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MD · Dermatology

Dermatology thesis topics, with the design and feasibility for each


Dermatology has the highest outpatient volume of any medical specialty, so recruitment is rarely the problem; the problem is that a high-volume OPD tempts a resident into a descriptive study of everything, which reads as a tally rather than a thesis. The department's own instruments decide what is possible: a dermatoscope, a Wood's lamp, a KOH bench, a patch test series and a cooperative histopathologist between them cover most good questions, and therapeutic comparisons are genuinely feasible here because the outcome is visible and measurable on the skin. Examiners press on whether severity was scored with a named instrument rather than an impression, on how photographs were standardised, and on whether the assessor of the outcome knew which treatment the patient received.

Topic register · 43 entries · 6 designs[6]

  • NMC PGMER-2023
  • NBEMS 180 days / 26 months
  • UGC 2018 · under 10%
  • ICMR 2017 · ethics

The register

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The Dermatology register

Authored by the practice · Not compiled from any list


Filter by design or by feasibility, or search the titles and outcomes. Filtering only hides entries: every topic stays on the page, so nothing is lost if you clear the filters or arrive by a deep link.

Feasibility in a teaching unit

Showing 43 of 43 topics

The sample figure on each plate is a planning range read off the design, not a calculated answer. Your own number comes from a calculation against your own assumptions — the difference you would call clinically meaningful, the variability in your setting, the power you want — and it belongs in the synopsis with those assumptions written beside it.

  • Topic 01 / 43

    Link to this entry

    Clinico-mycological profile of dermatophytosis in a dermatology outpatient department

    DesignCross-sectionalFeasibilityStraightforward
    Primary outcome
    Proportion with a positive KOH mount and the distribution of species on culture, by clinical type
    Collection time
    10 to 12 months
    Sample, as a planning figure
    roughly 200–300 patients, subject to a proportion calculation

    What your unit must already have

    • a KOH bench in the department with a trained technician
    • fungal culture on Sabouraud medium, in house or by a fixed microbiology arrangement
    • a standard sampling method for scale collection recorded for each site

    What derails it

    Patients arrive having applied a topical combination cream for weeks, which turns the KOH and the culture negative while the rash persists, so record prior topical use by brand and duration and analyse yield separately in the untreated.

  • Topic 02 / 43

    Link to this entry

    Clinical pattern of steroid-modified tinea and prior topical use in patients attending a dermatology clinic

    DesignCross-sectionalFeasibilityStraightforward
    Primary outcome
    Proportion with a clinically atypical presentation meeting the stated criteria, with the duration and type of prior topical application recorded
    Collection time
    9 to 12 months
    Sample, as a planning figure
    around 200–300 patients with suspected dermatophytosis, subject to a proportion calculation

    What your unit must already have

    • a structured checklist defining atypical morphological features in advance
    • a method for identifying the prior product, ideally the tube or strip brought by the patient
    • KOH examination for every patient

    What derails it

    Patients do not know what they applied and name the pharmacy rather than the drug, so ask them to bring the tube to the next visit and record the composition from the packaging; a history based on the word ointment is unusable.

  • Topic 03 / 43

    Link to this entry

    Itraconazole compared with terbinafine in tinea corporis and tinea cruris

    DesignRandomised controlledFeasibilityModerate
    Primary outcome
    Proportion achieving clinical and mycological cure at the pre-specified end of treatment, by a stated definition
    Collection time
    15 to 18 months
    Sample, as a planning figure
    roughly 45–70 per arm, subject to a proper calculation against the cure proportion assumed

    What your unit must already have

    • ethics approval and Clinical Trials Registry of India registration before the first enrolment
    • KOH and culture at baseline and at the outcome visit
    • an assessor for the clinical outcome who does not know the allocation

    What derails it

    Mycological cure needs the patient to return for a repeat KOH at the end of treatment, and patients stop attending once the itching settles, so schedule the outcome visit with a telephone reminder and budget for a substantial proportion who will not come back.

  • Topic 04 / 43

    Link to this entry

    Acne severity by the Global Acne Grading System and its relation to quality of life

    DesignCross-sectionalFeasibilityStraightforward
    Primary outcome
    Dermatology Life Quality Index score across acne grade categories
    Collection time
    8 to 10 months
    Sample, as a planning figure
    about 150–220 patients, subject to a calculation using the standard deviation of the quality of life score

    What your unit must already have

    • the quality of life index in a documented local translation with permission
    • one examiner grading all patients under consistent lighting
    • a private area where adolescents can complete the questionnaire

    What derails it

    Acne grading depends on lighting and on whether the patient has washed off makeup, so fix the examination room, the lighting and a cleansing step, and have the same person grade throughout, because two observers will differ by a whole grade.

