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INDONESIA
Berkala Ilmu Kesehatan Kulit dan Kelamin
Published by Universitas Airlangga
ISSN : 19784279     EISSN : 25494082     DOI : 10.20473
Core Subject : Health, Science,
Arjuna Subject : -
Articles 10 Documents
Search results for , issue " Vol 27, No 2 (2015): BIKKK AGUSTUS 2015" : 10 Documents clear
Retrospective Study: Oral Medications for Atopic Dermatitis Widia, Yuri; Hutomo, Marsoedi
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol 27, No 2 (2015): BIKKK AGUSTUS 2015
Publisher : Faculty Of Medicine Airlangga University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (130.408 KB) | DOI: 10.20473/bikkk.V27.2.2015.130-136

Abstract

Background: Atopic dermatitis (AD) is a chronic inflammatory skin disease, characterized by recurrent itch. The prevalence of AD in children is 10-20%, while in adults is as many as 1-3%. Several factors are proposed to play role in the pathogenesis of AD as well as genetics, immunological, and environmental factors. There are recent advances in the management of the AD but still not fully satisfactory. Purpose: To evaluate oral medications for AD to improve patients care in the future. Methods: Retrospective study performed in Allergy Immunology Division of Dermatology and Venereology Outpatient Clinic Dr. Soetomo th stGeneral Hospital within January 1 2009 until December 31 2011. Data was collected from medical records. Results: There were 11.7% AD patients who received oral treatment. The most antihistamine given was mebhydrolin napadisilat in 51.5% of patients. The most corticosteroids given was dexamethasone in 33.6% patients. Dexamethasone was given in tapering off in 7.9% patients. The most oral antibiotics given was erythromycin in 4.8% patients and cloxacillin in 0.3% patients. Conclusions: Oral medications mostly used in AD was antihistamine. Some patients were also given corticosteroids. Antibiotics were used if secondary bacterial infection was assessed.Key words: atopic dermatitis, retrospective study, oral medications.
Eosinophil and Eosinophil Cationic Protein Level Raising in Dermatitis Due to Food Patients Umborowati, Menul Ayu; Sawitri, Sawitri; Hoetomo, Marsoedi
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol 27, No 2 (2015): BIKKK AGUSTUS 2015
Publisher : Faculty Of Medicine Airlangga University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (115.225 KB) | DOI: 10.20473/bikkk.V27.2.2015.90-96

Abstract

Background: Food allergy prevalence worldwide has been increase. Skin is secondary most often target organ in food allergy reaction. Food allergy affects 35% atopic dermatitis (AD) patients. Diagnosis of food allergy  is still challenge because signs are not specific. Previous researches showed eosinophil and eosinophil cationic protein (ECP) role in food allergy reaction on gastrointestinal tract, but none on dermatitis due to food. Purpose: To evaluate eosinophil and serum ECP in dermatitis due to food. Method: This is a descriptive observational cross sectional study, with dermatitis due to food patients in Dermatovenereology Outpatient Clinic Dr. Soetomo General Hospital Surabaya as subjects. Subjects has been collected trough consecutive sampling during 3 months, then data were analysized descriptively Results: Serum ECP level of dermatitis due to food patients were above normal range in all subjects, with mean level 108.5 µg/L, lowest level 33.011 µg/L and higher level 284.849 µg/L. Mean eosinophil of dermatitis due to food patients just arise above normal limit (0.413µg/L). AD patients were 48.4% among all subjects. Mean serum ECP level of AD patients was higher (121.703 µg/L) than non-AD (96.123 µg/L). Conclusions: Eosinophil and ECP seems have role in dermatitis due to food pathogenesis. Serum ECP examination can be benefits to monitor dermatitis due to food severity.Key words: dermatitis due to food, eosinophil, serum eosinophil cationic protein.
Retrospective Study: Type 1 Leprosy Reaction Pratamasari, Meita Ardini; Listiawan, M. Yulianto
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol 27, No 2 (2015): BIKKK AGUSTUS 2015
Publisher : Faculty Of Medicine Airlangga University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (110.205 KB) | DOI: 10.20473/bikkk.V27.2.2015.137-143

