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RETROSPECTIVE STUDY: CHARACTERISTICS OF SKIN DISEASE IN GERIATRIC PATIENTS AT THE DERMATOLOGY VENEREOLOGY DEPARTMENT OF DR. M. DJAMIL PADANG HOSPITAL DURING 2016-2018 Yosep Prabowo; Tutty Ariani
Jurnal Kedokteran Syiah Kuala Vol 19, No 1 (2019): Volume 19 Nomor 1 April 2019
Publisher : Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jks.v19i1.18043

Abstract. The aging process is unavoidable and sustainable process that concerns the entire organ system. According to the World Health Organization (WHO), geriatrics are individuals over 60 years old. The large number of elderly Indonesian people will have various health problems in the future. Objective: To find out the profile of skin and genital diseases in geriatrics at the dermatology venereology department of Dr. M. Djamil Padang hospital from January 2016 to December 2018. Method: Retrospective study with descriptive design from the patient's medical record data. Results: During the period of January 2016 to December 2018, there were 210 (14,1%) new geriatric patients from total visits of geriatric patients. Those new patients consist of 109 male (51,9%) and 101 women (48,1%) patients. Top five of skin diseases having great number in occurrences were erythropapuloskuamosa (23,3%), tumors (20%), dermatitis (12,9%), fungal infections (11,9%) and viral infections (10,5%). The most common types of erythropapuloskuamosa are seborrheic dermatitis (44,9%), erythroderma (28,6%), and psoriasis (26,5%). Conclusion: New geriatric patients who visited the dermatology and venerology polyclinic in this study were 210 people, there are more male than female and the most types of skin diseases were seborrheic dermatitis.Keyword: geriatric, skin disease, retrospective study

Identifikasi Penyakit Kulit dan Pemeriksaan Lesi Kulit kepada Masyarakat di Daerah Binaan Universitas Andalas Qaira Anum; Rina Gustia; Satya Wydya Yenny; Gardenia Akhyar; Ennesta Asri; Tutty Ariani; Mutia Sari; Rizkia Chairani Asri
Warta Pengabdian Andalas Vol 28 No 3 (2021)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.28.3.334-340.2021

Universitas Andalas has an assisted area in the campus environment located in Limau Manis, Pauh. Skin disease, commonly encountered in the community, is a critical disease group in primary healthcare. However, there is no data on skin disease prevalence in Pauh Primary Care Unit. The purpose of this community service is to find out the characteristics of skin diseases that exist in the Pauh Primary Care Unit. Identifying the prevalence of skin disease is indispensable to planning health services and providing preventive actions against related diseases. The method used primary data from dermatologic status examinations on September 14, 2021. In addition, patients' quality of life was assessed using the Dermatology Life Quality Index (DLQI) questionnaire. The activity results obtained the most diseases were superficial fungal infections, and most skin diseases impact the patient's life. So, treatment and education are essential things in this activity.

Intervensi Menghilangkan Stigma dan Diskriminasi Kusta di Puskesmas Pauh Kamba, Padang Pariaman Tutty Ariani; Rina Gustia; Satya Wydya Yenny; Qaira Anum; Gardenia Akhyar; Ennesta Asri; Irdawati Izrul; Yenni Raflis; Rizkia Chairani Asri; Mardhiati Mardhiati; Riri Prima Yolanda
Warta Pengabdian Andalas Vol 29 No 3 (2022)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.29.3.207-215.2022

The increase in new leprosy cases in the year 2021 spread across 19 regencies, with the highest distribution in Padang Pariaman, and it is still a problem in West Sumatera Province. Based on this condition, "the pockets of leprosy" has been created, which play a role in the transmission of leprosy, so the elimination effort experiences difficult. Public Health Center of Pauh Kamba in Padang Pariaman Regency has 12 (19%) new multibacillary cases. In commemoration of World Leprosy Day in the year 2022, Indonesian Society of Dermatology And Venereology (INSDV/Perdoski), Indonesian Physical Medicine and Rehabilitation Association (Perdosri), and Padang Pariaman District Health Office have been struggling to break the chain of transmission of leprosy by increasing understanding of leprosy, self-care of leprosy, prevention of disability, and revitalize the activities of self-care groups by local health workers.

