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Lita Setyowatie
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Immunology & microbiology Public Health

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Non Bullous Congenital Ichthyosiform Erythroderma Lita Setyowatie; Iskandar Zulkarnain
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 26 No. 2 (2014): BIKKK AGUSTUS 2014
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (901.839 KB) | DOI: 10.20473/bikk.V26.2.2014.1-8

Abstract

Background: Non bullous congenital ichthyosiform erythroderma (NBCIE) is an inherited genodermatosis, very rare autosomal recessive inflammatory ichthyosis, chronic, characterized by dryness and scaling. Purpose: To describe the clinical manifestations of NBCIE since it is a rare case, occurs in 1 in 300.000 people. Case: Baby MR 5 month old, Javanese boy, with main complaint white scale and redness patches on almost all of his body since 1.5 month old. Born as collodion baby, then the membrane was slowly thinning and became generalized erythroderma on almost all of his body accompanied with fine white scale, large, thick, plate-like scale only on lower leg. No ectropion and eclabium. No relatives in the pedigree suffer from the same disease. Histopathology examination showed non-bullous congenital ichthyosiform erythroderma. Case management: Emollient after bath and pH balance soap. Conclusions: Diagnosis of NBCIE is established from history taking, clinical features, and histopathology examination. Emollient therapy and pH balance soap will eventually lead to improvement.Key words: non bullous congenital ichthyosiform erythroderma, genodermatosis, collodion baby.
Overlapping Primary and Secondary Syphilis in a Bisexual Patient with Human Immunodeficiency Virus Lita Setyowatie; Wika Umayatul Choiroh
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 36 No. 2 (2024): AUGUST
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bikk.V36.2.2024.153-161

Abstract

Background: Syphilis and HIV are diseases that can be transmitted through sexual contact. Bisexual groups have a higher potential for HIV and syphilis transmission. In syphilis patients who have been infected with HIV, secondary syphilis often occurs along with primary syphilis, which can be found 2-3 times more often than in those who are not infected by HIV. Case: A 24-year-old male with HIV who is a bisexual man, complained chancre on his scrotum and on the tip of the penis that was painless and also has condyloma lata around the anus. Dermatological examination revealed multiple papules, patches, and plaques. The serological results for VDRL and TPHA were reactive. Histopathology examination of skin plaque suggests secondary syphilis. The Patient was diagnosed with overlapping primary-secondary syphilis and given therapy with single-dose intramuscular injection of benzathine penicillin G. Discussion: Bisexual groups have a higher potential for HIV and syphilis transmission. In HIV patients, primary and secondary syphilis often overlap. This was due to changes in the immune system causing the spread of Treponema pallidum more quickly and slowing the healing of primary lesions. Conclusion: Overlapping of primary and secondary syphilis in bisexual patients with HIV is common; in addition, the appearance of skin lesions in secondary syphilis can resemble other diseases, so confirmation by histopathology examination needs to be done.
Co-Authors Anak Agung Gede Sugianthara Wika Umayatul Choiroh