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All Journal Berkala Ilmu Kesehatan Kulit dan Kelamin Folia Medica Indonesiana Health Notions Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya Biomolecular and Health Science Journal Cermin Dunia Kedokteran Cermin Dunia Kedokteran
Trisniartami Setyaningrum
Departemen/ SMF Ilmu Kesehatan Kulit Dan Kelamin, Fakultas Kedokteran Universitas Airlangga/ RSU Dr. Soetomo, Surabaya, Indonesia
Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Other

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The Profile and Triggering Factors of Melasma Patients: A Retrospective Study Putri Brillian Betrista Viorizka; Trisniartami Setyaningrum; Ema Qurnianingsih; Damayanti
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.V35.2.2023.142-147

Abstract

Background: Melasma is a skin pigmentation disorder characterized by brownish hyperpigmented lesions with symmetrical distribution and irregular borders. It becomes a cosmetic problem that causes a negative impact on quality of life and a lack of confidence in patients. The etiology of melasma is not completely understood, but several factors that trigger melasma can be explained. Yet, the profile and triggering factors associated with the prevalence of melasma patients in Surabaya are still unexplored. Purpose: To determine the profile and triggering factors of melasma patients in the Dermatology and Venereology Outpatient Unit of Dr. Soetomo General Academic Hospital Surabaya from January to December 2019. Methods: A retrospective descriptive study using data from medical records with a total sampling technique. Result: In this study, most of the melasma patients were female (97.5%), dominated by the age group 46-55 years (49.4%), and worked as housewives (40.74%). The triggering factors found in patients were sun exposure (96.3%), cosmetics (67.9%), hormonal (49.4%), and family history (22.2%). The physical examinations of melasma lesions showed that they were mostly located in the malar area (72.8%), light brown colored (74.7%), and 2.0 – 4.0 cm in size (54.3%). Wood's lamp examination showed that most of the lesions had firm and indistinct borders (55.6%). Conclusion: The triggering factors of melasma are multifactorial, but we suspect that sun exposure plays an important role in affecting melasma.
The Effects of Hormonal Factor on the Degree of Acne Vulgaris Severity Alarik L., Albertus; Indiastuti, Danti Nur; Astari, Linda; Setyaningrum, Trisniartami
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.V35.2.2023.126-129

Abstract

Background: Acne vulgaris is a disease in the form of chronic inflammation of the pilosebaceous follicles with multifactorial causes. Acne vulgaris is a very common skin disease with a prevalence of 85%  in the age range of 18-25 years. There are aggravating factors that can exacerbate acne vulgaris, including hormonal factors. However, the study about how strong the effects of hormonal factors and on acne severity is really limited. Purpose: The objective of this research is to determine how strong hormonal factors contribute on the severity of acne vulgaris. Methods: This was a cross-sectional retrospective study using secondary data obtained from 199 patients at the Dermatology and Venereology Outpatient Unit of RSUD Dr. Soetomo from January- December 2019. The data were analyzed using SPSS with regression analysis.Result: Hormonal factors significantly influenced the degree of acne vulgaris severity (P-value=0.030). Based on the logistic regression model, it can be found that hormonal factors influence the degree of acne vulgaris by 70% Conclusion: The effect of hormonal factors on the severity of acne vulgaris is 70%.
Factors that Influence The Onset of Acne Vulgaris :Retrospective Study Asrianti, Nur Ilma; Trisniartami Setyaningrum; Yuani Setiawati; Yuri Widia
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 36 No. 2 (2024): AUGUST
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bikk.V36.2.2024.98-103