  • Topic 05 / 43

    Link to this entry

    Microneedling with platelet-rich plasma compared with microneedling alone for atrophic acne scars

    DesignComparative interventionalFeasibilityModerate
    Primary outcome
    Change in a stated acne scar grading score from baseline to the end of the treatment schedule, assessed on standardised photographs
    Collection time
    15 to 18 months
    Sample, as a planning figure
    roughly 30–50 per group, or a split-face design with fewer patients, subject to a proper calculation

    What your unit must already have

    • a procedure room with a dermaroller or pen and a centrifuge for plasma preparation
    • a standardised photography setup with fixed distance, lighting and background
    • a blinded assessor grading photographs rather than patients

    What derails it

    Scar assessment is hopeless without standardised photographs, and a change of camera, distance or room light between visits will dominate any real difference, so build and document the photography rig before the first patient and never alter it.

  • Topic 06 / 43

    Link to this entry

    Salicylic acid compared with glycolic acid chemical peel in mild to moderate acne

    DesignRandomised controlledFeasibilityModerate
    Primary outcome
    Change in lesion counts from baseline to the end of the peel schedule, with adverse effects recorded
    Collection time
    15 months
    Sample, as a planning figure
    about 30–50 per arm, subject to a proper calculation using the standard deviation of lesion count change

    What your unit must already have

    • peel agents of a stated concentration from a single source for the whole study
    • ethics approval and trial registration before the first enrolment
    • an assessor counting lesions who does not know which peel was used

    What derails it

    Lesion counting is tedious and drifts as the counter tires, so fix the counting regions, use the same assessor, and have a second person recount a subsample to document agreement, otherwise the difference you report may be counting fatigue.

  • Topic 07 / 43

    Link to this entry

    Melasma severity by the MASI score and pigment distribution on Wood's lamp examination

    DesignCross-sectionalFeasibilityStraightforward
    Primary outcome
    Distribution of epidermal, dermal and mixed patterns on Wood's lamp, with the mean MASI score in each
    Collection time
    8 to 10 months
    Sample, as a planning figure
    roughly 120–180 patients, subject to a proportion calculation

    What your unit must already have

    • a Wood's lamp and a darkened examination room
    • one examiner scoring MASI throughout, with a written scoring sheet
    • a standardised photography setup for the record

    What derails it

    MASI scoring is subjective between examiners and the area component in particular varies widely, so train on a set of photographs, keep one scorer, and report your own intra-observer agreement from repeat scoring of a pilot subset.

  • Topic 08 / 43

    Link to this entry

    Oral tranexamic acid as an adjunct to topical therapy in melasma

    DesignRandomised controlledFeasibilityModerate
    Primary outcome
    Change in MASI score from baseline to the end of the treatment period, compared between adjunct and topical-only arms
    Collection time
    15 to 18 months
    Sample, as a planning figure
    roughly 30–50 per arm, subject to a proper calculation using the standard deviation of MASI change

    What your unit must already have

    • ethics approval and trial registration, with a screening protocol to exclude thrombotic risk
    • a single scorer blinded to allocation, scoring standardised photographs
    • a coagulation screen and history taking for contraindications documented for every patient

    What derails it

    Screening out thrombotic risk factors, including oral contraceptive use and pregnancy plans, removes a significant share of the young women who form most of the melasma clinic, so count eligible patients after exclusions before fixing your number.

  • Topic 09 / 43

    Link to this entry

    Metabolic syndrome components in patients with chronic plaque psoriasis

    DesignCross-sectionalFeasibilityModerate
    Primary outcome
    Proportion meeting a stated definition of metabolic syndrome, in relation to PASI score and disease duration
    Collection time
    12 months
    Sample, as a planning figure
    about 120–180 patients, subject to a prevalence calculation

    What your unit must already have

    • fasting glucose and lipids on every participant, requiring a fasting visit
    • waist circumference measured by one observer at a fixed landmark
    • PASI scored by one trained examiner

    What derails it

    Patients on systemic retinoids or methotrexate have lipid changes from the drug itself, so record current and recent systemic therapy with duration and pre-specify whether treated patients are excluded or analysed separately.

  • Topic 10 / 43

    Link to this entry

    Response to methotrexate in chronic plaque psoriasis over twelve weeks

    DesignProspective observationalFeasibilityModerate
    Primary outcome
    Proportion achieving the stated percentage reduction in PASI at twelve weeks, with adverse effects recorded
    Collection time
    15 to 18 months
    Sample, as a planning figure
    roughly 50–80 patients completing twelve weeks, subject to a calculation against the response proportion assumed

    What your unit must already have

    • a clinic initiating methotrexate with a written dose escalation and monitoring schedule
    • liver function and blood counts at the scheduled intervals
    • one examiner scoring PASI at every visit

    What derails it

    Patients discontinue methotrexate after a single episode of nausea or when a local doctor advises against it, so record every discontinuation with its reason and pre-specify how discontinuations are counted in the primary outcome.

  • Topic 11 / 43

    Link to this entry

    Nail involvement in psoriasis assessed by the Nail Psoriasis Severity Index and onychoscopy

    DesignCross-sectionalFeasibilityModerate
    Primary outcome
    Proportion with nail involvement, with the distribution of dermoscopic nail features recorded
    Collection time
    10 to 12 months
    Sample, as a planning figure
    around 120–180 patients, subject to a prevalence calculation

    What your unit must already have

    • a dermatoscope suitable for nail examination with a contact plate
    • a written list of nail features to be recorded, decided in advance
    • KOH or culture to exclude coexisting onychomycosis where relevant

    What derails it

    Nail findings overlap with those of onychomycosis and the two can coexist in the same nail, so mycological testing of involved nails must be part of the protocol or your nail psoriasis group will include fungal disease and the examiner will say so.

