KING EDWARD MEMORIAL HOSPITAL

Seth Gordhandas Sunderdas Medical College

Acharya Donde Marg, Parel,
Mumbai 400 012. India.
Tel.: 91-22-2410 7000 Fax: 91-22-2414 3435

Department of Skin , STD & Leprosy

Background History

The Department of Dermatology was established at Seth GS Medical college and KEM Hospital  asold as the hospital by Dr. A C Rebello in 1926 at Ward No.17&18 Main Hospital Bldg & Gr. Floor.

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Sections Units Branches

Staff

Head of the Department :

DR. Uday Khopkar, M.D. (Skin), D.V.D., D.N.B.

Department Staff :

Dr. Uday Khopkar Prof & Head
Dr. Vidya D.Kharkar Prof
Dr. Sunanda A Mahajan Associate Prof
Dr. Siddhi Chikhalkar Associate Prof
Dr. Atul Dongre Assistant Prof
Dr. Prachi Gole Assistant Prof

Present Position of Residents :

Fellows 2
SMO 3
Senior Residents 3
Junior Residents 16
Clerk cum Typist 1
Lab. Technician 1
Staff Nurse 1

Various Teaching Programmes

Group Lectures for all 2nd & 3rd  MBBS students.-CVTC Auditorium.

For undergraduate students :

Posted for skin term in the department.

  1. Daily OPD Clinics
  2. Daily lectures

For OT/PT students :

Lecture series yearly

For Post graduate students

  • Bedside Clinics: Case presentation On daily rounds – Everyday.
  • Discussion of difficult and interesting OPD cases and spot cases – Everyday

Dermato Pathology :
Clinicopathological correlation and discussion of cases – Every Tuesday & Saturday

Case Presentation– Fri 2-3.Grand Round– Monday & Saturday.
Seminars –Tuesday 2-3pm
Journal Club –Thursday 2-3

P.G. Registration :

  • At present there are four post graduate teachers
  • Uday Khopkar
  • Vidya Kharkar
  • Sunanda Mahajan
  • Siddhi Chikhalkar
  • Post Graduate registrations take place Once a year.
  • 2 diploma and 4 M.D. registered candidate allotted per year.
  • Diploma course is for 2 yrs (since July 1998)
  • M.D. Course for 3 years (after completion of Internship)
  • Clinical meeting held of Indian association of Dermatologists, Venereologists and Leprologists, Maharashtra State Branch at K.E. M.Hospital in every Feb- March. In this meeting fully worked up interesting Cases and spot cases are presented by post graduate students.
  • Dermatopathology meeting of Dermatopathology society of Mumbai is held every year. In this meeting dermatopathology slides are presented by postgraduate students.

Facilities, Equipments & Special services

Various Services Offered

Routine Daily OPDs :

  • Monday/Wednesday/Thursday/Friday – New patients
  • Tuesday/Saturday – Old patients/Followup Patient.
  • Tuesday/Saturday -Issuing of Histopathology Report.
  • Tuesday/Saturday -Simple office procedure & minor Surgeries by Appointment.
  • All Days- Skin biopsies of Relevant Cases done on daily basis.

In addition to routine daily special clinics

  • Vitiligo clinic – Every Tuesday
    In this clinic photographic evidence of all the patients maintained
    before and after treatment. Refractory & stable cases are managed with surgical
    modalities of treatment.
  • Psoriasis clinic – Every Wednesday
    Regular follow-up of psoriasis cases with topical and systemic therapies , Photo therapy ,psychotherapy and counseling done.
  • Paediatric dermatology clinic – Every Thursday
    In this clinic photographic evidence of all the patients maintained.Record of patients including genodematosis maintained
  • Acne clinic – Every Friday
    In this clinic patients are evaluated according to their grade and treated accordingly.Photographs of patients maintained.
  • STI Clinic – Daily
    Patients with sexually transmitted infections are treated accordingly and tested for HIV and syphilis and treated accordingly
  • Leprosy clinic- Monday and Friday
    • Registration and counselling of new hansen’s patients is done on both these days and they are referred to nearby centres for treatment.
  • Pulse therapy rounds- Every Monday and Thursday.
  • Hair clinic- Saturday
    • Detailed history , examination & dermoscopy of patients with hair loss are performed and proforma are maintained.
    • Procedure performed include intralesional steroid injections, platelet rich plasma therapy and mesotherapy.

