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All Journal Berkala Ilmu Kesehatan Kulit dan Kelamin PREPOTIF : Jurnal Kesehatan Masyarakat Bali Dermatology and Venereology Journal Journal of Telenursing (JOTING) Media Dermato-Venereologica Indonesiana
Diba, Sarah
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Management of diabetic foot ulcers: dermatology perspective Daryago, Adi Agung Anantawijaya; Fitriani, Fitriani; Kartowigno, Soenarto; Aryani, Inda Astri; Yahya, Yulia Farida; Diba, Sarah; Stephanie, Aurelia
Bali Dermatology and Venereology Journal Vol 4, No 2 (2021)
Publisher : DiscoverSys Inc

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/bdv.v4i2.65

Abstract

Diabetes mellitus (DM) is a chronic and complex disease that affects various parts of the body. It can lead to multiple systemic complications and also cutaneous manifestation. Diabetic foot ulcer (DFU) is one of the most devastating complications of DM in dermatology. The main etiology is an increase in plasma glucose, risk factors, or comorbidities due to DM itself. Neglected DFU can lead to further complications, including high amputation and mortality rates; thus, the healing of ulcers is the main objective of the treatment. Management is divided into the standard of care and adjuvant therapies. This study aims to optimize DFU management, so it can provide proper treatment and prevent complications.
Diagnosis and Management of Hair Loss in Pediatric Fitriani, Fitriani; Antonius, Cayadi Sidarta; Kartowigno, Soenarto; Diba, Sarah; Argentina, Fifa
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 36 No. 2 (2024): AUGUST
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bikk.V36.2.2024.142-148

Abstract

Background: Hair loss can occur in pediatric and adult populations and may have different patterns. The causes of hair loss in pediatric patients include tinea capitis, alopecia areata, telogen effluvium, traction alopecia, anagen effluvium, androgenetic alopecia, loose anagen syndrome, short anagen syndrome, congenital aplasia cutis, congenital triangular alopecia, atrichia congenita, congenital hypotrichosis, and transient neonatal hair loss.Purpose: to understand etiologies of hair loss in pediatrics, and to determine the appropriate examinations for diagnosing and managing hair loss in children.Review: Hair loss in children can be categorized as congenital or acquired. Congenital hair loss is classified based on distribution, while acquired hair loss is classified as either scarring or non-scarring. Hair loss complications in children can be irreversible. The diagnosis of hair loss in pediatric patients includes anamnesis, physical examination, and supporting examinations. The supporting examinations used for diagnosis include fungal cultures, hair pull tests, hair tug tests, light microscopy, and trichoscopy. Conclusion: There are numerous causes of hair loss in pediatric patients that need to be identified before appropriate management can be implemented. The management of hair loss requires a holistic approach, including psychosocial support. Correct diagnosis and treatment of pediatric hair loss can prevent a decrease in the patient's quality of life.
Terapi Laser untuk Skar Hipertrofik dan Keloid Santoso, Ritchie; Kurniawati, Yuli; Diba, Sarah; Rusmawardiana, Rusmawardiana; Nopriyati, Nopriyati
Journal of Telenursing (JOTING) Vol 6 No 1 (2024): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v6i1.8514

Abstract

This study aim to evaluate the success rate of laser therapy in hypertorphic, and keloid scar patients based on scar characteristics. The research method used is systematic review using data from Pubmed, Cochrane Library, Clinicaltrials.gov, and Mendeley from 1994 to July 2022. The results found a total of 28 studies, consisting of 3 retrospective studies, 5 randomized controlled trials (RCT), and 20 prospective studies included in the review. This research evaluated 11 585nm pulse dye laser (PDL) studies, 2 595nm PDL studies, 3 1064 nm Nd:Yag studies, 3 1550nm Er:Yag studies, 3 2940nm Er:Yag studies, and 6 10,600nm fractional CO2 laser studies. In conclusion, the 585 nm pulse dye laser showed the best overall therapeutic success rate. Fractional CO2 10,600nm, Er:YAG 2940nm, and Nd:YAG 1064nm lasers showed the best therapeutic response for reducing erythema, pigmentation, height, and scar consistency. Further research is needed to assess the success rate of therapy. Keyword: Keloid, Laser, Hypertrophic scar, Systematic Review
Update Management of Atopic Dermatitis Sari, Indri Widya; Diba, Sarah; Nopriyati; Athuf Thaha; Raden Pamudji; Fitriani
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 36 No. 3 (2024): DECEMBER
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bikk.V36.3.2024.213-221

Abstract

Background: Atopic dermatitis (AD) is a chronic recurrent skin disease that is very complex due to impaired skin barrier function in the form of xerosis, chronic eczematous lesions, and itching, commonly found in infants and children. Pathogenesis is thought to be the interaction of genetic factors, immune dysfunction, epidermal barrier dysfunction, and the role of the environment and infectious agents. Approach the disease by performing etiopathogenesis algorithms, clinical manifestations, diagnosis, and treatment. Based on the 2013 Asia-Pacific consensus, AD management guidelines using the 5-pillar principle have long been used. Currently, the European consensus in 2018 has developed new guidelines for AD management. Purpose: To provide an updated treatment for AD. Review: The ethiopathogenesis of AD is influenced by genetics, skin barrier disorders, and immune response disorders. Updated management of the European consensus in 2018 includes education, avoidance of precipitating factors, psychosomatic counseling, optimization of skin barrier function with moisturizers, anti-inflammatory and antimicrobial administration, allergen-specific immunotherapy, complementary and alternative drugs, phototherapy, and controlling the itch-scratch cycle with anti-itch in pediatric and adult AD patients. AD may affect patients’ quality of self-esteem. In general, patients expect higher. Conclusion: AD affects the psychosocial aspects of patients. Updated management of AD adequately improves the quality of life.
THE CORRELATION BETWEEN ADHERENCE TO ANTIRETROVIRAL (ARV) MEDICATION AND CD4 COUNT IN THE OCCURRENCE OF VIROLOGICAL FAILURE AMONG INDIVIDUALS WITH HIV/AIDS Purwoko, Muhammad Izazi Hari; Santoso, Ritchie; Fitriani, Fitriani; Bahar, Erial; Chandra, Riza; Diba, Sarah; Budiamal, Susanti
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 8 No. 3 (2024): DESEMBER 2024
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v8i3.36873

