Must know

Should know

Good to know

♦ Lymphangiogenesis

♦ Functional Anatomy of skin lymphatics

♦ Identification of skin lymphatics

♦ Lymph transport

♦ Immune function

♦ Oedema/Lymphoedema

o Epidemiology

o Pathophysiology

o Aetiology and classification

o Clinical features and diagnosis

o Complication

o Investigation

 D/d of the swollen limbs

 Management of lymphoedema

o Physical therapy

o Drug therapy

o Surgery

o Provision of care

 Congenital lymphatic malformation

 Lymphangioma cirucmscriptum

 Diffuse lymphangioma

 Cystic hygroma

 Acquired lymphatic malformation

 Acquired lymphangioma

 Lymphangitis

 Kaposi sarcoma

♦ Primary lymphoedemas

♦ Inherited form

♦ Other genetic form

♦ Congenital non hereditary forms of lymphoedema

♦ Clinical patterns of pri.lymphoedema

♦ Sec. Lymphoedema

♦ Midline lymphoedema

♦ lymphangioma

♦ lymphangiomatosis

♦ lymphangiomyomatosis

♦ recurrent acute

inflammatory episode

♦ Lymphangiothrombosis

♦ Carcinoma erysipeloides

♦ lymphatic tumor

o acquired progressive

o lymphangiosarcoma

o Chylous sarcoma

o seroma

HISTIOCYTOSIS

Must know

Should know

Good to know

♦ Ontogeny & Function of histiocytosis

♦ Classification of histiocytosis

♦ Langerhans cell histiocytosis

♦ Class lla histiocytosis

♦ Dermatofibroma

♦ Juvenile xanthogranuloma

♦ Multicentric reticulohistiocytosis

♦ Generalized eruptive histiocytoma

♦ Papular xanthoma

♦ Progressive nodular histiocytosis

♦ Xanthoma disseminatum

♦ Class llb histiocytosis

♦ Diffuse plane xanthomatosis

♦ Familial haemophagocytic lymphohistiocytosis

♦ Malakoplakia

♦ Necrobiotic xanthogranuloma

♦ Sinus histiocytosis with

♦ massive lymphadenopathy

♦ Malignant histiocytosis

♦ Monocytic leukaemia

♦ True histiocytic lymphoma

♦ Benign cephalic histiocytosis

♦ Erdheim chester disease

♦ Fat storing hemartoma of dermal dendrocytes

♦ Familial sea blue histiocytosis

♦ Hereditary progressive mucinous histiocytosis

♦ Virus associated haemophagocytic syndrome

SOFT TISSUE TUMOURS AND TUMOURS LIKE CONDITIONS

Must know

Should know

Good to know

♦ Vascular tumours:

o Classification

Pyogenic granuloma

o Kaposi sarcoma

o Angiosarcoma

o Glomus tumour

♦ Peripheral

neuroectodermal

tumours

o Schwannoma

oSolitary neurofibroma

oPlexiform

neurofibroma

o Diffuse neurofibroma

♦ Tumours of muscle

♦ Skeletal muscle

tumours

♦ Tumours of uncertain

histogenesis

♦ Tumours of fat cell

♦ Osteoma cutis

♦ Cutaneous calculus

o Leiomyoma

o Leiomyosarcoma

o Rhabdomyoma

o Cutaneous

Rhabdomyosarcoma

♦ Fibrous and

myofibroblastic

tumors:

o Classification

o Nodular fasciitis

oFibrohistiocytic tumor

o Giant cell tumour of

tendon sheath

o Fibrous histiocytoma

o Angiomatoid fibrous

histiocytoma

o Plexiform fibrous

histiocytoma

o Atypical

fibroxanthoma

o Malignant fibrous

histiocytoma

oGlomeruloid

hemangioma

o Epitheloid

hemangioma

o Sinusoidal

hemangioma

o Dermal nerve sheath

myxoma

o Malignant peripheral

nerve sheath tumour

o Congenital smooth

muscle hamartoma

o Fibrous papule of face

o Pleomorphic fibroma

o Acquired digital

fibrokeratoma

o Fibro osseous

pseudotumour

o Ischemic fasciitis

o Fibrous hamartoma of

infancy

o Calcifying fibrous tumour

o Calcifying aponeurotic

fibroma

o Inclusion body

fibromatosis

o Fibroma of tendon sheath

o Collagenous fibroma

o Nuchal fibroma

o Myxofibrosarcoma

o Kaposiform hemangioendothelioma

CUTANEOUS LYMPHOMAS AND LYMPHOCYTIC INFILTRATES

A) PRIMARY CUTANEOUS T CELL LYMPHOMA

Must know

Should know

Good to know

♦ Mycosis Fungoides (MF)

♦ Follicular mucinosis

♦ Pagetoid reticulosis

♦ Granulomatous slack skin

♦ Sezary's syndrome

♦ Lymphomatoid papulosis

♦ Primary cutaneous CD30+ large cell lymphoma

CD30+ large cell cutaneous lymphoma with regional

nodal involvement

♦ Epidermotropic CD8+ cytotoxic lymphoma

♦ Large cell CD 30- cutaneous lymphoma

♦ Pleomorphic CD30- cutaneous lymphoma

♦ CD30+cutaneous lymphoproliferative disorder

♦ Regressing CD30+large cell cutaneous ltmphoma Secondary cutaneous CD30+anaplastic large cell lymphoma

