Evy Ervianti
Departement Of Dermatology And Venereology, Faculty Of Medicine Universitas Airlangga/Dr. Soetomo General Academic Hospital, Universitas Airlangga Teaching Hospital, Surabaya

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Profile of Disability in Leprosy Patients: A Retrospective Study Geani, Silvani; Rahmadewi, Rahmadewi; Astindari, Astindari; Sawitri, Sawitri; Ervianti, Evy; Utomo, Budi; Cita Rosita Sigit Prakoeswa; Listiawan, Muhammad Yulianto
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 34 No. 2 (2022): AUGUST
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bikk.V34.2.2022.109-113

Abstract

Background: Leprosy is a chronic granulomatous infectious disease caused by Mycobacterium leprae that affects peripheral nerves and skin. The interaction between M. leprae and Schwann cells causes irreversible damage to peripheral nervous tissue afterward disability occurs. Involvement of the major nervous trunks of the extremities can produce sensory-motor deficits. The risk factors are delay in diagnosis, gender, age, type of leprosy, duration of disease, number of affected nerves, leprosy reaction, type of treatment, socioeconomic factors, education, ethnicity, and occupation. Purpose: The aim was to study the profile of leprosy patients with disability who seek treatment in Leprosy Division Dermatovenerology Outpatient Clinic RSUD Dr. Soetomo Surabaya. Methods: This was a descriptive retrospective study of leprosy patients with disability from January 2017 to December 2019. Result: The results of this study obtained a total of 275 leprosy patients with disabilities, which consisted of 76 patients (27.6%) with grade-1 disability and 199 patients (72.4%) with grade-2 disability. The majority were male (73.4%) and aged 25-44 years old (42.2%). Other dominant risk factors were MB type leprosy (92%), duration of disease more than 12 months (52.3%), no leprosy reaction (68%), and had received multidrug therapy (45.5%). Conclusion: Knowledge of disability risk factors can assist in improving management and education to prevent disability in leprosy patients.
Pattern of Candida Species Isolated from Patient with Vulvovaginal Candidiasis in Pregnancy Purnamasari, Indah; Ervianti, Evy; Damayanti, Damayanti; Budi Prasetyo; Astari, Linda; Pepy D. Endraswari; Listiawan, M. Yulianto; Cita Rosita Sigit Prakoeswa
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 34 No. 3 (2022): DECEMBER
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bikk.V34.3.2022.178-183

Abstract

Background: Vulvovaginal candidiasis (VVC) is one of the most prevalent genital tract diseases in women. The identification of the isolated Candida species is critical for guiding empirical antifungal therapy. Purpose: To determine the Candida species that cause vulvovaginal candidiasis in pregnancy at the Obstetrics and Gynecology Outpatient Clinic, Dr. Soetomo General Academic Hospital, thus providing scientific and therapeutic benefits. Methods:  Pregnant woman receiving antenatal care (ANC) at Dr. Soetomo General Academic Hospital Obstetric and Gynecology Outpatient Clinic. Subjects were enrolled in a cross-sectional study during 3 months between March and May 2021. Vaginal swab samples were taken from subjects after informed consent. A specific color change in CHROMagar cultures and VITEK 2 compact were used to identify Candida species. Result: During the study period, 15 pregnant patients were diagnosed with VVC. The majority of the women in the study were pregnant women of sexually active age who complained of a whitish body and genital irritation. There were 18 candida isolates from CHROMagar cultures, with C. non albicans (61.1%) predominating over C. albicans (38.3%). With details, non albicans were C. glabrata (54.4%), C. dubliniensis (36.3%), and C. parapsilosis (18.1%). Conclusion: This study revealed a high prevalence of Candida non-albicans species causing VVC. Culture investigation and identification of Candida are critical to avoid diminished susceptibility to antifungal treatments and recurrence.
Antifungal Activity of Rosemary (Rosmarinus officinalis L.) Emulsion Gel Compared to Nystatin on Candida albicans Stored Isolate from HIV/AIDS Patients with Oral Candidiasis Wardiana, Maya; Astindari; Ervianti, Evy; Afif Nurul Hidayati; Diah Mira Indramaya; Pepy Dwi Endraswari; Budi Utomo; Dwi Murtiastutik
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 35 No. 2 (2023): AUGUST
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bikk.V35.2.2023.88-92

