The event, entitled: “The Role of Caviar as an Anti-Aging Supplement,” was held on March 23, 2017 at the Omakase Restaurant at the Il Terrazo Mall in Tomas Morato, Quezon City. 41 Doctors were present during this affair, which was sponsored by Suisse Laboratories Cell Therapy, Inc., and emceed by Dr. Sonia Baluyot; supported by Dr. Ramon Briones who led the Invocation, and Dr. Marivic Lantin who gave the welcoming remarks.
Our speaker was Dr. Jennifer Marie B. Jose, Head of the Urogynecology Departments of Makati Medical Center and St. Luke’s Global City. She presented data on a cocktail of anti-oxidants – whose scientific nomenclature is LD-1227, but available commercially as “caviarlieri.” The supplement has been shown to enhance cognitive functions, as well as the integumentary character plus the glycemic profile of its regular consumers. What excited our more mature audience members was this medicament’s natural capacity to relieve joint pains via its faculty to increase formation of chondrocytes.
In summary: due to the superior expertise of the Swiss pharmacists; the group has managed to combine the cumulative benefits of fish oil, chondroitin, coQ10, amino acids, vitamin B12 and peptides into a single efficient supplement; and that is “caviarlieri.”
POSTSCRIPT: This successful event was repeated at the Omakase Restaurant in the Molito Mall at Alabang, Muntinlupa last Friday, April 7, 2017. Sixteen of our colleagues from the South attended this symposium, and once again sang praises to this supplement.
Last April 18, 2017, twenty-one PACCD members descended on Alba Restaurant at Tomas Morato, Quezon City to attend Medinova Pharma Inc. product presentation. This Indian company would be launching their products into the Philippine market in three months; so Dr. Sonia Baluyot served as a conduit so that our organization would be one of the first Dermatologic groups to learn more about the products that will be available in the market.
Pharmacist/Executive Director I. K. Sinha introduced each product, with a short explanation about their medical advantages . In summary, they were: Uvel sunscreen gel, Climbac-NF anti-dandruff shampoo, Cica’Rid scar gel, D’Wite depigmenting agent, C-Glos vitamin C serum, Stella foaming wash, Glyclin glycolic wash, Zinclaire oil-free moisturizer , et al.
We also wanted to thank the owners: Sanjay Bhagia and Vinay Panemanglor, for gracing the launch.
Ramon Briones, M.D.
Being an affiliate society of the Philippine Medical Association; PACCD members showed their support by descending onto this year’s annual convention, held last May 16 – 19, 2017 at the Manila Hotel. Being also the first year that a percentage of CPD units earned from PMA-organized activities became obligatory in order to earn one’s license; the number of attendees surged to a record tally of 3600.
Our sprightly President, Dr. Vinson B. Pineda continued his duty to call attention to our existence as a force in the medical community by attending the Governors’ Ball in the evening of May 16; marching during the Opening Ceremonies the next morning, and circulating among the officers during the Fellowship Night. His status as a Medical Icon was not lost during the latter activities because his presence were always respectfully acknowledged. Aside from attending the various lectures; the majority of the PACCD Board members dutifully took turns monitoring the PMA Business Meetings during the General Assembly, ensuring the security of our status within the Organization.
We would like to welcome and introduce the newest members of Philippine Academy of Clinical and Cosmetic Dermatology. We wish you all much success in your career.
On June 23,2016 Thursday – PACCD held its third scientific symposium entitled: “Common Bullous Skin Diseases: Clinical Diagnosis Laboratory and Management”. The event was once again mounted at the Occupational Safety and Health Center, North Ave. cor Agham Rd., Diliman, Quezon City. The lecture concentrated on the viral varieties of this subset of diseases, specifically: Pemphigus, Bullous Pemphigoid, Epidermolysis Bullosa Acquisita, Pemphigoid Gestationis and Cicatricial Pemphigoid. The content was specifically targeted at practical approaches in diagnoses and management for the more seasoned dermatological practitioners. Although the academic weight of the lecture is undeniable; the occasion felt more like a guided series of enlightened anecdotes from a wise Professor whose focus is to aid his audience through the intricacies of these diseases. Some tips he imparted were:
- Ramon R. Briones, M.D.