B) SECONDARY CUTANEOUS LYMPHOMA

Must know

Should know

Good to know

♦ Subcutaneous panniculitis like T cell lymphoma

♦ Adult T cell leukaemia lymphoma

♦ Primary cutaneous B cell lymphoma

♦ Follicle centre cell lymphoma

♦ Leukaemia cutis

♦ Cutaneous Hodgkin s disease

♦ Extra nodal NK cell lymphoma

♦ Blastic NK cell lymphoma

Lennert's lymphoma

C) PRIMARY CUTANEOUS B CELL LYMPHOMAS

Must know

Should know

Good to know

♦ Follicle centre cell lymphoma

Cutaneous plasmacytoma

♦ Marginal zone lymphoma

♦ Large B cell lymphoma

D) PSEUDOLYMPHOMAS

Must know

Should know

Good to know

♦ Parapsoriasis

♦ Actinic reticuloid

♦ Lymphocytoma cutis Jessner's lymphocytic

infiltrate

SUBCUTANEOUS FAT

Must know

Should know

Good to know

♦ Obesity

♦ General pathology of adipose tissue

♦ Panniculitis

o Septal panniculitis

o Lobular paniculitis

o Mixed panniculitis

o Panniculitis with vasculitis

♦ Lipodystrophy

♦ Localized lipoatrophy

♦ Partial or generalized lipoatrophy

♦ Lipoma

♦ Angiolipoma

o Cellulite

o Frontalis associated lipoma

o Hibernoma

o Lipomatosis

THE CONNECTIVE TISSUE DISEASES

Must know

Should know

Good to know

♦ Lupus erythematosus

o Discoid lupus erythematosus

o Subacute cutaneous lupus erythematosus

o Systemic lupus erythematosus

o Neonatal lupus erythematosus

o The lupus anticoagulant, anti cardiolipin antibodies, and the antiphospholipid syndrome

♦ Scleroderma

o Localized morphea

o Gen. Morphea

o Pseudoscleroderma

o Occupational scleroderma

o Iatrogenic scleroderma

o Graft –versus –host disease

o Eosinophilic fasciitis

o Systemic sclerosis

♦ Mixed connective tissue disease

♦ Cold, flexed finger

♦ Lichen sclerosus

♦ Scleroedema

♦Dermatomyositis

♦ Sjogren syndrome

Rheumatic fever

♦ Dermatological manifestation of rheumatoid disease

♦ Still`s disease

NUTRITIONAL AND METABOLIC DISEASES

Must know

Should know

Good to know

♦ The cutaneous porphyrias

o Etiopathogenesis

o laboratory testing in porphyria

o Clinical features

o The individual porphyrias

o Porphyrias which cause cutaneous disease

o Porphrias which cause cutaneous disease and acute attack

♦ Mucinoses

o Classification of the cutaneous mucinoses

o Lichen myxoedematous

♦ Amyloid and the amyloidoses of the skin

o Primary localized cutn.

Amyloidosis

o Sec. Localized cutn.

Amyloidosis

o Systemic amyloidosis

o Primary and myeloma

associated cutn.

Amyloidosis

o Sec. Systemic amyloidosis

♦ Angiokeratoma corporis diffusum

♦ Xanthomas and abnormalities of lipid metabolism and storage

♦ Lipid metabolism

o Genetic primary Hyperlipidemias

o Lipid storage disease

♦ Nutrition and the skin

o Malabsorption

o Vitamins

♦ Kwashiorkor and marasmus

♦ Calcification and ossification of the skin

♦ Iron metabolism

♦ Skin disorders in diabetes mellitus

♦ Granuloma annulare

♦ Necrobiosis lipoidica

♦ Granuloma multiforme

o Reticular erythematous mucinosis

o Self healing juvenile cutaneous mucinosis

o Cutaneous mucinosis of infancy

o Papulonodular mucinosis associated with S.L.E.

o Cutaneous focal mucinosis

o Acral persistent papular mucinosis

o Mucinosis naevus

o Follicular mucinosis

o Secondary mucinoses

o Mucopolysaccharidoses

o Mucolipidoses

o Dialysis related amyloidosis

o Inherited systemic amyloidosis

o Gaucher's disease

o Niemann Pick disease

o Cutaneous mucinosis in the toxic oil syndrome G.K

o Neutral lipid storage disease

o Farbers disease

♦ Disorders of aminoacid metabolism

o Hyperphenylala ninaemia syndrome

o Tyrosinemia

o Alkaptonuria

o Homocysteinuria s

o Hartnup disease

SARCOIDOSIS

Must know

Should know

Good to know

♦ Sarcoidosis

o Definition

o Epidemiology

o Aetiology

o Histopathology

o Immunological aspects

♦ General manifestations of sarcoidosis

♦ Staging of the disease

♦ Systemic features

♦ Sarcoidosis of the skin

♦ Management

o Investigation

o Biopsy

o Kveim test

o Other investigation

o Treatment

o Topical therapy

Systemic therapy

♦ Unusual and atypical forms

♦ Associated disease

♦ Course and prognosis

♦ Other sarcoidal reaction

o Infection

o Foreign material

o Crohn's disease

o Whipple's disease

o Farmer's lung

o Other condition

THE SKIN AND THE NERVOUS SYSTEM

Must know

Should know

Good to know

♦ Skin innervations

o Sensory innervations

o Autonomic nervous system

o Wound healing and the trophic effects

♦ Postherpetic neuralgia

o Pathophysiology of pain

o Prevention of P.H.N.

o Management of P.H.N.