Abstract

Background: Oral candidiasis (OC), frequently caused by Candida albicans, is the most common opportunistic infection in HIV/AIDS patients. Topical treatment for OC is limited. In vitro study revealed rosemary (Rosmarinus officinalis L.) essential oil has an antifungal effect. However, the essential oil is volatile and is not recommended to be applied to the skin and mucosa; therefore, emulsion gel (emulgel) is made. Purpose: This study was conducted to evaluate the antifungal activity of rosemary emulgel 6.25%, 25%, 37.5%, and 50% compared to nystatin. Methods: This study is an in vitro test using the disk diffusion method to d  etermine the antifungal activity shown by the inhibitory zones of rosemary emulgel at 6.25%, 25%, 37.5%, and 50% compared to nystatin to stored isolates of C. albicans from HIV/AIDS patients with OC. Result: Rosemary emulgel 6.25% dan 25% did not show antifungal activity because no inhibitory zone was shown. The inhibitory zone diameter provided by rosemary emulgel 37.5%; 50%; and nystatin against C. albicans isolates were 3.17±3.763 mm; 7.00±4.107 mm; and 30.13±5.319 mm respectively. Significant differences in antifungal activity were shown by the inhibitory zone diameter provided between rosemary emulgel 37.5%, 50%, and nystatin (p<0,05). Conclusion: Rosemary emulgel 37.5% dan 50% had antifungal activity showed by the formation of inhibitory zone against Candida species isolates in disk diffusion method even though it was weaker compared to nystatin as a standard antifungal.
Evaluation of Histopathology Findings of Clinically Confirmed Psoriasis Vulgaris Sawitri; Fadila, Arisia; M. Yulianto Listiawan; Priangga Adi Wiratama; Dwi Murtiastutik; Evy Ervianti; Linda Astari; Damayanti; Diah Mira Indramaya; Afif Nurul Hidayati; Medhi Denisa Alinda
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 35 No. 1 (2023): APRIL
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bikk.V35.1.2023.21-26

Abstract

Background: Psoriasis vulgaris can be diagnosed clinically. A biopsy is usually used to confirm non-classic cases. The findings of the histopathology feature are not usually present, thus clinical relevance is needed to confirm the diagnosis. Purpose: To describe the histopathology findings from tissue samples of histopathologically confirmed psoriasis vulgaris reported in the Department of Pathology and Anatomy of Dr. Soetomo General Hospital. Methods: A descriptive-retrospective study of pathology-ascertained tissue samples of histopathologically confirmed psoriasis vulgaris was reported in the Department of Pathology and Anatomy from patients who were also previously diagnosed clinically with psoriasis vulgaris in the Dermatology and Venereology Outpatient Unit of Dr. Soetomo General Academic Hospital over a period of 2 years. Morphological parameters were observed after histopathology sections were stained with hematoxylin and eosin. Result: Thirty-three tissue samples were examined. Parakeratosis (86%) and hypogranulosis (70.3%) were the most observed findings. Club-shaped rete ridges, suprapapillary plate thinning, and spongiform pustules of Kogoj were the least observed findings (each by 2.7%). Three tissue samples (8.1%) showed only parakeratosis. Only 1 tissue sample (2.7%) showed 4 features (absence of the granular layer, parakeratosis, microabscess of Munro, and spongiform pustules of Kogoj). No tissue sample showed every histopathology finding of psoriasis vulgaris. Conclusion: All of the histopathology features of psoriasis vulgaris are rarely found in one tissue section. Albeit histopathology is believed to be the gold standard diagnosis of psoriasis vulgaris, relevance with clinical findings is still mandatory to support the diagnosis.
Impacts of Clinical and Demographical Aspects on the Duration of Pytiriasis Versicolor M. Kharis Khamdan; Yuri Widia; Dr. Rebekah J. Setiabudi; Evy Ervianti
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 35 No. 2 (2023): AUGUST
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bikk.V35.2.2023.107-115

