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Perbedaan Dermatitis Seboroik dan Psoriasis Vulgaris Berdasarkan Manifestasi Klinis dan Histopatologi Astindari Astindari; Sawitri Sawitri; Willy Sandhika
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 26 No. 1 (2014): BIKKK APRIL 2014
Publisher : Faculty of Medicine, Universitas Airlangga

Latar belakang: Dermatitis seboroik (DS) dan psoriasis sering sulit dibedakan baik secara klinis maupun secara histopatologi. Anamnesis yang tepat dengan memperhatikan usia, riwayat keluarga, dan pemeriksaan klinis yang teliti serta ditunjang dengan pemeriksaan histopatologi, dapat menentukan diagnosis yang tepat. Tujuan: Mengevaluasi perbedaan DS dan psoriasis supaya klinisi dan patolog bisa membuat diagnosis yang benar.Telaah kepustakaan: Secara epidemiologi, terdapat berbagai perbedaan antara DS dan psoriasis. Hal itu bisa dilihat dari usia saat timbulnya lesi, jenis kelamin, ras, maupun genetik. Lokasi lesi dan manifestasi klinis juga mempunyai ciri yang berbeda. Biopsi kulit dibutuhkan untuk membantu menegakkan diagnosis yang tepat.Gambaran histopatologi DS bervariasi sesuai dengan perjalanan penyakitnya: akut, sub-akut, dan kronis, sedangkan psoriasis mempunyai ciri khas berupa pemanjangan rete ridges, abses Munro atau adanya abses Kojog. Simpulan: Terdapat beberapa perbedaan antara DS dan psoriasis dari usia pertama kali muncul lesi, lokasi lesi, manifestasi klinis dan gambaran histopatologi.Kata kunci: dermatitis seboroik, psoriasis, manifestasi klinis, gambaran histopatologi.

The Profile of Erysipelas and Cellulitis Patients Ryski Meilia Novarina; Sawitri Sawitri
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 27 No. 1 (2015): BIKKK APRIL 2015
Publisher : Faculty of Medicine, Universitas Airlangga

Background: Erysipelas and cellulitis are acute infectious serious skin diseases, due to the entry of bacteria through the unintact skin barrier and can be fatal. Purpose: To determine the clinical manifestation and management of hospitalized erysipelas and cellulitis patients at the dermatolovenerology inpatient Dr. Soetomo General Hospital in period of 2008-2011. Methods: The study was conducted retrospectively based on the medical records of the hospitalized patients include case number, gender, age, main complaint and duration, trigger factors, concomitant factors that can be as the underlying disease, lesion site, laboratory examinations, treatments, length of treatment associated with Erythrocyte Sedimentation Rate (ESR) and the prognosis. Results: The erysipelas and cellulitis cases were 65 cases (1.9%) of the total hospitalized cases of skin diseases, with the number of men and women were 36 and 29 patient, respectively. The highest age group were 45-65 years (35.4%). Main complaint was swelling, redness and pain (66,2%) and the duration of complaints 1-7 days (81.5%), Most triggering factors due to scratching (34%). Anemia (30,8%) is the most underlying disease. The majority of lesion sites are in the lower extremities in 56 patients (86.1%). Laboratory tests showed anemic (30.8%), leukocytosis (44.6%) and (76.9%) ESR > 20mm/h (76.9%). The specimen of the lesion of 18 cases were cultured, there were found majority bacterial were Staphylococcus aureus (37.5%). The managements of treatment of 25 cases (38.5%) were consisted: immobilization, intravenous injection of Ampicillin and wet dressing with normal saline, 15 cases with ESR>50mm/h were treated for 8 -14days. The complications (gangrenosum cellulitis) were found in 1 case (1,5%), and 40 patients (61.5%) discharge from hospital in a recovery state. Conclusion: The management of patients with erysipelas and cellulitis had been appropriate based on the diagnosis and treatment guidelines. Staphylococcus aureus is the most frequent bacteria found in culture.Key words: erysipelas, cellulitis, Staphylococcus aureus.

