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PROFIL PASIEN DERMATITIS ATOPIK DI POLIKLINIK KULIT DAN KELAMIN RSUD ULIN BANJARMASIN TAHUN 2019-2021 Hadiqo, Nafisatul; Hadi, Sukses; Sanyoto, Didik Dwi; Savitri, Dwiana; Rahmiati, Rahmiati
Homeostasis Vol 6, No 3 (2023)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v6i3.11462

Abstract

Atopic dermatitis is a chronic relapsing inflammatory skin disease with dry skin, redness, and pruritus.The morphology and location of the lesion are different in each phase. The study aims to determine the profile of atopic dermatitis. This reseach is a observational description method using patients medical record. The results of this study show of the 67 patients the highest percentage obtained the following results, the highest number of patient occurred in the age range of  ≥12 years as 44 patient (65,7%), female gender (55,2%), place of origin Banjarmasin (68,7%), students (23,9%), dominant lesion morphologiest in the infantile phase are erythematous papules (27,6%), vesicles (24,1%), excoriations (13,8%), and in the childhood phase are erythematous papules (21%), lichenification (21%), scales (21%), and in the adolescent and adult phases are erythematous papules (17,9%), lichenification (17,9%), scales (22,4%), the most common locations types of lesions in the infantile phase was facial (42,1%), and in the childhood phase was lower extremity (50%), and in the  adolescent and adult phases was lower extremity (35,5%). The most common types of medications used were antihistamines (38,3%) and topical corticosteroid (38,3%). The conclusions of this study is that the most of atopic dermatitis sufferers in 2019, age group ≥12  years, female gender, place of origin Banjarmasin, students, morphology and location of different lesions in each phase, treated with antihistamine and topical corticosteroid. 
HUBUNGAN HYGIENE PERORANGAN DAN PENGGUNAAN ALAT PELINDUNG DIRI DENGAN KEJADIAN DERMATOFITOSIS Nasution, Naulita Sari; Muthmainah, Noor; Heriyani, Farida; Savitri, Dwiana; Budiarti, Lia Yulia
Homeostasis Vol 7, No 3 (2024)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v7i3.14560

Abstract

Abstract: Landfills were the focus of attention because they operated by open dumping and were a source of environmental problems. Scavengers in landfills were at risk of occupational diseases, namely dermatophytosis. The incidence of dermatophytosis could be prevented by maintaining personal hygiene and using personal protective equipment (PPE) during work. The study aimed to determine the relationship between personal hygiene and the use of PPE with the incidence of dermatophytosis among waste pickers of Basirih landfill in Banjarmasin. The method used was analytic observational with a cross-sectional approach. The statistical tests used were the chi-square test and Fisher's exact test. The results showed that 86% of waste pickers showed good personal hygiene, and 68% used PPE completely. The prevalence of dermatophytosis reached 34%, with 5 people among respondents with poor hygiene and 9 people among those who did not use complete PPE experiencing dermatophytosis. It was concluded that there was a significant association between personal hygiene (p-value = 0.037) and PPE use (p-value = 0.050) with the incidence of dermatophytosis.  Keywords: PPE, dermatophytosis, personal hygiene, scavengers, landfill Abstrak: Tempat pemrosesan akhir menjadi sorotan utama karena beroperasi dengan metode open dumping dan menjadi sumber permasalahan lingkungan. Pekerja pemulung di TPA berisiko terkena penyakit akibat kerja, yakni dermatofitosis. Mencegah kejadian dermatofitosis dapat dilakukan dengan meningkatkan kebersihan perorangan dan menggunakan alat pelindung diri selama bekerja. Penelitian ini bertujuan untuk menetapkan korelasi antara kebersihan perorangan dan pemanfaatan APD dengan kejadian dermatofitosis di kalangan pemulung TPA Basirih Banjarmasin. Metode yang diterapkan adalah observasional analitik dengan pendekatan cross-sectional. Uji statistik yang digunakan mencakup Uji chi-square dan Uji Fisher’s exact. Hasil penelitian menunjukkan bahwa 86% pemulung menunjukkan tingkat kebersihan perorangan yang baik, dan 68% menggunakan APD secara menyeluruh. Angka kejadian dermatofitosis mencapai 34%, dengan 5 responden berkebersihan buruk dan 9 orang yang tidak menggunakan APD lengkap mengalami dermatofitosis. Kesimpulan penelitian menegaskan adanya hubungan yang signifikan antara kebersihan perorangan (p-value = 0,037) dan pemanfaatan APD (p-value = 0,050) dengan kejadian dermatofitosis. Kata-kata kunci: APD, dermatofitosis, hygiene perorangan, pemulung, TPA
Sebuah Laporan Kasus: Pasien Filariasis (Elephantiasis) yang Misdiagnosis Savitri, Dwiana
Jurnal Ilmu Multidisiplin Vol. 4 No. 1 (2025): Jurnal Ilmu Multidisplin (April–Mei 2025)
Publisher : Green Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38035/jim.v4i1.817