Abstract

Background: Pityriasis versicolor (PV) or tinea versicolor is a superficial fungal infection characterized by macules on the skin. It is generally caused by the fungus Malassezia. PV is found throughout the world, especially in tropical countries. Generally, this infection is influenced by humidity, hyperhidrosis, and population density around the world. One of the ways to establish PV is through the KOH examination. Purpose: Evaluating the correlation between the clinical and demographic factors and the duration of illness of outpatient PV patients of the Mycology Division of Dermatology and Venereology Department at Dr. Soetomo General Academic Hospital from 2018 to 2020. Methods: This is an observational analytic study based on medical records at the outpatient clinic of Mycology Division of the Dermatology and Venereology Department of Dr. Soetomo General Academic Hospital. The data was collected in October 2021. The chi-square test is used to analyze the data in this study. Result: 216 PV patients' data was collected. Most gender was male, most age group was 20-60, most weight group was 51 – 60 kg, most regional origin was from Surabaya, and most duration of infection was <3 months. In this study, topical and systemic treatment of this disease had a significant relationship with patients' duration of illness (topical p=0.05; systemic p=0.026). Conclusion:  Topical and systemic treatment of this disease has a significant relationship with the duration of illness in PV patients.
Education and Workshop Improve Healthcare Workers' Knowledge of Laboratory Examination for the Diagnosis of Superficial Dermatomycosis Ervianti, Evy; Astari, Linda; Rahmadewi; Setyaningrum, Trisniartami; Mappamasing, Hasnikmah; Anggraeni, Sylvia; Widia, Yuri; Ngesti Kumalasari, Diah; Axelia, Presstisa Gifta; Hadiwidjaja, Farsha Naufal; Sunarto, Olivia Awwalin; Kathrin Kezia Henry; Sulaksanaswastho Suyoso; Puspowati, Erindah
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 35 No. 3 (2023): DECEMBER
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bikk.V35.3.2023.187-192

Abstract

Background: Superficial dermatomycosis is one of the most prevalent skin diseases worldwide. The diagnosis of  superficial dermatomycosis is established clinically, and supported by several examinations, such as microscopic examination, fungal culture, and Wood's lamp examination for certain species. Purpose: This study is to evaluate the improvement of the knowledge of general practitioners and medical analysts after education and workshop. Methods: This cross-sectional observational study involved 70 subjects, consisting of 35 general practitioners and 35 medical analysts from 35 public health centers in Bojonegoro who were willing to participate in this study. The level of knowledge was assessed before and after the health education on laboratory examination for the diagnosis of superficial dermatomycosis. Result: There was a significant difference in mean scores between the pre-test and post-test after health education (p = <0.001). The mean knowledge score of the pre-test before intervention among general practitioners was 36.57 ± 19.088, which increased to 68.00 ± 13.240, and the mean knowledge score before intervention among analysts was 27.14 ± 13.842, which increased to 62.00 ± 12.078 after health education intervention. Conclusion: Following health education, there was an improvement in the healthcare workers's knowledge of laboratory examinations for the diagnosis of superficial dermatomycosis
The Impact of Xerosis Cutis Severity on Quality of Life of Elderly Frizka Eliza; Evy Ervianti; Damayanti
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 36 No. 3 (2024): DECEMBER
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bikk.V36.3.2024.180-183

Abstract

Background: Xerosis cutis occurs more frequently in elderly. This disease is associated with reduced quality of life. This study aimed to determine the impact of xerosis cutis severity on elderly patients' quality of life. Methods: The goal of this cross-sectional observational analytical study was to analyze the impact of xerosis cutis severity on the quality of life of elderly patients. The study was conducted at the outpatient unit clinic of Dermatovenereology Department, Dr. Soetomo General Hospital, Surabaya, Indonesia. This study included a total of 36 elderly patients. We assessed the severity of Xerosis cutis using the Xerosimeter score, and evaluated the quality of life using the Dermatology Life Quality Index (DLQI). Result: The majority of elderly patients with xerosis cutis had moderate severity with 22 patients (61.10%) and reported a moderate impact on quality of life with 17 patients (47.20%). The severity of xerosis cutis was also significantly correlated with quality of life (P<0.000). Conclusion: There is a significant, directly proportional relationship between the severity of xerosis cutis and quality of life, with the severity having a greater impact on quality of life.
Clinical Patterns and Demographic Characteristics of Dermatophytosis in Surabaya Azzahra, Safira; Ervianti, Evy; Setiabudi, Rebekah
Indonesian Journal of Tropical and Infectious Disease Vol. 12 No. 3 (2024)
Publisher : Institute of Topical Disease Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijtid.v12i3.66511