♦ Neuropathic ulcer

♦ Peripheral neuropathy

♦ HIV neuropathy

♦ Syringomyelia

♦ Tabes dorsalis

♦ Spinal dysraphism

♦Spinal cord injury

♦ Neuroimmunology

♦ Neurophysiological testing for skin innervations

♦ Disorders associated with autonomic abnormalities

♦ Hereditary sensory autonomic neuropathy

♦ Horner syndrome

♦ Gustatory hyperhidrosis

♦ Chronic skin pain

♦ Notalgia paresthetica

♦ Brachioradial pruritus

♦ Skin ache syndrome

♦ Burning feet syndrome

♦ Trigeminal trophic syndrome

♦ Peripheral injury

♦ Restless leg syndrome

PSYCHOCUTANEOUS DISORDERS

Must know

Should know

Good to know

♦ Introduction

♦ Emotional factors in diseases of the skin

♦ Psychological importance of skin

♦ Disability and quality of life

♦ Classification

♦ Delusions of parasitosis

♦ Cutaneous phobias

♦ Anorexia nervosa and bulimia

♦ Self inflicted and simulated skin disease

o Lichen simplex and neurodermatitis

o Acne excoriee

o Trichotillomania

♦ Factitious skin disease

o Malingering

♦ Cutaneous disease and alcohol misuse

♦ AIDS, HIV infection and Psychological illness

♦ Suicide in dermatological patients

o Treatment

♦ Body image

♦ Delusions of smell

♦ Body dysmorphic disorder

♦ Epidemic hysteria syndrome and occupational mass psychogenic illness

♦ Sick building syndrome

♦ Psychogenic excoriation

♦ Psychogenic pruritus

♦ Onycotillomania and onychophagia

o Psychogenic purpura

o Dermatitis simulate

o Dermatitis passivata

o Munchausen's syndrome

o Munchausen's syndrome by proxy

o Self-mutilation

o Psychotropic drugs

♦ Psychoneuroimmunology

o Mind-body efferent immune interaction

o Body- Mind afferent immune reactions

o Habituation to dressings

o Dermatological pathomimicry

o Hypnosis

o Misc. therapies

o Skin disease in patients with learning disability

DISORDERS OF NAILS

Must know

Should know

Good to know

♦ Anatomy and biology of nail unit

o Structure & Development and comparative anatomy

o Blood supply

o Nail growth

♦ Nail signs and systemic disease

o Abnormalities of shape

o Changes in nail surface

o Changes in colour

♦ Development abnormalities

♦ Infections- nail and nail folds

♦ Dermatoses of nails

♦ Nail surgery

o Patterns of nail biopsy

o Lateral matrix phenolization

♦ Traumatic nail disorders

o Acute trauma

o Chronic repetitive trauma

o The nail and cosmetics

o Nails in childhood and old age

o Abnormalities of nail attachment

♦ Tumours under or adjacent to the nail

o Benign tumours

o Other bone tumours

o Vascular tumours

o Myxoid cyst

o Squamous cell carcinoma

o Epithelioma cuniculatum

o Keratoacanthoma

o Melanocytic lesions

o Other surgical modalities

DISORDERS OF HAIR

Must know

Should know

Good to know

♦ Anatomy and physiology

o Development and distribution of hair follicles

o Anatomy of hair follicle

o Hair cycle and hormonal control

♦ Alopecia

o Common baldness and androgenetic alopecia

o Alopecia areata

o Acquired cicatricial alopecia

o Infections

o Scaling disorders

♦ Excessive growth of hair

o Hirsutism

♦ Variation in Hair

o pigmentation

o Types of hair

o Disturbance of hair cycle/shaft

o Developmental defects and hereditary disorders

o Congenital alopecia and hypotrichosis

o Hypertrichosis

o Shampoos

o Conditioners

o Cosmetic hair colouring

o Permanent waving

o Hair straightening (relaxing)