  • Topic 12 / 43

    Link to this entry

    Screening for psoriatic arthritis in patients with psoriasis using the Psoriasis Epidemiology Screening Tool

    DesignCross-sectionalFeasibilityModerate
    Primary outcome
    Proportion screening positive on the screening tool, with the proportion confirmed on rheumatological assessment
    Collection time
    12 months
    Sample, as a planning figure
    about 150–250 patients, subject to a proportion calculation

    What your unit must already have

    • the screening tool in a documented local translation
    • a rheumatologist or physician willing to assess every screen-positive patient
    • joint examination findings recorded on a standard form

    What derails it

    The confirmation step is the weak link, because a rheumatology appointment that takes six weeks means screen-positive patients never get assessed, so agree a same-day or same-week slot in writing before the synopsis goes in.

  • Topic 13 / 43

    Link to this entry

    Thyroid function abnormalities in patients with non-segmental vitiligo

    DesignCross-sectionalFeasibilityModerate
    Primary outcome
    Proportion with an abnormal TSH with reflex free T4, in relation to VASI score and disease duration
    Collection time
    12 months
    Sample, as a planning figure
    roughly 150–220 patients, subject to a prevalence calculation

    What your unit must already have

    • TSH and free T4 through one laboratory
    • VASI scored by a single trained examiner with a body surface area chart
    • anti-thyroid peroxidase antibody if it is part of the objective, which many units must outsource

    What derails it

    VASI requires an area estimate in hand units across the whole body, which means a full undressed examination that many patients decline, so arrange a private room and a same-gender examiner, and record how many refused full examination.

  • Topic 14 / 43

    Link to this entry

    Narrow-band ultraviolet B compared with topical tacrolimus in limited non-segmental vitiligo

    DesignComparative interventionalFeasibilityModerate
    Primary outcome
    Proportion achieving the stated degree of repigmentation at the end of the treatment period, assessed on standardised photographs
    Collection time
    18 months
    Sample, as a planning figure
    roughly 30–50 per group, subject to a proper calculation against the response proportion assumed

    What your unit must already have

    • a working narrow-band ultraviolet B chamber with a maintained dosimetry log
    • a standardised photography setup with fixed lighting and distance
    • ethics approval, with trial registration if allocation is randomised

    What derails it

    Phototherapy needs the patient twice or three times a week for months, so the only patients who complete it live nearby; restrict enrolment by travel time, record sessions received, and treat session count as a reported variable rather than an assumption.

  • Topic 15 / 43

    Link to this entry

    Dermoscopic features of vitiligo in relation to clinically assessed disease activity

    DesignCross-sectionalFeasibilityModerate
    Primary outcome
    Proportion with each pre-defined dermoscopic feature, compared between lesions classified as active and stable on stated clinical criteria
    Collection time
    10 to 12 months
    Sample, as a planning figure
    about 100–150 patients, subject to a proportion calculation per feature

    What your unit must already have

    • a polarised dermatoscope with image capture
    • a written definition of activity and stability applied before dermoscopy
    • a second reader for a subset of images to document agreement

    What derails it

    If the same person judges activity clinically and then reads the dermoscopy, the association is circular, so have the activity assessment recorded by one examiner and the images read by another who does not know that assessment.

  • Topic 16 / 43

    Link to this entry

    Trichoscopic patterns in alopecia areata and their relation to the SALT score

    DesignCross-sectionalFeasibilityStraightforward
    Primary outcome
    Proportion with each pre-defined trichoscopic feature, with the mean SALT score across feature groups
    Collection time
    10 to 12 months
    Sample, as a planning figure
    roughly 100–150 patients, subject to a proportion calculation

    What your unit must already have

    • a dermatoscope with adequate magnification and image capture
    • a written feature list fixed before enrolment
    • SALT scoring by one examiner using a scalp area chart

    What derails it

    Trichoscopic features depend on where on the patch you look, and a single image from the centre misses the active margin, so specify the sites to be imaged for every patient and store the images for a second reader.

  • Topic 17 / 43

    Link to this entry

    Platelet-rich plasma compared with topical minoxidil in androgenetic alopecia

    DesignRandomised controlledFeasibilityDemanding
    Primary outcome
    Change in hair density on trichoscopic counting in a marked target area from baseline to the end of the treatment period
    Collection time
    18 months
    Sample, as a planning figure
    roughly 30–50 per arm, subject to a proper calculation using the standard deviation of density change

    What your unit must already have

    • a centrifuge and a written plasma preparation protocol with stated spin parameters
    • a tattoo or reproducible marking method for the target area and a dermatoscope for counting
    • ethics approval and trial registration before the first enrolment

    What derails it

    Hair counts are only comparable if you return to exactly the same square centimetre, and without a permanent mark you will not, so decide the marking method at the protocol stage and record the reference landmarks photographically.

