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All Journal Jurnal Kesehatan Holistic Bali Dermatology Venereology and Aesthetic Journal
Supradnyan, I Komang Harry
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Karakteristik Penyakit Kulit dan Kelamin pada Penderita Infeksi Human Immunodeficiency Virus di Rumah Sakit Umum Daerah Buleleng: Characteristics Of Skin And Venereal Diseases In Patients With Human Immunodeficiency Virus (HIV) Infection At Buleleng General Hospital Supradnyan, I Komang Harry; Wijaya, I Made Kusuma; Wibawa, Ketut Suteja
Jurnal Kesehatan Holistic Vol. 8 No. 1 (2024): Jurnal Kesehatan Holistic Volume 8/ Nomor 1/ Juli 2024
Publisher : Sekolah Tinggi Ilmu Kesehatan RS Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33377/jkh.v8i1.190

Abstract

Introduction: Various skin and venereal diseases have been linked to HIV infection. This disease can be specifically related to HIV, but it can also be a common disease but with more severe manifestations and more difficult to treat. Objective: To determine the characteristics of skin and venereal diseases in patients with HIV infection at the Buleleng Regional General Hospital. Methods: a cross-sectional study approach carried out in the period May 2023 to July 2023. The diagnosis of HIV infection was proven by laboratory examination, meanwhile the diagnosis of the disease skin and genitalia are confirmed clinically by a skin and genital specialist, and if necessary, supporting examinations are carried out. Results: There were 28 HIV patients with complaints of skin and venereal diseases. The number of male patients compared to female is 2.1:1 with a predominance in the age group 31-40 years. Most of the patients are at stage 4 and the most common route of transmission is through free sex and homosexuality. There were 49 diagnoses in the field of skin and genitals from the 28 patients examined. The characteristics of skin and venereal diseases in patients were 57.1% diagnosed with infectious diseases, the rest were non-infectious diseases. Conclusion: Infectious diseases include bacterial infections (syphilis, ecthyma, granuloma inguinale, bartholinitis and impetigo crustosa), viral infections (herpes zoster, condyloma acuminata, molluscum contagiosum and herpes labialis) and fungal infections (oroesophageal candidiasis, oral candidiasis and angular cheilitis). Meanwhile, non-infectious cases consist of seborrheic dermatitis, papular pruritic eruption and drug eruption.
Karakteristik Penyakit Kulit dan Kelamin pada Penderita Infeksi Human Immunodeficiency Virus di Rumah Sakit Umum Daerah Buleleng: Characteristics Of Skin And Venereal Diseases In Patients With Human Immunodeficiency Virus (HIV) Infection At Buleleng General Hospital Supradnyan, I Komang Harry; Wijaya, I Made Kusuma; Wibawa, Ketut Suteja
Jurnal Kesehatan Holistic Vol. 8 No. 1 (2024): Jurnal Kesehatan Holistic Volume 8/ Nomor 1/ Juli 2024
Publisher : Sekolah Tinggi Ilmu Kesehatan RS Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33377/jkh.v8i1.190

Abstract

Introduction: Various skin and venereal diseases have been linked to HIV infection. This disease can be specifically related to HIV, but it can also be a common disease but with more severe manifestations and more difficult to treat. Objective: To determine the characteristics of skin and venereal diseases in patients with HIV infection at the Buleleng Regional General Hospital. Methods: a cross-sectional study approach carried out in the period May 2023 to July 2023. The diagnosis of HIV infection was proven by laboratory examination, meanwhile the diagnosis of the disease skin and genitalia are confirmed clinically by a skin and genital specialist, and if necessary, supporting examinations are carried out. Results: There were 28 HIV patients with complaints of skin and venereal diseases. The number of male patients compared to female is 2.1:1 with a predominance in the age group 31-40 years. Most of the patients are at stage 4 and the most common route of transmission is through free sex and homosexuality. There were 49 diagnoses in the field of skin and genitals from the 28 patients examined. The characteristics of skin and venereal diseases in patients were 57.1% diagnosed with infectious diseases, the rest were non-infectious diseases. Conclusion: Infectious diseases include bacterial infections (syphilis, ecthyma, granuloma inguinale, bartholinitis and impetigo crustosa), viral infections (herpes zoster, condyloma acuminata, molluscum contagiosum and herpes labialis) and fungal infections (oroesophageal candidiasis, oral candidiasis and angular cheilitis). Meanwhile, non-infectious cases consist of seborrheic dermatitis, papular pruritic eruption and drug eruption.
Challenges of limited treatment options in suspected antimicrobial resistance of multibacillary Hansen's disease with chronic erythema nodosum leprosum: a case report and literature review Lukito, Agrevina Ane; Wibawa, I Ketut Suteja; Supradnyan, I Komang Harry
Bali Dermatology Venereology and Aesthetic Journal BDVAJ - Volume 8, Issue 2 (2025)
Publisher : Explorer Front

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/balidervenaesthj.v8i2.120

Abstract

Background: Hansen's disease, or leprosy, is a chronic infection caused by Mycobacterium leprae that affects the skin and peripheral nerves. The emergence of antimicrobial resistance in leprosy poses a new challenge, potentially reducing treatment efficacy and increasing the risk of relapse. Recent studies report recurrent or chronic erythema nodosum leprosum (ENL)  cases linked to relapse caused by drug-resistant Mycobacterium leprae strains. This case report aimed to emphasize the knowledge and therapeutic approach of leprosy and leprosy reaction. Case Description: A 51-year-old female patient previously treated for multibacillary (MB) leprosy and declared released from treatment (RFT) a year earlier, presented with painful erythematous nodules on all extremities two months after RFT. Eight months after RFT, the patient developed new erythematous macules with loss of sensation on all extremities, consistent with leprosy relapse. Multi-drug therapy (MDT) was subsequently re-initiated. During follow-up, laboratory evaluation indicated a high bacterial load, raising suspicion of antimicrobial resistance. The patient was initiated on the regimen for leprosy with antimicrobial resistance. However, the complete regimen could not be provided immediately due to medication limitations in the remote region. Conclusion: Antimicrobial resistance in leprosy should be considered in patients with relapse who do not respond to MDT re-treatment and in those with chronic ENL. Limited availability of resistance testing resources and access to second-line therapies remain a significant barrier to the effective management of antimicrobial resistance leprosy.
Co-Authors I Made Kusuma Wijaya Lukito, Agrevina Ane Wibawa, I Ketut Suteja Wibawa, Ketut Suteja