Philippine Dermatological Society

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Dermatologic Potpourri
Penned by Maritess N. Custodio, MD, FPDS

15th PDS Southern Philippines Chapter 2018 Annual CME//Scientific Meeting
April 11 to 13, 2018   Ballroom of Metrocentre Hotel, Tagbilaran City, Bohol

Potpourri Day 1

Bohol Bee Farm Magical Night greeted the guests with an all organic food buffet dinner that included a colorful garden salad admixed with flower petals from common ornamental plants. No rest followed this feast as camaraderie grew with the ice breaker Star Power-Star Intellect game, revealing the hidden talents of the Southern Philippines DermAuthorities.

Potpourri Day 2

Dr. Marilou Ong, SPPDS chapter President officially opened the event, warmly welcoming everyone to a full day packed with a real potpourri of dermatological topics, pertinent to our practice, medically and cosmetically.

*Hairwire SOS 101, delivered by Dr. Rica Silva-Mallari, dealt with the common hair problems besetting our patients and what we can do to help them regain confidence in their total body image by restoring their crowning glory.

*Infectious Dermatology had two very good talks on “TB in the Philippines:  Why we should worry” and “Recognizing STI’s and HIV”, given by Drs. Regina Pascua-Berba and Winlove Mojica, respectively. According to Dr. Berba, the adage “In the Philippines, THINK TB” is still sadly true to this day.  With a need to revise the diagnostic algorithm, proposals now include the Chest X-ray and the Cepheid Gene Expert to become part of routine screening for TB.  Linking patients’ care through referral to TB DOTS is also highly encouraged. As to HIV, pertinent points were raised by Dr. Mojica. Though the incidence of HIV new cases is going down globally, this is not the case in the Asia-Pacific region. Recent statistics show that an HIV epidemic is at hand in the Philippines. With this, one should be aware of the manifestations of HIV. It should be an important differential diagnosis to common skin diseases that appear to be recalcitrant or recurrent, as it can be a great mimicker in itself.

*Dementia may be a condition we are all familiar with, but it is usually not discussed in a dermatology forum, such as this. Dr. Grace Orteza’s “Mind Games: Am I losing it?” was an eye-opener, what with her opening question “Who’s asking? Doctor or Patient?”  Levity aside, it was an unforgettable talk on recognition, management and prevention of dementia.

*As laws are not easy to comprehend fully and correctly, Atty. Maria Carolina Legarda’s “Dermatology: Law & Order” was an admirably simplified discussion of legal concepts, laws and jurisprudence of particular interest to doctors and patients.

*Atopic Dermatitis is notoriously unwieldy but with Dr. Ma. Victoria Dizon’s “Atopic Dermatitis going for the Long Term Management”, reasons were set why AD keeps on coming back and tips on how to break this cycle were shared. With only 50% of patients outgrowing AD, a sequential regimen of topical steroids and calcineurin inhibitors has achieved clinical control for most patients.

*Acne vulgaris is a topic never missed in any dermatological conference. Two innovative ways of dealing with this chronic disorder were discussed by Drs. Angela Lavadia and Ma. Teresita Gabriel. Dr. Lavadia shared good response of Filipino acne patients with an alternative botanical care solution. Dr. Gabriel, on the other hand, highlighted acne topicals with new combinations of active ingredients, a good addition in the armamentarium for acne management.

*And as far as cosmeceuticals are concerned, organic is the way to go nowadays, and this was elucidated with new insights presented by Dr. Johannes Dayrit.

Capping the marathon of lectures was a Fellowship Night at Mithi Resort. It was a feast of the palate and a celebration honoring the late Dr. Rosario Canete, beloved founding mother of the Southern Philippines Chapter. As Dr. Angeli Garcia serenaded the crowd with Dr. Canete’s favorite “Matud Nila”, emotions were overwhelming. Beautiful butterflies were released and all bid their farewell to their beloved Dr. Canete. This lovely night will always be remembered, as every member shared fond memories of how their chapter began and how it grew throughout the years.

Potpourri Day 3

Notwithstanding the immense activities of the first two days, all participants poured in to listen to equally stimulating talks by very good speakers of the last day.

*Diagnostics and procedures were discussed by Dr. Krissinda Clare Dim-Jamora and Rosario Salud Blas. Dr. Dim-Jamora’s “Dermatoscopy for Novices” and “Winning ways to use soft tissue fillers in your practice” made dermatoscopy appear simple and fillers a lot less daunting. A trip to the evolution and essence of lasers and light was given by Dr. Blas with her talk “Are we on the same Wavelength?”.  Apart from the early light devices, we now have the newer ultrashort, ultrafast laser devices and the hybrid fractional devices.

*Two lectures were devoted to Pediatric Dermatology.  Dr. Rowena Therese Romero-Francisco’s discussed viral exanthems, its differential diagnoses and treatment, with her “Connect the dots:  Pindown that Viral Exanthem”. Dr.  Jennifer Aileen Yangtatco, on the other hand, dealt with vascular anomalies, its course, management and prognosis, with her “I SEE SPOTS:  Red, White and Blue”. Emphasized in her talk was the need to watch out for syndromes when presented with vascular anomalies.

*Internal Medicine in Dermatology is an important facet that must not be neglected. Proving this was Dr.  Grace Teodocio’s erudite discussion of Exfoliative Dermatitis, its management, general skin care, systemic treatment and laboratory work-ups.

*As psoriasis will likewise never be forgotten, a discussion on biologicals as a treatment option was shared by Dr. Leilani Senador with her “Aim is Clear:  Secukinumab and Psoriasis”.

The activity officially ended with the Closing Remarks given by Dr. Divina Go, SPPDS Vice-President, as she expressed the chapter’s immense appreciation to all the Speakers who traveled all the way to Bohol just to impart knowledge to colleagues.  Likewise, she also extended her gratitude to all those who attended and participated.  After all the potpourri of lectures, discussions, learning, coupled with laughter, fun and dancing, it was time to say goodbye to the uniquely beautiful home of the Tarsiers and Chocolate Hills.