Profile of Scabies in Children Kartika Paramita; Sawitri Sawitri
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 27 No. 1 (2015): BIKKK APRIL 2015
Publisher : Faculty of Medicine, Universitas Airlangga

Background: Scabies is a common parasitic infestation of the skin caused by Sarcoptes scabiei. Scabies is a common public health problem that occurs throughout the world with an estimated prevalence of 300 million individuals. Factors that lead to the high prevalence of scabies include high humidity, lack of sanitation, overcrowding, malnutrition, poor personal hygiene, knowledge, attitude, and behaviour of less supportive healthy lifestyle. Although scabies is not fatal or life-threatening, but the disease can be severe and persistent, which may lead to weakness and secondary skin infections. Purpose: To evaluate the clinical presentation, diagnosis, and treatment of scabies in children at Dermatovenereology outpatient clinic of Dr. Soetomo General Hospital Surabaya. Methods: A retrospective study within 2009 to 2011 using medical record of new patients, aged < 14 years old. Results: The total patients of scabies were 282 patients (5,9% of all pediatric patients in outpatient clinic). Most common group of age was 5-14 years old with the total 180 patients (63,8%), the majority of complaint was itching at night (90,1%), the most frequent location of the lesions was in the web of the fingers and the most common source of transmission is the patient's family (51,4%). The most given topical scabisid was Permethrin cream 5% (97,3%). Conclusions: The diagnosis of scabies could be established by anamnesis and physical examination. Patient's education is needed to reduce the reinfection and cut the source of transmission.Key words: scabies, children, Sarcoptes scabiei, retrospective study.

Oral Corticosteroid Therapy in Leprosy's new patients with Type 2 Reaction Irma Tarida Listiyawati; Sawitri Sawitri; Indropo Agusni; Cita Rosita Sigit Prakoeswa
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 27 No. 1 (2015): BIKKK APRIL 2015
Publisher : Faculty of Medicine, Universitas Airlangga

Background: Leprosy type 2 reactions is an acute inflammatory episode in lepromatous leprosy patient that ascociated with deposition of immune complexes. Standard regiment for severe reaction is corticosteroid. Almost Leprosy type 2 reactions patients become chronic and recurrent so it implicates to more complications if it was not managed well. Purpose: To determine the distribution of type 2 reactions patients which treated with oral corticosteroid in leprosy division of dermatovenereology outpatient clinic of Dr. Soetomo General Hospital. Methods: Retrospective study using new patient's medical record during the period of January 1 2009 until December 31 2013 and the observation continued until December 31 2013. Results: The total type 2 reactions patients with oral corticosteroid was 112 patients, mostly were male aged between 25-64 years and has the Lepromatous Leprosy (LL) type (33%), the reactions happened after RFT (43.8%), 65.2% had metil prednisolon medication, the initial equivalent dose was 30 mg in 32.1% patient. 21.4% patient had more than one cycle of corticosteroid therapy and 8.9% patient had the steroid side effect. Conclusion: Leprosy's type 2 reactions tend to be chronic and recurrent and the impact were patients got longterm continuously corticosteroid medication, so the patients need to be monitored including side effects.Key words: leprosy's type 2 reaction, oral corticosteroid, side effects.

Eosinophil and Eosinophil Cationic Protein Level Raising in Dermatitis Due to Food Patients Menul Ayu Umborowati; Sawitri Sawitri; Marsoedi Hoetomo
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 27 No. 2 (2015): BIKKK AGUSTUS 2015
Publisher : Faculty of Medicine, Universitas Airlangga

