Why I decided to not attend Nepal Respiratory society conference 2025?

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I am a super-specialist doctor. Hence, when I learned about the pulmonology conference in Nepal in September 2025, I thought of attending it since I was there for some other work.  But I ultimately decided against attending the Nepal Respiratory society conference. You will agree that 'the first impression is the last impression'. And my first impression about the conference and organizers, unfortunately, was bad.  Reasons: 1. Incomplete information on internet  No proper directions on internet. There was incomplete and wrong information.  2. No office When anyone makes a medical society or association, it needs to have a proper physical address, phone number, and email id. But this, Nepal respiratory society, lacked all of this.  3. Piecemeal information  Initially, the registration details had no details about registration for international delegates. Later, this was added. But again, there was improper info on it. At one place, the fees was 12k npr and a...
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Coronavirus infection and skin rashes!

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The 3 most common symptoms of coronavirus affliction are fever, cough, and loss of smell. But there are a host of other symptoms that are observed during coronavirus infection. These include skin lesions of varying types and severity. 

Skin lesions and Covid-19

Coronavirus also causes skin lesions during the course of the disease. Lancet has reported that many patients had skin lesions as part of the disease. These occurred during the start of the disease or were spotted during the hospital stay. And the lesions did not correlate with disease severity. 

Skin rashes in coronavirus infection (Source: News Medical) 

The authors added that some of the patients with such lesions reported burning and/or itching at the site. These lesions were either as red rashes, or vesicles and blisters, or as urticaria or hives. In some, the researchers saw that the lesions began as erythematous-violaceous patches that later turned purpuric. They blistered and ulcerative to become necrotic and later healed. 

In another research, 21% of coronavirus patients had only skin rashes as the manifestos the disease.  17% of the patients had such skin lesions coming up first before the full-blown picture of coronavirus affliction in them. 

Types of skin lesions in coronavirus 

1. Erythematous rashes

2. Urticaria or hives. These are seen in all ages and associated with severe disease. They clear off in 10 days. 

3. Vesicles or blisters on body and also in some in oral cavity. Most occur in middle patients of coronavirus and are associated with medium severity. They resolve in 10 days. 

Acral lesions in coronavirus infection (Source: MDedge) 

4. Chilblains or Covid toes. This is common in children and adolescents and even occur with no or mild symptoms. The skin over the digits becomes discolored red or purple and is also painful and itchy. Massachusetts General Hospital (MGH) and Harvard Medical School (HMS), in collaboration with the American Academy of Dermatology and International League of Dermatologic Societies revealed that these occur more in cold air and when the skin is exposed to cold surfaces. 

5. Purpuric lesions

6. Ulcers with or without necrosis 

Skin lesions in children 

Hives in coronavirus infection (Source: First Post) 
Also, read on Latest about Astrazeneca Covid vaccine 

A study from Spain on 20 children showed that they had acral erythema (30%) dactylitis (20%), purpuric maculopapules (35%), and mixed pattern (15%). Some had lesions similar to pityriasis rosea and these were on the trunk, upper limbs, and peri umbilical regions. 

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