  • Topic 18 / 43

    Link to this entry

    Serum ferritin and thyroid function in women presenting with diffuse hair loss

    DesignCross-sectionalFeasibilityStraightforward
    Primary outcome
    Proportion with ferritin below the stated threshold and proportion with an abnormal TSH, in women meeting the clinical criteria for telogen effluvium
    Collection time
    9 to 12 months
    Sample, as a planning figure
    about 150–220 women, subject to a prevalence calculation

    What your unit must already have

    • ferritin and TSH through one laboratory with stated reference ranges
    • a hair pull test performed to a fixed method by one examiner
    • a structured history covering recent illness, delivery and crash dieting

    What derails it

    Many of these women have already taken iron and biotin supplements bought over the counter, which changes the ferritin, so ask about supplements by name and duration and pre-specify a washout or separate analysis for supplemented patients.

  • Topic 19 / 43

    Link to this entry

    Severity of atopic dermatitis in children by SCORAD and its relation to quality of life

    DesignCross-sectionalFeasibilityModerate
    Primary outcome
    Mean SCORAD score with the corresponding Children's Dermatology Life Quality Index score
    Collection time
    10 to 12 months
    Sample, as a planning figure
    roughly 100–150 children, subject to a calculation using the standard deviation of the quality of life score

    What your unit must already have

    • both instruments in documented local translations with permission
    • one examiner scoring SCORAD, including the subjective items with a parent
    • a private space for the parent interview

    What derails it

    The itch and sleep-loss components of SCORAD are scored by the parent on a visual analogue scale, and parents anchor those marks to the worst night of the month, so explain the time frame in the local language identically every time and record who answered.

  • Topic 20 / 43

    Link to this entry

    Patch test positivity with the Indian Standard Series in patients with chronic hand eczema

    DesignCross-sectionalFeasibilityModerate
    Primary outcome
    Proportion with at least one relevant positive reaction, with the distribution of allergens identified
    Collection time
    12 to 15 months
    Sample, as a planning figure
    about 100–150 patients, subject to a proportion calculation

    What your unit must already have

    • the standard series with chambers and tape, stored correctly and within expiry
    • a reading schedule at forty-eight and ninety-six hours that patients will actually attend
    • a structured occupational and domestic exposure history

    What derails it

    The ninety-six-hour reading is the one patients miss, and a test read only at forty-eight hours misclassifies reactions, so schedule the series so that neither reading falls on a Sunday and record every incomplete reading as such.

  • Topic 21 / 43

    Link to this entry

    Pattern of occupational dermatoses among workers attending a dermatology outpatient department

    DesignCross-sectionalFeasibilityStraightforward
    Primary outcome
    Distribution of dermatoses judged occupationally related by stated criteria, across occupational groups
    Collection time
    10 to 12 months
    Sample, as a planning figure
    roughly 200–300 working patients, subject to a proportion calculation

    What your unit must already have

    • a structured occupational history form covering materials handled and protective measures
    • stated criteria for attributing a dermatosis to occupation
    • patch testing available for the subset where it is indicated

    What derails it

    Attribution to occupation is a judgement and two dermatologists will disagree, so write the attribution criteria down, have a second assessor classify a subsample independently, and report the agreement instead of asserting the link.

  • Topic 22 / 43

    Link to this entry

    Topical permethrin compared with oral ivermectin in uncomplicated scabies

    DesignRandomised controlledFeasibilityModerate
    Primary outcome
    Proportion clinically cured at the stated follow-up visit, by a definition fixed in advance
    Collection time
    15 months
    Sample, as a planning figure
    roughly 45–70 per arm, subject to a proper calculation against the cure proportion assumed

    What your unit must already have

    • ethics approval and trial registration before the first enrolment
    • an arrangement for simultaneous treatment of household contacts, which must be stated in the protocol
    • an outcome assessor who does not know the allocation

    What derails it

    Reinfestation from untreated household contacts looks exactly like treatment failure, so treatment of contacts must be part of the protocol for both arms and you must record how many households were fully treated.

  • Topic 23 / 43

    Link to this entry

    Clinical spectrum, bacteriological index and deformity grading in newly diagnosed leprosy

    DesignCross-sectionalFeasibilityModerate
    Primary outcome
    Distribution of clinical types with WHO disability grade at diagnosis and the slit-skin smear bacteriological index
    Collection time
    15 to 18 months
    Sample, as a planning figure
    about 80–130 patients, governed by how many new cases your unit registers

    What your unit must already have

    • slit-skin smear facility with a technician trained to grade the bacteriological index
    • nerve examination recorded on a standard form with monofilament testing
    • linkage to the leprosy programme register for case identification

    What derails it

    New case detection in most units is a handful each month, so verify the number registered in the last two years from the programme register before committing, and include referred cases only if you can separate them in the analysis.