Abstract

Kegagalan virologi merupakan tantangan yang dihadapi oleh pasien human immunodeficiency virus (HIV) setelah memulai pengobatan, dan dipengaruhi oleh berbagai faktor. Modalitas terapi pada pasien HIV dilakukan dengan antiretroviral (ARV), dengan jumlah sel CD4 memainkan peran penting dalam menentukan waktu untuk memulai ARV. Oleh karena itu, tujuan dari penelitian ini adalah untuk menyelidiki hubungan antara kepatuhan terhadap ARV dan jumlah sel CD4 yang terkait dengan kegagalan virologi pada pasien HIV/AIDS yang telah diobati selama minimal 12 bulan dengan rejimen ARV. Penelitian analitik observasional dengan desain potong lintang dilakukan menggunakan teknik consecutive sampling pada 74 pasien berusia 17 tahun dan menjalani pengobatan ARV selama minimal 12 bulan di Departemen Rawat Jalan Konseling dan Pengujian Sukarela (VCT) dan Penyakit Menular Seksual (STD) Dermatologi, Venereologi, dan Estetika RSMH/FK UNSRI Palembang, serta Pusat Kesehatan Masyarakat Sukarami dan Dempo dari Juni hingga Agustus 2023. Dari total sampel penelitian sebanyak 74 pasien, 26 di antaranya (35,1%) mengalami kegagalan virologi. Kepatuhan terhadap antiretroviral (ARV) (p<0,001) dan jumlah sel CD4 (p<0,001) secara signifikan terkait dengan kegagalan virologi. Analisis multivariat menunjukkan bahwa kepatuhan terhadap ARV (p<0,001) dan jumlah sel CD4 (p<0,001) sangat terkait dengan kegagalan virologi. Penelitian ini menunjukkan bahwa kepatuhan terhadap ARV yang buruk dan jumlah sel CD4 yang rendah terkait dengan kegagalan virologi. Penguatan konseling kepatuhan ARV diperlukan untuk memperbaiki kondisi imunologis dan meningkatkan penekanan virus pada pasien HIV/AIDS.
Diagnosis dan Tatalaksana Pioderma Gangrenosum Terkini Diba, Sarah; Yonathan, Erico Lemuel; Thaha, M. Athuf; Nopriyati, Nopriyati; Kartowigno, Soenarto; Devi, Mutia
Media Dermato-Venereologica Indonesiana Vol 52 No 3 (2025): Media Dermato Venereologica Indonesiana
Publisher : Perhimpunan Dokter Spesialis Kulit dan Kelamin Indonesia (PERDOSKI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33820/mdvi.v52i3.525

Abstract

Pioderma gangrenosum (PG) adalah dermatosis neutrofilik, secara klinis ditandai dengan ulkus kulit nyeri dan berkembang cepat dengan tepi tidak rata, tidak teratur, berwarna ungu kemerahan. Diagnosis PG sulit ditegakkan karena menyerupai penyakit lain, belum ada pemeriksaan baku emas untuk penegakan diagnosis definitif, kriteria diagnosis PG banyak dan bervariasi, sehingga diagnosis perlu ditegakkan sedini mungkin untuk memungkinkan penatalaksanaan yang tepat dan mencegah progresivitas penyakit. Diagnosis PG dibuat dengan menyingkirkan diagnosis lain. PARACELCUS merupakan kriteria diagnostik PG yang dianggap terbaik dan sederhana. Tata laksana PG dipilih berdasarkan tingkat keparahan dan perkembangan penyakit. Tata laksana umum terdiri dari rawat inap, eksklusi penyebab ulkus lain, mengontrol penyakit penyerta, tata laksana komorbiditas, menghindari trauma, tata laksana nyeri, perawatan luka adekuat, pengendalian infeksi penyerta, terapi kompresi untuk mengurangi edema, menjaga kecukupan nutrisi, menghentikan rokok, dan mengontrol glukosa darah. Tata laksana khusus terdiri dari terapi topikal, sistemik, terapi target, dan intervensi. Tata laksana PG masih terus dikembangkan melalui berbagai uji klinis. Pioderma gangrenosum memiliki angka mortalitas dan morbiditas signifikan dengan tingkat rekurensi tinggi sehingga diperlukan diagnosis tepat dan tata laksana segera. 
Co-Authors Antonius, Cayadi Sidarta aryani, Inda astri Athuf Thaha Chandra, Riza Daryago, Adi Agung Anantawijaya Erial Bahar, Erial Fifa Argentina Fitriani Fitriani Fitriani Kartowigno, Soenarto M. Athuf Thaha Mutia Devi, Mutia Nopriyati Nopriyati, Nopriyati Purwoko, Izazi Hari Raden Pamudji Rusmawardiana Rusmawardiana, Rusmawardiana Santoso, Ritchie Sari, Indri Widya Stephanie, Aurelia Susanti Budiamal Yonathan, Erico Lemuel Yuli Kurniawati, Yuli Yulia Farida Yahya