Dr. Bryan Ko Guevara

05/12/2025

Last year, I shared my International Psoriasis Council fellowship experience during IPC’s 20th anniversary celebration at the elegant St. Ermin’s Hotel in London—truly one of the most beautiful venues I’ve ever presented in. The fellowship night that followed was just as royal, hosted at the exclusive Royal Automobile Club.

04/12/2025

Balancing work and travel is easier when you have the Tornado Facial from Southeast Dermatology Specialists keeping you refreshed. ✨

03/12/2025

Our team travelled yesterday to the Islamic City of Marawi, where the aftermath of the siege continues to leave a trail of destruction and displacement. Access to specialized care remains severely limited—dermatologist density in the Bangsamoro Autonomous Region of Muslim Mindanao (BARMM) stands at only 0.04 per 100,000 population, compared to 4.80 in the National Capital Region.

As specialists in diagnosing and managing rare skin diseases such as epidermolysis bullosa (EB), iMOLD regularly receive referrals from the head dermatologist of Amai Pakpak Medical Center, Dr. Zac Pacario. In response to the growing needs of the region, our team travelled to Marawi to train and educate local doctors, nurses, and medical technologists on EB and other genodermatoses.

During the visit, we were also able to attend to a patient with EB who, together with her mother, traveled several hours to reach the center. Encounters like this strengthen our commitment to expanding access to specialized dermatologic care in underserved areas.

Through these projects, we hope to reach more patients who need our expertise and support. We have conducted training and reached patients in Manila and Davao, and soon at Iloilo.

The EB:CARE and Integrated Molecular Dermatology (iMOLD) programs are funded by the Department of Science and Technology (DOST) with support from the International League of Dermatological Societies (ILDS).

02/12/2025

Dermatology case:

A patient with a known history of psoriasis presented with scaly lesions involving the scalp, trunk, legs, and hands. Although the distribution initially resembled psoriatic plaques, the clinical variability prompted further evaluation. A punch biopsy and serologic testing confirmed the diagnosis of syphilis. This case underscores why syphilis is known as ‘the great imitator’—its cutaneous manifestations are diverse and can closely mimic other dermatoses, emphasizing the importance of maintaining a broad differential and using targeted diagnostic tests.

⏰Early diagnosis = better patient outcome
✅Correct diagnosis = correct management

👨‍⚕️The diversity of dermatologic disease—over 3,000 recognized conditions—highlights the critical need for strong clinical and diagnostic training.

✍🏻Trust your board-certified dermatologist for your skin, hair, and nails.

👌 Patient consent was obtained for use of clinical images and details

02/12/2025

Throwback Tuesday: 8 years ago…

Attended a lecture of my mentor- Dr. Phelps. He is great in diagnosing skin cancer clinically and under the microscope.

This was at the Annual Mount Sinai Winter Symposium and I was a Dermatopathology fellow then.

Reminder for everyone:

👀 Moles that change in size, shape, or color can represent atypical melanocytic activity. 🔍 Early dermatologic evaluation and possibly a skin biopsy are essential.

01/12/2025

Wa ʿalaykum as-salām! Happy to see ma’am Bai who has been my patient since 2020.

🕊️ Remission of her psoriasis looks beautiful on her. Managing stress became her strength—and her skin followed.

✨ Gentle reminder: caring for your mind is caring for your skin. Stress management helps reduce flare-ups.

30/11/2025

Our new publication on psoriasis:

Plaque psoriasis was the predominant phenotype (90.5%). Mean Psoriasis Area and Severity Index (PASI) and Dermatology Life Quality Index (DLQI) scores were highest in China and the Philippines.

Topical therapy was the most adopted treatment modality in both Asia (79.8%) and Switzerland (96.7%). Phototherapy usage was highest in Switzerland (59.0%) and Singapore (65.4%). Non-biologic systemic agents were more frequently prescribed in Switzerland (64.0%), Singapore (63.2%), and Thailand (84.7%) than in China (20.0%) and the Philippines (29.1%).

Methotrexate was the predominant non-biologic except in China, where retinoids predominated.

Biologic uptake was highest in Switzerland (59.5%) and Singapore (31.6%) and limited elsewhere by affordability, availability, and preference.

https://doi.org/10.1111/ijd.70183

30/11/2025

28/11/2025

A patient with a prior diagnosis of psoriasis presented to the clinic with progressive worsening of skin lesions despite previous treatment by another doctor.

At our clinic, a skin punch biopsy revealed hyphae consistent with a fungal infection rather than psoriasis. The patient was started on appropriate antifungal therapy, which resulted in complete resolution of the lesions.

As board certified in both Dermatology and Dermatopathology, my goal is to deliver precise diagnoses that lead to better, more effective patient care.

24/11/2025

Daghang Salamat SPMC!

SPMC is my home since 2011: Then as a medical student (clerk), medical intern, resident, and now as a consultant.

I am deeply honored to receive the ILDS Young Dermatologist International Achievement Award and sincerely thank Southern Philippines Medical Center for their recognition and continued support.

Special thanks to our SPMC bosses- Dr. Audan ad Dr. Arancel!