Dr Telang skin and hair clinic

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Dr Telang skin and hair clinic Skin and hair specialist , Laser center

11/08/2025

Congenital Absence of the Ear (Microtia/Anotia) , Let’s Understand It

Did you know some babies are born with a partial or complete absence of the external ear? This rare condition is called Microtia (when the ear is small or underdeveloped) or Anotia (when the ear is completely missing).

It usually occurs during the early weeks of pregnancy, when the ear fails to develop properly. Causes may include genetic factors, certain medications during pregnancy, or unknown developmental interruptions.

Key Facts:

Can affect one or both ears (unilateral is more common).

Hearing may be affected depending on whether the inner ear structures are involved.

Often associated with other craniofacial syndromes.

Treatment Options:

Hearing support: Bone-anchored hearing aids (BAHA) or other assistive devices.

Reconstructive surgery: Usually performed between ages 6to10, using cartilage or artificial implants.

Speech therapy: For children with hearing difficulties to ensure normal speech development.

Early diagnosis, supportive care, and a multidisciplinary team (ENT, plastic surgeon, audiologist, speech therapist) can make a huge difference in quality of life.

Every child is unique , and beauty comes in all shapes and forms. Raising awareness helps reduce stigma and ensures timely treatment.

10/08/2025

🇮🇳 Vitiligo in India: What Does the Data Say?

** Prevalence**

Nationwide data shows institutional prevalence among dermatology patients is around 0.89% (0.86% in males, 0.93% in females) .

Other reports place prevalence between 0.25% to 4% of dermatology outpatients, with peaks up to 8.8% in states like Gujarat and Rajasthan .

** State-Wise**

Higher rates in Gujarat & Rajasthan (~8.8%), as well as Telangana (~4.2%), Madhya Pradesh (~2–2.5%) .

** Religion**

In one multicentric study, patients identifying as Hindus constituted ~69.6%, Muslims ~19.3%, Christians ~8%, with other religions making up the remainder .

This is because of majority hindu patients and minority muslim patients in total population sample.

** Age of Onset**

Around half of vitiligo cases start before age 20, and 70–80% by age 30 .

Childhood-onset studies show a mean onset around 6–10 years, with around 60% being girls in pediatric cases .

0.9% of dermatology patients nationwide affected

Up to 8.8% in certain states like Gujarat & Rajasthan

Most cases begin by age 30, many in childhood

Affects all religions, reflecting national diversity

10/08/2025

PPD Contact Dermatitis vs. Lichen Planus Pigmentosus (LPP)

What’s PPD?

Para-phenylenediamine (PPD) is a chemical found in hair dyes, fabric dyes, and some colors.
It can trigger allergic contact dermatitis , sometimes leaving dark patches that look like LPP.

⚠️ The Difference:

PPD Contact Dermatitis → Caused by direct exposure to PPD; avoid the trigger and it usually improves.

Lichen Planus Pigmentosus → A chronic skin condition, not caused by PPD. There is no history of Dye use.

If you have dark patches and recently used hair dye or colored fabrics , see your dermatologist.
Avoid PPD-containing products to protect your skin.

10/08/2025

In vitiligo, your body’s own immune system mistakenly targets melanocytes , the skin cells that produce pigment (melanin).

What happens?

Immune cells (especially cytotoxic T-cells) attack melanocytes.

Pigment production stops in those areas.

White patches appear on skin and hair.

This isn’t contagious or caused by poor hygiene , it’s your immune system acting in error.

Early diagnosis and treatment can slow or stop progression.

Consult your dermatologist for the latest therapies: phototherapy, topical treatments, and immune-modulating medicines.

04/08/2025

Have you read my book about Vitiligo?

It’s a deep dive into human emotions , real life stories and the science behind melanocyte destruction, immune triggers, and the evolving treatments for depigmentation disorders.

Vitiligo is an autoimmune mediated condition where the body’s own immune system targets melanocytes, the pigment-producing cells in the skin, leading to clearly defined white patches.