Background: Food allergy prevalence worldwide has been increase. Skin is secondary most often target organ in food allergy reaction. Food allergy affects 35% atopic dermatitis (AD) patients. Diagnosis of food allergy is still challenge because signs are not speciﬁc. Previous researches showed eosinophil and eosinophil cationic protein (ECP) role in food allergy reaction on gastrointestinal tract, but none on dermatitis due to food. Purpose: To evaluate eosinophil and serum ECP in dermatitis due to food. Method: This is a descriptive observational cross sectional study, with dermatitis due to food patients in Dermatovenereology Outpatient Clinic Dr. Soetomo General Hospital Surabaya as subjects. Subjects has been collected trough consecutive sampling during 3 months, then data were analysized descriptively Results: Serum ECP level of dermatitis due to food patients were above normal range in all subjects, with mean level 108.5 µg/L, lowest level 33.011 µg/L and higher level 284.849 µg/L. Mean eosinophil of dermatitis due to food patients just arise above normal limit (0.413µg/L). AD patients were 48.4% among all subjects. Mean serum ECP level of AD patients was higher (121.703 µg/L) than non-AD (96.123 µg/L). Conclusions: Eosinophil and ECP seems have role in dermatitis due to food pathogenesis. Serum ECP examination can be beneﬁts to monitor dermatitis due to food severity.Key words: dermatitis due to food, eosinophil, serum eosinophil cationic protein.

Kaposi’s Sarcoma-associated Herpesvirus Novia Indriyani Adisty; Sawitri Sawitri; Willy Sandhika
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 28 No. 1 (2016): APRIL
Publisher : Faculty of Medicine, Universitas Airlangga

Background: Kaposi’s sarcoma (KS) revealed by Moritz Kaposi first time in 1872. In the early 1980, the prevalence of SK began to increase dramatically. A new finding leads to growth, isolation, and characterization of a novel human herpes virus, now known as Kaposi’s sarcoma-associated herpes virus (KSHV) or Human herpes virus type 8 (HHV-8) from SK lesions. Puspose: To determine the role of herpes viruses in the pathogenesis of KS. Review: KS is a cancer that develops from cells lining the lymph vessels or blood vessels. A number of KSHV encoded protein is known to have the ability to oncogenic transformation, included are latent and lytic proteins. Latent proteins tend to increase survival and proliferation of infected cells, whereas lytic viral proteins are believed to support the growth factors and angiogenic paracrine secretion useful for tumor growth and progression. Conclusion: HHV-8 is necessary, but not sufficient to cause the KS, and other factors such as immunosuppression also play a role.Key words: Kaposi’s sarcoma, herpes viruses.

PAKET MENU MAKANAN KEMBUL BUJANA ( BANCAAN ) DI ERA GLOBALISASI SEBAGAI SARANA PELESTARIAN KULINER PENDIDIKAN KARAKTER Sawitri Sawitri
p-ISSN 2356-0576
Publisher : Pendidikan Bahasa dan Sastra Universitas Muhammadiyah Purworejo

