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All Journal Solah Medical Journal of Indonesia Journal of General-Procedural Dermatology & Venereology Indonesia
Triana Agustin
Department of Dermatovenereology, Faculty of Medicine, Universitas Indonesia, Jakarta
Arts Humanities Medicine & Pharmacology

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Effectiveness of permethrin standard and modified methods in scabies treatment Sungkar, Saleha; Agustin, Triana; Menaldi, Sri L.; Fuady, Ahmad; Herqutanto, Herqutanto; Angkasa, Hansen; Santawi, Victor; Zulkarnain, Hirzi
Medical Journal of Indonesia Vol 23, No 2 (2014): May
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (337.121 KB) | DOI: 10.13181/mji.v23i2.594

Abstract

Background: Permethrin is the drug of choice for scabies with side effects such as erythema, pain, itching and prickling sensation. Whole-body (standard) topical application of permethrin causes discomfort; thus, modified application of permethrin to the lesion only, followed with baths twice daily using soap was proposed. The objective of the study is to know the effectiveness of standard against lesion-only application of permethrin in scabies treatment.Methods: An experimental study was conducted in pesantren in East Jakarta and data was collected in May-July 2012. Diagnosis of scabies was made through anamnesis and skin examination. Subjects positive for scabies were divided into three groups: one standard method group (whole-body topical application) and two modified groups (lesion-only application followed by the use of regular soap and antiseptic soap group). The three groups were evaluated weekly for three consecutive weeks. Data was processed using SPSS 20 and analyzed by Kruskal-Wallis test.Results: Total of 94 subjects was scabies positive (prevalence 50%) but only 69 subjects were randomly picked to be analyzed. The cure rate at the end of week III of the standard method group was 95.7%, modified treatment followed by the use of regular soap was 91.3%, and modified treatment followed by the use of antiseptic soap was 78.3% (p = 0.163). The recurrence rate of standard treatment was 8.7%,  modified treatment followed by the use of regular soap was 13% and modified treatment followed by the use of antiseptic soap was 26.1% (p = 0.250).Conclusion: The standard scabies treatment was as effective as the modified scabies treatment.
KARYA TARI APOY DHANGKA SEBAGAI  WUJUD UNGKAP SEMANGAT DALAM LEGENDA API TAK KUNJUNG PADAM Agustin, Triana
Solah Vol 7, No 1 (2017):
Publisher : Solah

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Api Tak Kunjung Padam merupakan wisata alam yang berada di Kabupaten Pamekasan, dan memiliki latar belakang kisah dari suatu legenda “Ki Moko”. Koreografer menjadikan makna Api dalam Api Tak Kunjung Padam tersebut sebagai fokus pembuatan karya dengan tujuan untuk memvisualisasikan semangat orang Madura yang tidak pernah padam dalam bentuk karya tari dan mendiskripsikan bentuk penyajian karya tari Apoy Dhangka. Metode penciptaan karya dimulai dari menentukan rangsang awal yaitu rangsang visual dan idesional, dengan tipe tari dramatik, yang menggunakan mode penyajian simbolis representatif kemudian tahap selanjutnya eksplorasi, improvisasi, dan evaluasi.Bentuk penyajian karya tari Apoy Dhangka meliputi struktur yang dibagi menjadi empat bagian yaitu intro menceritakan romantis dan keharmonisan antara Ki Moko dengan Putri Palembang, gerak yang dihadirkan pada adegan ini gerak-gerak saling interaksi antar dua tokoh. Serta penggunaan setting bertujuan untuk memberikan kesan dan menunjukkan tempat Dhangka, adegan I Kehidupan masyarakat Madura adegan ini dimulai dari   perkenalan masyarakat dengan penari di atas trap dengan gerak pelan, kemudian tempo yang diciptakan semakin cepat bermaksud menambah karakter orang Madura yang selalu bersemangat, adegan II Kegalauan dan kekacauan hati Ki Moko pada adegan ini tokoh Ki Moko dan putri bergerak berbeda dengan penari yang lainnya, penari yang lainnya hanya memperkuat tokoh. Tata lampu yang digunakan pada adegan ini yaitu efek blits atau lampu yang bergerak cepat dan bergantian, ini bertujuan untuk memperkuat susana kekacauan, adegan III Doa dan kemunculan Api Tak Kunjung Padam pada adegan berdoa Ki Moko menggunakan pakaian yang berbeda agar menonjolkan tokoh seorang Ki Moko, dengan para penari yang bergerak dengan level rendah juga memperkuat karakter tokoh Ki Moko. Pada adegan kemunculan api, para penari menari dengan menggunakan properti gunungan berbentuk api dan penari wanita juga bergerak menggunakan sampur sebagai penguat kemunculan api. Penggunaan smoke juga bertujuan untuk memperkuat suasana ke magisan. Elemen utama yaitu gerak dengan pijakan gerak dan karakteristik Madura yang dikembangkan dan elemen pendukung yaitu iringan, rias busana mengacu pada gaya jawa timuran, pola lantai, pemanggungan dengan panggung procenium beserta setting dan lightingnya.Melalui media ungkap gerak, pola lantai, tata rias dan busana, tata teknik pentas, tata cahaya, semangat Ki Moko dalam Legenda Api Tak Kunjung Padam menjadi karya yang dinamis dengan penekanan-penekanan konflik sehingga membentuk bangunan tari dramatik. Kata kunci: Karya Tari, Legenda Api Tak Kunjung Padam, Bentuk Penyajian
Multiple juvenile xanthogranuloma: A rare case of having clinical appearance mimicking molluscum contagiosum or syringoma Nugraha, Heru; Rosandi, Ridha; Nainggolan, Evelyn; Rahmayunita, Githa; Agustin, Triana; Rihatmadja, Rahadi; Boediardja, Siti Aisah
Journal of General - Procedural Dermatology & Venereology Indonesia
Publisher : UI Scholars Hub

