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All Journal Majalah Kesehatan FKUB Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya
Nahlia, Nurul Laili
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Health Professions Medicine & Pharmacology Public Health

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Laporan Kasus : EVALUASI TEKNIK CROSS TCA 70% TERHADAP SKAR AKNE ATROFI PADA KULIT FITZPATRICK TIPE IV Murlistyarini, Sinta; Nahlia, Nurul Laili
Majalah Kesehatan FKUB Vol 8, No 3 (2021): Majalah Kesehatan
Publisher : Faculty of Medicine Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.majalahkesehatan.2021.008.03.6

Abstract

Skar akne atrofi banyak terjadi pasca inflamasi akne dengan derajat lebih berat, durasi lebih lama, adanya riwayat keluarga skar akne, serta kebiasaan memencet akne. Teknik chemical reconstruction of skin scars (CROSS) menggunakan asam trikloroasetat (TCA) menunjukkan perbaikan sempurna  dengan efek samping minimal. Tujuan penulisan kasus ini adalah untuk mengevaluasi perkembangan skar akne atrofi berbagai tipe yang diterapi dengan teknik CROSS TCA 70%. Seorang laki-laki berusia 22 tahun dengan keluhan utama bekas jerawat di wajah yang cukup terlihat sehingga mengganggu penampilan dan menurunkan kepercayaan dirinya. Pemeriksaan dermatologis pada pipi kanan dan kiri didapatkan skar atrofi derajat sedang tipe ice pick, rolling dan boxcar, tanpa akne aktif. Persiapan sebelum prosedur diberikan krim hidrokuinon 2%, gel niasinamid, serta tabir surya selama 2 minggu. Teknik CROSS TCA konsentrasi 70% dilakukan sebanyak dua kali dengan interval empat minggu. Penilaian perkembangan skar akne dilakukan menggunakan Goodman’s global scarring grading system, 4-point scale system, self-assessment of clinical acne-related scars (SCARS) dan facial acne scar quality of life (FASQoL). Pada minggu ke-10 terdapat perbaikan pada semua instrumen penilaian, yaitu penurunan kurva keparahan skar, perbaikan >50%, serta peningkatan kepercayaan diri pasien. Efek samping sementara yaitu berupa rasa terbakar saat prosedur serta hipopigmentasi pasca inflamasi. Dapat disimpulkan bahwa teknik CROSS TCA 70% merupakan terapi yang dapat memperbaiki kondisi skar akne atrofi berbagai tipe secara kosmetik, selain juga mudah dilakukan, aman, serta minimal efek samping. 
Overlapping Primary and Secondary Syphilis in Human Immunodeficiency Virus (HIV) Patient Nurul Laili Nahlia; Lita Setyowatie
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 4, No 2 (2020)
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v4i2.4378

Abstract

ABSTRACTCoinfection between syphilis and Human Immunodeficiency Virus (HIV) could have varied clinical manifestations. Overlapping of syphilis stages is accounted for 25% of cases, attributable to the defect of the cellular and humoral immune response. We reported 55 years old man who was sexually active since 25 years ago via genito-genital, genito-anal, genito-oral routes, had multiple sexual partners both male and female, seldom used condom, and always being the insertive. Dermatological examination revealed alopecia non-scarring, a painless solitary ulcer on the collum penis, also multiple erythematous macules, patches, and plaques all over the body. Spirochaeta sp. was found from the base of the ulcer with a darkfield microscope. Histopathology examination revealed secondary syphilis lesion. Venereal Disease Research Laboratory (VDRL) 1:16, Treponema Pallidum Haemagglutination test (TPHA) reactive, HIV Determine rapid test reactive, and CD4 (Cluster of Differentiation 4) T-cell count 111 cells/ µL. He was treated with a single dose of benzathine penicillin G 2,4 million units intramuscular and antiretroviral drugs. On sixth month evaluation, VDRL was non-reactive, and CD4 T-cell count 325 cells/µL. This case shows that overlapping clinical manifestations of primary and secondary syphilis on HIV patients could occur with a good general condition. Immediate treatment of antibiotics for syphilis and antiretroviral could improve the clinical and serological conditions.Keyword: primary syphilis, secondary syphilis, HIVCorrespondence: nurul.laili.nahlia@gmail.com
Co-Authors Lita Setyowatie Sinta Murlistyarini