  • Topic 24 / 43

    Link to this entry

    Reactions during multidrug therapy in patients with leprosy

    DesignProspective observationalFeasibilityModerate
    Primary outcome
    Proportion developing a type 1 or type 2 reaction during treatment, with time from initiation to the reaction
    Collection time
    18 months
    Sample, as a planning figure
    roughly 70–110 patients followed through treatment, governed by your registration volume

    What your unit must already have

    • a leprosy clinic following patients through the full course of therapy
    • a written definition of each reaction type with severity grading
    • nerve function assessment at fixed intervals by a trained examiner

    What derails it

    Reactions occur between visits and patients present to a local doctor who gives steroids, so ask at every visit about interim treatment, and define how a reaction reported but not witnessed by you will be classified.

  • Topic 25 / 43

    Link to this entry

    Direct immunofluorescence findings and disease extent in pemphigus

    DesignCross-sectionalFeasibilityDemanding
    Primary outcome
    Proportion with the stated direct immunofluorescence pattern, with the Pemphigus Disease Area Index score at presentation
    Collection time
    18 months
    Sample, as a planning figure
    about 40–70 patients, governed entirely by how many cases your unit sees in a year

    What your unit must already have

    • a direct immunofluorescence facility, in house or through a formal referral with transport medium
    • histopathology on perilesional skin with a pathologist reporting to a stated template
    • training in the disease area index with a written scoring sheet

    What derails it

    Pemphigus is uncommon and immunofluorescence usually means sending specimens in a special medium to another centre, so confirm both the annual case number and the transport arrangement in writing before choosing this question.

  • Topic 26 / 43

    Link to this entry

    Pattern and causality assessment of cutaneous adverse drug reactions

    DesignProspective observationalFeasibilityStraightforward
    Primary outcome
    Distribution of reaction patterns with the causality category assigned by a stated assessment scale
    Collection time
    12 to 15 months
    Sample, as a planning figure
    roughly 100–150 patients, subject to a proportion calculation

    What your unit must already have

    • a referral arrangement with other departments so inpatient reactions reach you
    • a causality assessment scale applied by two independent assessors
    • the pharmacovigilance reporting format used by the institution

    What derails it

    Patients present on five drugs started on the same day, which makes a single culprit impossible to assign, so record every drug with its start date, use the causality scale as written, and report the proportion that remained unassignable.

  • Topic 27 / 43

    Link to this entry

    SCORTEN at admission and in-hospital outcome in Stevens-Johnson syndrome and toxic epidermal necrolysis

    DesignRetrospectiveFeasibilityModerate
    Primary outcome
    In-hospital mortality in relation to the admission SCORTEN, with the body surface area involved
    Collection time
    4 to 6 months of record review over several years
    Sample, as a planning figure
    about 40–90 records, which is usually all that several years of admissions will yield

    What your unit must already have

    • records retrievable by diagnosis across several years
    • the seven SCORTEN variables documented in the admission notes
    • ethics committee waiver of consent for record review

    What derails it

    Reconstructing SCORTEN from old notes fails because serum bicarbonate and urea on day one are often missing, so check a sample of files for all seven variables first; if most are incomplete, make it prospective or change the outcome.

  • Topic 28 / 43

    Link to this entry

    Cutaneous manifestations in patients with type 2 diabetes mellitus

    DesignCross-sectionalFeasibilityStraightforward
    Primary outcome
    Proportion with each pre-defined cutaneous finding, in relation to glycaemic control and diabetes duration
    Collection time
    9 to 12 months
    Sample, as a planning figure
    roughly 250–350 patients, subject to a prevalence calculation

    What your unit must already have

    • access to the diabetes clinic for systematic whole-body examination
    • HbA1c done on one analyser for all participants
    • a written checklist of findings with definitions, fixed before enrolment

    What derails it

    A study of cutaneous findings requires an undressed examination including the feet and genital area, which the diabetes clinic is not set up for, so secure a private examination room and a fixed examination sequence or the findings will reflect what was easy to see.

  • Topic 29 / 43

    Link to this entry

    Cutaneous findings and pruritus severity in patients on maintenance haemodialysis

    DesignCross-sectionalFeasibilityModerate
    Primary outcome
    Proportion with each cutaneous finding, with pruritus severity scored on the 5-D itch scale
    Collection time
    10 to 12 months
    Sample, as a planning figure
    about 100–150 patients, subject to a prevalence calculation

    What your unit must already have

    • nephrology agreement for examination in the dialysis unit between sessions
    • the 5-D itch scale in a documented local translation
    • a record of dialysis vintage and adequacy parameters from the unit file

    What derails it

    Itch is worse during and immediately after dialysis, so scoring patients on the chair gives a different answer from scoring them at a clinic visit; fix the timing relative to the session and record it for every patient.

  • Topic 30 / 43

    Link to this entry

    Mucocutaneous manifestations in people living with HIV in relation to CD4 stratum

    DesignCross-sectionalFeasibilityModerate
    Primary outcome
    Proportion with each pre-defined mucocutaneous condition, across CD4 count strata
    Collection time
    12 months
    Sample, as a planning figure
    roughly 150–250 patients, subject to a prevalence calculation

    What your unit must already have

    • an antiretroviral therapy centre willing to refer patients for dermatological examination
    • CD4 counts recorded within a stated interval of the examination
    • ethics approval with explicit confidentiality safeguards and a private examination area

    What derails it

    Patients at an antiretroviral therapy centre guard their privacy closely and will not attend a dermatology OPD where acquaintances might see them, so arrange examination within the centre itself and record how many declined referral.

