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The Confusion between Pustular Psoriasis and Acute Generalized Exanthematous Pustulosis as a Cause of Exfoliative Dermatitis: A Case Report Sari, Desiana Widityaning; Damayanti, Damayanti; Anggraeni, Sylvia; Umborowati, Menul Ayu; Cita Rosita Sigit Prakoeswa; Ervianti, Evy
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 33 No. 3 (2021): DECEMBER
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bikk.V33.3.2021.224-231

Abstract

Background: Pustular psoriasis and Acute Generalized Exanthematous Pustulosis (AGEP) are grouped under pustular diseases, in which their clinical manifestations are similar. Those diseases can lead to exfoliative dermatitis. Purpose:To evaluate a specific histopathological examination in differentiating Pustular Psoriasis and AGEP. Case: A 55-year-old woman presented with sudden redness and diffused scaly skin with multiple pustules and also fever. She had taken Cefadroxil 2 days before the scales and pustules appeared. Leukocytosis and histopathological examination results from biopsy supported the diagnosis of AGEP. The patient was then hospitalized and received steroid therapy. Within the first week of tapering off, the scales disappeared but the pustules increased. After such clinical findings, the histopathological examination results were revisited and reassessed. Thus, we considered changing the diagnosis to Pustular Psoriasis, and the therapy was switched to Methotrexate. The patient had a better outcome, and the pustules slowly disappeared entirely. Discussion: It is often difficult to differentiate between the pustules in pustular psoriasis and AGEP unless by thorough history-taking and physical examinations. AGEP is characterized by a widespread of pustules with an acute febrile onset; while pustular psoriasis is an acute variant of psoriasis where pustules are spread over erythematous skin and accompanied by high fever and leukocytosis. Conclusion: Histopathological examination is the gold standard for the establishment of pustular psoriasis diagnosis. The histopathological characteristics of pustular psoriasis and AGEP are difficult to differentiate. Therefore, we need detailed history-taking and physical examination to establish the diagnosis.
The Efficacy of Topical Vitamin C and Microneedling for Photoaging Pratiwi, Karina Dyahtantri; Listiawan, Muhammad Yulianto; Ervianti, Evy; Damayanti, Damayanti; Hendradi, Esti; Prakoeswa, Cita Rosita Sigit; Sawitri, Sawitri
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 33 No. 1 (2021): APRIL
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bikk.V33.1.2021.55-62

Abstract

Background: Photoaging is premature skin aging caused by exposure to ultraviolet (UV) radiation. Vitamin C is an antioxidant that inhibits the tyrosinase enzyme that can reduce pigmentation. Microneedling procedure can improve the penetration of topical vitamin C, and it has skin rejuvenating effects to reduce wrinkles and minimize pore size. Purpose: The main purpose of this study was to evaluate the efficacy of topical vitamin C application after microneedling intervention for the clinical improvement of photoaging. Methods: Twenty-four women with photoaged skin participated in this randomization study, and they were divided into control and intervention groups. Solution of 0.9% NaCl and microneedling were performed to control group, and topical vitamin C and microneedling were performed to intervention group. Three intervention sessions were repeated at a 2 week interval. Signs of photoaging such as pigmentation, wrinkles, and pores were evaluated using Metis DBQ3-1, and the data were obtained numerically. Result: The data analysis revealed a significant improvement in pigmentation in the intervention group compared to control group (p<0.05). Wrinkles and pores evaluation revealed no significant difference between the control and intervention groups. Conclusion: Topical vitamin C after microneedling procedure has provided a significant improvement in pigmentation compared to NaCl 0.9% after microneedling.
A Retrospective Study: Epidemiology, Onset, and Duration of Erythema Nodosum Leprosum in Surabaya, Indonesia Fransisca, Cindy; Zulkarnain, Iskandar; Ervianti, Evy; Damayanti, Damayanti; Sari, Maylita; Budiono, Budiono; Alinda, Medhi Denisa; Kusumaputra, Bagus Haryo; Prakoeswa, Cita Rosita Sigit; Listiawan, Muhammad Yulianto
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 33 No. 1 (2021): APRIL
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bikk.V33.1.2021.8-12

