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PROFIL PSORIASIS DI POLIKLNIK KULIT DAN KELAMIN RSUP PROF. DR. R. D. KANDOU MANADO PERIODE JANUARI-DESEMBER 2012 Moningka, Anggelina; Kandou, Renate T.; Niode, Nurdjanah J.
e-CliniC Vol 3, No 2 (2015): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.3.2.2015.8384

Abstract

Abstract: Psoriasis is a chronic inflammatory skin disease which was first identified in 1841. However, this condition was recognized centuries earlier. This disease affects the outer side of elbows, knees, and scalps. In psoriatic patients, skin cells regenerate faster than their normal rate (28 days), which is approximately every 2 days. This study aimed to obtain the profile of psoriatic cases in Prof. Dr. R. D. Kandou Hospital Manado from January to December 2012. This was a descriptive and retrospective study on the number of cases, number of patients, sex, age, and occupation of patients, as well as types of treatment of psoriasis. The results showed that of 48 cases of psoriasis (1.21%), the highest number of cases found was psoriasis vulgaris (58%), affecting males (56.25%), and in the age group of 45-64 years old (58.33%). The majority of the patients had unknown occupation (31.25%) and the most common type of treatment was a combination therapy of topical corticosteroid and antihistamine (29.17%).Keywords: psoriasisAbstrak: Psoriasis adalah penyakit kulit kronik dan meradang yang diidentifikasi sejak tahun 1841 namun kemunculannya telah diketahui beberapa abad sebelumnya. Penyakit ini mengenai bagian luar siku, lutut atau kulit kepala. Pada psoriasis sel-sel kulit tumbuh terlalu cepat yang biasanya pada orang normal terjadi 28 hari, sedangkan pada pasien psoriasis berlangsung lebih cepat yaitu sekitar 2 hari. Penelitian ini bertujuan untuk mendapatkan profil psoriasis di RSUP. Prof. Dr. R. D. Kandou Manado periode Januari-Desember 2012. Penelitian ini bersifat deskriptif retrospektif tentang jumlah kasus, jumlah pasien, jenis kelamin, umur, pekerjaan, dan jenis pengobatan. Hasil penelitian menunjukkan bahwa dari 48 kasus psoriasis (1,21%), terbanyak ialah kasus psoriasis vulgaris (58%), jenis kelamin laki-laki (56,25%), dan kelompok umur 45-64 tahun (58,33%). Pekerjaan terbanyak ialah yang tidak diketahui pekerjaanya (31,25%), dan jenis pengobatan yang terbanyak ialah terapi kombinasi kortikosteroid topikal dan antihistamin (29,17%).Kata kunci: psoriasis
PROFIL SKABIES DIPOLIKLINIK KULIT DAN KELAMIN BLU RSUP PROF. DR. R. D. KANDOU MANADO PERIODE JANUARI – DESEMBER 2012 Gunawan, I Made Erik Sastra; Kandou, Renate T.; Pandaleke, Herry E. J.
e-CliniC Vol 2, No 1 (2014): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.2.1.2014.3606

Abstract

Abstract: Scabies is a skin disease caused by sentization of Sarcoptes scabiei var. hominis and its products. Scabies affects skin and highly contagious in humans and animals, affects all races and classes in all over the world. Risk factors of this disease is low socioeconomic, individual’s poor hygiene, dirty environment, unhealthy behaviour, and high population density. The purpose of this study was to evaluate the profile of scabies patients in Dermatovenereology clinic of Prof. Dr. R. D. Kandou Hospital Manado during the period from January – December 2012. The Method used in this study was descriptive retrospective. The result showed that among 41 scabies patients (3.74%), the highest rate was from age group between 15 – 24 years (29.26%), male (63.41%), most occupation was students (48.78%), most location affected was generalized (80.48%) and most therapy used was anti-scabies combined with antihistamine (60.98%) Keywords: scabies, profile   Abstract: Skabies adalah penyakit kulit yang di sebabkan oleh sensitisasi terhadap sarcoptes scabiei varietas hominis dan produknya. Skabies menyerang kulit dan mudah menular dari manusia ke manusia, dari hewan ke manusia atau sebaliknya, dapat mengenai semua ras dan golongan di seluruh dunia. Faktor risiko penyakit  ini adalah sosial ekonomi yang rendah, higiene perorangan yang jelek, lingkungan yang tidak bersih, perilaku yang tidak sehat, serta kepadatan penduduk. Tujuan penelitian untuk mengetahui profil pasien skabies di poliklinik Kulit dan Kelamin RSUP Prof. Dr. R. D. Kandou Manado periode Januari  – Desember 2012. Metode penelitian ini bersifat deskriptif retrospektif. Hasil penelitian memperlihatkan dari 41 penderita skabies (3,74%) terbanyak dari kelompok umur 15 – 24 tahun (29,26%), jenis kelamin laki – laki (63,41%), pekerjaan sebagai pelajar (48,78%), lokasi secara generalisata (80,48%) dan terapi antiskabies yang di kombinasikan dengan antialergi (60,98%). Kata kunci: skabies, profil
MORBUS HANSEN MULTIBASILER RELAPS DENGAN REAKSI ERITEMA NODOSUM LEPROSUM BULOSA PADA SEORANG ANAKMORBUS HANSEN MULTIBASILER RELAPS DENGAN REAKSI ERITEMA NODOSUM LEPROSUM BULOSA PADA SEORANG ANAK Tangkidi, Damayanti; Sondakh, Oktavia R. L.; Kandou, Renate T.
JURNAL BIOMEDIK : JBM Vol 7, No 3 (2015): JURNAL BIOMEDIK : JBM
Publisher : UNIVERSITAS SAM RATULANGI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/jbm.7.3.2015.9491