Abstract

Dermatophytosis, the most common fungal infection in humans, significantly impacts quality of life due to its clinical and cosmetic effects. Its high prevalence underscores the need to evaluate patient profiles to improve management strategies.  This study aim is to identify the most prevalent type of dermatophytosis, patient demographics, clinical characteristics, laboratory investigations, and therapy in dermatophytosis into the clinical and epidemiological characteristics of dermatophytosis in a tropical, high-burden region. This descriptive retrospective study used total sampling of medical records of dermatophytosis patients from January 2017 to December 2022.  Tinea corporis and tinea cruris was the most common, while tinea manuum is the least common dermatophytosis. Female adults were the most affected group. Common clinical features for each type included alopecia for tinea capitis, erythematous macules for other types, and nail dystrophy for tinea unguium. Trichophyton mentagrophytes was the commonest pathogen in 2017. Most of the therapies followed Clinical Practice Guidelines with extensive use of griseofulvin and ketoconazole cream. Further research should explore therapeutic outcomes, preventive measures, and factors influencing recurrence and adherence to treatment.
The Clinical Profile of Patients with Chronic Wounds at Dr. Soetomo General Hospital 2015-2020 budirahmadina, nurvania aurellia; perdanakusuma , david sontani; ervianti, evy; saputra, iswinarno doso
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 35 No. 1 (2023): APRIL
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bikk.V35.1.2023.57-66

Abstract

Background: Wounds that have lasted a long time due to failure to continue the normal healing process can be called chronic wounds. Chronic wounds occur due to multiple factors. There are problems that are often found in chronic wounds, such as the presence of exudate, necrotic tissue, and bacteria. The incidence of chronic wounds is closely related to the high cost of treatment and impaired quality of life. Prompt wound management is needed to optimize wound healing. Purpose: To determine the profile of chronic wounds in patients treated by the Department of Plastic Surgery Dr. Soetomo General Hospital Surabaya from 2015 – 2020. Methods: The data were obtained from patients medical records through total sampling technique, which consist of age,   gender, past medical history, clinical features, diagnosis, management, and outcome. Result: This study involved 53 patients, dominated by male patients (70%) aged 46-65 years old (34%). The patient's history showed that most patients suffered from type 2 diabetes (22%). The problem that often occurs is the presence of exudate which is mostly diagnosed with pressure ulcers (40%). All patient get wound bed preparation and the patient's outcome was dominated by recovery (72%). Conclusion: There are several factors affecting wound healing and prompt wound management are important to improving the outcomes.
CHRONIC WOUNDS : RISK FACTORS AND EVIDENCE-BASED INTERVENTION Pinem, Veronica Abebia Beginanta; David Sontani Perdanakusuma; Evy Ervianti; Mikiyas Gifawosen Teferi; Harith Ali Al-Taie
Jurnal Rekonstruksi dan Estetik Vol. 10 No. 1 (2025): Jurnal Rekonstruksi dan Estetik, June 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jre.v10i1.66610

