IGK Darmada
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TERAPI DENYUT ITRAKONAZOL PADA KASUS TINEA UNGUIUM Kadek Yuda Sujana; IGK Darmada; Luh Made Mas Rusyati
E-Jurnal Medika Udayana vol 3 no 1 (2014):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Dermatophytosis is a superficial fungal infection on skin, hair, and nail which caused bydermatophyt. Onicomycosis refers to nail infection which caused by fungal dermatophyt,fungal nondermatophyt, or yeast. Dermatophyt that infected the nail called tinea unguium.Diagnosis for tinea unguium based on the microscopic test with KOH 20%, cultureSaboraud’s dextrose agar (SDA) and histopathologic. In this case reported male, 28 years oldwith changed of the color of nail since four years ago. Dermatologic states is located on tenhand’s fingers and ten foot’s fingers which looked like the nail is thickening, there are keratindebris on the distal part of nail with rough end and nail plate looked like picked up. KOH20% test from nail’s scratch founded long hypha and branched. This patient gives treatmentwith Itraconazol dose 200 mg twice a day for one week in one month and repeated for threemonths. The prognosis is good.
TINEA KORPORIS Yara Egyptha Saraswati; IGK Darmada; Luh Made Mas Rusyati
E-Jurnal Medika Udayana vol 2 no 11 (2013):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Tinea corporis is a superficial dermatophyte infection characterized by either inflammatory or non inflammatory lesion on the glabrous skin. Trichophyton rubrum is a common dermatophyte for tinea corporis. Tinea corporis occurs in both men and women, affects persons of all age group, but prevalence is highest in predolescents. Tinea corporis infections may present as an annular erythematous plaque with raised leading edge and scaling. Tinea corporis can also present in non-ringworm fashion, where it may manifest as an erythematous papule or a series of vesicles.Topical therapy is recommended for a localized infection and systemic therapy maybe indicated for tinea corporis that includes extensive skin infection immunosupression.
HERPES ZOSTER KRURIS DEXTRA: LAPORAN KASUS I Gede Agus Bhakti Suputra; IGK Darmada; Luh Made Mas Rusyati
E-Jurnal Medika Udayana vol 3 no 7 (2014):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Herpes zoster adalah manifestasi klinis karena reaktivasi virus varisela zoster (VZV). Karakteristik penyakit ini ditandai dengan adanya ruam vesikular unilateral yang berkelompok dengan nyeri yang radikular sekitar dermatom. Dilaporkan kasus seorang laki-laki 45 tahun, diagnosis herpes zoster kruris dextra, gambaran klinis berupa vesikel bergerombol multipel, berbentuk bulat, dengan ukuran 0,3-0,5 cm diatas kulit eritematosus, unilateral, tidak menyilang garis tengah, umur vesikel dalam satu gerombolan sama, tetapi dengan gerombolan yang lain tidak sama, kulit diantara gerombolan normal. Pemeriksaan penunjang tes Tzank, hasilnya negatif dengan tidak ditemukannya sel giant multinukleat. Pengobatan diberikan asiklovir 5x800 mg per hari diminum secara oral selama 7 hari, bedak salisil 1% dan mentol 0,5 % dioleskan dua kali sehari pada lesi kering. Prognosis pasien baik.  
PEMPHIGUS VULGARIS IN WOMAN Kadek Ayu Rima Mahadewi; IGK Darmada; Luh Made Mas Rusyati
E-Jurnal Medika Udayana vol 3 no 8 (2014):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Pemfigus vulgaris merupakan penyakit autoimun yang memberikan manifestasi bulayang bersifat kronik. Lokalisasi dari bula tersebut yaitu pada mukokutaneus. Dilaporkankasus seorang wanita berumur 28 tahun dengan keluhan utama gelembung berair padakulit seluruh tubuh dan mengeluarkan cairan serta menyebabkan gatal tanpa rasa nyeri.Efloresensi berupa makula hiperpigmentasi yang multipel berbentuk geografika denganukuran 3x4 cm sampai 10x15 cm dan erosi soliter berbentuk bulat dengan ukurandiameter 2 cm yang ditutupi krusta coklat kehitaman. Hasil biopsi kulit menggambarkanmorfologi pemfigus. Terapi farmakologis yang diberikan yaitu dexamethasone 1,5 mg-1mg- 0 mg, hydrocortisone 2,5%, chloramphenicol 2%, dan loratadine 1x10mg. Hasilpengobatan belum dapat dievalusi dan prognosis dari pasien dubious. pemfigus vulgaris, autoimun, bula
OCCUPATIONAL CONTACT DERMATITIS IN FARMERS Melina Tombeng; IGK Darmada; IGN Darmaputra
E-Jurnal Medika Udayana vol 2 no2 (2013):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Occupational contact dermatitis is common condition seen in the primary care setting. Farmer has the highest incidence for occupational contact dermatitis. This because of the job is exposed to chemical and wet works. Occupational contact dermatitis is divided to irritant contact dermatitis and allergic contact dermatitis. Whether both have different in pathogenesis, they give similar symptoms. Precise diagnosis is needed to confirm the diagnosis and to exclude the others. Treatment should be aimed at controlling inflammation, restoring the skin’s natural barrier, and avoiding irritants and potential allergens. There are a range of prevention strategies, which include: elimination or substitution of harmful exposures; technical control measures; personal protection; identification of susceptible individuals; and others.