  • Topic 31 / 43

    Link to this entry

    Clinico-aetiological profile of genital ulcer disease in a sexually transmitted infection clinic

    DesignCross-sectionalFeasibilityModerate
    Primary outcome
    Distribution of aetiological diagnoses established by a stated combination of clinical features and laboratory tests
    Collection time
    12 to 15 months
    Sample, as a planning figure
    about 80–130 patients, governed by the clinic's attendance

    What your unit must already have

    • dark-ground microscopy or serological testing for syphilis with a stated algorithm
    • Tzanck smear or a herpes test as available, with the method stated
    • a private consultation space and a trained counsellor for HIV testing

    What derails it

    Attendance at a sexually transmitted infection clinic is small and falls further if confidentiality is doubted, so the realistic constraint is the clinic register; check the last two years of attendance before fixing your sample.

  • Topic 32 / 43

    Link to this entry

    Intralesional vitamin D3 compared with intralesional measles-mumps-rubella antigen in cutaneous warts

    DesignRandomised controlledFeasibilityModerate
    Primary outcome
    Proportion with complete clearance of the treated and distant warts at the stated follow-up visit
    Collection time
    15 to 18 months
    Sample, as a planning figure
    roughly 30–50 per arm, subject to a proper calculation against the clearance proportion assumed

    What your unit must already have

    • ethics approval and trial registration before the first enrolment
    • a reliable supply of both injectable agents for the whole study period
    • standardised photographs of treated and distant lesions at every visit

    What derails it

    Warts resolve on their own over months, so a trial without a defined minimum lesion duration and a comparison arm cannot attribute clearance to treatment; set a minimum duration in the inclusion criteria and state it in the title.

  • Topic 33 / 43

    Link to this entry

    Intralesional triamcinolone with 5-fluorouracil compared with triamcinolone alone in keloids

    DesignRandomised controlledFeasibilityModerate
    Primary outcome
    Change in a stated scar assessment score from baseline to the end of the injection schedule
    Collection time
    15 to 18 months
    Sample, as a planning figure
    about 25–45 per arm, subject to a proper calculation using the standard deviation of score change

    What your unit must already have

    • ethics approval and trial registration, with a protocol for handling atrophy and hypopigmentation
    • a scar assessment instrument applied by an assessor blinded to allocation
    • standardised photographs and a lesion measurement method

    What derails it

    Keloid height and pliability are graded by feel as much as by sight, so the assessor must handle the lesion without knowing the arm, which means the injecting doctor cannot be the assessor; write that separation into the protocol.

  • Topic 34 / 43

    Link to this entry

    Cryotherapy compared with topical podophyllin for anogenital warts

    DesignComparative interventionalFeasibilityModerate
    Primary outcome
    Proportion with complete clearance at the stated end point, with recurrence at the later follow-up visit
    Collection time
    15 months
    Sample, as a planning figure
    roughly 30–50 per group, subject to a proper calculation against the clearance proportion assumed

    What your unit must already have

    • a cryotherapy unit with a reliable liquid nitrogen supply
    • a private treatment room and a counsellor for partner notification
    • ethics approval, with trial registration if allocation is randomised

    What derails it

    Liquid nitrogen supply is the practical risk, because a fortnight without it breaks the treatment schedule for everyone enrolled, so confirm the supply arrangement for the whole study period and record every missed session.

  • Topic 35 / 43

    Link to this entry

    Dermoscopy in differentiating lichen planus from discoid lupus erythematosus, against histopathology

    DesignDiagnostic accuracyFeasibilityModerate
    Primary outcome
    Sensitivity and specificity of pre-defined dermoscopic criteria against histopathological diagnosis as the reference standard
    Collection time
    15 months
    Sample, as a planning figure
    about 80–130 lesions, driven by the expected sensitivity and the mix of the two conditions in your clinic

    What your unit must already have

    • a polarised dermatoscope with image capture and a written criteria list
    • biopsy on every enrolled lesion with histopathology reported blind to the dermoscopy
    • a second dermoscopy reader for agreement on a subset

    What derails it

    Biopsy refusal is the limiting step, because patients accept a photograph and decline a punch biopsy, so expect attrition between enrolment and reference standard and record every refusal rather than substituting a clinical diagnosis.

  • Topic 36 / 43

    Link to this entry

    KOH microscopy and nail plate histopathology compared with fungal culture in suspected onychomycosis

    DesignDiagnostic accuracyFeasibilityModerate
    Primary outcome
    Sensitivity and specificity of each test against fungal culture as the reference standard
    Collection time
    15 months
    Sample, as a planning figure
    roughly 100–150 patients, driven by the expected sensitivity and the culture-positive proportion

    What your unit must already have

    • nail clipping collection with a stated sampling method and adequate material
    • periodic acid-Schiff staining of nail clippings by the pathology department
    • fungal culture with a documented incubation period

    What derails it

    Nail culture takes four weeks, samples come back contaminated, and a clearly diseased nail can still grow nothing, so state in the protocol that culture is an imperfect reference standard, plan the timeline around the incubation period, and pre-specify how contaminated and negative cultures are handled.