Abstract

Abstract: The clinical manifestations of ENL bullous reaction are generally in the form of nodes and erythematous plaques, but in a severe reaction, bullae, ulcerations, and necrosis may occur. Relapses occur one year or more after the RFT whilst the symptoms emerge slowly and gradually. We reported a case of multibacillary leprosy relapse with ENL bullous reaction in a 14-year-old boy. The clinical picture consisted of reddish nodes and thickening red plaques since 10 days before admission to the hospital, followed by fluid-filled blisters associated with fever. The dermatological status showed multiple erythematous nodes and plaques, as well as multiple bullae. The laboratory tests indicated AFB (+), MI 6.5%, and BI 4+. The patient was stated as RFT after 1 year of MDT-MB treatment. The patient was treated with methylprednisolone 1x40 mg intravenous injection for 10 days, followed by oral methylprednisolone 4 mg in reduced dosage. Conclusion: This case was diagnosed as MHMB relapse with ENL bullous reaction based on the anamnesis, clinical features such as multiple erythematous nodules and plaques with bullae, and laboratory tests. Treatment with corticosteroids and MDT-MB resulted in good improvement.Keywords: ENL bullous reaction, relapseAbstrak: Manifestasi klinis reaksi ENL bulosa umumnya berupa nodi dan plak eritematosa, namun pada reaksi berat dapat berupa bula, ulserasi, dan nekrosis. Relaps terjadi 1 tahun atau lebih setelah RFT, dimana gejala timbul lambat dan bertahap. Kami melaporkan suatu kasus MHMB relaps dengan reaksi ENL bulosa pada seorang anak berusia 14 tahun. Gambaran klinis didapatkan bentol kemerahan dan bercak merah meninggi sejak 10 hari lalu, kemudian timbul lepuh berisi cairan disertai demam badan. Status dermatologis generalisata ditemukan nodul dan plak eritematosa multipel serta bula multipel. Pemeriksaan laboratorium menunjukkan BTA (+), MI 6,5%, dan BI 4+. Pasien dinyatakan RFT setelah 1 tahun pengobatan MDT-MB. Pasien diobati dengan metilprednisolon injeksi 1x40 mg intravena selama 10 hari, dilanjutkan dengan metilprednisolon oral 4mg dengan dosis diturunkan. Lesi bulosa pada kusta merupakan manifestasi dari reaksi ENL berat dengan MI dan BI yang tinggi. Simpulan: Pada kasus ini, diagnosis MHMB relaps dengan reaksi ENL bulosa ditegakkan berdasarkan anamnesis, gambaran klinis berupa nodul dan plak eritematosa multipel disertai bula, dan pemeriksaan laboratorik. Pengobatan dengan kortikosteroid dan MDT-MB memberikan hasil yang baik.Kata kunci: reaksi ENL bulosa, relaps
Profil Penderita Morbus Hansen (MH) di Poliklinik Kulit dan Kelamin RSUP Prof. Dr. R. D. Kandou Manado Periode Januari – Desember 2013 Desrina, Andiswati; Kapantow, Grace M.; Kandou, Renate T.
e-CliniC Vol 8, No 2 (2020): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v8i2.30132