Scientific Facts:

Vitiligo is Non-contagious & non-infectious
Oxidative stress and genetic predisposition play a major role
Psychological impact often surpasses physical symptoms
Treatment requires personalized protocols

Vitiligo is a medical condition, not a cosmetic flaw.
Let’s shift the narrative from stigma to science.

Consult a qualified dermatologist for evidence-based care.


26/07/2025

Have you read my book about vitiligo ?
क्या आपने मेरी सफेद दाग वाली किताब पढ़ी?

Vitiligo is not a flaw. It’s art painted by nature.

Vitiligo is a condition where skin loses its pigment cells (melanocytes), causing white patches to appear.

It’s not contagious and doesn’t affect a person’s health but it does challenge societal beauty standards.

Every patch tells a story. Every story deserves respect.

Let's spread awareness, acceptance, and confidence.

18/07/2025

Vitiligo affecting palmar surfaces exhibits a characteristically recalcitrant course due to unique anatomical, physiological, and immunological factors inherent to acral skin.

The glabrous skin of the palm is devoid of hair follicles, which are considered melanocyte reservoirs capable of repopulating depigmented areas during repigmentation therapies.

This structural deficit contributes significantly to the amelanotic persistence observed in palmar vitiligo.

Furthermore, the epidermal microenvironment in acral regions is relatively inhospitable to melanocyte adhesion, migration, and proliferation.

The basement membrane zone (BMZ) in palmar skin demonstrates differential expression of extracellular matrix proteins, including fibronectin, laminin-332, and collagen IV, which modulate melanocyte, keratinocyte interactions.

Aberrant expression or disruption in these proteins compromises the ability of melanocytes to localize and persist in the lesional dermoepidermal junction.

In addition, mechanical stress and friction-induced Koebnerization are particularly pronounced on the palms, potentiating subclinical inflammation and triggering oxidative stress pathways.

This can result in heightened production of reactive oxygen species (ROS), perpetuating melanocyte apoptosis via activation of caspase-3, p38 MAPK, and JNK pathways.

Moreover, the local immune milieu in vitiliginous palmar skin is often dominated by CD8+ cytotoxic T lymphocytes, secreting interferon-gamma (IFN-γ), which further upregulates CXCL9/10 chemokines through JAK-STAT signaling, creating a hostile cytokine-rich environment that deters melanocyte survival.

From a therapeutic perspective, the absence of follicular melanocytic stem cells, combined with the low vascularity and slow cellular turnover rate in palmar skin, limits the efficacy of both topical immunomodulators and phototherapies such as narrowband UVB (NB-UVB) or excimer laser.

15/07/2025

Diet and Hair Loss: The Missing Link

Your hair reflects your internal health, and poor nutrition is a common yet overlooked cause of hair fall. Deficiencies in key nutrients can weaken hair follicles and slow down growth.

A hair-friendly diet should include:

Protein: Essential for keratin production

Iron: Supports oxygen supply to hair roots

Biotin and Zinc: Crucial for follicle strength

Omega-3 fatty acids: Nourish the scalp

Vitamins D, E, and B12: Promote healthy hair cycles

Avoid crash diets, excess sugar, and ultra-processed foods, they can worsen hair shedding.

Eat for your hair. It’s not just about what you apply, but also what you consume.

15/07/2025

It's called Ainhum, a painful and progressive disease most often affecting the little toe. Over time, a constricting band forms around the base of the toe or finger, gradually cutting off circulation until the digit detaches on its own.

Ainhum is rare and primarily seen in tropical regions. Early diagnosis is crucial to prevent auto-amputation and manage pain.

Stay aware. Rare doesn't mean impossible.

12/07/2025

कभी कभी बहुत सारे बाल अचानक से गिरने लगते हैं

12/07/2025

Alopecia treatment

12/07/2025

सब ठीक होता है

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Tuesday 09:00 - 14:00
Wednesday 09:00 - 14:00
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Sunday 09:00 - 14:00

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