Abstract

Background: Erythema nodosum leprosum (ENL) has a chronic and recurrent nature which could reduce patient's quality of life in addition to the onset of ENL that occurs before, during, or after multidrug treatment, further emphasizing the importance of regular control and education.Purpose:This study aimed to evaluate the epidemiology, onset, duration, and recurrence of ENL. Methods:Data from medical records were obtained for a 3-year retrospective study of multibacillary leprosy patients at the Leprosy Division of the Dermatology and Venereology Outpatient Department, Dr. Soetomo General Hospital Surabaya, with a minimum of 2–5 years follow-up period.Result:The prevalence of  ENL continued to increase almost every year especially in 2017 (32% in 2015; 32% in 2016; and 36% in 2017). ENL most often occurs during the first year of multi-drug therapy (MDT) administration followed by after the release from treatment (RFT) with the latest onset occurring 4 years after RFT. The majority of patients experienced chronic and recurrent reactions with the longest reactions lasting up to 4.5 years (55 months). Conclusion:Knowledge about the onset, duration, and recurrences of ENL are essential, and strict supervision for routine control shall be encouraged to increase the patients' compliance so as to increase their quality of life.
Contact Dermatitis Knowledge Level in Batik Workers of Desa Batik, Tanjung Bumi, Bangkalan, Madura Prakoeswa, Cita Rosita Sigit; Rahmadewi, Rahmadewi; Setyaningrum, Trisniartami; Damayanti, Damayanti; Anggraeni, Sylvia; Mappamasing, Hasnikmah; Umborowati, Menul Ayu
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 33 No. 2 (2021): AUGUST
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bikk.V33.2.2021.93-95

Abstract

Background: Batik has been declared as a humanitarian heritage for oral and non-cultural culture. The increasing demand for batik may have a negative impact as the industry utilizes chemical agents. Hazardous chemical exposure to the skin in the batik industry may result in a high risk of occupational contact dermatitis. This study was conducted to find out the social determinants of health. Purpose: This study aims to assess the level of knowledge of the batik workers before and after health education about occupational contact dermatitis. Methods: This was an observational interview study, and the data were collected using questionnaires. This study involved 30 batik workers.  We assessed the level of knowledge before and after the health education about occupational contact dermatitis. Result: There were 4 (13.3%) male participants and 26 (86.7%) female participants. The mean score of the pre-test was 66.98±10.10, and the post-test was 77.77±13.53 (p<0.05). Conclusion: The result showed a significant difference between batik workers' knowledge before and after health education about contact dermatitis.
The Profile of Psoriasis Vulgaris Patients: A Descriptive Study Hidayati, Afif Nurul; Hendaria, Made Putri; Listiawan, M. Yulianto; Utomo, Budi; Damayanti, Damayanti; Prakoeswa, Cita Rosita Sigit; Anggraeni, Sylvia; Umborowati, Menul Ayu; Citrashanty, Irmadita; Ervianti, Evy
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 33 No. 3 (2021): DECEMBER
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bikk.V33.3.2021.173-181

Abstract

Background: Psoriasis is a skin disease that occurs due to proliferation and differentiation disturbances of the epidermis. This chronic condition often reduces the human quality of life. There have been studies investigating psoriatic patient profiles and treatments, but few are conducted in Surabaya. Hence, those studies cannot fully represent the population demographic in Surabaya. Purpose: To investigate the prevalence of psoriasis vulgaris and the sociodemographic profile of the patients in Dr Soetomo General Academic Hospital. Methods: This was a Retrospective study psoriasis vulgaris patients in January 2016–December 2018. The data were collected by retrieving Electronic Medical Records (EMR) as secondary data. Result: The psoriasis vulgaris prevalence of outpatients was 0.46% and 4.59% in inpatients. Most study subjects were adults aged 18 and above (98.1%), most of the patients were obese (46.3%), the most common provoking factor was focal tooth infection (33.8%) and stress (28.8%), and none reported family history of psoriasis. Conclusion: Some results are similar to other studies conducted in Surabaya, which were the obesity and Type 2 Diabetes Mellitus (DM) being strong a factor to psoriasis development. However, the result on psoriasis family history was not in line with other studies.
The Demography, Clinical Characteristics, and White Blood Analysis of Leprosy Reactions in Multibacillary Leprosy: A Retrospective Study Tanojo, Natalia; Damayanti, Damayanti; Utomo, Budi; Ervianti, Evy; Murtiastutik, Dwi; Cita Rosita Sigit Prakoeswa; Listiawan, M. Yulianto
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 33 No. 3 (2021): DECEMBER
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bikk.V33.3.2021.187-193