o Hair setting

o Complication

o Alopecia in central nervous system disorders

o Other abnormalities of shaft

THE SKIN AND THE EYES

Must know

Should know

Good to know

♦ Anatomy and physiology of the eye

♦ Chronic blepharitis, rosacea, and seborrhoeic dermatitis

o Immunopathogenisis

o Treatment

♦ Atopy and atopic eye disease

♦ Cicatrizing conjunctivitis and the immunobullous disorders

o Erythema multiforme major and toxic epidermal necrolysis

♦ Systemic disease with skin and eye involvement

♦ Ocular complications of dermatological therapy

o The eyebrows

o The eyelids

o The lacrimal glands

o The pre-corneal tear film

♦ Disorders affecting the eyebrows and eyelashes

♦ Infections

o Viral infections

o Bacterial infection

o Parasitic infection

♦ Inherited disorder

♦ Tumors

o Benign and malignant tumors of eyelids

EXTERNAL EAR

Must know

Should know

Good to know

♦ Dermatoses and external ear

♦ Systemic disease and the external ear

♦ Anatomy and physiology

♦ Examination

♦ Developmental defects

♦ Traumatic conditions

♦ Ageing changes

♦ Tumors of pinna and external auditory canal

THE ORAL CAVITY AND LIPS

Must know

Should know

Good to know

♦ Biology of the mouth

♦ Immunity in the oral cavity

o Examination of the mouth and perioral region

♦ Disorders affecting the oral mucosa or lips

♦ Genetic and acquired disorders affecting the oral mucosa or lips

o White or whitish lesions

o Pigmented lesions

o Red lesions

o Vesicoerosive disorders

o Lumps and swellings

o Various orocutaneous syndromes

♦ Oral manifestations of systemic diseases

♦ Acquired lip lesions

o Cheilitis

o Lupus erythematosus

o Sarcoidosis

♦ Disorders affecting the teeth and skin

o Ectodermal dysplasia

♦ Disorders affecting the periodontium

o Gingival disorders affecting the periodontium

o Genetic disorders affecting the peridontium

o Acquired disorders affecting the peridontium

THE BREAST

Must know

Should know

Good to know

♦ Gynaecomastia

o Physiological

o In endocrine disorders

o In nutritional, metabolic, renal and hepatic disease

o Drug-induced

♦ Morphea

♦ Silicone breast implant and autoimmune disease

♦ Cracked nipple in lactation

♦ Lupus panniculitis

♦ Sarcodosis of breast

♦ Sebaceous hyperplasia of areolae

♦ Breast abscess

♦ Basal cell carcinoma of nipple

♦ Seborrhoeic wart

♦ Mondor's disease

♦ Breast hypertrophy

♦ Gigantomastia

Management of gynaecomastia

♦ Hypomastia

♦ Rudimentary nipples

♦ Adnexal polyp of neonatal skin

♦ Inverted nipple

♦ Hyperkeratosis of nipple and areola

♦ Jogger's and cyclist's nipples

♦ Nipple piercings

♦ Artefactual breast disease

♦ Vasculitis of the breast

♦ Erosive adenomatosis of nipple

♦ Breast telangiectasia

♦ Supernumerary breast or nipples

THE GENITAL, PERIANAL AND UMBILICAL REGIONS

Must know

Should know

Good to know

♦ General approach

♦ Genitocrural dermatology

o Inflammatory

o Infections

♦ Male genital dermatology

o Structure and function

o Trauma and artifact

o Inflammatory dermatoses

o Non-sexually transmitted infections

o Precancerous dermatoses

o Squamous carcinoma

♦ Female genital dermatology

o Structure and function

o Trauma and artifact

o Inflammatory dermatoses

o Ulcerative and bullous disorders

o Non-sexually transmitted infections

o Benign tumours and tumor-like lesions of vulva

o Precancerous dermatoses

♦ Perineal and perianal dermatology

o Structure and function

o Infections

o Congenital and developmental abnormalities of male and female genitalia

o Other malignant neoplasms

o Vulval malignancy

o Benign tumours

o Premalignant dermatoses and frank malignancies

♦ Umbilical dermatology

o Structure and function

o Congenital and developmental abnormalities

o Trauma and artifact

o Inflammatory dermatoses

GENERAL ASPECTS OF TREATMENT

Must know

Should know

Good to know

♦ General measures in treatment like explanation, avoidance of aggravating factors, regimen, role of diet, food metabolites and toxins

♦ Topical therapy

-Cosmetic

-camouflage

♦ Dressings

♦ Systemic drug therapy

♦ Gene therapy

♦ Emergency treatment of anaphylaxis

♦ Treatment for anxiety and depressive states in dermatology

♦ Medicolegal aspects of dermatology

♦ Alternative therapies like

- Physiotherapy

- Acupuncture

- Biofeedback techniques

- Behaviour therapy

- Heliotherapy

- Actinotherapy

- Climatotherapy

- Homeopathy

DRUG REACTIONS

Must know

Should know

Good to know

♦ Classification and mechanism

♦ Histopathology

♦ Types of clinical reaction

o Exanthematous,

o purpuric,

o pityriasis rosea like,

o psoriasiform,

o exfoliative dermatitis,

o anaphylaxis,

o urticaria,

o drug hypersensitivity syndrome,

o fixed drug eruptions,

o lichenoid eruptions,

o photosensitivity,

o pigmentation,

o acneform eruption,

o bullous eruptions,

o vasculitis,

o LE like, DM like, scleroderma like

o erythema nodosum,

o anticonvulsant hypersensitivity,

o hair and nail changes

♦ Management of drug reactions

- Diagnosis

- Treatment

♦ Incidence

♦ Annular erythemas

♦ Acute generalized exanthematous pustulosis

♦ Serum sickness

♦ Eczematous

♦ Acanthosis nigricans

♦Erythromelagia

ERYTHEMA MULTIFORME, STEVENS JOHNSON SYNDROME, TOXIC EPIDERMAL NECROLYSIS

Must know

Should know

Good to know

♦ Erythema multiforme, Stevens-Johnson syndrome, and toxic epidermal necrolysis:

- Etiology

- Predisposition in HIV

- Pathology

- SCORTEN

- Diagnosis

- Treatment

- Prevention

♦ Incidence

RADIOTHERAPY AND REACTIONS OF IONIZING RADIATION

Must know

Should know

Good to know

♦ Indications

- Acute

- Chronic

♦ Radiodermatitis

♦ Role in benign diseases like psoriasis, keloids

♦ Role in malignant diseases

♦ Radiation induced tumors

LASERS

Must know

Should know

Good to know

♦ Basic principles

♦ Laser safety

♦ Target tissues

♦ Main types of lasers

-Enumeration

- Wavelengths

Indications

♦ Laser ablation

♦ Resurfacing

♦ Non-ablative skin remodeling

RACIAL INFLUENCES ON SKIN DISEASES

Must know

Should know

Good to know

♦ Classification of races and their main characteristics

♦ Racial variations in pigmentation, hair, and cutaneous appendages

♦ Diseases with distinct racial or ethnic predisposition

♦ Racial variation in common diseases

THE AGES OF MAN AND THEIR DERMATOSIS

♦ Somatic growth

♦ Sexual development and its effect on skin, especially sebaceous activity

♦ Puberty associated hormonal events and cutaneous changes

♦ Enumeration of puberty dermatosis and their clinical features

♦ Cutaneous changes with menstrual cycle

♦ Physiological changes related to pregnancy

♦ Vascular changes

♦ Pregnancy dermatoses

- Pruritus gravidarum

- Pemphigoid gestationis

- Pruritiuc urticarial papules and plaques of pregnancy

- Prurigo of pregnancy

- Pruritic folliculitis

♦ Premature and delayed puberty - causes and presentation

♦ Disorders of menopause

♦ Aging skin

-Concept of Geriatric patients & physiological changes in ageing skin

-Polypharmacy

-Management of late onset Vitiligo,Psoriasis.