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Introduction: Juvenile xanthogranuloma (JXG) is an uncommon benign cutaneous fibrohistiocytic, self-healing, class II non-Langerhan’s cell histiocytosis (NLCH). JXG accounts for 80-90% of cases of NLCH. It occurs most commonly on the head and neck of infants and young children and resolves spontaneously. Case: A one year-old boy presented with asymptomatic, multiple yellowish, shiny, and firm nodules with telangiectasia on the surface, measuring around 1 centimeter in diameter, on the face, the trunk, the arms, and lower extremities. The first lesion appeared on the face 8 months prior to consultation then spread gradually to other areas. He was referred from another hospital and was diagnosed as molluscum contagiosum (MC) with differential diagnosis of syringoma. Enucleation had been performed but failed to produce the molluscum bodies. Initial histopathological examination provided the diagnosis of syringoma. The second histopathological examination showed dermal inflammatory cells consisting of eosinophils, lymphocytes, and histiocytes with marked foam cells and giant cells. Eccrine sweat glands were normal. Some lesions decreased in size at subsequent follow-ups; observation was advised until 3-6 years. Discussion: JXG should be suspected in cases with multiple yellowish nodules appearing in the first year of life. MC usually presents with whitish papules, whereas syringoma is more rarely appeared, presenting with yellow-to-brownish papules. Histopathological examination can easily differentiate the suspected diagnoses; however, selection of lesion, timing and complete clinical information was crucial in reaching the final diagnosis. In this case there was a good clinicopathological correlation that the diagnosis of JXG was made with certainty. There was no eye and other organ abnormalities.
Profile of vitiligo patients and distribution of narrowband-UVB therapy at dr. Cipto Mangunkusumo General Hospital Suseno, Lis Surachmiati; Sukma, Putu Martha Gerynda; Rihatmadja, Rahadi; Agustin, Triana; Rahmayunita, Githa; Novianto, Endi
Journal of General - Procedural Dermatology & Venereology Indonesia
Publisher : UI Scholars Hub

