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All Journal Berkala Ilmu Kesehatan Kulit dan Kelamin Folia Medica Indonesiana Indonesian Journal of Tropical and Infectious Disease Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya ISM (Intisari Sains Medis) : Jurnal Kedokteran Indian Journal of Forensic Medicine & Toxicology Makara Journal of Science MEDICINUS Journal of General Procedural Dermatology and Venereology Indonesia

M. Yulianto Listiawan

Departemen/ Staf Medik Fungsional Ilmu Kesehatan Kulit Dan Kelamin Fakultas Kedokteran Universitas Airlangga/Rumah Sakit Umum Daerah Dr. Soetomo Surabaya

Author-ID : 1807921

Biochemistry, Genetics & Molecular Biology Earth & Planetary Sciences Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health Other

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Reverse Transcription Polymerase Chain Reaction (RT-PCR) untuk Mendeteksi Viabilitas Mycobacterium leprae pada Pasien Kusta Tipe Multibasiler Pascapengobatan MDT-WHO Lunni Gayatri; M. Yulianto Listiawan; Indropo Agusni
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 26 No. 2 (2014): BIKKK AGUSTUS 2014
Publisher : Faculty of Medicine, Universitas Airlangga

Latar belakang: Kusta masih menjadi masalah besar di Indonesia. Penatalaksanaan dengan MDT-WHO telah menjadi regimen standar untuk pasien kusta sejak lama. Pada pasien kusta tipe multibasiler (MB), indeks bakteriologis (IB) belum mencapai nilai nol, meskipun telah menyelesaikan terapi 12 regimen. Metode Reverse Transcription-Polymerase Chain Reaction (RT-PCR) memiliki sensitivitas tinggi untuk mendeteksi viabilitas M. leprae. Tujuan: Mengevaluasi viabilitas M. leprae dengan metode RT-PCR pada pasien kusta tipe MB yang telah menyelesaikan regimen MDT 12 di RSUD Dr. Soetomo Surabaya. Metode: 15 pasien kusta tipe MB yang telah menyelesaikan pengobatan MDT-WHO 12 regimen dengan IB positif dilakukan biopsi kulit untuk pemeriksaan RT-PCR. Hasil: Terdapat 13 pasien (86,7%) dengan viabilitas M. leprae positif sementara seluruh pasien tersebut (100%) memiliki Indeks Morfologis (IM) 0%. Dua belas pasien (80%) memiliki Indeks Bakteriologis 2+ dan 10 pasien diantaranya adalah pasien kusta tipe Lepromatous Leprosy (LL) polar. Delapan pasien yang memiliki viabilitas positif tidak mendapatkan kortikosteroid oral selama siklus MDT. Simpulan: Pasien kusta yang telah menyelesaikan terapi MDT dengan MI 0%, didapatkan viabilitas M. Leprae positif dengan metode RT-PCR. Spektrum klinis pasien yang ditentukan dari imunitas seluler nampaknya menjadi faktor terpenting dalam viabilitas M. leprae.Katakunci: viabilitas, M. leprae, kusta tipe multibasiler, RT-PCR.

Retrospective Study: Type 1 Leprosy Reaction Meita Ardini Pratamasari; M. Yulianto Listiawan
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 27 No. 2 (2015): BIKKK AGUSTUS 2015
Publisher : Faculty of Medicine, Universitas Airlangga

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.

Dermoscopic Features of Alopecia Patient Kartika Paramita; M. Yulianto Listiawan; Rahmadewi Rahmadewi
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 27 No. 3 (2015): BIKKK DESEMBER 2015
Publisher : Faculty of Medicine, Universitas Airlangga

Backgroud: Alopecia is hair loss of the scalp that occurs in mostly men and about 30% of women during their lifetime. Prevalence of alopecia is increased along with age in both men and women. Using of dermoscope can help the diagnostic accuracy and avoid scalp biopsy for diagnosis. Purpose: Identifying dermoscope examination results and determine the pathophysiology of dermoscope features. Methods: Cross sectional and descriptiove observational study to all of alopecia patients who fulfilled the inclusion criteria at outpatient clinic Dr. Soetomo General Hospital Surabaya in December 2014 through February 2015 performed dermoscope examination Result: There were 20 patients who fulfilled the inclusion criteria, consisted of 3 patients with androgenetic alopecia, 8 alopecia areata, 4 tinea capitis, 2 discoid lupus erythematosus, 1 psoriasis vulgaris, 1 seborheic dermatitis, and 1 trichotilomania. Conclusion: Most of all dermoscope features accordance with the description in the literature, the most diagnosis is androgenetic alopecia.Key words: alopecia, dermoscope, zig-zag hair, black dots.