-Skin disorders associated with aging

♦ Autoimmune progesterone dermatitis

♦ Enumeration and identification of common syndromes with short stature

SYSTEMIC THERAPY

Must know

Should know

Good to know

♦ Systemic steroids

♦ Antihistamines

♦ Retinoids

♦ Cyclophosphamide

♦ Methotrexate

♦ Mycophenolate mofetil

♦ Cyclosporin

♦ PUVA

♦ Intravenous immunoglobulin

♦ Penicillamine

♦ Antibiotics

♦ Antitubecular drugs

♦ Antileprosy drugs

♦ Antifungal drugs

♦ Antiviral drugs

- Acyclovir and its congeners

♦ Anti-retroviral drugs

♦ Ivermectin

♦ Drugs of peripheral circulation

- Pentoxyphyllin

- Calcium channel blockers

- Sildenafil citrate

- ACE-inhibitors and antagonists

♦ Antimalarials

♦ Thalidomide

♦ Colchicine

♦ Hormonal preparations

♦ NSAIDs

♦ Cytokines

♦ Interferons

♦ Essential fatty acids

♦ Bleomycin

♦ Fumaric acid esters

♦ Photopharesis

♦ Plasmapheresis

♦ Other anti-retroviral

♦ Dethylcarbamazine

♦ Sulfasalazine

♦ Interleukins

♦ Chlorambucil

♦ Dacarbazine

♦ Hydroxyuria

♦ Melphelan

♦ Gold

♦ Other antiviral drugs like Vidarabine, Idoxuridine

♦ Recent advances in therapeutics

TOPICAL THERAPY

Must know

Should know

Good to know

♦ General principles

- Choice of vehicle

- Frequency and mode of application

- Quantity to be applied

♦ Various formulation

- Enumeration with main characteristics

- Enumeration of vehicle components

♦ Anti-perspirants

♦ Topical antibiotics

- Fusidic acid

- Mupirocin

- Clindamycin

- Silver sulfadiazine

- Metronidazole

♦ Antifungals

- Allyamines

- Imidazoles

- Ciclopirox olamine

- Morpholines

♦ Antiparasitic agents

- Pyrethroids

- Malathion

- Benzyl benzoate

♦ Antiviral agents

- Acyclovir

♦ Astringents

- Potassium permanganate

- Aluminium acetate

- Silver nitrate

♦ Corticosteroids

- Mechanism

- Side effects (local and systemic)

- Classification

- Intralesional steroids

- Indications

♦ Cytotoxic and antineoplastic

agents

- Imiquimod

- Podophyllin andpodophyllotoxin

♦ Depigmenting agents

- Hydroquinone

- Retinoic acid

- Kligman cream

- Azelaic acid

- Kojic acid

♦ Emollients

♦ Immunomodulators

- Tacrolimus

- Pimecrolimus

♦ Retinoids

- Retinoic acid

- Adapalene

- Tazarotene

♦ Miscellaneous

- Dithranol

- Sunscreen

- Tars

- Vit D analogue

- Minoxidil

- Imiquimod

- Podophyllin andpodophyllotoxin

♦ Depigmenting agents

- Hydroquinone

- Retinoic acid

- Kligman cream

- Azelaic acid

- Kojic acid

♦ Emollients

♦ Immunomodulators

- Tacrolimus

- Pimecrolimus

♦ Retinoids

- Retinoic acid

- Adapalene

- Tazarotene

♦ Miscellaneous

- Dithranol

- Sunscreen

- Tars

- Vit D analogue

- Minoxidil

-- Erythromycin

- Polyenes

- Bleomycin

- 5-flurouracil

- Cyclocsporin

- Bexarotene

- Depilators

- Contact

sensitizers

- Capsaicin

- Bacitracin

- Gentamicin

- Polymyxin B

- Tetracyclines

- Tolnaftate

- Undecylenic acid

- Pencyclovir

- Idoxuridine

- Mechlorethamine

- T4 endonuclease

V

- Camphor

- Menthol

- Dyes

BASIC PRINCIPLES OF DERMATOSURGERY

Must know

Should know

Good to know

♦ RSTL

♦ Instruments used in dermatosurgery

♦ Methods of sterilization

♦ Suture materials:

o Classification,

o Suture size,

o Type and size of needle

♦ Types of suturing:

o simple interrupted,

o mattress, vertical & horizontal

o Intradermal buried,

o S.C. buried,

o Running subcuticular,

o Figure of 8

♦ Suture removal

♦ Preoperative workup:

o medication,

o part preparation

o relevant investigation

♦ Types of local anesthesia:

o Topical/surface,

o infiltration,

o tumescent,

o field blocks,

o nerve block

♦ Types of Anesthetic agents

♦ Waste segregation & disposal

♦ Patient counseling, psychological assessment and consent

♦ Emergencies and their management in dermatosurgery (vasovagal reaction, anaphylaxis, haemorrhage)

♦ Types of wound healing

♦ Wound management

o Tissue glues, staples, wound closure tapes,

STANDARD DERMATOSURGICAL PROCEDURES

Must know

Should know

Good to know

♦ Electrosurgery:

o Types (Electro- fulguration, -section, - cautery, etc.)

o Indications

♦ Curettage:

o Indications,

o Techniques:

combination with E.C.

♦ Intralesional steroid therapy:

o Indications

o Dosage

♦ Chemical cautery:

o Use of Agents (TCA, Phenol)

o Indications

♦ Cryosurgery:

o Mech. Of action,

o Cryogens and their properties,

o Techniques – dip stick, spray, probe,

o Indications

♦ Excision Bx

♦ Epidermal cyst excision – Indication and technique

♦ Corn enucleation

o Physics: basic principles

♦ Radiofrequency surgery:

o Physics, circuitry,

o Techniques,

o Types,

o Indications

o Agents other than TCA, Phenol

 Intralesional

sclerotherapy

SPECIAL DERMATOSURGICAL PROCEDURES:

Must know

Should know

Good to know

♦ Dermabrasion:

o Preoperative work up,

o instruments used,

o indications,

o Techniques

o Post-op care

♦ Vitiligo surgery & skin grafting:

o Punch graft,

o Suction blister graft,

o ideal donor sites/sites to be avoided

o types of post operative dressing

♦ Nail surgery :

o Intra matrix injection,

o Nail matrix Bx,

o Nail unit Bx

o Partial & complete nail avulsion

♦ Hair restoration surgery

o Principles

o Types

o Indications

♦ Lasers

♦ Dermal fillers

–type and indications

♦ Iontophoresis:

o Mechanism, indications, contra-Indications

o Procedures

♦ Eletroepilation:

o Indications

o Contraindications,

o Types - electrolysis, thermolysis

o Facial cosmetic units

o Microdermabrasion

♦ Mechanism of action,

♦ Indications/Limitations

o Split-thickness graft

o Tattooing

♦ Chemical peel:

o Classification/types (AHA, BHA, others),

o Combination peels

♦ Scar revision – techniques

♦ Male genitalia –

o dorsal slit

♦ Botunimum toxin:

o Pharmacology& mechanism of action,

o Indications,

o contra indications,

o available preparation

♦ Instrument use,

♦ procedure,

♦ complication

o Noncultured Melanocyte- keratinocyte transfer technique

Keloid: debulking

o Methodology

o Pre- & Post-op care

o Circumcision

♦ Tissue Augmentation:

o Principles

o Materials

o Techniques

♦ Ear, nose and body piercing

♦ Ear lobe repair

o storage,

o dilution and dosage,

o procedure,

o complications

♦ Liposuction

STD CURRICULUM FOR POST GRADUATES

MUST KNOW

SHOULD KNOW

GOOD TO KNOW

Anatomy

♦ Anatomy of male and female genital tract (including blood supply and lymphatic drainage)

