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All Journal Solah Media Dermato-Venereologica Indonesiana Journal of General Procedural Dermatology and Venereology Indonesia
Triana Agustin
Department of Dermatovenereology, Faculty of Medicine, Universitas Indonesia, Jakarta
Arts Humanities Health Professions Medicine & Pharmacology

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KARYA TARI APOY DHANGKA SEBAGAI  WUJUD UNGKAP SEMANGAT DALAM LEGENDA API TAK KUNJUNG PADAM Agustin, Triana
Solah Vol 7, No 1 (2017):
Publisher : Solah

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Api Tak Kunjung Padam merupakan wisata alam yang berada di Kabupaten Pamekasan, dan memiliki latar belakang kisah dari suatu legenda “Ki Moko”. Koreografer menjadikan makna Api dalam Api Tak Kunjung Padam tersebut sebagai fokus pembuatan karya dengan tujuan untuk memvisualisasikan semangat orang Madura yang tidak pernah padam dalam bentuk karya tari dan mendiskripsikan bentuk penyajian karya tari Apoy Dhangka. Metode penciptaan karya dimulai dari menentukan rangsang awal yaitu rangsang visual dan idesional, dengan tipe tari dramatik, yang menggunakan mode penyajian simbolis representatif kemudian tahap selanjutnya eksplorasi, improvisasi, dan evaluasi.Bentuk penyajian karya tari Apoy Dhangka meliputi struktur yang dibagi menjadi empat bagian yaitu intro menceritakan romantis dan keharmonisan antara Ki Moko dengan Putri Palembang, gerak yang dihadirkan pada adegan ini gerak-gerak saling interaksi antar dua tokoh. Serta penggunaan setting bertujuan untuk memberikan kesan dan menunjukkan tempat Dhangka, adegan I Kehidupan masyarakat Madura adegan ini dimulai dari   perkenalan masyarakat dengan penari di atas trap dengan gerak pelan, kemudian tempo yang diciptakan semakin cepat bermaksud menambah karakter orang Madura yang selalu bersemangat, adegan II Kegalauan dan kekacauan hati Ki Moko pada adegan ini tokoh Ki Moko dan putri bergerak berbeda dengan penari yang lainnya, penari yang lainnya hanya memperkuat tokoh. Tata lampu yang digunakan pada adegan ini yaitu efek blits atau lampu yang bergerak cepat dan bergantian, ini bertujuan untuk memperkuat susana kekacauan, adegan III Doa dan kemunculan Api Tak Kunjung Padam pada adegan berdoa Ki Moko menggunakan pakaian yang berbeda agar menonjolkan tokoh seorang Ki Moko, dengan para penari yang bergerak dengan level rendah juga memperkuat karakter tokoh Ki Moko. Pada adegan kemunculan api, para penari menari dengan menggunakan properti gunungan berbentuk api dan penari wanita juga bergerak menggunakan sampur sebagai penguat kemunculan api. Penggunaan smoke juga bertujuan untuk memperkuat suasana ke magisan. Elemen utama yaitu gerak dengan pijakan gerak dan karakteristik Madura yang dikembangkan dan elemen pendukung yaitu iringan, rias busana mengacu pada gaya jawa timuran, pola lantai, pemanggungan dengan panggung procenium beserta setting dan lightingnya.Melalui media ungkap gerak, pola lantai, tata rias dan busana, tata teknik pentas, tata cahaya, semangat Ki Moko dalam Legenda Api Tak Kunjung Padam menjadi karya yang dinamis dengan penekanan-penekanan konflik sehingga membentuk bangunan tari dramatik. Kata kunci: Karya Tari, Legenda Api Tak Kunjung Padam, Bentuk Penyajian
Multiple juvenile xanthogranuloma: A rare case of having clinical appearance mimicking molluscum contagiosum or syringoma Nugraha, Heru; Rosandi, Ridha; Nainggolan, Evelyn; Rahmayunita, Githa; Agustin, Triana; Rihatmadja, Rahadi; Boediardja, Siti Aisah
Journal of General - Procedural Dermatology & Venereology Indonesia Vol. 1, No. 1
Publisher : UI Scholars Hub

