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Journal : Journal of General-Procedural Dermatology

The effectiveness of laser therapy in onychomycosis patients: An evidence-based case report Prayogo, Rizky Lendl; Gaol, Evangelina Lumban; Azizah, Fitri; Lusiana, Lusiana; Rachmawati, Yenny; Rahman, Yusnita; Saldi, Siti Rizny
Journal of General - Procedural Dermatology & Venereology Indonesia Vol. 2, No. 1
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Background: Onychomycosis may cause nail discoloration, thickening, nail bed separation, and other serious complications. For some cases, oral antifungal treatment is not tolerable because of its potential side effects and drug interactions. Laser therapy is considered as an alternative treatment, owing to the features of simple and effective, with only minor potential side effects. This EBCR was made to collect and appraise studies regarding the effectiveness of laser therapy for onychomycosis, and to suggest laser as an alternative treatment. Methods: Literature searching strategy was performed using Pubmed and Cochrane Library database to address the clinical problem. Keywords used were “laser” AND “onychomycosis”. Results: Seventy-nine articles were obtained from the search strategy procedure. After selection based on exclusion and inclusion criteria, and full-text availability, four relevant articles remained. Discussion: The study by Xu et al. was considered as the most valid study while compared to other three studies. This study used intention to treat analysis and had no loss of follow-up patients. Xu et al. compared mycological and clinical clearance rate between patients receiving laser, oral terbinafine, or combination of those two. It showed that laser therapy was less effective when compared to oral antifungal (Number Needed to Harm = 17). Conclusions: Laser has a lower level of effectiveness while compared to oral terbinafine as the current gold standard therapy for onychomycosis. However, laser therapy can still be used as an adjunctive therapy along with oral antifungal to achieve a better cure rate. More studies are needed to prove this hypothesis.
Langerhans cell histiocytosis: Diagnosis and Management Lusiana, Lusiana; Sjakti, Hikari Ambara; Rahmayunita, Githa; Jacoeb, Tjut Nurul Alam; Krisanti, Inge Ade
Journal of General - Procedural Dermatology & Venereology Indonesia Vol. 4, No. 1
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Langerhans cell histiocytosis (LCH) is a rare disorder characterized by abnormal clonal proliferation of Langerhans dendritic cells. The incidence of LCH is 1 to 3 cases per 1 million children worldwide, and occurs most frequently in children of 1–4 years of age. The etiopathogenesis of LCH, whether it is neoplastic or reactive, is still controversial. Langerhans cell histiocytosis has a wide spectrum of clinical features, and dermatological abnormalities usually occur early. The most frequent lesions are elevated yellowish-red translucent papules about 1–2 mm in diameter and generally located in seborrheic areas. The most recent classification (the Histiocyte Society study 2017) categorized LCH into four groups; a single system with involvement of unifocal or multifocal organs, lung LCH, and multi-system LCH with either low- or high-risk multiorgan involvement. The definitive diagnosis of LCH are typical morphology along with Birbeck granules and/or positive results on CD1a antigen stain on cells found on lesions. Treatment of LCH is multimodal, determined based on age, extent of lesion, organ involvement, and organ location.
Case series of primary psychiatric skin disorders with multi-disciplinary approach Lusiana, Lusiana; Prayogo, Rizky Lendi; Yusharyahya, Shannaz Nadia; Sitohang, Irma Bernadette S.; Bramono, Kusmarinah
Journal of General - Procedural Dermatology & Venereology Indonesia Vol. 4, No. 2
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Background: The incidence of psychodermatologic diseases, a group of skin abnormalities associated with psychosomatic factor, are increasing recently. About 20-40% patients with skin symptoms have concurrent psychiatric problems which are often difficult to diagnose and treat. The new classification of primary psychiatric skin disorders are delusional disorders, obsessive-compulsive and related disorders, and factitious disorders. This classification could be used for effective treatment in each patient which involves multi-disciplinary approach, including dermatology, psychiatry and other discipline if necessary. Case Illustration: The first case was a 39-year-old unmarried female, with anemia and dermatitis artefacta occurred as wound due to blade cuts. Patient was with schizoaffective depressive type and was not under regular treatment. The second case was a 61-year-old male referred with unresolved prurigo nodularis for the past 30 years. After in-depth assessment, there were delusional parasitosis and neurotic excoriations disorders. The third patient was a 50-year-old female admitted with recurrent ulcer on her face. She was aware that the lesions were intentionally manipulated by her own fingers when she was depressed. Discussion: All patients were classified as primary psychiatric skin disorders with varied skin manifestations. Symptoms usually occurred when the patient was in the depression state or low compliance for the psychotropic drugs. Patients generally had poor insight and refused to be associated with psychiatric factors. Dermato-venereologists are expected to conduct early detection and treat this disease. Conclusion: It is important to approach psychocutaneous disease in multi-disciplinary manner, especially with the psychiatrist.