Abstract

Background: Type 1 reaction (T1R) of leprosy occurs due toaltered balance between cell mediated immunity and M. leprae bacilli in the skin and nerves, with upgrading/reversal or downgrading as final result. Leprosy subpolar types have unstable immunity, this cause them often experience recurrence T1R, especially BB type.Clinical findings of T1R are inflammation in the skin or nerves, and can lead to disability if not treated properly. Aim: To evaluate the distribution, diagnosis, trigger factors, and therapy of T1R. Methods: Retrospective study using medical record of leprosy new patients in Dermatology and Venereology Outpatient Clinic, Dr Soetomo General Hospital, Surabaya, during 2010 – 2013. Database, anamnesis, examination, and T1R therapy were recorded. Results: The total of new leprosy patients with T1R within 2010-2013 were 117 patients (19,7% of all new leprosy  patients). Most of them were men (70,1%), aged between 15–34 years (42,8%), with BB as the most frequent type (70,9%). Skin symptom of T1R could be thickening of old lesion (52,1%). T1R most occurred when patients still consume MDT (71,8%). NSAID (37,6%) andcorticosteroid (38,5%)were prescribed as T1R therapy. Conclusions: T1R diagnosis should established accurately by history taking and physical examination.For recurrent T1R,trigger factors should be considered.Key words: type 1 reaction, CMI, reversal, downgrading.
Manifestation of Skin Disorders in HIV & AIDS Patients Listiana Dewi, Indah Sari; Hidayati, Afif Nurul
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol 27, No 2 (2015): BIKKK AGUSTUS 2015
Publisher : Faculty Of Medicine Airlangga University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (135.906 KB) | DOI: 10.20473/bikkk.V27.2.2015.97-105

Abstract

Background: Human immunodeficiency virus (HIV) can causes deficiency of cellular immunity resulting in decreased +lymphocyte T helper (CD4 T cell). Most common infections and neoplastic process of skin in HIV patients were facilitated by loss of CD4 in immune system. Skin disorders are often found in patients with HIV/AIDS, so that the necessary understanding and evaluation are needed for better management. Methods: Descriptive retrospective study using medical records of patients diagnosed with HIV & AIDS related skin disorders in Intermediate Unit Care of Infection Disease Ward, Dr. Soetomo General Hospital, Surabaya in 2013. The type of skin disorder, aged, supporting examination, transmission factors, CD4 counts, and therapy were recorded. Results: HIV & AIDS patients in 2013were about 649 patients, 301 patients (46.3%) among of them suffered from skin disorders. Most of them were in 25-44 years of age (70.8%). The most common skin disorders were oral candidiasis (81.1%). Examinations were performed (52.8%) to confirm the diagnose. Most of transmission factors were well3 known (66.1%). CD4 count cell were clearly noted only 17.3% in medical record, and 12.2% in CD4 1-100 sel/mm. There were 31.6% of patients received ARV. Conclusions: Skin disorders are most common disorders in HIV & AIDS patients and are determined by CD4 count. Oral candidiasis is most common skin and mucocal disorder in HIV & AIDS patient. Key words: HIV-AIDS, skin disorders, CD4+ T cells, oral candidiasis,retrospective study.
Laboratory Examination in Genital Chlamydia trachomatis Infection Reza, Novianti Risky; SHW, Tantari
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol 27, No 2 (2015): BIKKK AGUSTUS 2015
Publisher : Faculty Of Medicine Airlangga University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (114.888 KB) | DOI: 10.20473/bikkk.V27.2.2015.144-149

Abstract

Background: Chlamydia trachomatis (CT) is one of the most common agents caused nonspesific genital infections in both men and women worldwide and also in Indonesia. Chlamydial infection can be asymptomatic, became source of infection for the partner, and serious complication may be occurred. Early diagnosis and prompt treatment were needed to prevent the complication. Purpose: To review the advantages and disadvantages of numerous laboratory diagnostic methods of genital CT infections. Review: The gold standart in CT infection diagnosis was culture but it was difficult to do in clinical setting. Diagnosis by direct antigen methods for diagnosing CT infections, such as direct fluoresence assay (DFA),enzim immuno assay (EIA), nucleic acid detection, citology ,and serology can be done. Conclusion: Combining two or more different methods of laboratory examination  will give better results in diagnosis with better sensitivity and specificity.Key words: Chlamydia trachomatis, genital infection, laboratory.
Retrospective Study: The Use of Chemical Peeling with A Modified Jessners in Melasma Patients Effendy, Zada Febrial; Setyaningrum, Trisniartami
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol 27, No 2 (2015): BIKKK AGUSTUS 2015
Publisher : Faculty Of Medicine Airlangga University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (130.654 KB) | DOI: 10.20473/bikkk.V27.2.2015.106-113