  • Topic 37 / 43

    Link to this entry

    Pattern of dermatoses in children attending a dermatology outpatient department

    DesignCross-sectionalFeasibilityStraightforward
    Primary outcome
    Distribution of diagnostic categories by age band, with the proportion of infectious and inflammatory conditions
    Collection time
    10 to 12 months
    Sample, as a planning figure
    around 400–600 children, since a descriptive spread needs volume; refine with a proportion calculation

    What your unit must already have

    • a diagnostic classification fixed before enrolment, ideally by a standard grouping
    • KOH and Tzanck facilities for confirmation where relevant
    • a consent and assent process appropriate for children

    What derails it

    A descriptive study of everything reads as a tally unless there is a secondary question attached, so pair the pattern with something specific, such as seasonality or prior treatment, and write that as the second objective.

  • Topic 38 / 43

    Link to this entry

    Pattern of dermatoses in elderly patients attending a dermatology outpatient department

    DesignCross-sectionalFeasibilityStraightforward
    Primary outcome
    Distribution of diagnostic categories with the proportion having more than one concurrent dermatosis
    Collection time
    10 to 12 months
    Sample, as a planning figure
    roughly 300–450 patients above sixty, subject to a proportion calculation

    What your unit must already have

    • a diagnostic grouping fixed before enrolment
    • a systemic comorbidity and drug history recorded for each patient
    • an examination room where an elderly patient can undress with assistance

    What derails it

    Elderly patients attend with one complaint and will not undergo a full examination unless it is offered with help, so plan for an attendant and a couch, and record the examination extent for every patient so partial examinations are visible.

  • Topic 39 / 43

    Link to this entry

    Clinical profile of lichen planus and the frequency of mucosal and appendageal involvement

    DesignCross-sectionalFeasibilityStraightforward
    Primary outcome
    Proportion with mucosal, nail and scalp involvement among patients with cutaneous lichen planus
    Collection time
    10 to 12 months
    Sample, as a planning figure
    about 120–180 patients, subject to a prevalence calculation

    What your unit must already have

    • oral examination with adequate lighting and a dental mirror
    • a written definition of each involvement category
    • histopathological confirmation in clinically uncertain cases

    What derails it

    Oral lesions are missed unless someone looks properly with a light and retractor, and a dermatologist examining skin alone will report a much lower figure, so fix an oral examination protocol and record who performed it.

  • Topic 40 / 43

    Link to this entry

    Hirsutism severity by the modified Ferriman-Gallwey score and hormonal profile in women with polycystic ovary syndrome

    DesignCross-sectionalFeasibilityModerate
    Primary outcome
    Mean modified Ferriman-Gallwey score with the distribution of hormonal abnormalities on a stated panel
    Collection time
    12 months
    Sample, as a planning figure
    roughly 100–150 women, subject to a calculation using the standard deviation of the score

    What your unit must already have

    • gynaecology collaboration for diagnosis by stated criteria
    • a hormonal panel through one laboratory with sampling timed to the cycle
    • one trained examiner scoring hirsutism in a private room

    What derails it

    The hormone values depend on the day of the cycle and on recent hormonal treatment, so specify the cycle day for sampling, exclude recent hormonal therapy by a stated interval, and record cycle irregularity that makes timing impossible.

  • Topic 41 / 43

    Link to this entry

    Quality of life across chronic dermatoses using the Dermatology Life Quality Index

    DesignCross-sectionalFeasibilityStraightforward
    Primary outcome
    Mean Dermatology Life Quality Index score compared across diagnostic groups, with severity recorded by a disease-specific instrument
    Collection time
    9 to 12 months
    Sample, as a planning figure
    around 250–350 patients across the groups, subject to a calculation using the standard deviation of the index

    What your unit must already have

    • the index in a validated local-language version with permission to use it
    • a disease-specific severity instrument for each group included
    • self-completion where literacy allows, with an interviewer script where it does not

    What derails it

    Half of your patients will need the questionnaire read to them, and an interviewer-read index gives different answers from a self-completed one, so record the mode of administration for every patient and report it as a variable.

  • Topic 42 / 43

    Link to this entry

    Clinico-histopathological correlation in vesiculobullous disorders of the skin

    DesignCross-sectionalFeasibilityModerate
    Primary outcome
    Proportion in whom the histopathological diagnosis agreed with the initial clinical diagnosis, reported with a kappa statistic
    Collection time
    15 months
    Sample, as a planning figure
    about 70–110 patients, governed by how many such cases present in a year

    What your unit must already have

    • a pathologist reporting skin biopsies to a stated template, blinded to the clinical diagnosis
    • biopsy facilities with correct fixation and, where possible, immunofluorescence
    • a clinical diagnosis recorded before the biopsy is reported

    What derails it

    The clinical diagnosis must be written down and sealed before the histopathology report arrives, otherwise agreement is an artefact of the report; record it on the requisition copy retained by you, not in the case file.