Co-Authors A.Z, Bambang Aan Suriadi, Aan Abdul Somad, Abdul Adil, Mushlih Afkar, Muhammad Syakhil Agung Putra Ahmad Sunafis Al Haziz ahmad yani Aisyah Aisyah Albar, Defni Allen Marga Retta, Allen Marga Amalina, Nur D. Amin, Akhmad Bakhtiar Anam, M Khairul Anandari, Febrina Andayani, Jihan Restu Andi Prastowo Andini, Vicka Angela, Marissa Nur Antonio, Youngky Aprillia, Tasya Arafah, Zahid Nugrah Arie, Yustiana Arifandi, Fajar Arifia, Adhelia Putri Aristiawan, Dhani Arumsari, Mela Dina Asdim Asdim Ashara, Rega Aprilia Asniati Bindas Astrid, Gita Azizah, Fitri Azizah, Mir'ah Azzahra, Azzahra Baharuddin Baharuddin Bastangka, Palensi Bayu Rahmat Setiadi, Bayu Rahmat Berliansyah, David Bismark, Irma Auliyah Boby Helmi Cardoso, Benigna Lestari Da Conceicao Catur Wahyu Priyanto Clarisa, Cindy Darlan, Dewi M. Darma Putra, Boby Dasril, Mience Daulay, Wasti Indah Haryani Dedi Saputra Deni Saputra Derung, Teresia Noiman Desanjaya, Jossy Desi Permata Sari Destiniar Destiniar, Destiniar Desy, Kemala Detiana, Detiana Dewi, Mike Kusuma Dian Wahyuni Dina Octaria Dwita Oktiarni Dwiyanto, Yusup Dyah Titisari, Dyah Elfiswandi, Elfiswandi Elsa Tri Mukti Endra, Sumarta Fadhilah, Savira Aulia Faisal, Aldy A. Farid, Indah Herlina Fathimah, Ema Fauziah Fauziah Fidiyanti, Indrie Firdaus, Nuzula Firmansyah, Indra Fitri Yeni, Fitri Fitria, Zahratul Flora Grace Putrianti Fredy, Muhammad Khalid Fuadiah, Nyiayu Fahriza Gaol, Evangelina Lumban Githa Rahmayunita Hakim Harahap, Arbiuddin Syahputra Hamdani Hamdani Hanum Izzul Hanan Hapzi Ali Harfan, Syakhroni Hasa, Zainul Faizien Havidz Aima, Havidz Helmi, Boby Hendra, Joni Hermawan, Adi Hery Widijanto Hidayah, Dini Firnam Hikari Ambara Sjakti, Hikari Ambara Husain, Sofian A. Imardi, Syahrul Indah Fajar Dini, Yuli Indah Resti Ayuni Suri Indri Yani Indupurnahayu Iskandar Syah Isnaini, Ellychia istiqomah istiqomah Jacoeb, Tjut Nurul Alam Jannah, Amiratul Joniputra, Joniputra Jumroh, Jumroh Kadek Dian Vanagosi Kamalia Kamalia Kamalia, Rita Karela, Genoneva Ngana Karlina, Nunung Karlinda, Ai Elis Kasman Rukun Krisanti, Inge Ade Krisna, Nandan Lima Kristiana, Yulia Kurniati, Era Tri Suci Kusmarinah Bramono Kwaitota, Betriks Riska Lamidi, Lamidi Leonarda, Olivia Lestari, Melati Indah Lindah Lindah Luanda, Desi M. Nuh, Safaruddin Maelasari, Nur Maftuh, Ayi Syhartika MARIA BINTANG Marsela, Santa Hani Marsella, Melsa Marwan Marwan Masitha , Dewi Maskun maulani, nine wahyuni Mega Elfia Meilina Estiani, Meilina Melani Putri, Risa Mita Purbasari, Mita Mitha Otik Wiraswati Monata, Deri Monica, Resti Mubarik