The Use of Thalidomide in Steroid Dependent Continous Erythema Nodosum Leprosum Leprosy Patient: A Case Report Dian Pertiwi Habibie; M Yulianto Listiawan
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 28 No. 2 (2016): AGUSTUS
Publisher : Faculty of Medicine, Universitas Airlangga

Background: Treatment thalidomide in erythema nodosum leprosum (ENL), can inhibits the transcription repression mediated by tumor necroting factor (TNF). Thalidomide can be used as sparing agents drug to reduce the dependency of steroid. Purpose: To report the effectiveness of thalidomide to treat ENL and of relinquish steroid dependency. Case: A 39 years old patient with leprosy borderline lepromatous type, came with complain bumps on skin accompanied with fever, occurring recurrently since 4 years ago if the steroid’s dose tappered off. He consumed steroid routinely every day for the last 4 years and if the dose was tapered to 4 mg once daily, the painful bumps reappeared often accompanied by fever. Thalidomide 50 mg twice daily and methyl prednisolone 4 mg once daily was given. The constant tapering off of methyl prednisolone done every week. After a month, the patient shown significant improvement. Discussion: Thalidomide is effective in ENL, it is regarded as first line in terms of clinical efficiency because it displays an effect on 90% of ENL patients. In this case, thalidomide was given and steroid dose was reduced slowly while observing the clinical manifestation and patient’s complain. There were no complain of recurrent ENL after discontinuation of steroid and thalidomide, no serious adverse event happened in this patient as well. Conclusion: The effectiveness of thalidomide in ENL is primarily due to its action on TNF but other mechanisms may contribute to its anti-inflammatory effect. Thalidomide is effective in the management of steroid dependent ENL patient. Key words: thalidomide, steroid dependent, methyl prednisolone, erythema nodosum leprosum

The Effects of Platelet Rich Plasma Topical Gel on Chronic Plantar Ulcer Healing in Leprosy Patient Diana Kartika Sari; M. Yulianto Listiawan; Diah Mira Indramaya
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 28 No. 3 (2016): DESEMBER
Publisher : Faculty of Medicine, Universitas Airlangga

Background: Plantar ulcer is a physical disability that most often occurs in approximately 10-20% of leprosy patient. Conventional therapies such as dressings, surgical debridement, and skin graft can not provide satisfactory improvement. Platelet rich plasma (PRP) has a variety of growth factors required in ulcer wound healing. Purpose: To prove the effect of PRP topical gel to the size of wound, macrophage activation, neovascularization, fibrosis, and formation of granulation tissue on chronic plantar ulcer healing in leprosy patients. Methods: The analytic cohort study of 20 leprosy patients with chronic plantar ulcer in Morbus Hansen Division, Dermatology and Venereology Outpatient Clinic, Dr. Soetomo Hospital Surabaya. Biopsies were performed before and after PRP topical gel treatment on leprosy patient with chronic plantar ulcers. Results: After two doses of PRP topical gel, wound size of 9 patients (45%) was reduced <0.5 cm. Statistycal analysis showed significant differences in size of lesions (p = <0.05), the number of macrophages (p = <0.001), number of capillaries (p = 0.003), and the amount of granulation (p = 0.032) before and after PRP topical gel treatment. While the results of the analysis of the number of fibroblasts showed no significant difference (p = <0.05). Conclusion: PRP topical gel treatment gives good results, in terms of improvement in wound size, an increase in macrophages, neovascularization and granulation tissue.

Melanocyte Function and Count of Leukotrichia in Vitiligo Using S100 Immunohistochemistry and Microphtalmia Associated Transcription Factor (MITF) M. Yulianto Listiawan; Marina Rimadhani; Willy Sandhika
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 28 No. 3 (2016): DESEMBER
Publisher : Faculty of Medicine, Universitas Airlangga

Background: Melanocyte of the hair follicle is one of the major sources of repigmentation in vitiligo. Leukotrichia is complete depigmentation with significant bleaching hair. Leukotrichia in nonsegmental vitiligo may contribute to the lack of response to medical treatment. Leukotrichia is often associated with absent of melanocyte, showing poor prognosis for vitiligo treatment. Purpose: To evaluate melanocyte count and function of leukotrichia’s melanocyte in vitiligo and comparing with other feature. Method: Melanocyte count in each feature of lesional skin in 18 segmental vitiligo patients were evaluated based on vitiligo extent tensity index (VETI). Melanocyte count has been evaluated using immunohistochemistry S100 and microphtalmia associated transcription factor (MITF). Results: Eighteen patients were nonsegmental vitiligo, and five of them had leukotrichia. Two of five leukotrichia patients did not express MITF nor melanocyte. There were no differences of melanocyte and MITF expression between patient with or without leukotrichia. Conclusion: Leukotrichia is a poor indicator for treatment response in vitiligo, but this research showed that leucotrichia may not contribute to the lack of response upon medical treatment.