Microbiology & Immunology

♦ Normal/abnormal genital flora

Syndromic approach

♦ Etiology, clinical features, and management of the following STI syndromes:

 Genital ulcer disease

 Vaginal discharge

 Urethral discharge

 Inguinal bubo

 Scrotal swelling

 Lower abdominal pain

 Ophthalmia neonatorum

♦ NACO guidelines for management of various STDs

Viral STDs

Genital herpes virus infection (HPG)

♦ Life cycle including latency & reactivation

♦ Clinical presentation

 Primary episode

 Non-primary first episode

 Recurrent episode

♦ Lab diagnosis

 Specimen collection

 Cytology (Tzanck)

 Culture

 Histopathology

 Serological diagnosis

 Nucleic acid amplification tests (NAATs) including PCR & LCR

♦ Treatment

 Drugs for HSV

 NACO guidelines for treatment of primary & recurrent episodes in immunocompetent & immunocompromised host.

Neonatal herpes simplex infection

♦ Modes of transmission and relation with nature of maternal infection and immunity.

♦ Clinical presentation – asymptomatic, localized, disseminated disease.

Human papilloma virus infections (HPV)

♦ Clinical presentation – condyloma acuminata, papular, macular, giant warts (Buschke- Lownestein) etc.

♦ Lab diagnosis

 Acetowhite test

 Histopathology

♦ Treatment

 Treatment options like chemical cauterization, physical modalities and other drugs.

 NACO guidelines

Genital molluscum contagiosum (MC)

♦ Clinical features

♦ Lab diagnosis –

 Microscopy – HP bodies

 Pathology (biopsy)

♦ Treatment options for localized and disseminated lesions HIV

♦ Structure & biology of HIV

♦ Modes / risk factors for transmission

♦ Cutaneous manifestation of HIV (infective / non infective)

♦ PEP prophylaxis – indications, source code, exposure code, regimen, monitoring, side effects, adherence

♦ Sentinel surveillance Bacterial STDs Syphilis

♦ Structure of Treponema

pallidum

♦ Modes of transmission

♦ Natural history of disease (course of untreated syphilis)

♦ Classification of syphilis

♦ Clinical presentations of primary, secondary, tertiary syphilis

♦ Clinical features of different stages – primary chancre, variants of secondary stage (chancre redux, syphilis de emblee, pseudochancre redux), tertiary syphilis (gumma, other manifestations)

♦ Lab diagnosis – DGI, serological tests (treponemal and non treponemal tests), false positive VDRL / TPHA

♦ Treatment – NACO guidelines

♦ Congenital syphilis – clinical manifestations

Chancroid

♦ Morphology of H ducreyi

♦ Clinical features including variants

♦ Lab diagnosis

 Microscopy

 Culture

 Serology

♦ Treatment – NACO guidelines

Gonococcal infections

♦ Morphology & biology of N gonorrhoea

♦ Clinical features & complications including acute urethritis, acute & chronic complications, anorectal, pharyngeal and disseminated infection

♦ Lab diagnosis –

 Specimen collection & transport

 Microscopy

 Culture

 Nucleic acid amplification tests (NAATs) including PCR & LCR

♦ Treatment – NACO guidelines for uncomplicated and

complicated gonococcal infections

Chlamydia trachomatis infections

♦ Clinical features & complications – entire spectrum of urethritis, cervicitis, proctitis, neonatal conjunctivitis, and related complications.

♦ Lab diagnosis –

 Specimen collection & transport

 Microscopy

 Culture

 Nucleic acid amplification tests (NAATs) including PCR & LCR

♦ Treatment – NACO guidelines

Lymphogranuloma venereum

♦ Clinical features – including different stages and complications

♦ Lab diagnosis –

 specimen collection

 cytology

 culture

♦ Treatment

 NACO guidelines

 Surgical Donovanosis

♦ Morphology of organism

♦ Clinical features including clinical variants & complications

♦ Lab diagnosis-

 specimen collection

 microscopy

 histopathology

 isolation of organism

♦ Treatment

 NACO guidelines

 Surgical

Bacterial vaginosis (BV)

♦ Epidemiology & risk factors

♦ Pathogenesis including alteration of mucosal microflora and biochemical changes

♦ Clinical features

♦ Lab diagnosis – Amsel's criteria

♦ Treatment – NACO guidelines

Pelvic inflammatory disease (PID)

♦ Epidemiology & risk factors

♦ Microbiology of PID

♦ Clinical features & complications

♦ Lab diagnosis

♦ Treatment - NACO guidelines

Fungi, protozoa & arthropod infections

Genital candidal infections (VVC & CBP)

♦ Clinical features

 VVC in females - uncomplicated and complicated disease

 CBP in males

 Candidal hypersensitivity

♦ Lab diagnosis – microscopy and culture

♦ Treatment

 topical and oral drugs

 NACO guidelines for uncomplicated & complicated disease (including pregnancy)

Trichomonas vaginilis infection

♦ Morphology of T vaginilis

♦ Clinical features

♦ Lab diagnosis

 microscopy

♦ Treatment - NACO guidelines

Genital scabies

♦ Morphology & life cycle of the mite

♦ Epidemiology & transmission

♦ Clinical features – typical and special variants

♦ Lab diagnosis by microscopy

♦ Treatment –

 Principles and options

 NACO guidelines

Phthiriasis pubis

♦ Morphology & life cycle of the mite

♦ Clinical features

♦ Diagnosis

♦ Treatment – NACO guidelines Miscellaneous

♦ Role of lactobacilli

♦ Risk factors for transmission of STD

♦ Epidemiology & transmission

♦ Immune response

♦ Complications like aseptic meningitis, encephalitis, radiculomyelopathy dissemination etc.

