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All Journal JOURNAL LA MEDIHEALTICO Media Dermato-Venereologica Indonesiana Journal of General Procedural Dermatology and Venereology Indonesia Bali Dermatology Venereology and Aesthetic Journal
Sirait, Sondang Panjaitan
KSM Dermatologi Dan Venereologi Fakultas Kedokteran Universitas Indonesia - Rumah Sakit Cipto Mangunkusumo
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Veterinary

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NEVUS LIPOMATOSUS SUPERFISIALIS MULTIPEL DENGAN KLINIS SERUPA FIBROMA MOLE Irianti Rakasiwi Ningrum, Rizki; Krisanti, Roro Inge Ade; Sirait, Sondang P; Sukmara, Isni Maulina; Zaneta, Nabila
Media Dermato-Venereologica Indonesiana Vol 52 No 3 (2025): Media Dermato Venereologica Indonesiana
Publisher : Perhimpunan Dokter Spesialis Kulit dan Kelamin Indonesia (PERDOSKI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33820/mdvi.v52i3.512

Abstract

Pendahuluan: Nevus lipomatosus superfisialis merupakan lesi hamartoma kulit yang jarang ditemui, sehingga seringkali tidak terdiagnosis. Gambaran klinisnya dapat menyerupai tumor jinak lain, salah satunya adalah fibroma mole. Laporan ini bertujuan untuk meningkatkan kesadaran klinisi terhadap variasi klinis nevus lipomatosus superfisialis. Kasus: Seorang perempuan berusia 63 tahun, datang dengan keluhan benjolan bertangkai sewarna kulit multipel di punggung atas tanpa keluhan gatal maupun nyeri. Pemeriksaan dermoskopi didapatkan gambaran irreguler epidermal projections dengan yellowish structureless area pada penekanan. Pasien dilakukan pemeriksaan histopatologi dan didapatkan gambaran sesuai dengan nevus lipomatosus superfisialis. Diskusi: Laporan kasus ini menunjukkan kasus menyerupai fibroma mole secara klinis, namun pemeriksaan dermoskopi dan histopatologi memberikan petunjuk penting. Gambaran yellowish structureless area pada dermoskopi mengarah pada keberadaan adiposit dermis yang khas pada nevus lipomatosus superfisialis. Kesimpulan: Nevus lipomatosus superfisialis merupakan lesi hamartomatosa kulit yang jarang dan sering salah didiagnosis sebagai fibroma mole. Gambaran dermoskopi berupa area kuning tanpa struktur berkorelasi dengan adanya adiposit dermis, dan bila dikombinasikan dengan pemeriksaan histopatologi menjadi sangat penting dalam menegakkan diagnosis. Kasus ini menekankan pentingnya menggabungkan temuan klinis dan pemeriksaan diagnostik untuk menghindari salah diagnosis.
Adjuvant therapies of acne: review of literatures Randy Satria Nugraha Rusdy; Lili Legiawati; Irma Bernadette Simbolon Sitohang; Sondang Marisi Holong Aemilia Pandjaitan Sirait
Bali Dermatology Venereology and Aesthetic Journal BDVJ - Vol. 5 No. 1 (June 2022)
Publisher : Explorer Front

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/bekrds92

Abstract

Acne is a chronic inflammatory disorder affecting pilosebaceous unit with various clinical manifestation from comedone, papule, pustule, to nodule and cyst. Choice of treatment is based on acne severity. Prolong antibiotic use along with restriction of isotretinoin use in Indonesia can be a challenge in managing acne. A lot of treatment options from topical agent, systemic medication, comedone extraction, intralesional corticosteroid injection, chemical peeling, light and laser-based therapy, as well as diet modification can be used as an adjuvant to improve acne. Review of literatures was performed to present recent evidence toward the effectivity of adjuvant therapy as a part of acne management.
PIODERMA FASIALE: DERMATOSIS AKIBAT INFEKSI ATAU AKIBAT ETIOLOGI LAIN? SUATU KASUS JARANG Priyanto, Mufqi Handaru; Miranda, Eliza; Sirait, Sondang Pandjaitan; Menaldi, Sri Linuwih SW
Media Dermato-Venereologica Indonesiana Vol 51 No 1 (2024): Media Dermato Venereologica Indonesiana
Publisher : Perhimpunan Dokter Spesialis Kulit dan Kelamin Indonesia (PERDOSKI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33820/mdvi.v51i1.261