Kadar Hormon 17α-Hydroxyprogesterone (17-Ohp) Serum pada Pasien Pria dengan Akne Vulgaris Sedang-Berat dan Tanpa Akne Vulgaris Ellenita Soebakti; M. Yulianto Listiawan; Evy Ervianti
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 30 No. 1 (2018): APRIL
Publisher : Faculty of Medicine, Universitas Airlangga

Latar Belakang: Akne vulgaris (AV) adalah penyakit kulit kronis pada unit pilosebaceous. Kelebihan androgen dapat menimbulkan akne dengan cara menginduksi kelenjar sebum. AV pada pria mungkin satu-satunya tanda adanya kelebihan androgen. Tujuan: Mengevaluasi kadar 17-OHP serum pada pasien pria AV sedang-berat dan pria tanpa AV di URJ Kesehatan Kulit dan Kelamin RSUD Dr. Soetomo Surabaya. Metode: Sebuah studi kasus kontrol observasional analitik termasuk 15 kasus AV dan 15 kontrol dari klinik Kulit dan Kelamin rawat jalan rumah sakit Dr.Soetomo, berdasarkan kriteria inklusi dan eksklusi. Hasil: Rerata 17-OHP pada kelompok AV adalah 1.58 ±0,25 ng/mL dan pada kelompok kontrol adalah 0,98 ±0,15 ng/mL. Dengan nilai P adalah P = 0,0001 (P <0,05) Kesimpulan: Kadar serum 17-OHP pada kelompok AV signifikan lebih tinggi dibanding kelompok kontrol. Diperlukan penelitian lebih lanjut untuk menyingkirkan faktor perancu untuk mengetahui lebih peran hormonal dalam patogenesis AV.

Significant Different Level of Malondialdehyde (MDA) as Oxydative Stress Marker in Severity Groups of Acne Vulgaris Sylvia Anggraeni; Trisniartami Setyaningrum; M Yulianto Listiawan
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 29 No. 1 (2017): APRIL
Publisher : Faculty of Medicine, Universitas Airlangga

Background: Acne vulgaris (AV) is a common chronic inflammatory disease of sebaceous gland that may decrease patient’s quality of life. Oxidative stress is suggested to play role in the pathogenesis of AV. Purpose: To evaluate the differences of malondialdehyde (MDA) level as oxidative stress marker in AV severity. Method: This is an analytic observational cross sectional research of AV patients in Cosmetic Division of Dermatology and Venereology Outpatient Clinic of Dr. Soetomo hospital Surabaya. Subjects were collected through consecutive sampling since May-August 2015. Total samples were 42 patients, classified into 3 severity groups (mild, moderate, severe). Samples were taken from blood vein, examined with Enzyme-linked immunosorbent assay (ELISA) then analyzed statistically. Results: There were differences of MDA mean level among AV severity groups: mild 58.371 ng/ml (SD±25.2141); moderate 99.121 ng/ml (SD±8.5172); and severe 171.779 ng/ml (SD±49.9694). Post hoc analytic revealed that there were statistically differences of MDA level in all stages (mild-moderate p=0.002; mild-severe p=0.000; moderate-severe p=0.000). Conclusions: This research revealed that oxidative stress plays a role in AV pathogenesis. Lipid peroxidation process in sebum produced lipid oxidant that could induce inflammatory process in sebaseous gland via Peroxisome Proliferator-Activated Receptor (PPAR).

Three Different Genotyping of Mycobacterium leprae in a Family: A Case Report Renata Mayangsari; M. Yulianto Listiawan
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 27 No. 3 (2015): BIKKK DESEMBER 2015
Publisher : Faculty of Medicine, Universitas Airlangga