Abstract

Background: Acne vulgaris (AV) is a skin condition that mostly occurs in adolescents, although it can occur at any age. Most occur during adolescence, with a prevalence of around 85%. Acne vulgaris is a multifactorial disease triggered by many factors, namely, genetics, environment, hormonal and emotional stress, food, trauma, cosmetics, and medications. Purpose: This study identifies the precipitating factors of acne vulgaris. Methods: This study was retrospective based on medical record data at the Dermatology and Venereology Outpatient Clinic of Dr. Soetomo General Academic Hospital Surabaya in the period January 2018–December 2019. Results: The number of AV patients within 2 years from January 2018 to December 2019 obtained 517 cases of acne vulgaris patients with complete data. There were female AV patients (80.7%) and male AV patients (19.3%). The most common age of AV patients was 15–24 years old (60.5%), the most common occupation of AV patients was student (59.8%), and patients suffered from AV for >12 months (18.6%). The most precipitating factors for AV are hormonal (69.6%) and cosmetic (50.1%); the most common type of AV is mild AV (64.2%); and the most common AV therapy is the combination of topical tretinoin, benzoyl peroxide (BPO), and topical clindamycin. Conclusion: The results of this study showed that hormonal and cosmetic precipitating factors caused most AV patients in women.
Condyloma Accuminata In Pregnancy Overlapping With Bacterial Vaginosis Widyantari, Septiana; Rozita Maharani, Dinda; Koesandrini, Kinanthi; Setyaningrum, Trisniartami
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.V35.3.2023.226-230

Abstract

Background: Human Papilloma Virus (HPV) 6 and 11 are most commonly detected in genital warts, known as condyloma acuminata. Bacterial vaginosis (BV) is the most frequent vaginal infection in women aged 15 to 44 years. There may be an association between condyloma acuminata and BV. Purpose : To report a case of condyloma accuminata in a pregnant patient with combination bacterial vaginosis. Case: A 24-year-old, 8-week pregnant woman came to the clinic with a chief complaint of multiple warts in the genital area since 3 months prior to the hospital visit. The bumps on the vulva were small, and at first only one but then spread to surrounding areas. The bumps were itchy and painful. Complaints of vaginal discharge or fluor albus of yellowish-white gray color, accompanied by itchy and a fishy odor that appeared three months ago and worsened in the last two weeks. Examination results led to the diagnosis of condyloma acuminata and BV in the patient. The patient's condition improved after being given 90% trichloroacetic acid (TCA), electrocautery, and metronidazole. Discussion: Pregnancy decreases cell-mediated immunity, which may decrease immune tolerance and local physiologic changes and ultimately increase HPV infection in pregnancy. HPV infection is associated with a vaginal microbiota imbalance, making pregnant women prone to vaginal infections such as BV. Conclusion: Condyloma accuminata and BV often occur in high-risk groups for sexually transmitted infections, one of which is pregnant women. It is necessary to screen for sexually transmitted infections (STIs) in pregnant women to prevent complications.
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 Genotype of Human Papilloma Virus of Male Patient with Anogenital Warts Murtiastutik, Dwi; Mastutik, Gondo; Rahniayu, Alphania; Arista, Afria; Setyaningrum, Trisniartami
Folia Medica Indonesiana Vol. 55 No. 2 (2019): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (198.692 KB) | DOI: 10.20473/fmi.v55i2.24581

Abstract

Human papillomavirus (HPV) infection is one of the most common sexually transmitted infections. HPV high risk (HPVHR) were HPV16,18 related with invasive penile carcinomas, and HPV low risk (HPVLR) were HPV6,11 related to anogenital warts. Male infection is usually asymptomatic that it would be explain increasing the incidence of HPV associated cancers. Identification HPV genotype is very important for predicting the development of the diseases, to be benign or malignant cancer. The objective of this study was to identify the genotype of HPV that infect men with anogential warts. This research used 12 biopsy specimens from men patient with anogenital warts at Outpatient clinic of Department Dermatology and Venereology, Dr. Soetomo General Hospital period 2016-2017. The specimens were diagnozed by pathologist and HPV gentoyping was done to detect 40 HPV genotype including HPVHR and HPVLR. The result showed that 58% (7/12) were positive for HPVLR and 42% (5/12) were positive for HPV LR/HR. The genotype HPV that infected men patient with anogenital warts is HPVLR (HPV6,11) and HPVHR (HPV18,51,52,82) with single infection of HPVLR or mutiple infection HPVLR/LR or HPVLR/HR. The infection of HPVHR would be develops to be malignant transformation. It suggested that HPV genotype needs to be checked the for the anogenital warts cases for predicting the development of the diseases.
Chemical Peeling in Skin-Aging Patients: A Retrospective Study Susanto, Ester Chateline; Setyaningrum, Trisniartami; Arifa Mustika; Astari, Linda
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.V35.1.2023.6-14