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Background: Vitiligo is a disease marked by depigmented macules. Prevalence of vitiligo varies between 0.1- 2.3% worldwide. The objectives of this study are to identify the socio-demographic profile of vitiligo patients and distribution of narrowband-UVB given as a treatment modality. However, in Indonesia, including at dr. Cipto Mangunkusumo General Hospital, there has not been any study on the profile of vitiligo patients. Therefore, a preliminary study on the patients’ profile would be very useful for healthcare providers in calculating the need for narrowband-UVB equipment and evaluation of its current use. Methods: A retrospective descriptive study, using secondary data obtained from dr. Cipto Mangunkusumo General Hospital medical records during the period of 2015-2017. Results: There were 255 vitiligo patients enrolled. Females were greater in number (55.3%). Most patients were distributed evenly in all age groups, highest number of patients were the 21-30 years age group (18.8%). Most patients received elementary school–high school education (56.9%), worked as private employees (36.9%), resided in Jakarta (47.8%). The common diagnosis were unspecified vitiligo (53.3%). Onset of symptoms were mostly around 2 months prior to diagnosis (38.8%) and most of the patients received other treatments other than narrowband-UVB (N=180, 70.6%). Conclusion: The number of vitiligo cases decreased each year with the average vitiligo cases of 85 cases per year and mostly women whereas the number of unspecified vitiligo were quite high. Therefore, more attention is needed from the physicians to treat the patient starting from the establishment of vitiligo to the decision treating with narrowband-UVB.
Diagnostic procedures in pediatric dermatology Widodo, Arini Astasari; Rahmayunita, Githa; Agustin, Triana; Astriningrum, Rinadewi
Journal of General - Procedural Dermatology & Venereology Indonesia
Publisher : UI Scholars Hub

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Abstract

Diagnostic procedures in pediatric dermatology are different and significantly more challenging than those in adult patients, especially on how to approach the patients. We need to acknowledge that pediatric patients have unique anatomical, physiological, and psychological aspects. Compared to adults, children have smaller procedure area, are less cooperative, and more difficult to understand. For these reasons, we should perform diagnostic procedures on children cautiously. Having extensive knowledge in this field can facilitate us to carry out an ethical, efficient, targeted procedure with less risk. This article reviewed the most appropriate, most comfortable, and least invasive diagnostic procedures for children. Some of the most commonly performed pediatric dermatology procedures highlighted in this article are potassium hydroxide examination, Gram staining examination, acid fast bacilli examination, skin test for allergies, and skin biopsy for children. We also discuss the process of obtaining a written informed consent from the parents who were involved in decision making process and play a crucial role in assisting physicians to calm their children during the diagnostic procedures.
Generalized pustular psoriasis and Cushing’s syndrome in childhood due to corticosteroids misuse Azizah, Fitri; Rahman, Yusnita; Rihatmadja, Rahadi; Agustin, Triana; Astriningrum, Rinadewi; Rahmayunita, Githa
Journal of General - Procedural Dermatology & Venereology Indonesia
Publisher : UI Scholars Hub

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Abstract

Background: Generalized pustular psoriasis (GPP) is characterized clinically by yellowish sterile pustules surrounded by erythema. GPP in children is very rare and may appear following steroid withdrawal in psoriasis vulgaris.Case Illustration: A 14-year-old female presented to the emergency unit with generalized erythematous plaques and multiple pustules with lake of pus after abruptly stopped oral and topical corticosteroid for two weeks. The patient had used topical and oral corticosteroids for almost a year to treat psoriasis. Physical examination revealed moderately ill and tachycardic, with short stature, moon face, amenorrhea, and multiple erythematous plaques with multiple pustules and lake of pus along with red-purple striae all over the body.Discussion: Adverse effects of steroid-induced adrenal insufficiency are time-dependent and generally reversible. Gradual discontinuation of steroids must adhere to physiological dose of steroids, mostly in 3.49 ± 2.92 months. Other treatments available are emollients, salicylic acid, calcipotriol, coal tar, topical steroids, phototherapy, retinoids, and cyclosporine. Topical steroids cannot be the main therapy in severe psoriasis due to the possible side effects of excessive usage. Conclusion: Misuse of topical and systemic steroid in children could lead to Cushing’s syndrome, a multisystem disorder resulting from prolonged exposure to excess glucocorticoids, either both systemic or topical. Children could easily develop systemic reactions to topical steroids due to their higher total body surface area to body weight ratio.
Co-Authors Ahmad Fuady Arini Astasari Widodo Astriningrum, Rinadewi Azizah, Fitri Githa Rahmayunita Hansen Angkasa Herqutanto Herqutanto Hirzi Zulkarnain Nainggolan, Evelyn Novianto, Endi Nugraha, Heru Rahadi Rihatmadja Rahman, Yusnita Rosandi, Ridha Saleha Sungkar Siti Aisah Boediardja Sri L. Menaldi Sukma, Putu Martha Gerynda Suseno, Lis Surachmiati Victor Santawi