Abstract

Background: Leprosy is a neglected tropical disease caused by chronic granulomatous infection of Mycobacterium leprae. Indonesia ranks third in new case findings, with 84% of the case being multibacillary (MB) leprosy. MB leprosy cases have a higher risk of leprosy reactions and physical disabilities that decrease quality of life. Purpose: To determine the demographic, clinical characteristics, and white blood analysis of newly diagnosed MB leprosy patients, especially concerning leprosy reactions. Methods: This is a descriptive retrospective study with a cross-sectional design that describe the following data: domicile, gender, age, treatment status, disabilities, body mass index (BMI); bacterial index (BI), morphological index (MI), white blood cell (WBC) and differential counts, and thrombocyte count. Result: This study included 176 adult MB cases, predominantly male aged 20–39 years old with average BMI, lived in Surabaya with negative history of multi-drug therapy, disability, BI, nor MI. The grade 2 disability (G2D) percentage in this study setting than in Indonesia (10.7% vs. 6.43%). The WBCs, especially neutrophil count, was higher in T2R group. Monocyte and lymphocyte counts were relatively similar. There was an increase in thrombocyte count in leprosy reaction groups. Conclusion: MB leprosy in the endemic area, which is more commonly found in productive-aged male, displayed higher G2D than global Indonesia population. Thus denotes the importance of active case findings. The difference in blood analysis characteristics between MB leprosy with and without reactions may serve as the foundation for future study.
Mucocutaneous Manifestations in HIV/AIDS Patients Hidayati, Afif Nurul; Harningtyas, Citra Dwi; Damayanti, Damayanti; Astari, Linda; Indramaya, Diah Mira; Listiawan, M. Yulianto; Utomo, Budi; Budiono, Budiono; Murtiastutik, Dwi; Widyantari, Septiana; Maylita Sari; Astindari, Astindari
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 33 No. 3 (2021): DECEMBER
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bikk.V33.3.2021.156-161

Abstract

Background: The main target of human immunodeficiency virus (HIV) is cluster of differentiation 4 (CD4) T lymphocytes and several other immune cells that have CD4 receptors. They are also present in skin and mucosa, such as Langerhans cells (LC). Mucocutaneous lesions are one of the first clinical presentations of immunosuppression in HIV seropositive patients that manifest at different stages of the infection and require early diagnosis and prompt treatment. Purpose: To determine the clinical characteristics and the pattern of various mucocutaneous manifestations in Human immunodeficiency virus/Acquired immune deficiency syndrome (HIV/AIDS) patients at Intermediate Care and Infectious Diseases Dr. Soetomo General Academic Hospital Surabaya. Methods: This is a descriptive retrospective study with a cross-sectional design. The study subject was classified as all HIV-AIDS patients with mucocutaneous manifestations treated in Intermediate Care and Infectious Diseases Dr. Soetomo General Academic Hospital Surabaya in 2019. Result: Out of the 614 patients who participated in the study, 72.1% were males. The majority of patients were in the age group 25–49 years (75.4%). The most common risk factor was heterosexuality (41.7%). Based on the distribution of mucocutaneous manifestations, the most common mucocutaneous manifestation was candidiasis mucocutan 387 patients (49.4%) followed by the pruritic papular eruption (PPE) 118 patients (15.1%) and human papillomavirus infection 57 patients (7.3%). Conclusion: Mucocutaneous manifestations occur throughout the course of HIV infection, and they can be considered as good clinical indicators for the progression of the disease and underlying immune status in resource-poor settings.
Characteristics of Atopic Dermatitis Patients who Underwent Skin Prick Test Nugroho, Wisnu Triadi; Ervianti, Evy; Zulkarnain, Iskandar; Hidayati, Afif Nurul; Damayanti, Damayanti; Utomo, Budi; Cita Rosita Sigit Prakoeswa
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 34 No. 1 (2022): APRIL
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bikk.V34.1.2022.10-14