Mubarik Muhammad Abdillah Muhammad Harun Mujib Mujib, Mujib mutiara mutiara Nadila, Nadila Nadilla, Nia Nafis, Badratun NARDO, RIO Neldi, Mondra Niami, Sinta Nila Kesumawati Nofriadi Nofriadi Nomin, Nomin Noresti, Izka Nur Fadhilah, Dian Nurcholish Arifin Handoyono, Nurcholish Arifin Nurdiniawati, Nurdiniawati Nurhajjah, Afifah Nurnabila, Nurnabila Oktafia, Pilsa Oktarina, Desi Oktiarni, ⁠Dwita Ottar, Zuhroh Sadeptusia Pamungkas, Bayu Adhitya Pathuddin Pawirosumorto, Suharno Pradini, Meysah Rani Pramesti, Indah Pratama, M. Emeraldo Pratama, Yosua Nanda Pratiwi, Eva Sulistia Prawirosumarto, Suharno Prayogo, Rizky Lendi Prayogo, Rizky Lendl Purnama, Vera Puspitasari, Ratna Ika Putra, Riyosnal Putra, Ryanda Satria Putri, Poppy Okta Fiana Putri, Reza Yulia Putu citra Permana Dewi Qomaria, Siti Rachmawati, Yenny Racman, Fajar Rafie, Rafie Rafki, Rafnelly Rahayu, Witri Rahmadia R, Wahyu Rahmah, Lutia Rahman, Yusnita Rakhma, Ina Ramadhani, Magribi Ratnawita Ratnawita Resky, Muhammad Restiani, Anisya Tri Rian Kurniawan RIMA RIMA Rinaldi Aditya RINALDI ADITYA, RINALDI Rio Putra, Rio Rionaldi, Rionaldi Rizkiani, Nidya ROHANA ROHANA Rosa, Eni Folendra Rusdi Rusdi Rusdiana Yusuf Rustiati, Nelly S.M. Fernanda Iragraha Safaruddin M Nuh, Safaruddin M Safitri, Miya Sal Prima Yudha S Salam, Agus Saldi, Siti Rizny Salsabila, Salsabila Santosa , Awan Saprianto, Saprianto Sari, Laynita Sari, Selvi Yona Sari, Silvia Sari, Yosi Pupita sari, yosi puspita Sayuti, Ilham Muhammad Sedarmayanti, Sedarmayanti Selimanorita, Shafa’ Septa S, Suherdian Septiano, Renil Setyaningsih, Rila Setyo Trisnadi Shalsabillah, Ade Rahmadilla Shannaz Nadia Yusharyahya Sidiq, Hadi Firmansyah Silalahi, Tina Mora Simaremare, Triberti Siti Fatonah Sitohang, Irma Bernadette S. Sofiani, Yani Sofida, Yeni Solichah, Mar'atus Sopali, Mardhatila Fitri Sri Wahyuningsih Sri, Dewi Suharno Pawirosumarto Sujaya, Indra Sukayasa Suparno Suparno susanti, Tuti Susanto, Moh. Rusnoto Susatyo, Rudy Susriyanti, Susriyanti Suwanto, Yustiana Arie Syafrina Dina Syafwandi, Syafwandi Syahru Ramadhan Syahrudin Syahrudin, Syahrudin Syarifah Zahra Syawaluddin, Edy Taufid, Hidayattul Uriszar, Ibon Mugica Usman, Khairul Uswatun Chasanah Verafirma, Verafirma Veri, Jhon Vucelja, Stevan Weking, Gervasius Domingga Wicaksono, Galuh Hendityo Wirta Agustin Yaakub, Saleh Yahya Yahya Yasep Setiakarnawijaya Yona Sari, Selvi Yona, Desma Yudhi Purnama Yudhi Purnama Yudhi Purnama Yulasmi, Yulasmi Yuliana Bakari Yunita Yunita Yusvi Diana Yuswardi, Arif Zefri Yenni Zefriyenni Zefriyenni, Zefriyenni Zulvia, Dewi