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Bagus Haryo Kusumaputra, Bagus Haryo
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Immunology & microbiology Public Health

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Penatalaksanaan Kandidiasis Mukokutan pada Bayi Kusumaputra, Bagus Haryo; Zulkarnain, Iskandar
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol 26, No 2 (2014): BIKKK AGUSTUS 2014
Publisher : Faculty Of Medicine Airlangga University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (489.015 KB) | DOI: 10.20473/bikkk.V26.2.2014.1-7

Abstract

Latar belakang: Bayi memiliki risiko lebih tinggi terhadap cedera kulit, absorbsi kulit, dan infeksi kulit. Kandidiasis mukokutan pada bayi dapat berupainfeksi yang paling umum seperti kandidiasis oral dan ruam popok, sampai berupa infeksi serius yang berpotensi menjadi infeksi sistemik, seperti kandidiasis kongenital dan dermatitis fungal invasif. Infeksi mukokutan pada bayi prematur dapat menjadi permulaan infeksi sistemik sehingga membutuhkan perhatian khusus.Tujuan: Memberikan pengetahuan mengenai kandidiasis mukokutan pada bayi yang meliputi etiopatogenesis dan manifestasi klinis, sehingga diharapkan dapat memberikan pengobatan yang lebih baik. Telaah kepustakaan: Lokasi utama kontak dengan kandida pada bayi baru lahir yang tersering adalah mukokutan, termasuk saluran pencernaan, pernapasan, dan kulit. Faktor predisposisi kandidiasis meliputi faktor mekanik, nutrisi, perubahan fisiologis, penyakit sistemik, dan faktor iatrogenik. Diagnosis kandidiasis mukokutan berdasarkan pemeriksaan klinis ditunjang dengan pemeriksaan mikroskop langsung dan kultur. Pengobatan kandidiasis mukokutan pada bayi meliputi pengobatan topikal dan sistemik. Golongan antijamur topikal yang digunakan pada kandidiasis antara lain imidazol dan poliene, sedangkan pengobatan antijamur sistemik meliputi flukonazol dan amfoterisin B. Simpulan: Pengobatan kandidiasis mukokutan pada bayi sebagian besar menggunakan obat topikal. Pengobatan sistemik digunakan bila terapi topikal gagal atau pada infeksi kandida yang terdapat gejala sistemik.Kata kunci: kandidiasis mukokutan, bayi, tatalaksana.
Efficacy and Side Effects of Fractional Carbon Dioxide Laser for Acne Scars, Keloids, and Striae Albae in the Dermatovenereology Clinic of Tertiary Hospital: A Retrospective Study Pramitha, Riezky Januar; Zulkarnain, Iskandar; Ervianti, Evy; Rahmadewi, Rahmadewi; Hidayati, Afif Nurul; Budiono, Budiono; Indramaya, Diah Mira; Setyaningrum, Trisniartami; Citrashanty, Irmadita; Sari, Maylita; Umborowati, Menul Ayu; Kusumaputra, Bagus Haryo; Listiawan, Muhammad Yulianto
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 33 No. 1 (2021): APRIL
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bikk.V33.1.2021.19-27

Abstract

Background: Fractional Carbon Dioxide (CO2) LASER has better efficacy compared to conventional LASER in treating scar tissue such as acne scars, keloids, and striae albae. However, a population with darker skin has a higher risk of side effects, especially in post-inflammatory hyperpigmentation. Purpose: To evaluate the efficacy and side effects of fractional CO2 LASER in new patients with acne scars, keloids, and striae albae in the Dermatovenereology outpatient clinic. Methods: Retrospective analysis was done on 42 medical records of patients who met the inclusion criterion, which was those who have undergone fractional CO2 LASER treatments. The efficacy and side effects of the therapy were identified and analyzed using the Statistical Package for Social Sciences (SPSS) version 17 program. Result: A total of 42.9% of patients underwent fractional CO2 LASER treatments for acne scars, while 31% and 26.1% of patients received treatments for keloids and striae albae, respectively. There was a statistically significant decrease in the degree of acne scar (2.72 ± 0.83), keloid height (2.2 ± 0.405), and striae width (0.39 ± 0.02). The statistically significant side effects were hyperpigmentation (59.5%), crustae (26.2%), erythema ≥ for 4 days (19%), and new acne (19%). Conclusion: Fractional CO2 LASER was effective for treating scar tissue (acne scars, keloids, and striae albae) with a higher incidence of side effects in population with darker skin and post-inflammatory hyperpigmentation.
A Retrospective Study: Epidemiology, Onset, and Duration of Erythema Nodosum Leprosum in Surabaya, Indonesia Fransisca, Cindy; Zulkarnain, Iskandar; Ervianti, Evy; Damayanti, Damayanti; Sari, Maylita; Budiono, Budiono; Alinda, Medhi Denisa; Kusumaputra, Bagus Haryo; Prakoeswa, Cita Rosita Sigit; Listiawan, Muhammad Yulianto
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 33 No. 1 (2021): APRIL
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bikk.V33.1.2021.8-12