Abstract

Background: Skin prick test (SPT) is indicated in type I hypersensitivity reactions (rapid type), among which is Atopic Dermatitis (AD). However, the results of SPT for the tested allergens are not always accompanied by history of known allergens in AD patients. Purpose: To identify the characteristics of AD patients who underwent SPT. Methods: This was a descriptive retrospective study to determine the demographics, allergy history, SPT results, and positive and negative clinical relevance in AD patients treated at Allergy Immunology Division of Dermatology and Venerology Outpatient Clinic Dr. Soetomo General Academic Hospital Surabaya-Indonesia from January 2017 to December 2019. Results: A total of 284 AD patients were included. The adult age group (20-59 years) predominated the AD patient's visit every year with 58 patients (60.42%), 47 patients (46.08%), and 65 patients (75.58%) in 2017, 2018, and 2019, respectively. Only 60 AD patients underwent SPT, where most patients were allergic to dust with 30 patients (50.0%). House dust mite (HDM) allergen had the highest percentage of positive SPT result with 41 patients (63.3%). The greatest clinical relevance was found in cat fur allergen, where all patients (100.0%) had clinical relevance to their SPT result. Conclusion: This study shows that most AD patients were in adult age group and had a history of dust allergy. The highest percentage of positive SPT result was found in HDM allergen and the greatest clinical relevance was found in cat fur allergen.
Prevention of Contact Dermatitis Due to Hand Hygiene in The Era of COVID-19 Damayanti, Damayanti; Anggraeni, Sylvia; Prakoeswa, Cita Rosita Sigit; Umborowati, Menul Ayu
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 33 No. 3 (2021): DECEMBER
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bikk.V33.3.2021.162-167

Abstract

Background: The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus is known to cause COVID-19 (Coronavirus Disease 2019), and it is rapidly spreading throughout the world that it is declared as a global pandemic. Hand hygiene is widely promoted as it is recommended to reduce the risk of COVID-19 transmission. Contact dermatitis is one of the risks of hand hygiene campaign during the COVID-19. Purpose: This study aimed to assess the parents' level of knowledge before and after health education about contact dermatitis due to hand hygiene. Methods: This was a cross-sectional study, and the data was collected via questionnaires. This study involved 53 respondents. Result: There was a significant increase in respondents' knowledge level after being educated (Wilcoxon test, p=0.000), as evidenced in the mean score of pre-test and post-test evaluation. Conclusion: To lower the incidence, education on contact dermatitis prevention due to hand hygiene during the COVID-19 pandemic is required.
Age and Nutritional Status as Factors Supporting Incidence of Atopic Dermatitis with Complications in Children: A Retrospective and Cross-Sectional Study Rosmalika, Khansa Raihani; Damayanti, Damayanti; Putera, Azwin Mengindra
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 34 No. 2 (2022): AUGUST
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bikk.V34.2.2022.81-85

