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All Journal Berkala Ilmu Kesehatan Kulit dan Kelamin
Jusuf Barakbah, Jusuf
Departemen/Staf Medik Fungsional Ilmu Kesehatan Kulit Dan Kelamin Fakultas Kedokteran Universitas Airlangga/Rumah Sakit Umum Daerah Dr. Soetomo Surabaya
Immunology & microbiology Public Health

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Retrospective Study of Skin Prick Test in Atopic Dermatitis Patients at DermatoVenereology Outpatient Clinic of Dr. Soetomo General Hospital Surabaya During 2007-2012 Natallya, Fransiska Rismauli; Barakbah, Jusuf
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol 27, No 1 (2015): BIKKK APRIL 2015
Publisher : Faculty Of Medicine Airlangga University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (124.433 KB) | DOI: 10.20473/bikkk.V27.1.2015.9-16

Abstract

Background: Atopic dermatitis (AD) gives impact on quality of life of patients because of  frequent exacerbation. Various factors play a role in pathogenesis of AD. Trigger factors of exacerbation especially due to enviroment including irritant and allergen agents. Identifying and avoiding trigger factors are important in management of AD. Skin prick test (SPT) is one method to detect the presence of Ig E spesific to certain allergens (food allergens, aeroallergens). Purpose: To describe the characteristic of AD patients, and evaluate the result of SPT and their clinical relevance. Methods: This research was a retrospective study of AD patients who underwent SPT  during 2007-2012. Results: Nineteen of 57 patients (33,3%) had positive SPT to one or more allergens, and 36 patients (63,1%) had negative result. One patient (1,8%) showed false positive result and 1 patient (1,8%) showed false negative result. The most common allergens were house dust in 8 patients (42%) and crab in 6 patients (31,6%). Clinical relevance was found in 11 patients (58%), and 8 patients (42%) had no clinical relevance. Compared with SPT–negative patients, SPT–positive patients showed more severe symptom and clinical manifestation. Conclusions: In this study, the allergens could be detected in 19 patients (33,3%) by SPT, mostly to house dust (42%) and crab (21,6%). Clinical relevance was found in 11 patients (58%). SPT is recomended to perform in management of AD in order to detect enviromental allergen because it has significant clinical relevance. Key words: atopic dermatitis, skin prick test, allergens.
Retrospective Study of Skin Prick Test in Atopic Dermatitis Patients at DermatoVenereology Outpatient Clinic of Dr. Soetomo General Hospital Surabaya During 2007-2012 Fransiska Rismauli Natallya; Jusuf Barakbah
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 27 No. 1 (2015): BIKKK APRIL 2015
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (124.433 KB) | DOI: 10.20473/bikk.V27.1.2015.9-16

Abstract

Background: Atopic dermatitis (AD) gives impact on quality of life of patients because of  frequent exacerbation. Various factors play a role in pathogenesis of AD. Trigger factors of exacerbation especially due to enviroment including irritant and allergen agents. Identifying and avoiding trigger factors are important in management of AD. Skin prick test (SPT) is one method to detect the presence of Ig E spesific to certain allergens (food allergens, aeroallergens). Purpose: To describe the characteristic of AD patients, and evaluate the result of SPT and their clinical relevance. Methods: This research was a retrospective study of AD patients who underwent SPT  during 2007-2012. Results: Nineteen of 57 patients (33,3%) had positive SPT to one or more allergens, and 36 patients (63,1%) had negative result. One patient (1,8%) showed false positive result and 1 patient (1,8%) showed false negative result. The most common allergens were house dust in 8 patients (42%) and crab in 6 patients (31,6%). Clinical relevance was found in 11 patients (58%), and 8 patients (42%) had no clinical relevance. Compared with SPT–negative patients, SPT–positive patients showed more severe symptom and clinical manifestation. Conclusions: In this study, the allergens could be detected in 19 patients (33,3%) by SPT, mostly to house dust (42%) and crab (21,6%). Clinical relevance was found in 11 patients (58%). SPT is recomended to perform in management of AD in order to detect enviromental allergen because it has significant clinical relevance. Key words: atopic dermatitis, skin prick test, allergens.
Profile of Condylomata Acuminata in Patients with HIV/AIDS Dian Pertiwi Habibie; Jusuf Barakbah
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 28 No. 3 (2016): DESEMBER
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (317.34 KB) | DOI: 10.20473/bikk.V28.3.2016.217-222