Abstract

Abstract: Morbus Hansen (MH) is still a public, social, and rehabilitation problems due to the physical disability resulted from delayed or inadequate treatment. This study was aimed to obtain the profile of MH patients at the Dermatovenerology clinic, Prof. Dr. R. D. Kandou Hospital Manado in the period of January to December 2013. This was a descriptive and retrospective study. The results showed that there were 98 MH patients consisting of 69 males (70.4%) and 29 females (29,6%). The majority of patients were 25-44 years old (47.0%) with multibacillary type (93.9%). Most patients did not show lepra reaction (67.3%); erythema nodosum leprosum (ENL) reaction was found in 29.6% of patients, and reversal reaction in 3.1% of patients. As many of 29.6% had been treated with multidrug therapy (MDT), and 10.2% did not, meanwhile, 60,2% of patients did not have any data of treatment. In conclusion, the majority of MH patients at the Dermatovenerology clinic, Prof. Dr. R. D. Kandou Hospital Manado in the period of January to December 2013 were males, aged 25-44 years, had multibacillary type with ENL reaction, and had been treated with MDT.Keywords: Morbus Hansen profile Abstrak: Morbus Hansen (MH) masih merupakan masalah kesehatan, sosial, dan rehabilitasi oleh karena kecacatan fisik yang terjadi akibat pengobatan yang terlambat atau tidak memadai. Penelitian ini bertujuan untuk mengetahui profil penderita MH di Poliklinik Kulit dan Kelamin RSUP Prof. R. D Kandou Manado periode Januari-Desember 2013. Jenis penelitian ialah deskrip-tif retrospektif. Hasil penelitian mendapatkan 98 penderita MH (6,72%) dari total 1457 pasien, terdiri dari 69 laki-laki (70,4%) dan 29 perempuan (29,6%). Mayoritas penderita berada pada rentang usia 25-44 tahun (47,0%) dengan tipe MH multibasiler (93,9%). Pada sebagian besar pen-derita tidak didapatkan reaksi lepra (67,3%); reaksi erythema nodosum leprosum (ENL) didapatkan pada 29,6% penderita dan reaksi reversal pada 3,1% penderita. Mengenai riwayat pengobatan, sebesar 29,6% telah mendapat pengobatan multidrug therapy (MDT) sebelumnya dan 10,2% belum pernah mendapatkan pengobatan MDT, namun sebesar 60,2% penderita tidak memiliki data pengobatan. Simpulan penelitian ini ialah mayoritas penderita MH di Poliklinik Kulit dan Kelamin RSUP Prof. R. D Kandou Manado periode Januari-Desember 2013 berjenis kelamin laki-laki, usia 25-44 tahun, tipe MH multibasiler, dengan reaksi ENL, dan pernah mendapat pengobatan MDT.Kata kunci: profil Morbus Hansen
Seroprevalence of syphilis and herpes simplex virus type 2 and its association with sexual behaviour factors (a cross-sectional study among men who have sex with men in Manado, Indonesia) Niode, Nurdjanah J.; Minarto, Hendra; Mitaart, Andravita F.; Kapantow, Grace M.; Kandou, Renate T.
Journal of General - Procedural Dermatology & Venereology Indonesia Vol. 2, No. 2
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Aims: This study investigated the seroprevalence and sexual risk behavior factors associated with syphilis and herpes simplex virus type 2 (HSV-2) among men who have sex with men (MSM), in Manado, Indonesia. Methods: Serum samples and questionnaires regarding their socio-demographic and sexual behaviour were collected from 60 MSM in Manado. Samples were screened for anti-HSV-2 IgG for herpes, the Venereal Disease Research Laboratory (VDRL) and the Treponema Pallidum Haemagglutination (TPHA) test for syphilis. A cross sectional method was used in this study. Results: Of 60 MSM (median age was 20 years), 35% had homosexual orientation and 65% had bisexual orientation. First sexual intercourse of most participants (48.3%) within 16 to 18 years old. In the last 12 months, most participants (55%) had only one male sex partner. There were 63.3% and 16.7% participants performed oral and anal intercourse. About 23.3% participants used condom consistently, but only 35.7% used compatible lubricant. Seropositivity of VDRL and TPHA was detected in 5% participants and anti-HSV-2 IgG in 23.3% participants. The positive serology test for syphilis was associated with sexual intercourse mode (p= 0.001). Significant association was found between anti-HSV-2 IgG seropositivity and condom-use behaviour (p=0,028). Conclusions: The study demonstrated 5% and 23.3% positivity of serology test for syphilis and anti-HSV-2 IgG respectively. Seropositivity of syphilis was correlated with oral and anal intercourse while HSV-2 with no condom-use behaviour among MSM in Manado, Indonesia.