Abstract

Highlights: Identifies key risk factors for chronic wounds and the underexplored role of genetics and immune dysregulation in healing. Explores advanced interventions like smart bandages and bioengineered skin, while addressing accessibility challenges. Highlights the potential of personalized medicine and digital health in improving patient-centered wound care.   Abstract: Introduction: Chronic wounds are a pervasive and escalating public health issue, characterized by their inability to progress through the typical phases of healing, resulting in prolonged tissue damage and patient morbidity.  Common types include diabetic, pressure, arterial, and venous ulcers. Factors like comorbidities, infection, poor circulation, and inadequate care delay healing. This review aims to explore the risk factors for chronic wounds and evaluate evidence-based interventions to optimize treatment outcomes, thereby improving patient care and reducing healthcare costs.   Methods: A thorough literature review was performed using peer-reviewed journals and reliable medical databases, focusing on articles from the past 10 years for relevance. The search used keywords like "chronic wounds," "risk factors," "management," and "evidence-based interventions," selecting studies that addressed the epidemiology, causes, and treatment of chronic wounds. Results: The review identified major risk factors for chronic wounds, such as diabetes, poor circulation, neuropathy, infection, and aging. Effective treatments discussed include advanced dressings, debridement, negative pressure wound therapy, and skin grafts. A multidisciplinary, patient-focused approach was found to improve healing outcomes. Conclusion: Understanding  the risk factors of chronic wounds and applying evidence-based, personalized treatments can significantly improve healing outcomes. Ongoing research and innovation are essential to address gaps in care and enhance patient management.
Co-Authors Addia Salsabila Ade Fernandes Ade Fernandes Afif Nurul Hidayati Afif Nurul Hidayati, Afif Nurul Ahmad, Zahruddin Alphania Rahniayu Amanda Gracia Manuputty Amira Suryani Rahmatika Amira Suryani Rahmatika Anang Endaryanto Anggraeni, Sylvia Arthur Pohan Kawilarang Astindari Astindari Astindari Astindari Astindari, Astindari Axelia, Presstisa Gifta Azzahra, Safira Bagus Bagus Bagus Haryo Kusumaputra Bagus Haryo Kusumaputra, Bagus Haryo Bagus Meurah Suropati Bernadya Yogatri Anjuwita Budi Prasetyo Budi Utomo BUDI UTOMO Budi Utomo Budiono Budiono Budiono Budiono budirahmadina, nurvania aurellia Chesia Christiani Liuwan Cindy Fransisca, Cindy Cita Rosita Sigit Prakoeswa Damayanti Damayanti Damayanti Damayanti Damayanti Damayanti Damayanti Damayanti Damayanti Damayanti Damayanti David Sontani Perdanakusuma Dewi Puspitorini Diah Mira Indramaya Diah Nugrahaeni Diah Nugrahaeni, Diah Dr. Rebekah J. Setiabudi Dwi Murtiastutik Dwi Nurwulan Pravitasari Dyatiara Devy Rahadiyanti Dyatiara Devy Rahadiyanti Eko Budi Koendhori, Eko Budi Ellenita Soebakti Endang Wahyu Fitriani Esthy Yuliana Esti Hendradi Fadila, Arisia Farhat Surya Ningrat Fatma Rosida Frizka Eliza Geani, Silvani Hadiwidjaja, Farsha Naufal Hamidah Luthfidyaningrum Hans Lumintang Hans Lumintang, Hans Harith Ali Al-Taie Harningtyas, Citra Dwi Hasnikmah Mappamasing I Gusti Ayu Agung Elis Indira I Gusti Nyoman Darmaputra Indah Purnamasari Indah Purnamasari Indiarsa Arief L Indiarsa Arief L, Indiarsa Arief INDROPO AGUSNI Intan Primasari Irmadita Citrashanty Irmadita Citrashanty Irmadita Citrashanty, Irmadita Iskandar Zulkarnain Iskandar Zulkarnain Kathrin Kezia Henry Kurniati Kurniati Linda Astari, Linda Lunni Gayatri Lunni Gayatri, Lunni M. Kharis Khamdan M. Yulianto Listiawan Made Putri Hendaria ManikRetno Wahyunitisari Mappamasing, Hasnikmah Maria Ulfa Sheilaadji Marsudi Hutomo Maylita Sari Maylita Sari Maylita Sari, Maylita Medhi Denisa Alinda, Medhi Denisa Menul Ayu Umborowati, Menul Ayu Mikiyas Gifawosen Teferi Nadya Kelfinta Hanani Ngesti Kumalasari, Diah Nugroho, Wisnu Triadi Nur Khamidah Nurul Wiqoyah, Nurul Nyoman Suryawati Pepy D. Endraswari Pepy Dwi Endraswari, Pepy Dwi perdanakusuma , david sontani Pinem, Veronica Abebia Beginanta Pramitha, Riezky Januar Pratiwi, Karina Dyahtantri Priangga Adi Wiratama Puspowati, Erindah Rahmadewi Rahmadewi Rahmadewi Rebekah Setiabudi, Rebekah Regitta Indira Agusni Retha Retha Rubianti, Marissa Astari saputra, iswinarno doso Sari, Desiana Widityaning Sawitri Sawitri Sawitri Sawitri Sawitri Sawitri Sawitri Selvia Yuliani Dwi Ratih Sanggarwati Septiana Widyantari Septiana Widyantari Shakti Indraprasta Sheilaadji, Maria Ulfa Sulaksanaswastho Suyoso Sunarso Suyoso Sunarso Suyoso Sunarso Suyoso Sunarso Suyoso, Sunarso Sunarto, Olivia Awwalin Tanojo, Natalia Tengku Riza Zarzani N Tessa Thendria Tjokorde Istri Nyndia Vaniari Trisiswati Indranarum Trisniartami Setyaningrum Wardatun Faizah Wardiana, Maya Wisnu Triadi Nugroho Yoana Fransiska Wahyuning Christi Yuindartanto, Andre Yuri Widia, Yuri Yuri Widya Yusuf Wibisono