Abstract

Background: Erythema nodosum leprosum (ENL) has a chronic and recurrent nature which could reduce patient's quality of life in addition to the onset of ENL that occurs before, during, or after multidrug treatment, further emphasizing the importance of regular control and education.Purpose:This study aimed to evaluate the epidemiology, onset, duration, and recurrence of ENL. Methods:Data from medical records were obtained for a 3-year retrospective study of multibacillary leprosy patients at the Leprosy Division of the Dermatology and Venereology Outpatient Department, Dr. Soetomo General Hospital Surabaya, with a minimum of 2–5 years follow-up period.Result:The prevalence of  ENL continued to increase almost every year especially in 2017 (32% in 2015; 32% in 2016; and 36% in 2017). ENL most often occurs during the first year of multi-drug therapy (MDT) administration followed by after the release from treatment (RFT) with the latest onset occurring 4 years after RFT. The majority of patients experienced chronic and recurrent reactions with the longest reactions lasting up to 4.5 years (55 months). Conclusion:Knowledge about the onset, duration, and recurrences of ENL are essential, and strict supervision for routine control shall be encouraged to increase the patients' compliance so as to increase their quality of life.
Concordance Test Between Dermoscopic and Histopathological Parameteres in Basal Cell Carcinoma Hartanto, Felix; Kusumaputra, Bagus Haryo; Sari, Maylita; Citrashanty, Irmadita; Mappamasing, Hasnikmah; Astari, Linda; Sandhika, Willy; Hidayati, Afif Nurul; Prakoeswa, Cita Rosita Sigit; Listiawan, Muhammad Yulianto
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 36 No. 1 (2024): APRIL
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bikk.V36.1.2024.6-11

Abstract

Background: Basal cell carcinoma (BCC) is the most common skin cancer and can cause local tissue damage. BCC can occur in all populations, regardless of skin color. Dermoscopy has compatibility with histopathology in determining the benign or malignant nature of a lesion. Dermoscopy can improve the diagnostic accuracy of BCC by >90%, with 7 parameters that can be found: arborizing vessels, blue-gray ovoid nests, blue-gray dots/globules, maple leaf-like areas, spoke-wheel areas, ulceration, and hiny white areas. Purpose: To assess the compatibility of each dermoscopy parameter with its corresponding histopathological parameters. Methods: Observational analytic study with a cross-sectional approach was performed. Dermoscopy parameters were obtained by reassessing all photographs, while histopathological parameters were obtained from pre-existing slide reviews. Cohen's Kappa test was performed to analyze both variables. Result: A Total of 26 samples met the inclusion criteria. Most BCCs were found in female sex (65.4%), age >50 years (80.8%), and facial location (88.5%). Cohen's Kappa test was significant in 2 out of 7 dermoscopy parameters: "blue-gray ovoid nests" (p = 0.0019; r = 0.458) and "spoke wheel areas" (p = 0.037; r = 0.371). The "shiny white areas” parameter could not be analyzed because there was no negative variation in the examination. The possibility of false positives and negatives could not be ruled out.  Conclusion: Significance between the two variables is found in 28.6% of the 7 parameters analyzed...
Co-Authors Afif Nurul Hidayati, Afif Nurul Budiono Budiono Cindy Fransisca, Cindy Cita Rosita Sigit Prakoeswa Damayanti Damayanti Diah Mira Indramaya Evy Ervianti Hartanto, Felix Irmadita Citrashanty, Irmadita Linda Astari, Linda M. Yulianto Listiawan Mappamasing, Hasnikmah Maylita Sari, Maylita Medhi Denisa Alinda, Medhi Denisa Menul Ayu Umborowati, Menul Ayu Pramitha, Riezky Januar Rahmadewi Rahmadewi Tengku Riza Zarzani N Trisniartami Setyaningrum Willy Sandhika Winnugroho Wiratman, Manfaluthy Hakim, Tiara Aninditha, Aru W. Sudoyo, Joedo Prihartono