Abstract

Filariasis adalah penyakit menular yang disebabkan oleh cacing Filaria sp. yang dapat menyerang kelenjar dan saluran getah bening. Pengobatan spesifik untuk infeksi dilakukan dengan pemberian kombinasi Dietilcarbamazine (DEC) dan doksisiklin. Dalam beberapa kasus, pemberian terapi diethylcarbamazine dapat memberikan efek samping yang beragam kepada penderita. Efek samping itu diakibatkan adanya reaksi imun dari tubuh. Penanganan yang terlambat dikarenakan pengetahuan tentang penyakit ini adalah hal yang akan memperparah keadaan pasien.
EKSISI TOTAL SEBAGAI TERAPI DEFINITIF FIBROKERATOMA : STUDI KASUS DAN PEMBAHASAN Savitri, Dwiana
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 9 No. 2 (2025): AGUSTUS 2025
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v9i2.6653

Abstract

Acquired Digital Fibrokeratoma (ADFK) merupakan tumor jinak kulit yang jarang, muncul sebagai lesi tunggal kecil pada jari tangan atau kaki. Meskipun sering tidak menimbulkan keluhan, ukuran besar dapat mengganggu fungsi dan memerlukan tindakan bedah. Laporan ini menyajikan satu kasus ADFK pada jari telunjuk kiri pasien usia lanjut, serta tinjauan literatur terkait diagnosis, terapi, dan diagnosis banding. Pasien wanita 56 tahun dengan lesi oval 1×2×1 cm di jari telunjuk kiri menjalani eksisi total. Histopatologi mengonfirmasi ADFK. Pasien sembuh sempurna tanpa kekambuhan satu tahun pasca-operasi. Eksisi menyeluruh menjadi terapi pilihan utama untuk hasil klinis optimal.
Eritroderma Diduga Akibat Reaksi Obat Allopurinol: Laporan Kasus: Laporan Kasus Emeralda, Pradissa Avia; Savitri, Dwiana
Cermin Dunia Kedokteran Vol 52 No 9 (2025): Pediatri
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v52i9.1513

Abstract

Introduction: Erythroderma is a condition of generalized erythema and scaling of the skin. It has been associated with DRESS (drug reaction with eosinophilia and systemic symptoms) syndrome and is potentially life-threatening. Case: A 55-year-old female with generalized erythema, pruritus, malaise, and edema of her face for 7 days. She had a history of type 2 diabetes mellitus and was in oral allopurinol treatment for the last 2 weeks. Extensive generalized erythematous plaques and hyperkeratotic scales were observed on the face, neck, chest, arms, legs, back, and glutea. Laboratory workup revealed eosinophilia, mild hypoalbuminemia, hyperglycemia, and elevated liver enzyme level. Discussion: Erythroderma is an emergency case in dermatovenereology and needs hospitalization. A patient with drug-induced erythroderma with internal organ involvement has been associated with DRESS syndrome and needs further observation of cardiac, liver, and kidney status. Conclusion: Allopurinol is a potential trigger for erythroderma. Drug-induced erythroderma is closely related to DRESS syndrome. Allopurinol use requires caution to avoid complications and prevent recurrence.
HIGH CORTICOSTEROID TREATMENT FOR PSORIASIS VULGARIS CAUSING FATAL MANIFESTATION : A CASE REPORT Savitri, Dwiana; Emeralda, Pradissa Avia
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 8 No. 1 (2024): APRIL 2024
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v8i1.27240