Last Thursday, July 14, 2016 –members of the PACCD Organizing Committee and Board of Trustees gathered at the Gauguin Room of the Novotel Manila Araneta Center to celebrate Dr. Vinson B. Pineda’s 80th Birthday. The latter had been the PACCD President for the past 13 years; thus the organization deemed it appropriate to honor his milestones annually.
The evening started informally, but in high spirits, as guests trickled into the venue at around seven p.m. to greet the youthful octogenarian, who emanated robust health and a rather impish demeanor. Dinner was composed of an ample buffet complete with soup, salad, rice, vegetables, three main courses – and a choice of two pastry deserts. A rather agreeable cabernet sauvignon was also served to fuel the festivities; climaxing in a dry(sec) champagne for the final toast.
The program for the evening was energetically led by Dr. Connie Garcia who opened with a moving prayer which was sung by all, and complemented by an equally heartwarming slide presentation. After this, the entire company held their hands over the celebrant to pray over, wishing for his health and happiness. Toasts were then accomplished by the tinkling of flutes; ending in a slide show presentation of pictures from Dr. Pineda’s 79th Birthday Celebration.
The evening closed with Dr. Pineda’s sage invocation of how one could accomplish worldly success, and divorce from sin, by recognizing Jesus Christ as one’s Savior. A message which has become both traditional, and annual in its frequency.
-Ramon R. Briones, MD
PACCD’s second Scientific Symposium, held last March 3, 2016 Thursday was occasioned in a new venue (please see copy of the invitation), which can be described as classroom-type; but elegant in its practical roominess. Most importantly, the forty attendees were pleased with the new locale.
The topic of Leprosy may surprise some; but informal survey of the members revealed the disease’s persistent presence in the clinics of many; so the choice of topic was rather apt.
Opening the event was Mr. Samuel Sumilang. R.N.,EMT-B,MAN, Chief Nurse of the Dr. Jose N. Rodriguez Memorial Hospital, formerly Tala Leprosarium, who gave the general introduction to the subject matter – composed of history, statistics, general management, side effect of medications and classification of leprosy. Highlights of his lecture were:
1. Prevalence rate is 0.4/ 10,000 population. Rodriguez Hospital still receives 6-7 patients per month. But the trend has gone towards outpatient management.
2. Multi-Drug Therapy (MDT) is still the cornerstone management; with Minocycline and Ofloxacin as alternative options for resistant or allergic cases. Duration of treatment is 6 months to a year.
3. The mnemonic of L-E-P was introduced to aid in diagnosing leprosy: Loss of sensation, Enlargement of peripheral nerves, and Positive skin smear.
4. Transmission of M. Leprae is stops after 1 week of treatment.
The succeeding part of the event was presided over by Dave Elvin G. Sanchez, M.D., MPH,DPCOM,CESE, Head of the Dermatology and Leprosy Services , OIC Medical Center Chief of the Dr. Jose N. Rodriguez Memorial Hospital; who gave a more detailed account of the Disease’s Diagnosis, Differential Diagnosis, Physical Examination, Laboratory – and most importantly, recognition and management of the Reactive Phenomena. Highlights of his lecture were:
1. Constant spurts in incidence rates of the Disease concludes the inability of the local Medical programs to completely eliminate This may be due to hidden and/or unknown pockets within the population housing carriers of said Disease.
2. Reactive Phenomena involves immunological activities; of which complement activation would lead to kidney and liver destruction.
3. Management of reactions utilizes weight-computed corticosteroids and clofazimine.
Conclusively, the event was a success based on the liveliness of the open forum wherein the members of the audience greedily extracted management tips which they would use in their practice. Although the lecturers stated that 3 days may be required to adequately discuss Leprosy; they were sensitive to the requirements of the Dermatology practitioners and gave emphasis to topics which would help the latters’ clinical practice.
Lunch, which was served at the cafeteria, though not haute cuisine proved to be tasty and rather filling. So for members who have never attended a symposium – rest assured, that our program always satisfies the academic, as well as culinary gluttons among the attendees. So do please attend our subsequent events, for PACCD has always been concerned with the intellectual progress of its members.
