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All Journal Berkala Ilmu Kesehatan Kulit dan Kelamin Bali Dermatology Venereology and Aesthetic Journal
Irmadita Citrashanty, Irmadita
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Journal : Bali Dermatology Venereology and Aesthetic Journal

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Large acrochordon of labium majora: an unusual location Citrashanty, Irmadita; Luthfidyaningrum, Hamidah; Murtiastutik, Dwi; Hidayati, Afif Nurul; Widyantari, Septiana; Astindari, Astindari; Sari, Maylita
Bali Dermatology Venereology and Aesthetic Journal BDVAJ - Volume 6, Issue 1 (June 2023)
Publisher : Explorer Front

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/93p62v41

Abstract

Background: Acrochordon is a soft, round or oval, pedunculated papilloma that can be tan or brown in color. Although acrochordons most commonly appear in the neck, axilla, and groin, they can also appear in unusual sites, such as penis, vulva, and perineum. Most of the lesions are small pedunculated papules or nodules approximately 2–6 mm, but rarely, particularly on the lower section of the trunk, large pedunculated acrochordons can be found. Here we present a large acrochordon on the labium majora. Case Description: A 25 years old woman came to an outpatient clinic because there was a mass on her right labium majora ever since she gave birth three years prior. The size of the mass started off relatively small but has grown significantly over time. From dermatological examination in external genitalia region, there was a solitary, pedunculated, skin-colored mass measuring 10 × 3 cm, attached to right labium majora. There was no redness, ulceration, bleeding or discharge. Cautery excision with local anesthetic was performed to removed the mass. The histopathological examination of the specimen revealed polypoidal tissue lined by epidermal layer, there are proliferation and dilation of capillaries containing erythrocytes in the dermis layer, mild infiltration of lymphocytes and histiocytes. No evidence of malignancy. Conclusion: We report an unusual location of acrochordon presenting with large size. Due to its atypical presentation, it may be confused with a malignancy, necessitating a pathological test. Total excision of the mass is recommended.
Epidermolysis bullosa in a twins infant: a rare case Medisika Hertanti, Dhea; Indrawati, Ditya; Zulkarnain, Iskandar; Sawitri; Citrashanty, Irmadita; Widia, Yuri; Rahmadewi
Bali Dermatology Venereology and Aesthetic Journal BDVAJ - Volume 6, Issue 1 (June 2023)
Publisher : Explorer Front

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/yxcw3527

Abstract

Background: Epidermolysis bullosa (EB) is a rare hereditary genodermatosis characterized by blisters due to trauma and temperature. Cases of EB in twin infants are rare. This report will discuss EB in twin infants to improve our knowledge about this genodermatosis. Case: A baby boy with a twins history aged 4 months was consulted by the Pediatric Department with complaints of fluid-filled blisters that have been present since birth. During examination, bullae appeared on the upper and lower extremities. The gram examination and culture results showed Staphylococcus aureus infection and gentamicin sensitivity. The histopathology results showed a subepidermal blister with the dermis layer showed lymphocytic infiltration, which was in accordance with EB. The baby was hospitalized for 5 days and then came back to the outpatient unit with his twin, who had the same complaint. Examination of the second infant revealed multiple erosions and hypopigmented macules on the superior and inferior extremities. Both babies were born at term, normal, adequate weight, and are the first twins. Direct immunofluorescence did not show immunoglobulin G (IgG) and complement C3 deposits in the basement membrane zone. Both infants received symptomatic therapy. Conclusion: Epidermolysis bullosa is a rare case, especially in twins. Electron microscopy is a gold standard for determining EB type. Symptomatic treatment is the main therapy in this population of EB.
Co-Authors Afif Nurul Hidayati, Afif Nurul Anggraeni, Sylvia Astindari Astindari, Astindari Bagus Haryo Kusumaputra, Bagus Haryo Budi Utomo Budiono Budiono Cita Rosita Sigit Prakoeswa Damayanti Damayanti Diah Mira Indramaya Dwi Murtiastutik Evy Ervianti Fajrin, Farah Meriana Hartanto, Felix Indrawati, Ditya Iskandar Zulkarnain Linda Astari, Linda Luthfidyaningrum, Hamidah M. Yulianto Listiawan Made Putri Hendaria Mappamasing, Hasnikmah Maylita Sari, Maylita Medisika Hertanti, Dhea Menul Ayu Umborowati, Menul Ayu Pramitha, Riezky Januar Rahmadewi Rahmadewi Rahmadewi Sawitri Sunarso Suyoso, Sunarso T. Riza Zarzani N Trisniartami Setyaningrum Widyantari, Septiana Willy Sandhika Yuri Widia, Yuri