Background: Indonesia is the third country with the highest prevalence of leprosy worldwide after India and Brazil. The risk of transmission is higher in household contacts, siblings, and neighborhoods. Purpose: Familial leprosy due to household contacts has been considered as the main transmission in leprosy. The aim of the examination is to detect the presence of Mycobacterium leprae and analyze the variation number of TTC repeats. Case: A family, consisted of mother, 35 year-old, was diagnosed with lepromatous leprosy (LL) type and erythema nodosum leprosum (ENL) necroticans. Her husband, 36 year-old, was diagnosed with tuberculoid leprosy. Daughter, 4 year-old, was diagnosed as indeterminate leprosy due to white small patches on her left cheek, arm, and leg, but there was no complain about anesthesia. Case management: Enzyme-linked immunosorbent assay (ELISA), histopathological examination, and polymerase chain reaction (PCR) for detection of M. leprae were performed. All of PCR results were positive. After sequencing of the TTC area, it revealed that the number of TTC repeats were different. Conclusion: Transmission from mother to others was suspected in family with leprosy living in the same house. PCR examination revealed 16 times TTC repeats on mother, 18 times on father, and 13 times on daughter. It was proven that infection of M. leprae originated from different genomes, which means different source of infection.

Perbandingan Terapi Kombinasi Laser CO2-Injeksi Triamsinolon dengan Injeksi Triamsinolon Monoterapi pada Keloid Brama Rachmantyo; M. Yulianto Listiawan; Dwi Murtiastutik; Willy Sandhika
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 30 No. 2 (2018): AGUSTUS
Publisher : Faculty of Medicine, Universitas Airlangga

Latar Belakang: Keloid adalah hiperplasia jinak dari jaringan fibrosa kulit. Gambaran histopatologi menunjukkan fibroblas dan serat kolagen yang berlebih. Prevalensi pasien keloid di Poli Kulit dan Kelamin RSUD Dr. Soetomo Surabaya adalah 1,4% (tahun 2013), 1,6% (tahun 2014), dan 1,5% (tahun 2015). Angka kekambuhan keloid pascaterapi injeksi triamsinolon mencapai 33% dalam 1 tahun. Laser CO2 dengan mode kontinu yang diikuti dengan injeksi triamsinolon memiliki efektifitas yang lebih baik dibanding injeksi triamsinolon monoterapi, dengan angka kekambuhan 15,4%. Laser CO2 mode fraksional memiliki masa penyembuhan lebih cepat daripada mode kontinu, karena ablasi terbatas hanya pada microscopic treatment zone (MTZ). Terapi kombinasi laser CO2 fraksional dan injeksi triamsinolon memadukan efek fototermolisis selektif dan efek antimitotik. Tujuan: Mengetahui efektifitas terapi kombinasi laser CO2 fraksional dan injeksi triamsinolon terhadap pasien keloid. Metode: Penelitian ini merupakan uji klinis terbuka yang membandingkan terapi kombinasi laser CO2 fraksional dan triamsinolon asetonid intralesi (perlakuan) dengan terapi tunggal triamsinolon intralesi (kontrol) pada pasien keloid. Hasil: Penelitian ini melibatkan 26 pasien keloid, 13 pasien kelompok kontrol dan 13 pasien kelompok perlakuan. Penurunan tinggi keloid yang signifikan terjadi pada kelompok kontrol dan perlakuan (p=0,005 dan p=0,000), tetapi selisih penurunan tinggi keloid antara kedua kelompok tidak signifikan (p=0,598). Penurunan kepadatan fibroblas pada kelompok kontrol terjadi secara signifikan (p=0,016), tetapi pada kelompok perlakuan meningkat tidak signifikan (p=0,958). Peningkatan kepadatan fibroblas dapat dikarenakan penyusutan kolagen, sehingga fibroblas tampak semakin padat. Simpulan: Terapi injeksi triamsinolon asetonid yang dikombinasi dengan laser CO2 fraksional belum memberikan dampak yang lebih baik daripada terapi tunggal injeksi triamsinolon.

