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All Journal Indonesian Journal of Global Health research Indonesian Journal of Global Health Research
Jesryn Dhillon
Universitas Sumatera Utara
Education Health Professions Languange, Linguistic, Communication & Media Nursing Public Health

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Combination of Subcision, Microneedling, and Platelet-Rich Plasma Therapy in Patient with Grade Four Atrophic Acne Scars Jesryn Dhillon; Khairina Nasution; Nelva Karmila Jusuf
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6682

Abstract

Atrophic acne scars affect up to 75% of patients with a history of acne and are often associated with significant psychosocial distress. These scars are classified into three main types: ice pick, rolling, and boxcar. A multimodal therapeutic approach is often required for effective management, particularly in severe cases. This report presents a case of a 40-year-old married woman with a 10-year history of inflammatory acne lesions that progressed into grade 4 atrophic scars. The acne was suspected to be triggered by injectable contraceptive use, which contains progestins with androgenic activity. The patient frequently picked at her acne, leading to deep scarring predominantly on both cheeks. Based on clinical evaluation, dermoscopy, and skin analyzer assessment, the patient underwent a series of treatments combining subcision, microneedling, and platelet-rich plasma (PRP) therapy. Following treatment, the Self-Assessment of Clinical Acne-Related Scars (SCARS) score improved from 22 to 14, while the Facial Acne Scar Quality of Life (FASQoL) score improved from 32 to 16. This case highlights the effectiveness of a combination approach in remodeling scar tissue and improving quality of life in patients with severe atrophic acne scars. A tailored, comprehensive treatment plan is essential for optimal outcomes.
Varicella Presentation in Adult: A Case Report Jesryn Dhillon; Dina Arwina Dalimunthe
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.7114

Abstract

Varicella is a disease caused by the varicella-zoster virus (VZV), a herpesvirus specific to humans. It is highly contagious but preventable through vaccination. It is usually diagnosed clinically and is often self-limiting. However, complications can include pneumonia, neurological, hematologic, ocular, renal, hepatic conditions, as well as sepsis, and secondary infections that can be fatal. Effective antiviral therapy has reduced associated morbidity and mortality. To report a case of varicella with bronchopneumonia in an adult patient. A 58-year-old male presented with persistent vesicular eruptions on the face, chest, back, and extremities. He was admitted to the emergency room and referred to dermatology. He had no history of prior varicella or vaccination. He was diagnosed with varicella with pneumonia and treated with acyclovir, cetirizine, paracetamol, and fusidic acid cream. Data were obtained through anamnesis, physical examination, and relevant supporting investigations, then qualitatively analyzed by correlating clinical findings and investigation results to confirm the diagnosis, evaluate treatment response, and construct the case narrative. Adult varicella is up to 25 times more severe than in children. The virus is transmitted via the respiratory tract with an incubation period of 10–21 days. Physical stress and disruption of circadian rhythms may impair immune response. Lesions typically start on the face and scalp and spread to the body. A This case highlights a presentation of adult varicella with systemic involvement. Early antiviral treatment can improve prognosis.
Guttate Psoriasis that Evolves to Chronic Plaque Psoriasis induced by Atypical Bacterial Infection Jesryn Dhillon; Cut Putri Hazlianda
Indonesian Journal of Global Health Research Vol. 7 No. 6 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i6.168

Abstract

Guttate psoriasis is the second most common variant of psoriasis found in children and young adults. It is known that several factors such as infections, alcohol consumption, drugs, trauma, acute discontinuation of potent topical or systemic corticosteroids, body mass index, and endocrine disorders are known to be associated with the occurrence and development of guttate tu. This study aims to report a case of varicella with bronchopneumonia in an adult patient. Data were collected through anamnesis, physical examination, laboratory and microbiological investigations, and follow-up assessments, then analyzed qualitatively and presented descriptively as a case report. A 27-year-old man came to our polyclinic with multiple erythematous papules and multiple plaques, milliar-lenticular-nummular in size, discrete, accompanied by the white scale on the scalp, thoracic, vertebral, axillary, right, and left brachial and lower extremities. Two throat swab examinations showed different bacterias and were later found to be induced by periodontitis. This patient was then treated for chronic plaque psoriasis with methotrexate and showed good progress.
Co-Authors Cut Putri Hazlianda Dina Arwina Dalimunthe Khairina Nasution Nelva Karmila Jusuf