Abstract

Pioderma fasiale merupakan kondisi kelainan kulit yang jarang terjadi. Kelainan ini secara klasik ditandai dengan munculnya erupsi inflamatori berupa papul, pustul, nodul, bahkan kista pada wajah, terutama mengenai perempuan usia 15-46 tahun. Kondisi tersebut saat ini disebut sebagai rosasea fulminan, suatu varian rosasea yang berat dengan etiologi yang belum diketahui jelas sampai sekarang. Diduga terdapat hubungan antara pioderma fasiale dengan faktor imunologi, hormonal, dan vaskular. Dilaporkan satu kasus yang sepengetahuan penulis belum pernah dilaporkan di Indonesia. Perempuan usia 15 tahun dalam terapi lupus eritematosus sistemik, datang dengan erupsi pustul multipel di atas plak eritematosa disertai beberapa telangiektasis pada wajah. Kondisi ini awalnya dipikirkan sebagai suatu pioderma yang membaik dengan antibiotik sistemik  amoksisilin/asam klavulanat, namun mengalami rekurensi. Kultur dari pustul tidak didapatkan pertumbuhan isolat bakteri, dan biopsi jaringan menunjukkan sebukan sel polimorfonuklear di sekitar pembuluh darah, jaringan interstitial, dan folikel rambut. Pasien kemudian diterapi dengan kombinasi asam retinoat dan eritromisin topikal yang memberikan respons sangat baik dalam 3 minggu sejak dimulainya terapi.
Telogen effluvium incidence in women wearing hijab compared to non-hijab: A cross-sectional study Sirait, Sondang Pandjaitan; Widaty, Sandra; Legiawati, Lili; Surachmiati Suseno, Lis; Krisanti, Roro Inge Ade; Budianti, Windy Keumala; Miranda, Eliza; Rihatmadja, Rahadi; Oktarina, Caroline; Pandelaki, Paulus Anung Anindita; Situmeang, Irhen
Journal of General - Procedural Dermatology & Venereology Indonesia Vol. 8, No. 2
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: Hair loss is a normal experience, but if the amount of hair loss exceeds what is considered normal, it will usually cause anxiety for the patient. In Indonesia, almost every Muslim woman wears a hijab. The hijab is one of many factors believed to cause hair loss. Telogen effluvium (TE) itself is a hair cycle disorder in which the anagen phase terminates prematurely, resulting in diffuse club hair loss without scarring, and TE itself has many risk factors. The purpose of this study was to determine the relationship between the incidence of TE in women who wear hijabs and those who do not. Methods: This cross-sectional study was conducted from August 2019 to April 2021 involving 188 healthy women aged 18 years and over who had not yet reached menopause. In the hijab group, it was determined that they should wear a minimum of 8 hours a day for at least 5 years. The test was carried out on hair that had not been washed using a trichogram, to look for hair characteristics in each group (hijab-wearing and non-hijab-wearing). Analysis of the data obtained was carried out using the Chi-square test and odds ratio. Results: Telogen effluvium was higher in subjects wearing hijab (26.8%) than in subjects who did not wear hijab (18.1%), (p-value 0.040, OR 2.036). Conclusion: There was a significant relationship between TE in women who wear hijab compared to those who do not. Further studies should be conducted in other populations with a larger sample size to confirm these results.
Dermoscopy and 30% potassium hydroxide direct examination as diagnostic tools for distal lateral subungual onychomycosis Gaol, Evangelina Lumban; Miranda, Eliza; Sirait, Sondang Pandjaitan
Journal of General - Procedural Dermatology & Venereology Indonesia Vol. 8, No. 2
Publisher : UI Scholars Hub

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Abstract

Background: Culture and histopathological examination are gold standards for diagnosing onychomycosis. However, these examinations are subject to several limitations. Dermoscopy has the potential to become a promising diagnostic tool for onychomycosis. Direct examination of potassium hydroxide (KOH) also has advantages similar to dermoscopy. Knowing the accuracy of both examinations can help clinical decision-making. Our objectives are to assess the diagnostic value of dermoscopy, KOH examination, and their combination for distal lateral subungual onychomycosis compared to culture or histopathology. Methods: This was a cross-sectional diagnostic study of nails with suspected distal lateral subungual onychomycosis. Sixty nails were included in this study. Results: The sensitivity and specificity of the KOH examination were 89.6% and 66.7%, respectively. On dermoscopy, the sensitivity of jagged-edge-with-spikes, longitudinal striation, and discoloration were 89.6%, 93.8%, and 97.9%, respectively. Only the aurora borealis dermoscopic feature provided good specificity (91.7%). The positive predictive values of these four dermoscopic features were 75.0%–79.7%. Combination with KOH examination increased the positive predictive value of dermoscopy (90.9%–92.7%). Conclusion: Since they were superior in terms of sensitivity, dermoscopy and KOH examinations are good screening tools to determine which suspected onychomycosis cases need further examination. Additionally, an increased positive predictive value was observed when the two examinations were combined. Hence, these procedures can help establish a diagnosis in settings where mycologic examinations are unavailable.
Co-Authors Anggraini, Ika Astriningrum, Rinadewi Bhakti, Bawono Eliza Miranda Eyleny Meisyah Fitri Fathan, Hafiza Fauziah, Siti Nurani Gaol, Evangelina Lumban Hamdali, Christie Hanny Nilasari Hartanto, David Dwiadiputra Herman Cipto Huda, Fifi Mifta Irawan, Yudo Irianti Rakasiwi Ningrum, Rizki Irma Bernadette Simbolon Sitohang Isni Maulina Sukmara, Isni Maulina Krisanti, Inge Ade Krisanti, Roro Inge Ade Lili Legiawati Lili Legiawati Lim, Henry W Marissa, Melani Melly, Conny Melviana, Gisca Menaldi, Sri Linuwih SW Nugraheni Pasaribu, Uly Aanda Maria Ohara, Kuniaki Oktarina, Caroline Onmaya, Vini Pandelaki, Paulus Anung Anindita Prayogo, Rizky Lendl Priyanto, Mufqi Handaru Rahadi Rihatmadja Randy Satria Nugraha Rusdy Reshinta, Reisa Rheza, Agung Mohamad Riesye Arisanty Rizky, Luddwi Achmad Rusvita, Adria Sampurna, Adhimukti T Sandra Widaty Santoso, Irene Dorthy Shannaz Nadia Yusharyahya Situmeang, Irhen Sri Adi Sularsito Sri L. Menaldi Surachmiati Suseno, Lis Teguh Hopkop Putera Manurung Tiara Aninditha Widyasari, Indah Windy Keumala Budianti Windy Keumala Budianti Wresti Indriatmi B. Makes Zaneta, Nabila