Perawatan Diri Pada Pasien Kusta Di Puskesmas Ulakan Kabupaten Padang Pariaman Tutty Ariani; Rina Gustia; Satya Wydya Yenny; Qaira Anum; Gardenia Akhyar; Ennesta Asri; Indah Indria Sari; Irdawati Izrul; Yosse Rizal; Mutia Sari; Yola Fadilla; Rizkia Chairani Asri
Prosiding Seminar Nasional Unimus Vol 5 (2022): Inovasi Riset dan Pengabdian Masyarakat Guna Menunjang Pencapaian Sustainable Developm
Publisher : Universitas Muhammadiyah Semarang

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Peningkatan kasus kusta baru pada tahun 2021 yang tersebar di 19 Kabupaten/Kota dengandistribusi terbanyak pada Kabupaten Padang Pariaman masih menjadi permasalahan di ProvinsiSumatera Barat. Hal ini menyebabkan masih terdapatnya kantong-kantong kusta yang berperandalam penularan kusta sehingga upaya eliminasi kasus kusta di tingkat Kabupaten/Kota sulit untukterwujud. Puskesmas Ulakan merupakan salah satu Puskesmas di Kabupaten Padang Pariamandengan 12 kasus baru (19%) multibasiler. Dalam upaya melakukan pemutusan rantai penularan danmeningkatkan pemahaman kepada masyarakat tentang penyakit kusta, maka DepartemenDermatologi dan Venereologi melakukan penyuluhan tentang pentingnya perawatan diri pasienkusta yang dapat dilakukan secara mandiri. Dari 14 pasien kusta didapatkan 70% pengetahuanpasien masih rendah dan setelah kegiatan, pengetahuan rendah turun menjadi 48% dan 52% pasiensudah memiliki pengetahuan yang tinggi. Tingkat perawatan diri pasien 72% masih buruk, stigmadidapatkan tinggi pada usia <45 tahun dengan latar belakang pendidikan tinggi. Dilakukan jugaadvokasi kepada pemegang program dan Kepala Dinas Kesehatan Kab. Padang Pariaman untukmengaktifkan kembali Kelompok Perawatan Diri (KPD).Kata kunci: perawatan diri, kusta, kelompok perawatan diri

Performing Ocular Examinations as A Component of Self-Care For Individuals with Leprosy with The Aim of Eradicating Social Stigma and Prejudice Hendriati Hendriati; Tutty Ariani; Havriza Vitresia; Kemala Sayuti; Andrini Ariesti; Julita Julita; Qaira Anum; Satya Wydya Yenny; Rina Gustia; Gardenia Akhyar; Ennesta Asri; Indah Indria Sari; Astria Rima Rara Yuswir; Novian Novian; Rizki Dwayana; Agustin Vira; Rika Desviorita; Rendra Darma Satria
Warta Pengabdian Andalas Vol 31 No 3 (2024)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.31.3.537-546.2024

Leprosy is still a health problem in several countries, including Indonesia. Disability due to leprosy is a health threat for sufferers and causes quality-of-life problems that can disrupt the productivity of leprosy patients. Ocular involvement in leprosy is joint, but little data has been reported. Apart from multi-drug treatment (MDT), leprosy sufferers must also be able to carry out continuous self-care to prevent further disability. This is a collaborative activity between the Department of Ophthalmology and Dermatology Venereology of the Faculty of Medicine, the University of Andalas in Puskesmas Pauh Kamba district of Padang Pariaman. This is an advocacy activity on self-care (3M: Seeing, Examining, and Protecting) and eye examination. The activity was followed by interactive discussions and continued with a direct examination for skin abnormalities and disabilities, eye examination, and fundoscope. The activity results were obtained from 24 respondents, 11 men and 13 women. The age range is 16-59 years (67%), with the highest level of education being Elementry School graduates, which is 11 people (46%). In the self-care questionnaire of patients, 40% behaved well, and the results of eye examinations almost suffered from dry eye complaints without disabilities.