Co-Authors Ade Fernandes Afif Hidayati Afif Nurul Hidayati Afif Nurul Hidayati, Afif Nurul Agnes Sri Siswati Alpha Fardah Athiyyah Amanda Gracia Manuputty Anak Agung Gede Sugianthara Anang Endaryanto Anggaraeni, Sylvia Anggraen, Sylvia Anggraeni, Sylvia Anum, Qaira Ardhiah Iswanda Putri Arifin Saiboo, Alvian Arisia Fadila Arisia Fadila Ariyati Yosi Astindari Astindari Astindari Astindari Astindari Astindari Astindari, Astindari Bagus Haryo Kusumaputra Bagus Haryo Kusumaputra Bagus Haryo Kusumaputra Bagus Haryo Kusumaputra, Bagus Haryo Bernadya Yogatri Anjuwita Bintanjoyo, Lunardi Brama Rachmantyo Brigita Ika Rosdiana Budi Prasetyo Budi Utomo Budi Utomo Budi Utomo Budiono Budiono Budiono Budiono Chesia Christiani Liuwan Chesia Christiani Liuwan Christina Avanti Christina Avanti Cindy Fransisca, Cindy CITA ROSITA S. PRAKOESWA Cita Rosita Sigit Prakoeswa Damayanti Damayanti Damayanti Damayanti Damayanti Damayanti Damayanti Damayanti Damayanti Damayanti Damayanti Denisa, Medhi Densy Violina Harnanti Desiana Widityaning Sari Dhelya Widasmara Dhyah Aksarani Handamari Dhyah Aksarani Handamari Diah Mira Indramaya Dian Pertiwi Habibie Diana Kartika Sari DINAR ADRIATY Dominicus Husada Dwi Murtiastutik Dyah Ayu Pitasari Eliza Miranda Ellenita Soebakti Endang Wahyu Fitriani Erwin Astha Triyono Esti Hendradi Eva Lydiawati Evy Ervianti Fadila, Arisia Fajrin, Farah Meriana Farah Meriana Fajrin Farhat Surya Ningrat Fifa Argentina Flora Ramona Sigit Prakoeswa Geani, Silvani Githa Rahmayunita Hamidah Luthfidyaningrum Hardyanto Soebono Hari Basuki Notobroto Harningtyas, Citra Dwi Hartanto, Felix Henry Wan-Peng Lim Herwinda Brahmanti Indah Purnamasari Indah Purnamasari Indramaya, Diah Indraswari, Anindia INDROPO AGUSNI Ingrid Suryanti Suryono Irmadita Citrashanty Irmadita Citrashanty Irmadita Citrashanty Irmadita Citrashanty Irmadita Citrashanty Irmadita Citrashanty, Irmadita Iskandar Zulkarnain Iskandar Zulkarnain ISWAHYUDI ISWAHYUDI Jayawarsa, A.A. Ketut Kartika Paramita Kartini Hasballah Kurniati Kurniati Kurniati Kurniati Kurniati Kurniati Kusmarinah Bramono Lim, Henry W Linda Astari, Linda Lisa Aditama, Lisa Liuwan, Chesia Christiani Lubis, Ramona Sari Luh Made Mas Rusyati Lunni Gayatri Lunni Gayatri, Lunni Lydiawati, Eva Made Putri Hendaria Mamuaja, Enricco Hendra Mappamasing, Hasnikmah Maria Ulfa Sheilaadji Marina Rimadhani Maya Wardiana Maylita Sari Maylita Sari Maylita Sari Maylita Sari Maylita Sari, Maylita Medhi Denisa Medhi Denisa Alinda, Medhi Denisa Meita Ardini Pratamasari Meita Ardini Pratamasari, Meita Ardini Menul Ayu Umborowati, Menul Ayu Miranda, Eliza Moreau de Montcheuil, Eloïse Muchtar, Vitayani Mulianto, Nur Rachmat Netty Sukmawati, Netty Novianti Rizky Reza Nurtami Nurtami, Nurtami Pepy D. Endraswari Pepy Dwi Endraswari, Pepy Dwi Prakoeswa, Cita Rosita Pramitha, Riezky Januar Pratiwi, Karina Dyahtantri Priangga Adi Wiratama Putri Halla Shavira Putri Hendria Wardhani R.A. Astrid Putri Wandhita Rahmadewi Rahmadewi Rahmadewi Rahmadewi Ratana, Heng RATNA WAHYUNI Rebekah Setiabudi, Rebekah Regitta Indira Agusni Renata Mayangsari Renni Yuniati Retha Retha Ridha Ramadina Widiatma Rinasari, Umi Riyana Noor Oktaviyanti Rozita Maharani, Dinda Rubianti, Marissa Astari Sandra Widaty Sandra Widaty Santi Martini Santoso, Rachmat Sawitri Sawitri Sawitri Sawitri Sawitri Sawitri Sawitri Sawitri Septiana Widyantari setiawan, rhadeya SHINZO IZUMI Silvani Geani Sirithida, Chukmol Sofia Sofia, Sofia Sri L. Menaldi Tanojo, Natalia Tengku Riza Zarzani N Tjokorde Istri Nindya Vaniary Trisniartami Setyaningrum Vannda, Sou Veithzal Rivai Zainal Verschoore, Michele Vidyani Adiningtyas Vortey, Hak Wahyu Lestari Widyantari, Septiana Willy Sandhika Winnugroho Wiratman, Manfaluthy Hakim, Tiara Aninditha, Aru W. Sudoyo, Joedo Prihartono Yoana Fransiska Wahyuning Christi Yohanes Aditya Adhi Satria Yosi, Ariyati Yuindartanto, Andre Yuli Wahyu Rahmawati

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