Abstract

Background: Condylomata acuminata is human papilloma virus (HPV) infection, and one of the most common sexually transmitted disease, characterized with papul or papillomatous nodul in genital, perineum and anal, this disease can be asymptomatic as well. Some study proved sexually transmitted infection increase the incidence of Human immunodeficiency virus (HIV)/ acquired immunodeficiency syndrome (AIDS), and vice versa. Purpose: To evaluate the profile of condylomata acuminata in HIV/AIDS patients. Methods: Retrospective study of the incident of condylomata acuminata in HIV/AIDS patients using medical record within 4 years period from 2011 to 2014. Results: HIV/AIDS patients in outpatient clinic intermediate care infection disease unit RSUD Dr.Soetomo Surabaya in period 2011-2014 is 4057 patients, 63 (1.15%) of it with condylomata acuminata. HIV/AIDS patients with condylomata acuminata at the age group 25-44 (69.8%), the most sexual partner is heterosexual (58.7%), CD4+ count group mostly shown < 200/mm3 (46.0%), most of the patients got antiretroviral therapy (ART) as 66.7%, the most therapy for condylomata acuminata is trichloracetic acid (TCA) with fucidic acid (98.4%), most of the patient through 1-3 times therapy (50.8%), and the result is mostly not yet healed (76.2%). Conclusion: Most of condylomata acuminata patient in outpatient clinic intermediate care infection disease unit (UPIPI) got ART, TCA, and fucidic acid, and not complete resolution.
Bacterial Vaginosis Abdul Karim; Jusuf Barakbah
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 28 No. 3 (2016): DESEMBER
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (280.62 KB) | DOI: 10.20473/bikk.V28.3.2016.235-242

Abstract

Background: Bacterial vaginosis (BV) is the most common cause of vaginal discharge symptoms in reproductive women. BV is the most common cause of malodor of vaginal discharge and fluor albus, but 50% of BV patients give no symptoms. Purpose: To evaluate the general overview and management of new BV patients at the Sexual Transmitted Infection Division of Dermatology and Venereology Outpatient Clinic Dr. Soetomo General Hospital Surabaya from  the period of 2012-2014. Methods: A retrospective study was perfomed by evaluating medical records of new BV patients including basic data, history taking, examination, diagnosis, treatment, follow up, and counseling. Results: The overall number of new cases is 33. The majority age range 25-44 years old (57.6%) and 84.8% are married. The most main complaint is vaginal discharge without subjective complaints (42.4%), the most common type of complaint is recurrent ( 54.5%), the most sexual partners is husband (60.6%), usage history of vaginal douching (30.3%), the most vaginal discharge appearance is serous (75.8%), Whiff test positive and pH > 4.5 only 9.1% respectively. All microscopic preparation showed clue cell (100%). Therapy with metronidazole is given in 81.8%. Conclusion: The general overview of BV cases showed a small incidence with sexually active age group being the majority of cases and with the main complaint is vaginal discharge without other subjective complaint. The right management is needed to improve good service and reduce the recurrence rate.
Profil Pasien Kondiloma Akuminata Riyana Noor Oktaviyanti; Jusuf Barakbah
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 30 No. 3 (2018): DESEMBER
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (468.731 KB) | DOI: 10.20473/bikk.V30.3.2018.240-247