The 15-Year Shadow: Borderline Lepromatous Leprosy with Erythema Nodosum Leprosum Following Prolonged Treatment Default Rendra Darmasatria; Tutty Ariani; Yosse Rizal; Rina Gustia; Irdawaty Izrul
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 10 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i10.1405

Background: Leprosy, caused by Mycobacterium leprae, persists as a global health issue where the primary challenges are not merely microbial but are deeply rooted in delayed diagnosis and poor treatment adherence. These delays, often driven by profound social stigma, lead to progressive, irreversible disability and sustain community transmission. Erythema Nodosum Leprosum (ENL), an acute immunological complication, further devastates patients' quality of life and complicates management. Case presentation: A 53-year-old Indonesian farmer presented with a 15-year history of untreated leprosy, a journey of neglect initiated by fear of treatment side effects and community ostracism. Clinical examination revealed advanced borderline lepromatous (BL) leprosy with diffuse skin infiltration, multiple anesthetic plaques, and thickened, tender peripheral nerves. He had established WHO Grade 1 disability, characterized by significant sensory loss in his hands and feet and early intrinsic muscle atrophy. A slit-skin smear confirmed a bacteriological index of +3 with a morphological index of 5%, indicating a high load of viable bacilli. Histopathology confirmed BL leprosy with a concurrent mild ENL reaction. A comprehensive, patient-centered management plan was initiated, including a 12-month course of multidrug therapy (MDT-MB), adjunctive care, and intensive counseling. Conclusion: This case powerfully illustrates the "shadow effect" of leprosy—how years of untreated disease, fueled by psychosocial barriers, culminate in a complex nexus of advanced infection, immunological reaction, and permanent neurological impairment. The patient's successful re-engagement with the health system underscores that eradicating the burden of leprosy requires a paradigm shift from a purely pharmacological approach to a deeply humanistic one. Effective control hinges on building compassionate health systems that actively dismantle stigma, empower patients with knowledge, and deliver holistic, multidisciplinary care to prevent the profound human cost of neglect.

The 15-Year Shadow: Borderline Lepromatous Leprosy with Erythema Nodosum Leprosum Following Prolonged Treatment Default Rendra Darmasatria; Tutty Ariani; Yosse Rizal; Rina Gustia; Irdawaty Izrul
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 10 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i10.1405

Background: Leprosy, caused by Mycobacterium leprae, persists as a global health issue where the primary challenges are not merely microbial but are deeply rooted in delayed diagnosis and poor treatment adherence. These delays, often driven by profound social stigma, lead to progressive, irreversible disability and sustain community transmission. Erythema Nodosum Leprosum (ENL), an acute immunological complication, further devastates patients' quality of life and complicates management. Case presentation: A 53-year-old Indonesian farmer presented with a 15-year history of untreated leprosy, a journey of neglect initiated by fear of treatment side effects and community ostracism. Clinical examination revealed advanced borderline lepromatous (BL) leprosy with diffuse skin infiltration, multiple anesthetic plaques, and thickened, tender peripheral nerves. He had established WHO Grade 1 disability, characterized by significant sensory loss in his hands and feet and early intrinsic muscle atrophy. A slit-skin smear confirmed a bacteriological index of +3 with a morphological index of 5%, indicating a high load of viable bacilli. Histopathology confirmed BL leprosy with a concurrent mild ENL reaction. A comprehensive, patient-centered management plan was initiated, including a 12-month course of multidrug therapy (MDT-MB), adjunctive care, and intensive counseling. Conclusion: This case powerfully illustrates the "shadow effect" of leprosy—how years of untreated disease, fueled by psychosocial barriers, culminate in a complex nexus of advanced infection, immunological reaction, and permanent neurological impairment. The patient's successful re-engagement with the health system underscores that eradicating the burden of leprosy requires a paradigm shift from a purely pharmacological approach to a deeply humanistic one. Effective control hinges on building compassionate health systems that actively dismantle stigma, empower patients with knowledge, and deliver holistic, multidisciplinary care to prevent the profound human cost of neglect.

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