Abstract

Background: Skin aging is a degenerative process that involves a decrease in the structure and function of skin cells and theextracellular matrix due to intrinsic and extrinsic factors. Chemical peeling is one of the skin aging treatments that involvesskin ablation using chemical agents. Purpose: To evaluate the profile of skin-aging patients treated with chemical peeling atthe Dermatology and Venereology Outpatient Unit of Dr. Soetomo General Hospital Surabaya from January throughDecember 2019. Methods: The data were obtained from patients' medical records through a total sampling technique, whichconsisted of age, gender, occupation, history taking, physical examination, diagnosis, therapeutic agents, follow-up frequency,and therapeutic result. Result: The study included 37 patients, the majority of whom were between the ages of 46 and 55(35.1%), female (100%), and private employees (32.4%). In history taking, patients' main complaint is dull skin (94.6%), withthe risk factor of sun exposure (97.3%) and the history of sunscreen usage (81.1%). Pigmentary changes were found in allpatients (100%). The most common diagnoses are photoaging Glogau II and Glogau III, found in 15 patients (40.5%),respectively. The common priming agents were sunscreen (97.3%), cleanser (94.6%), and 8% glycolic acid (75.7%). Themajority of patients (62.2%) received 20% glycolic acid as a peeling agent and sunscreen (86.5%) as a post-peeling agent.The majority of patients (43.2%) did not follow up. Glogau II photoaging (57.1%) was the main therapeutic result.Conclusion: Proper chemical peeling procedures and patients compliance are important factors to improve therapeuticoutcomes.
Clinico-Epidemiological Profile of Vitiligo Patients Receiving Narrowband Ultraviolet-B (NB-UVB) Treatment Ramadhina, Anasya Putri; Setyaningrum, Trisniartami; Tjempakasari, Artaria; Damayanti
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.V35.1.2023.15-20

Abstract

Background: Vitiligo is an idiopathic disease with a prevalence of 0.5-2% worldwide that causes the loss of melanocyte cells from parts of the body and is characterized by the appearance of well-defined white macules. The pathogenesis of vitiligo is suspected to originate from genetic, non-genetic, and autoimmune factors. Currently, Narrowband Ultraviolet-B (NB-UVB) is the first-line phototherapy treatment to treat vitiligo. Purpose: To evaluate the profile of vitiligo patients who were given phototherapy at the Dermatology and Venereology Outpatient Clinic, Dr. Soetomo General Academic Hospital for the period January-December 2019. Methods: This study used a retrospective descriptive research design with descriptive statistical methods. In this study, the medical records were evaluated by recording the patient's age, gender, occupation, history of illness, family history, and results of a physical examination. Result: This study obtained 31 samples that received phototherapy dominated by the age range of 17-25 years (29%) and male gender (55%), with a ratio of 1:0.82 to women. The majority work as others (68%). The most common trigger factor was emotional stress (29%). According to physical examination, the majority of patients had multiple lesions (81%), were not widely available (58%), and were of the generalized type (52%). Conclusion: It can be evaluated from the most data obtained: 17-25 years old (29%), male gender (55%), other occupations (68%), emotional stress triggers (29%), multiple lesions (81%), unavailable lesion area (58%), and generalized type (52%), describe the profile of vitiligo patients in Dr. Seotomo General Academic Hospital in 2019.
Gray Patch Tinea Capitis Caused by Microsporum canis Febrina Dewi Pratiwi; Trisniartami Setyaningrum
Cermin Dunia Kedokteran Vol 47 No 8 (2020): Oftalmologi
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v47i8.582

