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All Journal Jurnal Impresi Indonesia Promotor: Jurnal Mahasiswa Kesehatan Masyarakat
Putu Dyah Ayu Saraswati
Rumah Sakit Umum Daerah Wangaya
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Case Report: Allergic Contact Dermatitis on a Carbon Black-Based Permanent Tattoo Dana Parama Julius; Putu Dyah Ayu Saraswati; Edward Edwin; Ariel Ekaputra
PROMOTOR Vol. 9 No. 3 (2026): JUNI
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v9i3.2228

Abstract

Allergic contact dermatitis (ACD) is a common dermatological complication caused by exposure to allergens, which can occur in tattooing. This case reports a 30-year-old man who experienced dermatitis lesions 1 day after a black permanent tattoo on his left arm. Symptoms appeared as pain, erythema, edema, and pustules in the tattoo area. Diagnosis was established based on clinical symptoms, tattoo procedure history, and response to therapy. Treatment with topical and systemic corticosteroids as well as antihistamines provided significant improvement in a short time, healing lesions, reducing symptoms and inflammation. However, similar cases may require more invasive procedures such as debridement and excision, especially if severe reactions occur. This case presents that black carbon ink, although often considered safe, can cause significant allergic reactions. Allergic and other skin reactions can be caused by the ink, additives, tools, and contamination such as metals. Understanding the ink composition, product regulations, and patient’s history is very important for the prevention of ACD. Case reporting and ongoing research are essential to expand tattoo safety data, clinical understanding, prevention, and management of tattoo-induced ACD.
Coincidence of Condyloma Lata and Condyloma Acuminata in an HIV Infected Patient Elita Nurhidayati; Putu Dyah Ayu Saraswati
Jurnal Impresi Indonesia Vol. 5 No. 1 (2026): Jurnal Impresi Indonesia
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/jii.v5i1.7309

Abstract

Condyloma lata and condyloma acuminata are two distinct clinical manifestations caused by Treponema pallidum and low-risk human papillomavirus (HPV), respectively. While both are commonly encountered separately in individuals with high-risk sexual behavior, their coexistence in a single patient, particularly one with HIV infection, is rarely reported. We present the case of a 25-year-old man who has sex with men (MSM) and is living with HIV, presenting with multiple perianal lesions. Physical examination revealed verrucous, cauliflower-like growths and flat, moist erythematous plaques, consistent with condyloma acuminata and condyloma lata, respectively. Serologic tests were reactive for T. pallidum (TPHA positive, VDRL titer 1:32), supporting the diagnosis of active secondary syphilis. The patient, on regular antiretroviral therapy with a CD4 count of 350 cells/mm³, was treated with a single intramuscular injection of 2.4 million units of benzathine benzylpenicillin and received topical treatment for HPV-related lesions. Follow-up at four weeks demonstrated significant clinical improvement, along with a reduction in VDRL titer to 1:16. This case highlights the importance of clinical vigilance for multiple co-infections in immunocompromised patients and the need for thorough evaluation of overlapping anogenital lesions.
Co-Authors Ariel Ekaputra Dana Parama Julius Edward Edwin Elita Nurhidayati