Abstract

Background: Melasma is a hipermelanosis that lead to brownish or brownish-grey discoloration on the face. Chemical peeling is one of  the additional therapy for melasma. The right indication using modified Jessners solution give a good result for melasma. Purpose: To evaluate  new patients of melasma which underwent chemical peeling therapy with Jessners modified in Medical Cosmetics Division of Dermato-Venerology Department,  Dr. Soetomo General Hospital Surabaya in 2010-2013. Methods: Retrospective study of the new medical records of melasma, including the number of patients, age distribution, gender, occupation, risk factors, history of previous treatment, duration of treatment, location of melasma, color of melasma, size of melasma, additional test results, type of melasma, melasma side effects, the use of priming, chemical peeling, post-peels, and follow up. Results: The number of new patients with melasma which underwent chemical peeling were 108 patients from 1544 (14.2%) new melasma patients  visiting Cosmetics Division of Dermato-Venerology Department, Dr. Soetomo General Hospital. All patients were women with the largest age group of 40-49 years, which is 66 (61.1%) patients. Highest risk factor was a mixture of sun exposure and use of cosmetics product, which is 56 (51.8%) patients. Most melasma type was mixed melasma. Patients who used a Jessners modified peels, mostly used alpha hydoxy acid (AHA), Kligmans formula, and tretinoin as priming as many as 28 (25.9%) patients and majority post-peels used a moisturizer, sunblock, hydrocortisone, which is 57 (52.8%) patients. Erythema after peeling were complained from 50  (46.3% ) patients. Conclusion: The use of chemical peeling is one of adjunctive therapy in melasma with a proper diagnosis.Keywords: melasma, chemical peeling, modified Jessners, retrospective.
Secondary Syphilis, Anal Condylomata Acuminata, and HIV in Bisexual Male Patient: Another Point of View, Time Evaluation Based on CD4 and Management Dewi, Vina Ajeng Puspa; Pudjiati, Satiti Retno
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol 27, No 2 (2015): BIKKK AGUSTUS 2015
Publisher : Faculty Of Medicine Airlangga University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (623.775 KB) | DOI: 10.20473/bikkk.V27.2.2015.156-162

Abstract

Background: A meta analysis study in China states that male bisexual has higher incidence rate for HIV and syphilis than male-sex-male. Syphilis eases the transmission of HIV, vice versa HIV breaches the integrity of mucosal epithelial barrier, allowing translocation virus and bacterial. Syphilis has higher incidence rates in HIV-infected compare with HIV-uninfected patients. Syphilis influences CD4 of patient. We try discussing a case of secondary syphilis in male bisexual HIV in another point of view, to find which one earlier based on CD4 count. Purpose: to understand another point of view, time evaluation based on CD4 and management in secondary syphilis, anal condyloma accuminata, and HIV in bisexual male patient Case: A 19 years old male bisexual patient complained erythematous rash all over his body, no itch or pain; TPHA 1/2560, VDRL 1/128, positive HIV 3antibody, and CD4 425cell/mm. Case management: HIV onset, considering decrease of CD4 in syphilis or not, are 2-5,8years and 3,08-7,7years, respectively. Therapy was given as single dose benzatin penisilin 2,4billion IU intramuscular. Conclusion:HIV infection occurred before syphilis. No differences in management with HIV-uninfected syphilis patient, more often evaluation interval needed.Key words: syphilis, HIV, bisexual, CD4, onset, management.
Retrospective Study : Rosacea Profile Indraprasta, Shakti; Setyaningrum, Trisniartami
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol 27, No 2 (2015): BIKKK AGUSTUS 2015
Publisher : Faculty Of Medicine Airlangga University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (119.323 KB) | DOI: 10.20473/bikkk.V27.2.2015.114-120