♦ Lab diagnosis

 Antigen detection by IF, IP, EIA etc.

 DNA hybridization based molecular tests

♦ Treatment

 Parenteral treatment for severe infection

 Treatment of acyclovir-resistant herpes

 Treatment of HPG in pregnancy

♦ HIV & genital herpes

♦ Laboratory diagnosis

♦ Treatment

♦ Epidemiology & transmission

♦ Immune response

♦ Lab diagnosis

 Antigen detection

 Molecular tests – DNA hybridization, PCR etc

♦Treatment in pregnancy

♦ HPV infection with HIV

♦Morphology of virus

♦ MC in HIV infection

♦ Lab diagnosis of HIV

♦ Disease classification / staging

♦ HAART

 Classification of ART drugs

 NACO guidelines on indications, first line regimens, patient monitoring

 Side effects of ART drugs

♦ Management of HIV in pregnancy – regimen, doses, monitoring, side effects

♦ Prevention of mother to child transmission

♦ National AIDS control programme (NACP) - phases, goals, targets and achievements

♦ History of syphilis – Columbian and environmental theory

♦Pathogenesis of disease

♦ Immune response

♦ Malignant syphilis

♦ Cardiovascular syphilis

♦ Neurosyphilis- different stages

♦ Charcot joints

♦ Lab diagnosis - technique, monitoring & positivity of tests in different stages

♦ Treatment in pregnant patient

♦ Jarisch herxheimer reaction- etiology, clinical features, management

♦ Syphilis & HIV

♦ Congenital syphilis - management

♦ Growth characteristics

of H ducreyi

♦ Lab diagnosis

 Histopathology

 Molecular techniques like PCR

♦ Chancroid & HIV

♦ Genetic characteristics and strains

♦ Lab diagnosis –

Antigen detection tests

 Serological tests

 DNA hybridization based molecular tests like PACE etc.

♦ Gonorrhoea in pregnancy

♦ HIV & gonorroea

♦ Drug resistance in gonorrhoea

♦ Morphology & biology of C trachomatis

♦ Lab diagnosis –

 Antigen detection tests

 Serological tests

 DNA hybridization based molecular tests like PACE etc

♦ Epidemiology & transmission

♦ Pathogenesis & pathology

♦ Lab diagnosis –

 antigen detection

 serological tests molecular tests like PCR, RFLP

♦ HIV & LGV

♦ Epidemiology & transmission

♦ Pathogenesis & spread of disease

♦ HIV & Donovanosis

♦ Complications

♦ Lab diagnosis – Nugent's criteria

♦ BV in pregnancy

♦ Epidemiology including risk factors

♦ Mycology of albicans and non-albicans candida

♦ Lab diagnosis – newer tests like PCR

♦Treatment of fluconazole resistant C albicans and non- albicans Candidiasis

♦ HIV & genital candidiasis

♦ Lab diagnosis – culture methods, molecular techniques.

♦ Trichomonas infection in pregnancy

♦ Immunity in scabies

♦ Lab diagnosis by newer techniques – epiluminiscence microscopy, PCR

♦ HIV & Scabies

♦ Epidemiology & transmission

♦ Epididymo-orchitis

♦ Dhat syndrome – etiology, clinical features, treatment

♦ Mucosal immune system in males and females

♦ Bacterial adhesins

♦ Strategies for development of mucosal immune response to control STI

♦ CDC guidelines for management of various STDs

♦ Morphology of virus

♦ Treatment - CDC guidelines

♦ HSV Vaccines

♦ Recent advances in diagnosis and treatment

♦ HPV induced carcinogenesis – high-risk serotypes, mechanism of neoplasia & screening

♦ Treatment - CDC guidelines

♦ HPV vaccines

♦ Recent advances in diagnosis & treatment

♦ Differential diagnosis of MC-like umblicated lesions

♦ Mechanism of depletion of CD4 cells, role of cytokines etc.

♦ HAART

 ART failure & second line regimens

Pediatric ART – dose, regimens, side effects, monitoring

 Adherence to ART & ART drug resistance

♦ Management of HIV patient in tuberculosis, hepatitis, injection drug abusers

♦ Immune reconstitution inflammatory syndrome (IRIS)

♦ Indications for CPT prophylaxis & management of opportunistic infections

♦ Kaposi's sarcoma – etiology, clinical variants, treatment modalities

♦ New drugs or approaches to target HIV

♦ Mechanism of motility

♦ Treponemal antigens

♦ Complications of primary and secondary stages

♦ Histopathology in different stages

♦ Treatment

 CDC guidelines

 Treatment of penicillin-allergic patients & desensitization

♦ Syphilis vaccines

♦ Endemic syphilis (yaws) - clinical features, diagnosis & treatment

♦ Drug resistance in chancroid

♦ Treatment – CDC guidelines

♦ Treatment – CDC guidelines

♦ Gonococcal vaccines

♦ Recent advances in diagnosis & treatment

♦ Treatment – CDC guidelines

♦ Treatment – CDC guidelines

♦ Treatment – CDC guidelines

♦ Treatment – CDC guidelines

♦ Differential diagnosis of acute pelvic pain

♦ Treatment - CDC guidelines

♦ Treatment - CDC guidelines

♦ Recent advances like newer topical and systemic anti- mycotic drugs (like voriconazole)

♦ Treatment – CDC guidelines

♦Treatment – CDC guidelines

♦Treatment – CDC guidelines

♦ Acute & chronic prostatitis

♦ Chronic pelvic pain syndrome

LEPROSY CURRICULUM FOR POST GRADUATE

MUST KNOW

SHOULD KNOW

GOOD TO KNOW

♦ History

Epidemiology

♦ Transmission

♦ Recent Status of Leprosy in India

♦ Leprosy control programmes

Microbiology & Immunology

♦ Structure of M leprae

♦ Humoral response

♦ Cell mediated immune response

♦ Tests for assessment of CMI

♦ Classification of leprosy

♦ Immunopathological spectrum of leprosy

♦ Ridley Jopling classification

♦ Paucibacillary and multibacillary leprosy Clinical features

♦ Cutaneous

♦ Nerve involvement

♦ Ocular involvement- causes, effects due to infiltration and inflammation and reactions