- Ramon Briones, M.D.
Invitation and Program
PACCD 2nd Scientific Symposium March 3, 2016 Occupational Safety and
Health Center Diliman Quezon City
PACCD 2nd Scientific Symposium March 3, 2016 Occupational Safety and
Health Center Diliman Quezon City
(From L-R) Dr. Oscar Salvador D. Griño, PACCD Asst. Treasurer; Dr. Angelina P. Aquende, PACCD Treasurer; Dr. Dave Elvin G. Sanchez and Mr. Samuel Sumilang, PACCD Lecturers; Dr. Sonia G. Baluyot, PACCD Academic Chairperson
PACCD 2nd Scientific Symposium March 3, 2016
Occupational Safety and Health Center Diliman Quezon City
Delegates and Lecturers
PACCD’s First Scientific Symposium 2016; In Hindsight
Cynthia S. Floro, M.D
At exactly 10 am on January 28,2016, the Conference Room of Sulo Riviera Hotel is filled with no less than 53 PACCD members anticipating the first Scientific Symposium of the year.
Aptly relevant, is the choice of topic selected by our Academic Committee Chair, Dr. Sonia Baluyot, the title of which is “CONNECTIVE TISSUE DISEASES BOTH IN ADULT AND CHILDREN”
Two Specialists in the field of Rheumatology served as our Guest Speakers. They are Dra. Marica A. Lazo, an Adult Rheumatologist and Dra. Leonila F. Dans, a Pediatric Rheumatologist. Both of whom are established practitioners in their Fields.
Dra. Marica Lazo started the Symposium with the in-depth lecture on SLE or Systemic Lupus Erythematosus.
According to her, SLE is one of the Chronic systemic autoimmune diseases with protean manifestations. More than 90% of SLE cases occur in women, most often in the child-bearing age. It may affect any organ system and its presentation and course are highly variable ( indolent or fulminant).
Skin involvement is the second most common manifestation of SLE, next to Arthalgias. She noted that 75% of all SLE patients develop skin lesion in the course of their disease.
This is also one of the most common Connective Tissue disease seen for consutation, with the average of 2-3 patients per day. And on the flipside, one of the diseases often not reported.
Symptoms may vary over time, but commonly include:
• Blood disorder
• Renal disorder
• ANA positive titter
• Immunological disorder
• Neurologic disorder
• Malar “Butterfly” rash
• Discoid rash
There are three forms of Cutaneous Lupus, namely:
1. Acute Cutaneous Lupus- which has the characteristic erythema over the cheeks and nasal bridge, sparing the naso-labial folds, making it appear like a malar “butterfly” rash.
2 . Subcutaneous Lupus – has the characteristic psoriasiform rash and annular polycystic rash
3. Chronic or Discoid Lupus – with lupus penniculitis/ lupus profundus
Other Cutaneous Manifestations may include:
For the treatment, Dra. Lazo, mentions the medications commonly used :
• Antimalarial drugs
She proceeds by discussing four other Connective Tissue Diseases namely:
Psoriasis/ Psoriatic Arthritis
Among these, Psoriasis aroused the most interest in the attendees. Simply because, it is one of the most common immune-mediated inflammatory skin disorder seen by many of us in practice.
The key dermatologic signs in Psoriasis, include, papulosquamous plaques on the scalp and extensor surfaces of the body. Nail dystrophy is not uncommon. And once, a patient has nail pitting with accompanying back pain, it is more likely a case of Psoriatic arthritis, Dra. Lazo notes.
Treatment includes, topical steroids, Phototherapy and DMARDS ( Methotrexate, Cyclosporine and Biogenics, like, Etanercept, Infliximab, Adalimumab and Ustekinumab.
At the end of her lecture, she points out that, a good Medical History and thorough Physical Examination , guides a Physician to a Proper Diagnosis.
In closing, she gives the following Key Points in Diagnosis And Treatment.
