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Icha Aisyah

Departemen/Staf Medik Fungsional Ilmu Kesehatan Kulit dan Kelamin Fakultas Kedokteran Universitas Airlangga/Rumah Sakit Umum Daerah Dr. Soetomo Surabaya

Author-ID : 3287436

Immunology & microbiology Public Health

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Penelitian Retrospektif: Gambaran Pasien Baru Kusta Icha Aisyah; Indropo Agusni
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 30 No. 1 (2018): APRIL
Publisher : Faculty of Medicine, Universitas Airlangga

Latar belakang: Kusta adalah penyakit menular, menahun, yang disebabkan oleh Mycobacterium leprae. Penyakit kusta menyerang saraf tepi, kulit dan jaringan tubuh lainnya kecuali susunan saraf pusat. Endemis di beberapa negara di kawasan Asia Tenggara, Amerika dan Afrika. Tujuan: Mengevaluasi gambaran pasien baru kusta Unit Rawat Jalan (URJ) Kesehatan Kulit dan Kelamin RSUD Dr. Soetomo Surabaya periode tahun 2011-2015. Metode: Penelitian retrospektif dengan meneliti catatan medik pasien kusta di Divisi Kusta URJ Ilmu Kesehatan Kulit dan Kelamin RSUD Dr. Soetomo Surabaya selama Januari 2011 sampai Desember 2015. Hasil: Jumlah pasien kusta adalah 713 pasien. Kelompok umur terbanyak adalah 15-34 tahun (45,1%), jenis kelamin terbanyak adalah laki-laki (67,7%). Pasien sebagian besar berasal dari wilayah Surabaya (60,3%). Pasien dengan reaksi kusta tipe 1 (15,6%) dan reaksi kusta tipe 2 (23,8%). Penemuan pasien baru kusta terbanyak dari rujukan (56,6%) dan alasan rujukan untuk pemeriksaan Basil Tahan Asam (BTA) (59,2%). Sebanyak 671 pasien (94,1 %) tidak ada riwayat kontak dengan pasien kusta Pasien dengan reaksi kusta tipe 1 terbanyak pada tipe Mid Borderline (BB) (71,2%). Pasien dengan reaksi kusta tipe 2 terbanyak pada tipe Lepromatous Leprosy (LL) (68,2%). Kesimpulan: Gambaran pasien baru kusta dapat membantu dalam meningkatkan penatalaksanaan pasien kusta di masa yang akan datang.

Case Report: Developed Infraocular Squamous Cell Carcinoma and Nasal Basal Cell Carcinoma in Xeroderma Pigmentosum Icha Aisyah; Afif Nurul Hidayati
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 30 No. 2 (2018): AGUSTUS
Publisher : Faculty of Medicine, Universitas Airlangga

Introduction: Xeroderma pigmentosum (XP) is a rare autosomal recessive disease caused by a gene defect in nucleotide excision pathway named nucleotide excision repair (NER), characterized by photosensitivity of the skin. Case: A 5 year old girl, 15 kgs, came with brown and black spots on the entire body since she was 7 month old. These complaints were accompanied with itchiness and burning sensation. Since two years ago, a small bump appeared on the nose and below the left eye, increasingly enlarged, also easily bled. She complained red and watery eyes since two weeks ago. Patient often felt glare. Physical examination all over the body found obtained multiple hypopigmented and hyperpigmented macules unsharply marginated with varying size from pinpoint to few cm and also dry skin. Right and left opthalmic region showed red, watery eye, and photophobia. Nasal region showed nodules about 1 cm in size, accompanied by erosion and crusting. Histopathology examination result of left infraoculi region was malignant squamous cell carcinoma and nasal region was malignant basal cell carcinoma. Patient were diagnosed with XP with infraocular squamous cell carcinoma and nasal basal cell carcinoma. Patient was treated with natrium fusidic 2% cream, sunscreen with sun protecting factor (SPF) 30, moisturizer, chlorpheniramine maleate, chemotherapy, and also educated to avoid sun exposure. Discussion: XP causes a variety of clinical manifestations, often with a skin malignancies. Skin biopsy is mandatory to establish the diagnosis

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