  • Topic 43 / 43

    Link to this entry

    Clinico-mycological study of pityriasis versicolor with Wood's lamp examination

    DesignCross-sectionalFeasibilityStraightforward
    Primary outcome
    Proportion with a positive KOH mount showing the characteristic morphology, with the distribution of clinical patterns and Wood's lamp fluorescence
    Collection time
    9 months
    Sample, as a planning figure
    roughly 150–220 patients, subject to a proportion calculation

    What your unit must already have

    • a KOH bench with a technician and a stated staining method
    • a Wood's lamp and a darkened room
    • a written record of prior antifungal use

    What derails it

    Fluorescence is abolished by a bath taken that morning and by any antifungal applied in the preceding days, so ask about both, record the interval, and report fluorescence separately in those who had neither.


The designs

What each design commits you to

The designs in this Dermatology register


The design is not a label on the title; it decides your ethics route, your timetable and the test that answers your primary question. Only the designs that appear above are explained here.

  • Cross-sectional

    27 topics

    One contact per participant. Usually the quickest to complete, and the design most often chosen when time is short.

  • Prospective observational

    3 topics

    Participants are followed after enrolment without allocating an intervention. Ethics approval must precede the first enrolment.

  • Retrospective

    1 topic

    Existing records only. Faster, but limited by what was recorded, and a waiver of consent is normally sought from the ethics committee.

  • Comparative interventional

    3 topics

    Two or more arms compared. Ethics scrutiny is heavier, and the protocol must state how allocation is handled.

  • Randomised controlled

    7 topics

    Allocation is randomised. Prospective interventional studies are registered with the Clinical Trials Registry of India before the first participant is enrolled.

  • Diagnostic accuracy

    2 topics

    An index test measured against a reference standard. The sample size depends on the expected sensitivity or specificity and the prevalence in your setting.

What the feasibility mark means

A judgement about a typical teaching unit, not about yours. Confirm the volume, the equipment and the co-operation a topic needs before your synopsis goes in, because after that the timetable stops being negotiable[2].

  • Straightforward

    14 topics

    Achievable in most teaching units with routine caseload and no equipment beyond what is already in use.

  • Moderate

    27 topics

    Achievable, but needs either a specific piece of equipment, a collaborating department, or a caseload you should confirm before committing.

  • Demanding

    2 topics

    Only take this on if your unit already has the volume, the equipment and the co-operation it needs. Confirm all three before your synopsis goes in.


Next steps

Before you commit to one

What to do with a topic you like


Three steps, in this order. None of them is us: the first is arithmetic, the second is your guide, the third is a search only you can run.

  1. Do the arithmetic

    The figure on each plate is a planning range, not an answer. Put your own assumptions — the difference you would call clinically meaningful, the variability you expect, the power you want — into the free sample size calculator, then divide the result by the eligible patients your unit sees in a month and see whether the months you have left permit it.

  2. Take it to your guide

    Nothing on this page is approved by anybody. Your guide and your department decide what is feasible in your unit, and your ethics committee decides whether it may start — before the first participant, not before the analysis[5]. Where your university ordinance is stricter than anything here, the ordinance wins[1].

  3. Run the search yourself

    We make no claim that any question here is novel, under-studied or a gap, because that depends on a literature search run today in your own field. Read what the search returns before you write the introduction, and be ready to say why the question is worth asking in your setting.

What a thesis in this field has to satisfy — the obligations, the statistics and the questions residents ask first — is set out on the Dermatology page. Other specialties are in the topic bank index, and the method is worked through in the guides.


Undertakings

Mechanisms, not promises

What protects your draft, and who owns the work


Each line below is a mechanism this platform implements or a published instrument it is built around. None of them is a guarantee, and we are affiliated with no regulator or university.

Protection of your work

  • Row-level security

    Every table enforces row-level access. You read your own record, and nothing else.

  • View-only streaming

    Drafts are streamed to you through an authenticated route, not handed over as a file.

  • Watermarked to you

    Every page you read carries your own name and email across it.

  • Download gated

    The final file unlocks when the fee is settled in full, and not before.

  • Mumbai region · DPDP 2023

    Your record and your documents are held in the Mumbai region, so India's Digital Personal Data Protection Act 2023 applies to them.

  • Anonymised data only

    We accept no patient identifiers. An NDA is available on request.

How this works

Instruments we work to

  • NMC PGMER-2023

    The thesis obligations set out in the postgraduate medical education regulations.

  • NBEMS

    DNB and DrNB protocol and thesis timelines, and the page limit, as published.

  • UGC 2018 · <10%

    The academic integrity convention we work to on every draft.

  • ICMJE · Vancouver

    Authorship criteria and reference style, applied as published.

  • No affiliation

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How this works

Authorship and the uniqueness check

  • Sole author

    Mentoring, editing, statistics and compliance. You remain the sole author of your thesis.

  • Not ghostwriting

    We will not write your thesis for you, and we will not be named in it.

  • MDSoftune

    Word-level uniqueness checking, built with REDENN Informatics Inc., Canada.

  • Every version

    Each draft is checked word by word before your university sees it.

How this works

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Document: Topic bank — Dermatology · Revision 1 · Last reviewed

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