♦ Involvement of other mucosae

♦ Systemic Involvement in Leprosy-muskuloskeletal, hepatic, renal and reproductive

♦ Variants of leprosy like Neuritic, indeterminate, single skin lesion, lucio, histoid , lazarine Differential diagnosis of:

♦ Hypopigmental macules

♦ Erythematous skin lesions

♦ Nodules

♦ Peripheral nerve thickening

♦ Investigations

♦ Slit skin smear including bacterial index, morphological index

♦ Histopathology of skin according to Ridley Jopling classification

♦ Lepromin test

♦ Clinical tests for sensory, motor and autonomic functions

Treatment of leprosy

♦ Conventional drugs- dapsone, rifampicin and clofazamine – meachanism of action, pharmacokinetics and side effects

♦ Standard and alternative regimes

♦ Drug resistance

♦ Investigational drugs

♦ Vaccines in leprosy

Reactions in Leprosy

♦ Aetiopathogenesis

♦ Clinical features- cutaneous and systemic

♦ Differentiate between relapse and reversal

♦ Histopathology

♦ Treatment - corticosteroids, thalidomide, clofazamine, antimalarials etc

Special situations like

♦ Pregnancy

♦ Childhood Leprosy

♦ Leprosy and HIV

Experimental models in leprosy

♦ Mice

♦ Armadillos

Deformities in leprosy

♦ Types- anesthetic, motor

and specific deformities involving hands, feet (including trophic ulcer) and face

♦ Nerve damage- clinical features and management

♦ Assessment

♦ Prevention

♦ Management-

♦ medical, surgical and physiotherapy

Disability prevention & Rehabilitation

♦ Global scenario

♦ Important M.leprae antigens

♦ Role of macrophages in leprosy

♦ Difference Between Madrid and Ridley Jopling classification

♦ Sensory and motor dysfunction

♦ Histopathology of nerves

♦Serology in leprosy esp., PGL-1 ELISA

♦Newer and short duration regimes

♦Uniform MDT

GvTests for drug resistance

♦ Immunotherapy in leprosy

♦ Classify severity of type 2 reaction

♦ Management of nerve abscess

♦ Disability assessment

♦ Physical – prosthesis, surgical

♦ History of leprosy and treatments of historical interest

♦ Biochemical characteristics of M leprae

♦ Other classification systems in leprosy

♦ Histopathology of other tissues like kidneys, liver, lymph nodes, mucosae

♦ In-vitro testing of

♦ M. leprae

♦ Other non human primates

Vocational and social

Biostatistics, Research Methodology, and Clinical Epidemiology Ethics

Medico-legal aspects relevant to the discipline

Health Policy issues as may be applicable to the discipline

Career Options

After completing a DNB in Dermatology, Venereology and Leprosy, candidates will get employment opportunities in Government as well as in the Private sector.

In the Government sector, candidates have various options to choose from, including Registrar, Senior Resident, Demonstrator, Tutor, etc.

While in the Private sector the options include Resident Doctor, Consultant, Visiting Consultant (Dermatology, Venereology and Leprosy), Junior Consultant, Senior Consultant (Dermatology, Venereology and Leprosy), Consultant Dermatology, Venereology and Leprosy Specialist, etc.

Courses After DNB in Dermatology, Venereology and Leprosy Course

DNB in Dermatology, Venereology and Leprosy is a specialization course that can be pursued after finishing MBBS. After pursuing a specialization in DNB (Dermatology, Venereology and Leprosy), a candidate could also pursue super specialization courses recognized by NMC, where DNB (Dermatology, Venereology and Leprosy) is a feeder qualification.

Frequently Asked Questions (FAQs) – DNB in Dermatology, Venereology and Leprosy Course

Question: What is a DNB in Dermatology, Venereology and Leprosy?

Answer: DNB Dermatology, Venereology and Leprosy or Diplomate of National Board in Dermatology, Venereology and Leprosy also known as DNB in Dermatology, Venereology and Leprosy is a Postgraduate level course for doctors in India that is done by them after completion of their MBBS.

Question: Is DNB in Dermatology, Venereology and Leprosy equivalent to MD in Dermatology, Venereology and Leprosy?

Answer: DNB in Dermatology, Venereology and Leprosy is equivalent to MD in Dermatology, Venereology and Leprosy, the list of recognized qualifications awarded by NBE in various broad and super specialties as approved by the Government of India are included in the first schedule of the Indian Medical Council Act, 1956.

Question: What is the duration of a DNB in Dermatology, Venereology and Leprosy?

Answer: DNB in Dermatology, Venereology and Leprosy is a postgraduate programme of three years.

Question: What is the eligibility of a DNB in Dermatology, Venereology and Leprosy?

Answer: Candidates must be in possession of an undergraduate MBBS degree from any college/university recognized by the Medical Council of India (now NMC).

Question: What is the scope of a DNB in Dermatology, Venereology and Leprosy?

Answer: DNB in Dermatology, Venereology and Leprosy offers candidates various employment opportunities and career prospects.

Question: What is the average salary for a DNB in Dermatology, Venereology and Leprosy postgraduate candidate?

Answer: The DNB in Dermatology, Venereology and Leprosy candidate's average salary is between Rs. 8,00,000 to Rs.20,00,000 per year depending on the experience.

Question: Are DNB Dermatology, Venereology and Leprosy and MD Dermatology, Venereology and Leprosy equivalent for pursuing teaching jobs?

Answer: The Diplomate of National Board in broad-speciality qualifications and super speciality qualifications when granted in a medical institution with attached hospital or in a hospital with the strength of five hundred or more beds, by the National Board of Examinations, shall be equivalent in all respects to the corresponding postgraduate qualification and the super-speciality qualification granted under the Act, but in all other cases, senior residency in a medical college for an additional period of one year shall be required for such qualification to be equivalent for the purposes of teaching also.

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