Abstract

Background: AD is a chronic, pruritic inflammatory skin disease that frequently occurs and common in infants and children. Purpose: This study aims to analyze the correlation of age, sex, nutritional status, and family history of atopy with the occurrence of AD complications in children. Methods: This study used a cross-sectional study design in pediatric AD patients aged 0-18 years. Data were collected from electronic medical records (EMR) of pediatric AD patients at the Dermatology Outpatient Clinic of  Dr. Soetomo General Academic Hospital, Surabaya, Indonesia, from January to December 2019. The bivariate analysis in this study used the Chi-square test. The statistical test was significant, as indicated by p-value (p < 0.05). Result: Out of 80 eligible participants, a total of 53.75% of the participants were children aged 1-60 months, and 55% of total were female. In this study, 28.75% of participants had normal nutritional status. A total of 67.5% of patients had no family history of atopy. There was a significant relationship between age and nutritional status with the incidence of AD with complications (p=0.006 and 0.040), but no relation was found between sex and family history of atopy (p=0.444 and 0.644). Conclusion: Age and nutritional status have a correlation with the incidence of AD with complications.
Co-Authors ., Rusliyawati AA Sudharmawan, AA Abas, Faisal Abdullah, Ahmad Zaki Acep Fatchuroji Afif Nurul Hidayati, Afif Nurul Agus Setiawan Agussamad, Indra Agustina, Berliana Putri Ainiyah, Ghonimah Zumroatun Akbar, Muhammad Fadil Akmal Junaidi Alfallah, Miftha Pasha Alfian, Joni Alfiyan, Riska Silfi Alita, Deby Amandasari, Feby Ambarita, Indah Amelia, Devita Ammar, Farikh Marzuki Andiani, Balqis Putri Andini Permana Sari, Sila Andri Sanjaya Andriani, Rahma Anggraeni, Sylvia Anuhgera, Diah Evawanna Aprilia, Hani Damayanti Aprily Y, Novita Eka Ardhiani, Innas Tiara Ardiansyah, Hamdan Arhab, Jabir Shoji Ari Fauzi Hakim, Ari Fauzi Ari Susanti Arischo, Ray Shandy Asri Rahmawati Asrudi, Asrudi Astindari Astindari, Astindari Atro Auriyani, Wika Aula, Darul Auriani, Wika Atro Auriyani, Wika Atro Ayu Amalia Ayu Megawaty, Dyah Ayu Puspitasari, Ayu Az-zahra, Syifa Azwin Mengindra Putera Azzahra, Amalia Cahya Bagus Haryo Kusumaputra, Bagus Haryo Baknopi, Baknopi Bartoven Vivit Nurdin Baso Intang Sappaile, Baso Intang Bintang, Siti Sarah Brahmana, Alisha Princessa Budi Prasetyo Budi Utomo Budiono Budiono Christian Surya Atmaja, Michael Chusyairi, Kholil Cindy Fransisca, Cindy Cita Rosita Sigit Prakoeswa Cita Rosita SP, Cita Rosita Dalimunthe, Ernando Daniel Alfa Puryono Deni Maryani Dennis Farina Nury Dessy Safitri Devi, Aprilin Krista Deviany, Deviany Dewi, Anita Kusuma Dewi, Dian Nirmala Diah Mira Indramaya Dian Arya, Dian Dian Ayu Liana Dewi Dian Handayani Dini, Indah Bagus Dwi Handayani Dwi Murtiastutik Eka Permana, Sandy Endah Purda Listya Esti Hendradi Evy Ervianti Fahlefie, Reza Fahni, Yunita Fajar Sodiq Fajar Sodiq, Fajar FARADITA, LUTFI Fatchuroji, Acep Feerzet Achmad Felika, Vika Fenny Saptiani Ferdiana, Dwi Septhi Fernandez, Fransisca Debby Christine Fikrah, Faizatul Firdaus, Ridho Iqbal Fitri, Dhea Annisa Fransiska, Dina Ginting, Nela Patricia Gunawan, Bryan Adi H, Yolanda Dila Sevia Hana Silvana Hanifah, Nahlia Hanipah, Sri Hans Lumintang, Hans Hari Stiawan Harningtyas, Citra Dwi Harori, M. Iqbal Harori, Muhammad Iqbal Hasan, Fauzan Hasanah, Jamingatun Hasanuddin, Sultan Hasrita Octaliana Heni Sulistiani Herika Rainathami Hidayat, Septian Nur Ikhlas, Fikri Rahmatul Indah Purnamasari Indriya Efendi, Dendy Irana, Intan Adi Irawan, Abit Irmadita Citrashanty, Irmadita Ismail Ismail Ismono, Fransiskus Pawang Jumiyah, Rahmi Khoirunnisa, Yasmin Kinanti, Hapsari Kosasi, Meillano Dimas Kuntardina, Ari KURNIA PRATAMA, BELLA PRATIWI KURNIA PRATAMA, RINI MUSTIKASARI Kurniasih, Milla Kurniawan, Umarudin Kussuyatmono Bagus Wadianto Kusumasari, Findi Citra Kuswara, Adriana