Author names and Affiliations: Joshana Shrestha1, Mohan Bhusal2, Smriti Piya1, Rabin Baniya1, Sanjay Dhungana3.Resident Doctor, Department of Dermatology, Nepal Medical College and Teaching Hospital, Kathmandu, Nepal.Lecturer, Department of Dermatology, Nepal Medical College and Teaching Hospital, Kathmandu, Nepal.MBBS Student, Nepal Medical College and Teaching Hospital, Kathmandu, Nepal.Corresponding author:Joshana Shrestha,Nepal Medical College and Teaching Hospital, Kathmandu, NepalEmail: joshana.shrestha1996@gmail.comOrcid ID: https://orcid.org/0009-0000-5570-189XOther Author Details:Mohan Bhusal, Email id: bhusalmohan1@gmail.com , Orcid id: https://orcid.org/0000-0003-3122-2346Smriti Piya, Email id: simplysmritee@gmail.com, Orcid id: https://orcid.org/0009-0002-8408-7547Rabin Baniya, Email id: baniyarabin1357@gmail.com, Orcid id: https://orcid.org/0009-0009-7761-6552Sanjay Dhungana, Email id: sanjaydhungana2000@gmail.com, Orcid id: https://orcid.org/0009-0000-9776-0361Total number of pages: 18Total number of photographs: 7Total number of tables: 1