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All Journal Berkala Ilmu Kesehatan Kulit dan Kelamin Media Dermato-Venereologica Indonesiana
Antoni Miftah
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Health Professions Immunology & microbiology Public Health

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Uji Tempel Pasien Dengan Riwayat Dermatitis Kontak Alergi Kosmetik di URJ Kesehatan Kulit Dan Kelamin RSUD Dr. Soetomo Surabaya Antoni Miftah; Cita Rosita Sigit Prakoeswa; Hari Sukanto
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 26 No. 1 (2014): BIKKK APRIL 2014
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (216.031 KB) | DOI: 10.20473/bikk.V26.1.2014.1-7

Abstract

Latar belakang: Kasus dermatitis kontak alergi kosmetik (DKAK) relatif signifikan, diperkirakan 10% dari seluruh kasus dermatitis kontak di RSUD Dr. Soetomo Surabaya cenderung meningkat. Tahun 2008 ditemukan 24 (6%) penderita DKAK dari 267 pasien DKA, sedangkan tahun 2009 ditemukan 36 (15%) dari 230 pasien DKA yang datang berobat. Tujuan: Mengetahui bahan kosmetik penyebab dermatitis kontak akibat kosmetik dan mengetahui relevansi klinis hasil uji tempel. Metode: Penelitian retrospektif terhadap 30 sampel dengan riwayat DKAK periode November 2010 – November 2011 di Divisi Alergi Imunologi URJ Kulit dan Kelamin RSUD Dr. Soetomo. Uji tempel menggunakan 12 bahan standar alergen kosmetik. Hasil: Enam belas pasien dari 30 sampel (53,33%) didapatkan hasil positif dengan satu atau lebih alergen dan 14 pasien (46,67%) negatif terhadap alergen yang ditempelkan. Hasil uji tempel positif terbanyak dari 16 pasien tersebut adalah alergen pewarna rambut yaitu 13 pasien (43,3%), diikuti pewangi 6 pasien (20%) dan pengawet 5 pasien (16,7%). Simpulan: Uji tempel alergen standar kosmetik dapat digunakan sebagai pemeriksaan penunjang terhadap penderita dermatitis kontak alergi kosmetik di Divisi Alergi Imunologi URJ Kesehatan Kulit dan Kelamin RSUD Dr. Soetomo Surabaya. Kata kunci: dermatitis kontak alergi, alergen kosmetik, uji tempel, relevansi klinis.
LAPORAN KASUS: REAKSI KUSTA YANG DIDUGA DICETUSKAN OLEH INFEKSI COVID 19 Laras Maranatha Tobing; Antoni Miftah; Desidera Husadani; Natalia Wahyudi
Media Dermato-Venereologica Indonesiana Vol 50 No 2 (2023): Media Dermato Venereologica Indonesiana
Publisher : Perhimpunan Dokter Spesialis Kulit dan Kelamin Indonesia (PERDOSKI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33820/mdvi.v50i2.406

Abstract

Background: Leprosy is one of the oldest and most neglected diseases in the world. During the COVID-19 pandemic, leprosy reaction triggered by COVID-19 has not been widely reported. Case: A 38-year-old woman, complained of erythema nodules in the eyelids for 1 week, increasing in size and pain accompanied by fever and nasal congestion. There is no previous history of disease or treatment. Physical examination revealed increased body temperature and anemia with bilateral madarosis. Dermatological status showed multiple erythematous nodules with regional distribution on bilateral superior palpebrae that were palpable with pain. There were multiple lesions of erosion and excoriation in the bilateral plantar pedis region. Sensory function is impaired with stocking hypoesthesia of the digits and lateral plantar pedis bilaterally. The results of the laboratory examination were SARS-CoV-2 PCR positive, ELISA anti PGL-1 IgM 8,159 u/ml, IgG 1,421 u/ml and the Bacterial Index (IB) 3+. Histopathology HE demonstrating lobular panniculitis with vasculitis and FF negative AFB. Discussion: Based on the medical history, physical examination and laboratory, the patient was diagnosed with an Erythema Nodosum Leprosum (ENL) reaction in a new case of Morbus Hansen (MH), suspected to be triggered by a COVID-19 infection. Neutrophil activity and cytokine storms due to COVID-19 are thought to trigger the ENL reaction. Conclusion: In the pandemic era, COVID-19 infection needs to be watched out for as a possible trigger for leprosy reaction.
Co-Authors Cita Rosita Sigit Prakoeswa Desidera Husadani Hari Sukanto, Hari Laras Maranatha Tobing Natalia Wahyudi