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Introduction: Juvenile xanthogranuloma (JXG) is an uncommon benign cutaneous fibrohistiocytic, self-healing, class II non-Langerhan’s cell histiocytosis (NLCH). JXG accounts for 80-90% of cases of NLCH. It occurs most commonly on the head and neck of infants and young children and resolves spontaneously. Case: A one year-old boy presented with asymptomatic, multiple yellowish, shiny, and firm nodules with telangiectasia on the surface, measuring around 1 centimeter in diameter, on the face, the trunk, the arms, and lower extremities. The first lesion appeared on the face 8 months prior to consultation then spread gradually to other areas. He was referred from another hospital and was diagnosed as molluscum contagiosum (MC) with differential diagnosis of syringoma. Enucleation had been performed but failed to produce the molluscum bodies. Initial histopathological examination provided the diagnosis of syringoma. The second histopathological examination showed dermal inflammatory cells consisting of eosinophils, lymphocytes, and histiocytes with marked foam cells and giant cells. Eccrine sweat glands were normal. Some lesions decreased in size at subsequent follow-ups; observation was advised until 3-6 years. Discussion: JXG should be suspected in cases with multiple yellowish nodules appearing in the first year of life. MC usually presents with whitish papules, whereas syringoma is more rarely appeared, presenting with yellow-to-brownish papules. Histopathological examination can easily differentiate the suspected diagnoses; however, selection of lesion, timing and complete clinical information was crucial in reaching the final diagnosis. In this case there was a good clinicopathological correlation that the diagnosis of JXG was made with certainty. There was no eye and other organ abnormalities.
Profile of vitiligo patients and distribution of narrowband-UVB therapy at dr. Cipto Mangunkusumo General Hospital Suseno, Lis Surachmiati; Sukma, Putu Martha Gerynda; Rihatmadja, Rahadi; Agustin, Triana; Rahmayunita, Githa; Novianto, Endi
Journal of General - Procedural Dermatology & Venereology Indonesia Vol. 3, No. 1
Publisher : UI Scholars Hub

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Background: Vitiligo is a disease marked by depigmented macules. Prevalence of vitiligo varies between 0.1- 2.3% worldwide. The objectives of this study are to identify the socio-demographic profile of vitiligo patients and distribution of narrowband-UVB given as a treatment modality. However, in Indonesia, including at dr. Cipto Mangunkusumo General Hospital, there has not been any study on the profile of vitiligo patients. Therefore, a preliminary study on the patients’ profile would be very useful for healthcare providers in calculating the need for narrowband-UVB equipment and evaluation of its current use. Methods: A retrospective descriptive study, using secondary data obtained from dr. Cipto Mangunkusumo General Hospital medical records during the period of 2015-2017. Results: There were 255 vitiligo patients enrolled. Females were greater in number (55.3%). Most patients were distributed evenly in all age groups, highest number of patients were the 21-30 years age group (18.8%). Most patients received elementary school–high school education (56.9%), worked as private employees (36.9%), resided in Jakarta (47.8%). The common diagnosis were unspecified vitiligo (53.3%). Onset of symptoms were mostly around 2 months prior to diagnosis (38.8%) and most of the patients received other treatments other than narrowband-UVB (N=180, 70.6%). Conclusion: The number of vitiligo cases decreased each year with the average vitiligo cases of 85 cases per year and mostly women whereas the number of unspecified vitiligo were quite high. Therefore, more attention is needed from the physicians to treat the patient starting from the establishment of vitiligo to the decision treating with narrowband-UVB.
Diagnostic procedures in pediatric dermatology Widodo, Arini Astasari; Rahmayunita, Githa; Agustin, Triana; Astriningrum, Rinadewi
Journal of General - Procedural Dermatology & Venereology Indonesia Vol. 3, No. 1
Publisher : UI Scholars Hub

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Diagnostic procedures in pediatric dermatology are different and significantly more challenging than those in adult patients, especially on how to approach the patients. We need to acknowledge that pediatric patients have unique anatomical, physiological, and psychological aspects. Compared to adults, children have smaller procedure area, are less cooperative, and more difficult to understand. For these reasons, we should perform diagnostic procedures on children cautiously. Having extensive knowledge in this field can facilitate us to carry out an ethical, efficient, targeted procedure with less risk. This article reviewed the most appropriate, most comfortable, and least invasive diagnostic procedures for children. Some of the most commonly performed pediatric dermatology procedures highlighted in this article are potassium hydroxide examination, Gram staining examination, acid fast bacilli examination, skin test for allergies, and skin biopsy for children. We also discuss the process of obtaining a written informed consent from the parents who were involved in decision making process and play a crucial role in assisting physicians to calm their children during the diagnostic procedures.
Generalized pustular psoriasis and Cushing’s syndrome in childhood due to corticosteroids misuse Azizah, Fitri; Rahman, Yusnita; Rihatmadja, Rahadi; Agustin, Triana; Astriningrum, Rinadewi; Rahmayunita, Githa
Journal of General - Procedural Dermatology & Venereology Indonesia Vol. 5, No. 3
Publisher : UI Scholars Hub

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Background: Generalized pustular psoriasis (GPP) is characterized clinically by yellowish sterile pustules surrounded by erythema. GPP in children is very rare and may appear following steroid withdrawal in psoriasis vulgaris.Case Illustration: A 14-year-old female presented to the emergency unit with generalized erythematous plaques and multiple pustules with lake of pus after abruptly stopped oral and topical corticosteroid for two weeks. The patient had used topical and oral corticosteroids for almost a year to treat psoriasis. Physical examination revealed moderately ill and tachycardic, with short stature, moon face, amenorrhea, and multiple erythematous plaques with multiple pustules and lake of pus along with red-purple striae all over the body.Discussion: Adverse effects of steroid-induced adrenal insufficiency are time-dependent and generally reversible. Gradual discontinuation of steroids must adhere to physiological dose of steroids, mostly in 3.49 ± 2.92 months. Other treatments available are emollients, salicylic acid, calcipotriol, coal tar, topical steroids, phototherapy, retinoids, and cyclosporine. Topical steroids cannot be the main therapy in severe psoriasis due to the possible side effects of excessive usage. Conclusion: Misuse of topical and systemic steroid in children could lead to Cushing’s syndrome, a multisystem disorder resulting from prolonged exposure to excess glucocorticoids, either both systemic or topical. Children could easily develop systemic reactions to topical steroids due to their higher total body surface area to body weight ratio.
PENDEKATAN KONSERVATIF PADA SINDROM BART: SEBUAH LAPORAN KASUS Sukmara, Isni Maulina; Agustin, Triana; Astriningrum, Rinadewi
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.v52i3.544