Abstract

Psoriasis adalah suatu penyakit inflamasi kulit bersifat kronis residif, dapat mengenai semua umur yang ditandai dengan plak kemerahan yang ditutupi oleh sisik yang tebal berwarna putih berlapis keperakan dan berbatas tegas. Seorang laki-laki berusia 29 tahun datang dengan keluhan bercak merah pada lengan, badan , kepala, tungkai sejak kurang lebih 2 tahun yang lalu. Pada pemeriksaan fisik didapatkan adanya plakat eritema, bulat konfluens, multiple dengan skuama kasar, berbatas tegas. Pasien tidak berobat kedokter tetapi oleh istrinya yang seorang perawat di injeksi dengan triamsinolon asetonide setiap hari selama hampir 2 tahun ini dan meminum dexamethasone tablet sekali sehari, karena kulit makin tampak memerah dan menipis maka pasien pergi berobat ke rumah sakit. Pemeriksaan manipulasi mendapatkan karsvlek phenomenon, Autzpits sign and Koebner phenomenon serta dilakukan biopsi kulit dengan kesimpulan psoriasis vulgaris. Setelah pasien menghentikan pemakaian steroid, pasien mendapatkan terapi yaitu cetirizin tablet 10 mg satu kali sehari, metotrexat 3 x 2,5 mg /minggu, asam folat tablet 1 x 1 mg sehari serta campuran salisilic acic 3%, liquor carbonis detergens (LCD) 5% dan klobetasol 0,05% krem serta krim asam fusidat. Pasien diberi edukasi mengenai cara perawatan kulit. Setelah 5 bulan pengobatan, lesi kulit mulai membaik dan kemerahan pada kulit berkurang.
ERITRODERMA AKIBAT REAKSI OBAT ALLOPURINOL Emeralda, Pradissa Avia; Savitri, Dwiana
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 8 No. 2 (2024): AGUSTUS 2024
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v8i2.32230

Abstract

Erythroderma is a condition of generalized erythema and scaling of the skin. More than 90% of the body surface area are involved in this condition accompanied by a various degree of scaling. This is potentially life-threatening and has been associated with DRESS syndrome. 1,3 The aim of this case report is to discuss the allopurinol drug reaction as aetiology of erythroderma, its clinical manifestations and management of therapy. We report a case of a 55-year-old female patient who had a generalized erythema, pruritus, malaise and edema of her face since 7 days before admitted. She had history diabetes mellitus type 2, and was in oral allopurinol treatment for last 2 weeks. Extensive generalized erythematous plaques and hyperkeratotic scales were observed in the face, neck, chest, arms, legs, back, and gluteal.  Laboratory workup revealed peripheral blood eosinophilia, mild hypoalbuminemia, hyperglycemia, and elevated liver enzyme level.  She was hospitalized and got treatment with dermatologist and internist.  Erythroderma is an emergency case in dermatovenereology and in severe case it needs therapy and hospitalization to avoid complication. Management of erythroderma include discontinuing of any potential causative drug, maintaining skin moisture and integrity, adequate hydration and nutrition, maintaining electrolyte balance, and antibiotics for secondary infection.  Patient with drug-induced erythroderma with internal organ involvement has been associated with DRESS syndrome and needs further observation in cardiac, liver, and kidney status. Allopurinol is potential drug which can trigger erythroderma. Erythroderma is a life-threatening disease especially in severe case. It is important to increase awareness in allopurinol medication and need a careful assessment and treatment to avoid complication.