Ladien, Ahmad Fatrijan Lestari, Putri Puji Lies Indriyatni Linda Astari, Linda Listyadevi, Yuniar Luthfia Liza, Liza Lusiatun, Lusiatun M. Yulianto Listiawan Mabruroh, Nisa Atul Made Putri Hendaria Mahardika, Melbi Mahiza, Rossa Salsabila Hayya Mappamasing, Hasnikmah Mardiyah, Habibah Ainun Margarani, Selvira Shinta Marisa Giantari Marlina, Titi Maryani Maryani Maula, Hazizatul Maulana, Cepri May Roni Mayindy, Thasya Putri Mayliana, Icha Maylita Sari Maylita Sari, Maylita Medhi Denisa Alinda, Medhi Denisa Mediya Destalia Megawaty, Dyah Ayu Meilawati, Aizah Menul Ayu Umborowati, Menul Ayu Ming Ming Lukiarti Mudatsir Mudatsir Mudiyana, Erica Mudzakir Mudzakir Muh. Syata, Wahyu Muhammad Asrori Muhammad Muhammad Muhammad Triyogo Adiwibowo Muhammad, Nurkholis Muhtadi, Tb. Yudi Mukti, Hudali Munawarah Munawarah, Munawarah Mustafa Mutiya Oktariani Muttaqien, Zainun Natsir Kalla Nazilah, Hikmatun Neneng Neneng Nirmalasari, Nina Nirwana Hendrastuty Nisa, Dzurotun Novi Darmayanti Nuddin, Muhammad Farhan Nufus, Fadiela Rokhiliantien Nugeraha, Prasetya Nugroho Susanto, Gregorius Nugroho, Wisnu Triadi Nur Hanifah Nurasrifah, Dewi Nurmala Nurmala Nyoman Wiswa Kananda, I Oktariani, Mutiyah Pangemanan, Euis F. S. Paramita Djausal, Gita Parapasan, Gabriella Tara parman parman Patin, Nopa Nur Pentiana, Destia Pepy D. Endraswari Permata, Permata Permatasari, Kartika Dewi Poedji Loekitowati Hariani Prabowo, Janitra Prabowo, Rakhmat Prakasita, Karine A. PRASETYONO , HENDRO Pratiwi Christa Simarmata Pratiwi, Karina Dyahtantri Pratiwi, Khofifah Dwi Prayoga, Ageng Kaka Puspita, Ade Puspitasari, Endah Yuni Putra, Muhammad Alparidi Pamungkas Putra, Sony Setiawan Dwi Putri, Nabilla Erviana Putri, Resti Amelia Qarimah, Akhlatul Qurnianingsih, Ema Qurniasih, Nila Rahayu, Depi Sri Rahma, Fina Rahmadewi Rahmadewi Rahmadini, Gustia Rahmatika, Amira Suryani Rahmi, Alfina M. Ramli, Ratu Bulkis Ramly, Ramly Regitta Indira Agusni Reni Yuniarti Reza Maulana Saputra Reza, Novianti Rizky Riana Saputri, Desi Ridwansyah, Eksa Rikah, Rikah Rini Mustikasari Kurnia Pratama Riskawati Riskawati, Riskawati Ritonga, Nikmah Jalilah Riyaj, Mohd Riyantini, Rini Rizal, Ade Rizki Safitra, Edwin Rohmat Indra Borman Rohmat, Cep Lukman Rosmalika, Khansa Raihani Rosyking Lumbanraja, Favorisen Rudianti, Walid Rumaji, Rumaji Sa'diyyah, Halimatus Sabillah, Bellona Mardatillah Safitra, Edwin Rizki Safitri, Dina Said, Aja Avriana SALSABILA, ARINA Salsabila, Dwinda Sandi, Kurnia Sanifatun, Sanifatun Saputri, Desi Riana Saputri, Ika Nur Sari, Agustina Putri Kurnia Sari, Chandra Abriani Dewita Sari, Desiana Widityaning Sari, Erwina Kumala Satria, M.Najib Dwi Sawitri Sawitri Selamat Meliala Selvida Widi Audria Sembiring, Adelina Semuel P. Ratag Setiawan, Dandi Setiawansyah Setiawansyah Shella, Hesti May Sherry Edelia Siregar, Muhammad Asgaff Aznan Siti Nurhayati Nafsiah Solihudin, Dodi Sri Rezeki Subagja, Ghia Subur, Hikmayani Suharto Suharto Sujarwo Sujarwo Sukaesih Sukaesih, Sukaesih Sulistiani, H Sulistiawati, Ari Suliyanti, Neni Sumanto, Sumanto Suprihatin Ali Suripto Suripto Surya Ningrum, Riska Suryaningsih, Ita Susanti Dwi Ilhami Susanti Wahyuningsih, Susanti Susanti, Nurul Fatimah Susanto, Agung Susila Arita Sutyarso Sutyarso Syahrizal Syahrizal Syaiko Rosyidi Syamsiar, Syamsiar Syariffuddin, Syariffuddin Tambun, Mastaida Tambunan, Theressa Martauli Tambunan, Yonathan Marasi Tanojo, Natalia Tasyabila, Happy Taufik Hidayat Teguh Setiadi Telova, Yurizki Tengku Riza Zarzani N Thalib, Najhdah Tien Yulianti Titin Novayanti Dey Trisniartami Setyaningrum Ulum, Faruk Umpu, E F G S Untung Widodo, Untung Wahab Wahab Wahyudi, Agung Deni Wati, Desti Ambar Werdana, Dewi Windra Widiyanti, Adella Widowati, Madurento Widyantari, Septiana Wijayanti, Indah Oktari Wirahudha, Muhammad Arif Wulandari, Heni Yuindartanto, Andre Yuliati - Yuri Rahmanto Yuri Widia, Yuri Yusupandi, Fauzi Zabieno, Anggeline Saviola Zega, Fidel Abdiman Zukhrufiah, Dwi Nur