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Pendahuluan: Sindrom Bart (SB), dikenal sebagai aplasia kutis kongenita (AKK) tipe VI, adalah kelainan genetik yang jarang ditemui, ditandai dengan AKK, pembentukan bula pada kulit dan selaput lendir, serta deformitas kuku. Pilihan pengobatan meliputi intervensi bedah terutama pada lesi yang luas. Pendekatan terapi secara konservatif berperan penting dalam mencegah kerusakan jaringan lebih lanjut dan mendukung proses penyembuhan. Kasus: Seorang bayi perempuan berusia 4 hari dibawa ibunya berobat dengan luka pada kedua tungkai bawah sejak lahir. Riwayat serupa ditemukan pada ayah pasien. Pasien lahir melalui persalinan pervaginam tanpa komplikasi. Pemeriksaan fisis menunjukkan kehilangan kulit dengan erosi-ekskoriasi pada kedua tungkai bawah, disertai krusta merah-kekuningan, skar hipopigmentasi, dan milia. Luka dirawat dengan balutan antibakteri, busa silikon, dan perban elastis yang diganti setiap tiga hari. Dalam dua bulan, luka menyembuh namun terjadi pembentukan bula pada kaki dan mukosa mulut hingga usia enam bulan. Berdasarkan riwayat penyakit dan pemeriksaan fisis, pasien didiagnosis sebagai SB. Diskusi: Diagnosis SB terutama ditegakkan berdasarkan temuan klinis. Epitelisasi cepat pada lesi AKK di ekstremitas telah dilaporkan pada beberapa kasus. Terapi konservatif efektif dalam mencegah kerusakan jaringan lebih lanjut dan mendukung penyembuhan. Kesimpulan: Laporan kasus ini menyoroti keberhasilan penggunaan terapi konservatif dalam menangani SB, sehingga tidak memerlukan intervensi bedah.
VITAMIN D SEBAGAI TERAPI ADJUVAN UNTUK PASIEN DERMATITIS ATOPIK ANAK Hutasuhut, Magna Fitriani; Hapsari, Windy Atika; Nilasari, Hanny; Agustin, Triana
Media Dermato-Venereologica Indonesiana Vol 50 No 4 (2023): 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.v50i4.465

Abstract

Pendahuluan: Vitamin D berperan penting dalam kesehatan kulit. Vitamin D diketahui terlibat dalam patogenesis dan pengobatan berbagai penyakit kulit salah satunya dermatitis atopik. Saat ini masih belum diketahui secara pasti apakah pemberian vitamin D peroral pasien dermatitis atopik memberikan hasil yang baik. Kasus: Laporan kasus berbasis bukti ini untuk menelaah akurasi apakah pemberian vitamin D suplementasi dapat disarankan pada pasien dermatitis atopik. Metode: Metode yang dilakukan adalah pencarian literatur secara sistematis menggunakan database PubMed/MEDLINE, EMBASE, ProQuest, Cochrane, dan Scopus. Studi yang terpilih akan diseleksi terkait duplikasi, judul, dan abstrak. Setelah itu dilakukan telaah kritis berdasarkan critical appraisal sheet dari Centre of Evidence-Based Medicine (CEBM) University of Oxford. Hasil: Tiga studi telaah sistematis dan 1 uji klinis acak tersamar ditemukan dari pencarian literatur secara sistematik untuk menilai performa pemberian vitamin D pada pasien DA berat pada anak dan dewasa. Keempat studi menunjukkan bahwa pemberian vitamin D memiliki efek yang baik dalam perbaikan klinis penyakit dermatitis atopik. Kesimpulan: Tambahan pemberian vitamin D pada pasien DA anak dapat memperbaiki lesi klinis pasien. Perlu penelitian lebih lanjut, mengenai jenis vitamin D, dosis dan durasi pemberiannya.
Co-Authors Ahmad Fuady Aldri Frinaldi Arini Astasari Widodo Astriningrum, Rinadewi Azizah, Fitri Githa Rahmayunita Hanny Nilasari Hansen Angkasa Herqutanto - Hirzi Zulkarnain Hutasuhut, Magna Fitriani Isni Maulina Sukmara, Isni Maulina Nainggolan, Evelyn Nugraha, Heru Rahadi Rihatmadja Rahman, Yusnita Rosandi, Ridha Saleha Sungkar Siti Aisah Boediardja Sri L. Menaldi Sukma, Putu Martha Gerynda Suseno, Lis Surachmiati Victor Santawi Windy Atika Hapsari, Windy Atika