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All Journal Narra J The Journal of Society Medicine (JSOCMED)
Nababan, Kristo A.
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Norwegian scabies in human immunodeficiency virus and tuberculosis-infected child: A case report Wijaya, Hendri; Kollins, Fini; Lubis, Inke ND.; Pasaribu, Ayodhia P.; Evalina, Rita; Nababan, Kristo A.; Paramita, Deryne A.
Narra J Vol. 4 No. 1 (2024): April 2024
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v4i1.661

Abstract

Norwegian scabies is a rare scabies with the manifestation of thick crusts of the extremities of the skin that contain eggs and mites. Several conditions in which scabies infection is easily transmitted include immunocompromised, home nursing, and severe neurological disorder. The aim of this case report was to present a thorough analysis of a comprehensive resource for the management of Norwegian scabies patients, with a specific focus on individuals who also have HIV or other immunocompromising diseases.  A 1-year-and-7-month-old boy was presented to the hospital with a chief complaint of a thick crust that he had experienced for four months. It began as a red papule in the lower extremity, then crusted and spread to the whole body. The patient kept scratching due to itching, had a recurrent fever and diarrhea for three months, and cough for one month. The patient was diagnosed with human immunodeficiency virus (HIV) and pulmonary tuberculosis at three months, suspected to get the infection from the parents. Sarcoptes scabiei was found from microscopy examination of skin scraping. The patient received holistic treatment, including antiretroviral drugs, antituberculosis medication, scabies treatment, and malnutrition treatment. Appropriate scabies treatment aimed at peeling crusted skin, relieving itching, and increasing the patient ability to use the extremities. Comorbidity conditions caused by HIV and pulmonary tuberculosis should also be treated to optimize the outcome. The patient was discharged in good condition with sanitation education and regular follow-up at the outpatient clinic. This case highlights that Sarcoptes scabiei infestation may be a clue to an immunocompromised condition. Holistic therapy aiming to cure underlying infection, infestation and underlying nutrition and psychosocial problems must be addressed to fully cure this high-burden case.
Reduction of 75% in the Psoriasis Area and Severity Index (PASI) for Moderate-to-Severe Psoriasis Vulgaris Nahrisyah, Nahrisyah; Nababan, Kristo A.
Journal of Society Medicine Vol. 4 No. 2 (2025): February
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v4i2.195

Abstract

Introduction: Psoriasis vulgaris is a chronic inflammatory skin disorder characterized by the presence of scaly, red plaques. The severity of the condition is often evaluated using the Psoriasis Area and Severity Index (PASI), which quantifies the extent and severity of skin lesions. A treatment is considered successful when a PASI 75 is achieved, indicating a 75% reduction in the PASI score. Case: A 26-year-old female presented with itchy and scaly red plaques covering nearly her entire body for the past month. Upon examination, her initial PASI score was 21.8. The patient was treated with a combination of systemic and topical therapies, resulting in a significant clinical improvement. Within two months, the patient achieved a PASI 75, demonstrating a 75% reduction in the PASI score. Conclusion: This case underscores the importance of achieving PASI 75 as a critical treatment goal in both clinical practice and research. It highlights the potential of effective therapy in managing psoriasis vulgaris and serves as a guide for dermatologists in optimizing treatment strategies for psoriasis patient.
Co-Authors Ayodhia P. Pasaribu, Ayodhia P. Hendri Wijaya, Hendri Kollins, Fini Lubis, Inke ND. Nahrisyah, Nahrisyah Paramita, Deryne Anggia Rita Evalina