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All Journal Medula Jurnal Sejarah dan Budaya JURNAL PENELITIAN PERAWAT PROFESIONAL JK Unila (Jurnal Kedokteran Universitas Lampung) Jurnal EduHealth Perspektif: Jurnal Pendidikan dan Ilmu Bahasa Khirani: Jurnal Pendidikan Anak Usia Dini Majority JPM (Jurnal Pengabdian Masyarakat) Ruwa Jurai Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine
Tutik Ernawati
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Agriculture, Biological Sciences & Forestry Arts Humanities Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary

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Faktor Higiene dan Lingkungan terhadap Kejadian Tinea Korporis Berulang pada Wanita Usia 41 Tahun dengan Obesitas: Laporan Kasus Alief Gusnirwan Sulaiman; Tutik Ernawati
Medula Vol 17 No 1 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v17i1.1995

Abstract

Tinea corporis is a recurrent superficial dermatophyte infection influenced by personal hygiene, environmental conditions, and patients' knowledge and treatment adherence. A family medicine approach is essential to identify internal and external risk factors and provide comprehensive, continuous management. This case report describes a 41-year-old housewife who presented to the Long Inpatient Health Center with recurrent erythematous, pruritic patches in the right inguinal region that had relapsed three times within three months due to self-discontinuation of treatment after symptom improvement. Physical examination revealed a body mass index of 26 kg/m² (WHO Asian classification: obesity class I) and well-demarcated erythematous plaques with central healing. Home visits identified a damp living environment with inadequate ventilation as a contributing risk factor. Medical treatment consisted of 2% ketoconazole cream, oral ketoconazole 200 mg for 14 days, and cetirizine 10 mg for pruritus. Non-pharmacological interventions were conducted during three home visits using a family medicine framework, including patient education on the disease, risk factors, and medication adherence; family involvement in treatment supervision and environmental improvement; and community-oriented health promotion recommendations through the local health center. At the third follow-up, the patient demonstrated clinical improvement with reduced pruritus and increased knowledge following educational interventions. This case highlights that a holistic, patient-centered, family-focused, and community-oriented approach can improve clinical outcomes, enhance patient knowledge, promote healthier living conditions, and reduce the risk of recurrence in recurrent tinea corporis.
HERPES ZOSTER PADA ANAK LAKI-LAKI USIA 12 TAHUN DENGAN RIWAYAT VARICELLA: LAPORAN KASUS Lintang Lestari; Tutik Ernawati
Medula Vol 16 No 1 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i1.1875

Abstract

Herpes zoster is a disease caused by the reactivation of latent Varicella Zoster Virus (VZV) following primary varicella infection. Although it is more commonly found in older adults, herpes zoster may also occur in children, although relatively rarely. We report the case of a 12-year-old boy who presented with grouped fluid-filled vesicular lesions accompanied by pain, burning sensation, and pruritus on the left posterior thoracic region for three days prior to admission. The patient had a history of varicella infection one year earlier. Physical examination revealed clustered vesicles on an erythematous base distributed unilaterally along the thoracic dermatome, leading to a clinical diagnosis of herpes zoster. The patient was treated with oral acyclovir, topical acyclovir, symptomatic therapy, and education for both the patient and family. Herpes zoster in children is an uncommon manifestation of VZV reactivation, particularly in immunocompetent individuals. Early diagnosis and prompt antiviral therapy play important roles in accelerating lesion healing, reducing symptoms, and preventing complications. In this case, the patient showed good clinical improvement without complications. This case highlights the importance of early recognition and appropriate comprehensive management of herpes zoster in children to achieve optimal clinical outcomes.
Co-Authors Adela Putri Agata Adli, Farhan Kamali Alief Gusnirwan Sulaiman Alnisrina, Dea Amalia, Shafira Ari Qudriyati Asadha, Syahfa Alzena Asyifa, Takhfa Nur Attara Rafilia Adhata deralitha Dhany Efita Sari Dian Isti Angraini Dinda Afifa Dzakwan Cedri Ketierteu Eko Budi Santoso Farida, Lulu Farizy, Diaru Fauzan Harmaina Harun Joko Prayitno Hasan Hasan Intanri Kurniati Karyus, Aila Lintang Lestari Muhammad Fitra Wardhana Sayoeti Munthe, Rafif Muhaimin Ikhsan Nararya Budiyono Niken Rahmatia Pratiwi, Bella Putra, Mahardika Putri Octavia Sari Radharani, Radhika Reni Zuraida Retno Mareintika Rini Sekartini Rizqillah, Laili Yumna Sahbani, Muhammad Hasbi Saptawati Bardosono Sari, Merry Indah Sasmita, Anggi Marta Dwi Shafa Inayatullah Sinum, Muhammad Burdadi Adiwinoto Sofia Tyasni Darma Perbasya Susianti Susianti Syamhudi, Muhammad Farras Afif Vinezzia, Dillyana