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All Journal Media Dermato-Venereologica Indonesiana Journal of General Procedural Dermatology and Venereology Indonesia Bali Dermatology Venereology and Aesthetic Journal
Suseno, Lis Surachmiati
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Profile of vitiligo patients and distribution of narrowband-UVB therapy at dr. Cipto Mangunkusumo General Hospital Suseno, Lis Surachmiati; Sukma, Putu Martha Gerynda; Rihatmadja, Rahadi; Agustin, Triana; Rahmayunita, Githa; Novianto, Endi
Journal of General - Procedural Dermatology & Venereology Indonesia Vol. 3, No. 1
Publisher : UI Scholars Hub

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Abstract

Background: Vitiligo is a disease marked by depigmented macules. Prevalence of vitiligo varies between 0.1- 2.3% worldwide. The objectives of this study are to identify the socio-demographic profile of vitiligo patients and distribution of narrowband-UVB given as a treatment modality. However, in Indonesia, including at dr. Cipto Mangunkusumo General Hospital, there has not been any study on the profile of vitiligo patients. Therefore, a preliminary study on the patients’ profile would be very useful for healthcare providers in calculating the need for narrowband-UVB equipment and evaluation of its current use. Methods: A retrospective descriptive study, using secondary data obtained from dr. Cipto Mangunkusumo General Hospital medical records during the period of 2015-2017. Results: There were 255 vitiligo patients enrolled. Females were greater in number (55.3%). Most patients were distributed evenly in all age groups, highest number of patients were the 21-30 years age group (18.8%). Most patients received elementary school–high school education (56.9%), worked as private employees (36.9%), resided in Jakarta (47.8%). The common diagnosis were unspecified vitiligo (53.3%). Onset of symptoms were mostly around 2 months prior to diagnosis (38.8%) and most of the patients received other treatments other than narrowband-UVB (N=180, 70.6%). Conclusion: The number of vitiligo cases decreased each year with the average vitiligo cases of 85 cases per year and mostly women whereas the number of unspecified vitiligo were quite high. Therefore, more attention is needed from the physicians to treat the patient starting from the establishment of vitiligo to the decision treating with narrowband-UVB.
Platelet-rich-fibrin for venous leg ulcer therapy Rachmani, Karin; Suseno, Lis Surachmiati; Ramadhiani, Mutiara
Journal of General - Procedural Dermatology & Venereology Indonesia Vol. 5, No. 3
Publisher : UI Scholars Hub

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Background: Venous leg ulcer (VLU) is a chronic condition in the chronic venous insufficiency clinical spectrum. It’s becoming a burden because of its chronicity, slower wound healing, accumulated high cost, and treatment is a challenging task. Platelet-rich-fibrin (PRF) is one of the newer modalities available for treating VLU. Previous studies have shown successful results by using PRF in leg ulcers. We reported a case of venous leg ulcer treated with PRF.Case Illustration: A 47-year-old male came with an ulcer on the lower left leg for one year. The ulcer was preceded with a reddish, tender nodule with a pustule, which then ruptured, resulting in a wound. There was intermittent pain at the lesion with a limb cramp. The patient had used compression stocking, leg elevation, normal saline compress, and topical antibiotics with no improvement. PRF was given for 12 weeks along with compression stocking and leg elevation, which resulted in a clinically improved lesion. Discussion: Wound therapy has greatly improved over the past decades. The interest in the wound care field has led to advancements in biological products as one of its modalities. Platelet-rich-fibrin is an autologous platelet and leucocyte-rich fibrin material which forms an organized network where the platelets and leucocytes are concentrated, leading to the sustained release of various growth factors, and promoting wound healing. Previous studies have shown PRF to be effective and low-cost for VLU.Conclusion: The use of PFR on VLU is an alternative method, low cost, and simple technique with good healing potential.
Markedly clinical improvement of papulopustular rosacea with multimodality therapeutic approach: a case report Priyanto, Mufqi Handaru; Wardani, Amanda Nandi; Legiawati, Lili; Sitohang, Irma Bernadette Simbolon; Suseno, Lis Surachmiati
Bali Dermatology Venereology and Aesthetic Journal BDVAJ - Volume 6, Issue 1 (June 2023)
Publisher : Explorer Front

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/85p5m842

Abstract

Introduction: Rosacea is a chronic inflammatory skin disease that mainly affects the central area of the face. There are four subtypes, and they may progress between subtypes or span multiple subtypes. Due to its long course of the disease, optimum treatments are needed to control the disease progression. Case: We reported rapid improvement of combining topical metronidazole, doxycycline, and light emitting diode for treating a patient with papulopustular rosacea in a 44-years-old woman, a week from the initial therapy. Discussion: Therapeutic approaches to rosacea mainly focus on controlling the symptoms with anti-inflammatory agents. More recently, photodynamic therapy, especially light-emitting diodes, has been introduced as a valid alternative or an adjuvant therapy to conventional treatment through their synergic mechanism between therapeutic modalities. Conclusions: This combination treatment may be effective for treating papulopustular rosacea without any side effects.
MICRO AND NANO-AUTOLOGOUS FAT TRANSFER UNTUK TATA LAKSANA LIPODISTROFI WAJAH PADA LUPUS ERITEMATOSUS SISTEMIK Batubara, Irwan Saputra; Suseno, Lis Surachmiati; Sitohang, Irma Bernadette; Legiawati, Lili
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.v51i1.404

Abstract

Introduction: Lipodystrophy in systemic lupus erythematosus (SLE) causes deformity and psychological problem for patients. The recommended treatment is autologous fat transfer (AFT) because of its effectiveness. Case: A 19-year-old woman with facial lipodystrophy due to SLE was treated with AFT. Fat tissue was aspirated from the lateral side of the left thigh and then processed into microfat and nanofat using the Luer-Lok connectors. The total volume of fat injected was 28 mL with a significant improvement of skin contour. She was satisfied with the results. There were no postoperative complications. She is still under monitoring for the next six months to assess AFT retention. Discussion: There are various modifications of the AFT technique to improve outcomes and avoid complications. Microfat aims to fill the volume loss, whereas nanofat is beneficial to improve skin contours. The main drawback of AFT is the unpredictable retention of fat volume. Patient factors, fat processing methods, and AFT technique play a role in post-AFT retention. Although extremely rare, fat embolization can occur during AFT which can be fatal. Injection with a blunt cannula, use of vasoconstrictors, and mapping of facial vascularization may reduce the risk of fat embolization. Conclusion: Autologous fat transfer is recommended for lipodystrophy because it is easy to perform, inexpensive, and non-immunogenic. Dermato-venereologists have an important role in the management of lipodystrophy due to SLE.
Co-Authors Aldri Frinaldi Batubara, Irwan Githa Rahmayunita Lili Legiawati Priyanto, Mufqi Handaru Rachmani, Karin Rahadi Rihatmadja Ramadhiani, Mutiara Sitohang, Irma Bernadette Sitohang, Irma Bernadette Simbolon Sukma, Putu Martha Gerynda Triana Agustin Wardani, Amanda Nandi