TERAPI PODOFILIN PADA KONDILOMA AKUMINATA I Gusti Amanda Jaya; IGK Darmada; Luh Made Mas Rusyati
E-Jurnal Medika Udayana vol 3 no 7 (2014):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Kondiloma akuminata merupakan salah satu infeksi menular seksual paling umum terjadi, dan insidennya telah meningkat selama dekade terakhir. Penyakit ini menyebabkan lesi berupa vegetasi bertangkai yang sebagian besar disebabkan oleh human papilloma virus subtipe 6 & 11. Fenomena ini sering dikaitkan dengan usia yang lebih dini dalam kontak seksual dan banyaknya jumlah pasangan seksual. Dilaporkan seorang laki-laki berumur 17 tahun dengan diagnosis kondiloma akuminata. Pada status venerologi terdapat lokalisasi pada glans penis berupa papul multipel eritema dengan permukaaan verukous berukuran ø 1 cm. Pada pemeriksaan tes aceto white didapatkan hasil positif. Pengobatan yang diberikan adalah tutul tinctura podofilin 25% setiap 4 hari sekali. Hasil pengobatan pada kontrol pertama sampai ke 7 cukup baik dengan tidak ditemukannya lesi baru dan lesi lama mengecil. Prognosis pada pasien baik.
SIFILIS SEKUNDER DENGAN GEJALA NON-SPESIFIK PADA SEORAANG PRIA DEWASA: LAPORAN KASUS Dian Galih SIliwangi; IGK Darmada; Luh Made Mas Rusyati
E-Jurnal Medika Udayana vol 3 no 8 (2014):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Sifilis sekunder ditandai dengan munculnya ruam di kulit dan selaput lendir, kadangdisertai demam dan malaise. Gejala klinis siflis sekunder bisa mengenaikulit mukosa,kulit kepala, kelenjar limfe dan generalisata. Dilaporkan satu kasus sifilis sekunder padaseorang pria berusia 22 tahun. Gejala yang muncul berupa papul di anus disertai dengannyeri dan gatal sejak 3 bulan. Pada pemeriksaan serologidi dapatkan VDRL reaktif 1 :16, TPHA reaktif 1 : 2560 dan DFM negatif. Pengobatan diberikan injeksi BenzatinPenicilin 2,4 juta IU dosis tunggal. Prognosis penderita baik.
KANDIDIASIS VAGINA YANG MENDAPAT TERAPI SISTEMIK DAN TOPIKAL: SEBUAH LAPORAN KASUS Dewa Made Rendy Sanjaya; IGK Darmada; Luh Made Mas Rusyati
E-Jurnal Medika Udayana vol 3 no 6 (2014):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Kandidiasis vulvovaginitis ialah penyakit infeksi jamur candida yang mengenai mukosa vagina danvulva.Penyebabnya yang tersering biasanya adalah candida albicans.Gejala klinis KandidiasisVulvovaginitis ialah gatal didaerah vulva, dan pada yang berat terdapat rasa panas,dispaneuria.lesi eritema, hiperemis dilabia mayora, dan vagina 1/3 bawah. Dilaporkan satu  kasusseorang wanita. berumur 26 tahun dengan keluhan keputihan pada daerah vagina sertamengalami kegatalan dan rasa nyeri terjadi sejak 2 minggu yang lalu. Pada gambaran klinis tampak dinding vagina eritema, erosi dengan secret putih kental. Pada pengecatan gram darisecret mukosa vagina didapatkan leukosit blastopsora dan pseudohifa. Pemerikaan KOH 10%dari sekret vagina didapatkan blastopore dan pesudohifa.Penanganan yang diberikan adalah obatsistemik dengan flukonazol 1x150 mg dosis tunggal dan topical diberikan ketokenazol cream.Prognosis kasus tersebut adalah baik..
OCCUPATIONAL CONTACT DERMATITIS IN HAIRDRESSERS Komang Ayu Kristiana Dewi K; Luh Made Mas Rusyati; IGK Darmada
E-Jurnal Medika Udayana vol 2 no 8 (2013):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Occupational skin disease is a skin disease caused or aggravated by work. Occupational skin disease experienced by most hairdressers are contact dermatitis, both irritant and allergic. Some examples of materials that can cause contact dermatitis in hairdressers are nickel, formaldehyde, ammonium thioglycolate, and p-phenylenediaminz. Diagnosis of contact dermatitis in hairdressers enforced through anamnesa, physical examination, and additional tests that are relevant include patch test. The most important treatment is to avoid exposure to irritants and eliminate factors that aggravate. Where appropriate, to address the inflammation can be given topical corticosteroids, such as hydrocortisone.
OCCUPATION COMMONLY ASSOCIATED WITH CONTACT DERMATITIS Elice Wijaya; Luh Made Mas Rusyati; IGK Darmada
E-Jurnal Medika Udayana vol 2 no 12 (2013):e-jurnal medika udayana
Publisher : Universitas Udayana

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Abstract

Occupational skin diseases are a widespread problem. Despite numerous protective mechanisms, the skin remains vulnerable to new irritants found in the workplace. As a result, many workers in different occupations suffer from occupational skin diseases. From the data at Sanglah Hospital in Dermatology Department, it should be noted that there is increasing number of new cases of contact dermatitis in period of January 2000 until December 2005, from 10,16% until 13,36% in the next year and relatively stable in the next four years. Occupations commonly associated with contact dermatitis are agriculture workers, construction workers, dental workers, electronic workers, florists, food workers, hairdressers, haousekeeping personnel, machinist, mechanics, medical workers, office workers, photographers, printers, textile workers.