Abstract

Background: Tinea capitis (TC) is the most common dermatophytosis of childhood. Case: A 3-year-old boy came with a three-week history of whitish rash and baldness. Physical examination found whitish, ill-defined patches and plaques with focal area of scaling and hyperkeratosis on the scalp (vertex region) and alopecia. Woods light examination revealed green fluorescence of infected hairs, and KOH prep revealed an ectothrix pattern of hair shaft invasion by fungal elements. Fungal growth by culture on Sabouraud dextrose agar with chloramphenicol and cycloheximide for 3 weeks found growth of M. canis. The treatment was griseofulvin 1x375 mg and ketoconazole 2% shampoo twice weekly. Complete clinical clearance was obtained after 8 weeks . Latar Belakang: Tinea Kapitis (TK) adalah dermatofitosis terbanyak pada anak. Kasus: Anak berusia 3 tahun dengan keluhan bercak putih dan botak di kepala sejak 3 minggu. Pemeriksaan fisik mendapatkan bercak keputihan, batas jelas dengan sisik tipis dan hiperkeratosis di area vertex kepala dan alopecia tanpa pustul, erosi, indurasi, atau inflamasi berat. Pemeriksaan lampu Wood menunjukkan floresensi hijau terang dan pemeriksaan KOH menunjukkan pola ectothrix elemen jamur pada sampel batang rambut. Kultur jamur pada Sabouraud dextrose agar dengan kloramfenikol dan sikloheksimid selama 3 minggu ditemukan pertumbuhan jamur Microsporum canis. Terapi griseofulvin oral 1x375 mg dan shampo ketoconazol 2% dua kali seminggu. Pasien sembuh setelah pengobatan 8 minggu.
Co-Authors Abdul Karim Ade Fernandes Afif Nurul Hidayati, Afif Nurul Afria Arista Afria Arista Afria Arista, Afria Agatha Anindhita Ayu Ardhaninggar Alarik L., Albertus Alphania Rahniayu Amanda Gracia Manuputty Amira Suryani Rahmatika Anggraeni, Sylvia Arifa Mustika Artaria Tjempakasari, Artaria Asrianti, Nur Ilma Astindari Astindari Astindari Astindari Astindari Astindari, Astindari Aulia Rafikasari Axelia, Presstisa Gifta Bagus Haryo Kusumaputra, Bagus Haryo Budiono Budiono Christina Avanti Cita Rosita Sigit Prakoeswa Cita Rosita SP Damayanti Damayanti - Damayanti Damayanti Damayanti Damayanti Damayanti Damayanti Damayanti Damayanti Deasy Fetarayani Diah Mira Indramaya Dinar Witasari Dwi Murtiastutik Dyah Ratri Anggarini Dyah Ratri Anggarini, Dyah Ratri Eden Leonita Eva Lydiawati Evy Ervianti Febrina Dewi Pratiwi Gondo Mastutik Hadiwidjaja, Farsha Naufal Hans Lumintang Hans Lumintang, Hans Lumintang,, Hans Hari Sukanto Hening Laswati Indiastuti, Danti Nur Irmadita Citrashanty Irmadita Citrashanty, Irmadita Irwadi, Irfiansyah Iskandar Zulkarnain Kathrin Kezia Henry Koesandrini, Kinanthi KUSUMASTUTI, ETTY HARY Linda Astari, Linda LINGGA, FEBRINA DEWI PRATIWI Lisa Aditama, Lisa Lutfia Ariska Ramadhani M. Yulianto Listiawan Mappamasing, Hasnikmah Marsudi Hutomo Marsudi Hutomo, Marsudi Maylita Sari Maylita Sari, Maylita Medhi Denisa Alinda, Medhi Denisa Menul Ayu Umborowati Menul Ayu Umborowati Menul Ayu Umborowati, Menul Ayu Nabiha Missaoui Ngesti Kumalasari, Diah Pramitha, Riezky Januar Puspowati, Erindah Putri Brillian Betrista Viorizka Qurnianingsih, Ema Rahmadewi Rahmadewi Rahmadewi Ramadhina, Anasya Putri Renata Mayangsari Ridha Ramadina Widiatma Rozita Maharani, Dinda Ryski Meilia Novarina Ryski Meilia Novarina Ryski Meilia Novarina, Ryski Meilia Samsriyaningsih Handayani Sawitri Sawitri Shakti Indraprasta Shakti Indraprasta, Shakti Shelma Maharani Shinta Dewi Rahmadhani Soetojo Suhartono Taat Putra Sulaksanaswastho Suyoso Sunarto, Olivia Awwalin Susanto, Ester Chateline Tasya Wikassa Tengku Riza Zarzani N Widyantari, Septiana Willy Sandhika Yasmin Adzra Nabila Yosi Charly Yuani Setiawati Yuli Wahyu Rahmawati Yuri Widia, Yuri Zada Febrial Effendy Zada Febrial Effendy, Zada Febrial