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Dermoscopy in superficial fungal infection Sawitri, Putu Dyah; Karmila, I Gusti Ayu Agung Dwi; Sadeli, Marrietta Sugiarti
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.v4i2.52

Abstract

 Superficial fungal infections are one of the most common skin infection infections. It is caused by fungal pathogens and are limited to the outer layer of the skin, hair, and nails. Superficial fungal infections include dermatophytosis, superficial candidiasis, and diseases caused by Malassezia spp. Most physicians diagnose and treat superficial fungal infections based solely on clinical appearance. But unfortunately, there are many other infectious and non-infectious diseases that have similar clinical appearance.Dermoscopy is a practical and noninvasive imaging method that allows magnifying clinical surface images that are normally invisible under a magnifying lens. In diagnosing superficial mycosis, dermoscopy was found to have a higher sensitivity and specifity compared to pottasium chloride (KOH) and fungal culture.More understanding is needed about the use of dermoscopy in diagnosing superficial fungal infections in the hope of being able to provide an overview of superficial fungal infections and dermoscopy, as well as dermoscopy features in some superficial fungal infections. In this article, the author describe dermoscopic findings in various superficial fungal infections on the skin, hair, and nails.
VALIDASI KRITERIA MINOR PADA DERMATITIS ATOPIK Sadeli, Marrietta Sugiarti; Wardhana, Made
E-Jurnal Medika Udayana Vol 11 No 2 (2022): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2022.V11.i02.P01

Abstract

Dermatitis atopik adalah penyakit kulit inflamatif kronis, disebut juga eksema atopik, prurigo besnier, neurodermatitis diseminata. Diagnosis dermatitis atopik berdasarkan keluhan dan gambaran klinis. Hanifin Rajka telah membuat kriteria diagnosis untuk dermatitis atopik yang didasarkan pada kriteria mayor dan minor yang sampai sekarang masih banyak digunakan. Kriteria mayor dan beberapa kriteria minor pada setiap pusat pelayanan berbeda-beda. Tujuan penelitian ini adalah untuk mencari frekuensi, sensitivitas dan spesifisitas kriteria minor dan nilai pH. Ini merupakan sebuah studi case-control untuk mengetahui frekuensi, sensitivitas dan spesifisitas kriteria minor dan nilai pH pada pasien dermatitis atopik di RSUP Sanglah, Denpasar. Terdapat 29 kasus dan 24 kontrol, dihitung sensitivitas, spesifisitas, nilai prediktif positif dan nilai prediktif negatif pada masing-masing kriteria minor. Xerosis memiliki nilai sensitivitas yang paling tinggi, sebesar 89,6 %. Dari 23 kriteria minor, beberapa diantaranya diteliti pada studi ini. Tanda yang paling sering dijumpai adalah xerosis/kulit kering terjadi pada 26 kasus diikuti kecendungan infeksi kulit berulang terjadi pada 25 kasus dan awitan dini pada 24 kasus. Dengan hasil validasi, sensitivitas tertinggi pada Xerosis sebesar 89.6%, spesifisitas dan PPV tertinggi pada Dennie-Morgan infraorbital sebesar masing-masing 91,6% dan 90% dan NPV tertinggi pada tanda Xerosis sebesar 84,2%. Temuan lain berupa hasil pengukuran nilai pH terbanyak pada nilai pH tinggi (>5,5) sebesar 23 kasus dengan sensitivitas sebesar 79,3%. Kata kunci: validasi, kriteria diagnosis, kriteria minor, kriteria mayor, dermatitis atopik, eksema atopik
Diagnosis and treatment of leprous neuropathy: a review Thiodorus, Fira; Thiodorus, Robert; Sadeli, Marrietta Sugiarti
Bali Dermatology Venereology and Aesthetic Journal BDVAJ - Volume 7, Issue 1 (January 2024)
Publisher : Explorer Front

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/balidervenaesthj.v7i1.78

Abstract

One significant subset of curable neuropathies brought on by Mycobacterium leprae is leprous neuropathy. Millions of people in most underdeveloped nations suffer from leprous neuropathy, which can lead to debilitating motor deficiencies, sensory loss, and skin deterioration. The peripheral nerve system and skin are the primary organs affected by leprosy. The clinical characteristics, cutaneous histology, and bacteriology may all be used to conclude the diagnosis. Leprosy neuropathy diagnosis also requires a nerve biopsy. Needles electromyography and nerve conduction investigations are two examples of electrophysiologic nerve examinations. Both studies offer details on the degree of nerve involvement, the location of lesions, and the underlying mechanism of injury. For patients with leprosy neuropathy, multiple medication therapies are recommended. Aside from standard medical care, acute neuropathy may sometimes require surgical intervention. In reversal reactions, corticosteroids can prevent or lessen nerve damage.