• Skin changes occur in a variety of rheumatic diseases and may even be the initial manifesta- tation of a systemic disease
• Skin involvement in a rheumatic disease may serve as an easy-to-access diagnostic and prognostic indicator
• Physicians need to be aware of the impact that chronic and disfiguring skin changes may have on the quality of life of a patient with rheumatic disease.
Immediately after, Dra. Leonila F. Danz, is called on the floor to discuss on ‘” Differentiating Skin Findings of Pediatric Rheumatic Conditions”.
With her warm personality, attendees are able to get back to the momentum of the Lectures right after a good one.
She begins, by mentioning that skin changes in Pediatric Rheumatic Conditions can be very confusing in coming- up with a diagnosis. Like what Dra. Lazo says, a good Clinical history and Physical Examination is the key.
She emphazises the following essential clinical features in ruling out Differential Diagnosis:
Approach to Diagnosis:
• Site of involved joint
• Duration and Frequency of symptoms
• Number of Joints involved
• Associated Extra-articular manifestations
At UP-PGH Pediatric Rhuematology Clinic where she practices, she points 5 case- mixed diseases commonly seen. In the year 2015, statistics show:
• SLE – most common case, about 23%
• Juvenille Idiopathic Arthritis 15%
• Vasculitis 17%
• Rheumatic Fever 12%
• Juvenille Dermatomyositis 3 %
Juvenile Rheumatoid Arthritis, or Juvenile Idiopathic Arthritis, is the most common type of arthritis in children under the age of 17. Like Rheumatic Fever, she says, both have spiking fever and the typical evanescent rash , with joint pains , swelling and morning stiffness.
To rule out other skin diseases rather than Rheumatic Fever, Jones Criteria for Diagnosis of Acute Rheumatic Fever must guide the Physicians. Of courses after an evidence of positive Streptococcal infection. These are:
• Erythema marginatum
• Subcutaneous nodules
• Elevated ESR, CRP
• Prolonged PR
Vasculitis or Henoch Schonlein Purpura, she continues, is the commonest form of vasculitis in children.There is purpura affecting the lower limb or occasionally widespread with fever but is self-limiting. She observes, that children who underwent appendectomy get it more than those who did not.
Juvenile Dermatomyositis, on the other hand, has a characteristic violaceous rash over the eyelids with periorbital edema. It may appear like a child has eye shadow make-up on, she adds. Other findings include Gottron papules, heliotrope rash, calcinosis cutis, and proximal muscle weakness.
Scleroderma or Sytemic Sclerosis, she goes on, is characterized by formation of fibrosis in the skin that leads to the thickness and firmness of involved skin. Reynauld’s phenomenon is an example. There is increase fibroblast activity resulting in abnormal growth of connective tissue, resulting in vascular damage and fibrosis.
Topical steroids, antihistamines and NSAIDs can be used to ease the symptoms. However, oral corticosteroids do not help. Dapsone and methotrexate are also being used, but she cautions that no treatment is uniformly effective.
She concludes her lecture by saying that, a Physician should request for a skin biopsy in case of doubts, but gives us the following guidelines :
• SLE – has malar rash, oral sore, different from Koplik’s spots of Measles
• Henoch Shchonlein Purpura – has palpable purpura
• KAWASAKI Disease – has desquamation, strawberry tongue
• JDM – Gotton’s papules, Heliotrope
• Scleroderma – with distal sclerosis
By the end of the Lectures, attendees have nothing but satisfied look on our faces.
For starting a New Year, this good PACCD Scientific Symposium is a welcome treat . It makes a good anticipation for the coming ones. In addition, it doesn’t only feed our minds with knowledge, but the food served at lunch time, completes the pleasure.
- csf -
PACCD 1st SCIENTIFIC SYMPOSIUM, January 28, 2016 at Sulo Riviera Hotel, Quezon City (from L to R)Dr. Vinson B. Pineda, PACCD President, Dr. Rosario Divina R. Perez, PACCD Auditor, Dr. Isagani C. Cruz, PACCD Asst. PRO, Dr. Leonila F. Dans and Dr. Marica A. Lazo, PACCD Lecturers, Dr. Sonia G. Baluyot, PACCD CME Chairperson