ABSTRACT: Culture is inseparable from human beings creating fashion, art, house, vehicle and even food (meal). Diverse meals can be called culinary. Java has an unaccountable number of culinary products and forms from the sweet to the spicy and salty ones. Javanese people have culinary characterizing commonality and mutual cooperation (kegotongroyongan) by upholding local wisdom. Local areas have their own typical culinary. This article discussed Javanese typical culinary called kembul bujana often called bancaaan. Bancaan serves as the expression of gratitude to God. Bancaan is served for birth, syukuran, bersih desa, house establishment, job promotion, graduation, wedding or even reunion ceremonies, and etc. Kembul bujana is no longer held at house, yard, or ritual place. In globalization age, in fact, there is a cultural phenomenon in which the culture formerly considered as usual rite now is used for community’s practical purposes intended to economic factor. In this age, kembul bujana is used as the menu in restaurant and hotel, and those enjoying it come from upper middle class of society to billionaire. Its objective is different, no longer for rite purpose but emphasizing on uniqueness or art, and determining the position of package users and consumers such as socialite, rich employer, and urban people with well-established economy. Kembul bujana contains character education value that could be used as life tenets: commonality, mutual cooperation, not discriminating ethnic, race and religion, and tolerance. The life tenet teaches us that all human beings are equal before Almighty God, only his/her alms and goodness distinguish them.Keywords: Culture, package, meal, globalization age, character educationABSTRAK : Budaya tidak akan lepas dari manusia yang menciptakan dari pakaian, kesenian, rumah, kendaraan bahkan makanan. Makanan yang beraneka ragam dapat dikatakan kuliner. Jawa memiliki hasil dan bentuk kuliner dengan jumlah yang tidak terhitung dari selesa yang manis sampai pedas bahkan rasa gurih.Masyarakat Jawa mempunyai kuliner yang mencirikan kebersamaan bahkan kegotong royongan dengan menjunjung kearifan lokal. Daerah memiliki kuliner khas sendiri-sendiri. Diungkap dalam artikel ini merupakan kuliner khas Jawa berupa kembul bujana sering dikatakan bancaan. Fungsi bancaan pengucapan syukur kepada Tuhan. Bancaan untuk upacara kelahiran, syukuran, bersih desa, pendirian rumah, naik pangkat, kelulusan selesai kuliah, pernikahan bahkan reuni teman sekolah, teman kerja dll. Tempat diadakannya kembul bujana tidak lagi di rumah, di pelataran, tempat ritual. Pada era globalisasi ternyata ada fenomena budaya terjadinya perkembangan budaya yang awalnya dianggab hal biasa cenderung ritual sekarang untuk kebutuhan praktis masyarakat yang ditujukan untuk faktor ekonomi. Pada era sekarang kembul bujana digunakan untuk menu pada restoran, di hotel dan yang menikmati kalangan dari menengah sampai milyader. Tujuan juga berbeda tidak lagi ritual melainkan menitikberatkan segi keunikan atau seni. Menentukan posisi dari pengguna dan pengkomsumsi paket juga. Kaum sosialita, pengusaha kaya cenderung masyarakat kota dengan ekonomi mapan. Kembul bujana mengandung nilainilai pendidikan karakter yang dapat digunakan sebagai ajaran hidup, yaitu: pendidikan karakter kebersamaan, kegotong royongan, tidak membedakan suku, ras dan agama, toleransi. Ajaran hidup di hadapan Tuhan Yang Maha Esa manusia sama yang membedakan amal kebaikannya.Kata kunci: Budaya, paket, makanan, era globalisasi, pendidikan karakter

UPAYA PENGEMBANGAN NILAI AGAMA DAN MORAL ANAK USIA DINI MELALUI KEGIATAN BERYOGA Ni Putu Widyasanti; Sawitri sawitri
Widya Kumara: Jurnal Pendidikan Anak Usia Dini Vol 4, No 1 (2023)
Publisher : Sekolah Tinggi Agama Hindu Negeri Mpu Kuturan Singaraja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55115/widyakumara.v4i1.2888

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Cutaneous Manifestations in End-Stage Renal Disease (ESRD) Amira Suryani Rahmatika; Trisniartami Setyaningrum; Sawitri Sawitri; Evy Ervianti; Damayanti Damayanti
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 8 No 01 (2024): Qanun Medika Vol 08 No 01 January 2024
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v8i01.19371

Skin can reflect systemic conditions due to abnormalities in internal organs, including kidney disorders. Cutaneous manifestations are common in patients with end-stage renal disease (ESRD). It can be severe and negatively impact a patient's quality of life. Clinicians can effectively manage ESRD by closely examining the patient's skin and nails, improving the patient's quality of life, and reducing mortality and morbidity. Clinicians can be more aware of ESRD by examining the patient's skin and nails closely so proper management can be performed and the patient's quality of life can be improved. This review aims to increase understanding of common cutaneous manifestations in ESRD for early recognition and better management. Cutaneous manifestations in ESRD are divided into specific and nonspecific manifestations. Specific manifestations include acquired perforating dermatosis (APD), bullous disease (porphyria cutanea tarda and pseudoporphyria), metastatic calcification (calcinosis cutis and calcific uremic arteriolopathy), and nephrogenic systemic fibrosis. Nonspecific manifestations include pruritus, xerosis, skin pigmentation changes, nail disorders, purpura, hair disorders, oral mucosal changes, skin infections, and other skin manifestations. These manifestations range from benign and asymptomatic to serious conditions that negatively impact life quality. In conclusion, Early detection and treatment of cutaneous manifestations in patients with ESRD are crucial for reducing morbidity and mortality and also improving patients' quality of life.

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