Abstract

Latar belakang: Kondiloma Akuminata (KA) merupakan penyakit Infeksi Menular Seksual (IMS) yang sering terjadi di seluruh dunia.KA disebabkan oleh infeksi Human Papilloma Virus (HPV) dengan gejala berupa lesi tunggal atau  multipel pada daerah anogenital yang disertai dengan gejala gatal, discharge vagina, dan perdarahan. Prevalensi KA mengalami peningkatan diseluruh dunia. Tujuan: mengevaluasi gambaran pasien dan pelayanan pasien KA di Divisi IMS Unit Rawat Jalan (URJ) Kesehatan Kulit dan Kelamin RSUD Dr. Soetomo Surabaya periode 2012-2014. Metode: Studi retrospektif dari data sekunder rekam medik pasien baru KA selama periode 3 tahun. Hasil: Pasien baru KA terbanyak tahun 2013 sebanyak 9,7% dari total kunjungan pasien IMS. Pasien perempuan lebih banyak daripada laki-laki dengan kelompok umur terbanyak pada usia 25-44 tahun (62,9%), dan klinis terbanyak bentuk kondiloma tanpa komplikasi yang multipel dengan penatalaksanaan  Trichloroacetic Acid (TCA) (84,3%). Simpulan: KA merupakan penyakit terbanyak kedua di divisi IMS dengan jenis kelamin terbanyak perempuan pada kelompok umur 25-44 tahun dan klinisnya berupa kondiloma tanpa komplikasi dengan penatalaksanaan terbanyak dengan TCA. Terdapat peningkatan dalam angka pemeriksaan penunjang yang dilakukan dibandingkan dengan tahun 2009-2011.
Secondary Syphilis During Pregnancy: The Importance of Screening and Clinical Management Indah Purnamasari; Jusuf Barakbah; Sunarko Martodiharjo; Dwi Murtiastutik; Astindari Astindari; Septiana Septiana; Afif Nurul Hidayati
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 33 No. 2 (2021): AUGUST
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bikk.V33.2.2021.145-149

Abstract

Background: Syphilis is one of the most serious sexually transmitted diseases worldwide, and has tremendous consequences for the mother and her developing fetus if left untreated. The burden of morbidity and mortality due to congenital syphilis is high. Purpose: Screening and prompt to know the importance of treatment of syphilis during pregnancy. Case: A 32-year-old multigravida in 5 months of pregnancy presented with multiple raised lesions over her labia. It was accompanied by fluor and smelly fishy odor. There was no history of genital ulcers in either spouse and no history of sexual promiscuity. History of antenatal care in public health showed non-reactive status of HIV, syphilis and hepatitis B. Clinical examination revealed multiple flat, moist warts over her labia mayora and minora, and multiple roseola syphilitica on the plantar pedis sinistra. Darkfield microscopic examination presence spirochete, venereal disease research laboratory (VDRL) titer was 1:16 and T. pallidum particle agglutination assay (TPHA) titer was 1:2560. Obstetric ultrasonography examination was suggestive no mayor congenital abnormalities. Both of serology VDRL and TPHA were non-reactive in her husband. Significant of lesion improvement and decrease a fourfold titer serologic in VDRL (1:4) and TPHA (1:320) as follow-up 3 months after being treated with single intra-muscular injections of benzathine penicillin 2.4 million units. Discussion: Coordinated prenatal care and treatment are vital. It’s implemented before the fourth month of pregnancy to reduce vertical transmission and all associated side effects of congenital syphilis. Penicillin is highly efficacious in maternal syphilis and prevention of congenital syphilis. Conclusion: Universal screening and adequate pregnancy care must be a priority.
Co-Authors Abdul Karim Afif Nurul Hidayati Astindari Astindari Dian Pertiwi Habibie Dwi Murtiastutik Fransiska Rismauli Natallya Indah Purnamasari Riyana Noor Oktaviyanti Septiana Septiana Sunarko Martodiharjo