Cosmetology services

  • Glycolic acid, salicylic acid and other chemical peels are performed depending upon patients requirement.
  • Treatment of acne scars with subscission, dermaroller, TCA cross is done depending upon the type of scarring.

Dematosurgical procedures:-On Tues/Sat

  • Excision Biopsies , Nail biopsies, and Therapeutic nail removal, Cyst removal, tattoo removal . Electrocautery, chemical cautery, Molluscum contagiosum extraction, chemical peels, intralesional steroid injections, Dermabrasion, Punch grafting, shave grafting, suction blister technique of skin grafting for Vitiligo patients , Scar elevation, Scar revision comedone extraction, intralesional steroids for keloids
  • Radiofrequency – For management of warts, sebaceous hyperplasia,skin tags.
  • Cryotherapy – every Saturday .Lesions like hemangiomas, keloids, hypertrophic scars are treated with cryotherapy with liquid nitrogen.
  • DPCP application every Saturday for alopecia areata.

Phototherapy

  • PUVA chamber- everyday .The department has a PUVA chamber where patients of psoriasis, vitiligo and mycosis fungoides are treated .Charges are Rs 400 per month.
  • NB-UVB chamber – everyday The department has a NB-UVB chamber where patients of psoriasis are treated . They are charged Rs. 400 per month.
  • Combined PUVA and NB- UVB chamber
  • Hand foot panel for localized palmoplantar lesions.

Lasers

The department is equipped with multiple lasers used for the treatment of various skin conditions at minimal cost.

Q switched laser- Monday 2-4 pm

Pixel laser – Wednesday 2-4 pm

Long pulsed Nd YAG and IPL- Thursday 2-4 pm

Dermatopathology services

Patients with doubtful diagnosis are biopsied for confirmation of diagnosis. The department has a state of the art multiheaded microscope with fluorescence attachment. The microscope is equipped with teaching heads and a TV monitor for teaching postgraduates. It is also connected to a PC for storing still images. The department has a qualified dermatopathologist, Dr. Uday Khopkar who has taken training in the subject in USA. The department receives a lot of references of difficult cases for dermatopathology opininion and clinicopathological correlation. The department also has a laboratory where biopsy samples are processed.

Dermatoscopy

Department has a Dermatoscope which is connected to a computer. It provides for non invasive evaluation of various skin conditions.Images are stored on the computer for correlation with clinical and histological findings and can be retrieved at a later date for comparison

Mycology services

Scraping, smears and cultures for demonstration of fungal infection,Tzanck smears for vesiculobullous disorders, Gram’s smears for bacterial infection.
OPD Timings :- 8.30am to 12.30 pm
School clinic:- 1pm to 3pm

Other

Department participates in the National Conferences

  • National Conference of Indian Association of Dermatologist, Venereologist & Leprologists
  • Annual conference of Maharashtra Branch.
  • National conference of STDs
  • National Conference of Leprosy
  • National Conference of HIV and related diseases
  • National conference of Paediatric Dermatology
  • National conference of cosmetic dermatology
  • National conference of dermatosurgery
  • Quiz Archive

    A 28-year male presented to the skin clinic for progressive cutaneous lesions of the neck that he had for the past 3 years. He was diagnosed as a case of Wilson’s disease 15 years back and started on D penicillamine at a dose of ~800mg daily. He was asymptomatic for 13 years when he developed mild itchy lesions starting over nape of neck which progressed to involve bilateral axilla gradually. Clinical examination revealed multiple match head sized keratotic papules on an annular erythematous base on nape of neck and axilla. Also we noticed skin over axilla was pendulous and hanging in folds. The clinical and histopathological findings were collaboratory.

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  • A Sweet Quiz

    A 56 year/Male patient of UP presented with multiple asymptomatic,hypopigmented maculesof varying sizes all over body since 6 months and multiple firm to hard painless nodules ranging from 1-5 cm on extremities since 3 months. Biopsy from the macule showed a sparse superficial perivascular infiltrate of lymphocytes and histiocytes and the nodule showed diffuse dense infiltrate involving the upper and mid dermis with tiny slightly basophilic intracytoplasmic dots of size 1-2 microns.

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Location

Location :

Main hospital building, ward 17-18, Ground floor

Main OPD building, 1st floor and the OPD No. 117

Address :

Department of Skin, STD & Leprosy,

Main hospital building
ward 17-18, Ground floor
K.E.M. Hospital, Parel,
Mumbai – 400 012.

Contact Detail

24107538(Office and opd)

24107117( ward)

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