Abstract

Background: Rosacea is a chronic skin disorder which characterized by erythema of the central face that has persisted for months. Primary features of rosacea include flushing, papules, pustules, and telangiectatic. Although rosacea is clearly visible to all, it is largely unknown to misunderstood by the general public. Knowledge relating to the epidemiology, etiology, pathogenesis, and treatment of this facial disorder is limited. Purpose: To evaluate the management of patients with Rosacea in the cosmetic division, dermatovenereology outpatient clinic Dr. Soetomo general hospital period 2010-2012. Methods: Retrospective study of new patients with Rosacea in cosmetic division during 2010-2012. Results: During the period of three years (2010-2012), there were 49 new patients in cosmetic division, dermatovenereology outpatient clinic Dr. Soetomo general hospital. The most common patient was female, with the highest age group of 25-44 years old, and the most clinical feature found were papulopustular rosacea and erythemato-telangiectatic rosacea. The most common treatment were metronidazole for topical treatment and doxycycline for systemic treatment. Conclusions: The most clinical feature were papulopustular and erythematotelangiectatic subtype, only few cases of phymatous subtype, while the ocular subtype was not found. There were so many varieties in the management of rosacea because there was no standard therapy yet for the management of this disease.Key words: rosacea, retrospective study, rosacea subtype.
Profile of Malassezia Folliculitis Pravitasari, Dwi Nurwulan; Suyoso, Sunarso; Ervianti, Evy
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol 27, No 2 (2015): BIKKK AGUSTUS 2015
Publisher : Faculty Of Medicine Airlangga University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (134.317 KB) | DOI: 10.20473/bikkk.V27.2.2015.121-129

Abstract

Background: Malassezia folliculitis (MF) is a chronic infection of the pilosebaceous follicles caused by a skin fungus Malassezia sp. most often in teenagers who marked the onset of itchy erythematous perifolicular papules and pustules, especially in the upper body area and rarely on the face. The clinical appearance must be distinguished from acne vulgaris which has a similar clinical picture, so often have the wrong diagnosis that will affect the prognosis of the disease. Objective: To evaluate the profile of MF in Dermatology and Venereology Outpatient Clinic Dr. Soetomo General Hospital. Methods: A cross-sectional, observational, descriptive study, total samplingin three months of forty-five new patients with acne vulgaris appearance visiting Dermatology and Venereology Outpatient Clinic Dr. Soetomo General Hospital according to inclusion and exclusion criteria. Diagnosis based on history, clinical examination, Woods lamp and KOH 20%. Malassezia sp. identification using Mycobiotic culture that is added to the olive oil. Results: Forty five patients with a clinical appearance of acne vulgaris in the upper body and slightly exposed on the face area, the new MF patients showed a total of 36 patients (80%) and the remaining 9 patients (20%) were diagnosed with acne vulgaris. Conclusions:Thirty six MF patients with the highest age range 15-24 years, anamnesis obtained itching is moderate grade, predilection in the area of the upper body, and Woods Lamp examination produces greenish yellow color, KOH 20% examination obtained spores, whereas culture is not required for the diagnosis of MFKey words: Malassezia sp., Malassezia folliculitis, acne vulgaris, Woods lamp, KOH 20%.
Oral Antibiotic in Acne Vulgaris Patients: Retrospective Study Rimadhani, Marina; Rahmadewi, Rahmadewi
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol 27, No 2 (2015): BIKKK AGUSTUS 2015
Publisher : Faculty Of Medicine Airlangga University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (113.979 KB) | DOI: 10.20473/bikkk.V27.2.2015.84-89

Abstract

Background: Antibiotic resistance is one of the health problem in Indonesia, the one of the reason is using combination of antibiotic, so that clinician should prevent resistance to any selected combination antibiotic therapy. The use of long period oral antibiotics in acne therapy can cause Propionibacterium acne resistanceto antibioticsincreasedfrom 20% in 1979to67% in 1996. Purpose: To describe and evaluate management of oral antibiotic in new patient with acne vulgaris. Methods: Retrospective study in patients with acne vulgaris who received oral antibiotic in Cosmetic Division Dermato-Venereology Department Outpatient Clinic of Dr. Soetomo General Hospital in period of January 2010 to December 2012. Results: Obtained 481 new patients receive oral antibiotic from the total visit of 3519 acne vulgaris patient. The proportion of the largest group of 15-24 years, female patient were found having higher incidence than male. The most clinical feature found was grade 2 papulopustular (49.6%). The most common treatment which were given to the patient were doxycycline (98.8%) for systemic treatment with topical combination therapy as sunscreen (24.8%), facial cleansers(23.6%), tretinoin(20.99%), clindamycin gel (19.3%), and benzoylperoxide(5.4%). Highest proportion of long duration use of antibiotics is 2 weeks(57.5%). Conclusions: Selection of combination therapy is appropriate, but the use oftopical antibioticsalong withoral antibioticsshould be considered. Combination therapy, duration, and education still play an important role in preventing resistance Propionibacterium acne to antibiotics.Key words: acne vulgaris, antibiotic resistance, combination therapy, retrospective.

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