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Laporan Kasus Terapi Kombinasi Kuretase dan Cimetidine Oral pada Pasien Moluskum Kontangiosium Annisa Fildza Hashfi; Nurrachmat Mulianto; Winda Wijayanti; Niluh Wijayanti
MEDICINUS Vol. 35 No. 2 (2022): MEDICINUS
Publisher : PT Dexa Medica

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (281.641 KB) | DOI: 10.56951/medicinus.v35i2.96

Abstract

Background: Molluscum contagiosum is an infectious disease of the skin caused by poxvirus. The virus may be transmitted through direct skin and mucous membrane contact, including sexual contact, and through contaminated fomites. The prevalence of sexually transmitted molluscum contagiosum has increased in recent years. This disease causes anxiety and discomfort for the patients. Diagnosis of molluscum contagiosum is made based on history taking, physical examination, dermoscopic examination, and histopathological examination. Proper diagnosis and management can help to reduce risk of recurrence. Case: A 26-year-old woman with main complaint of developing shiny white rashes on her thighs and buttocks since 3 months ago. The nodules felt itchy yet painless. At first, only 4 papules appeared on the buttocks. In the last month, the nodules multiplied and spread to the thighs. The patient had tried to squeeze the nodule and rice-like white mass came out. The patient had history of unprotected sexual intercourse. Dermatological examination on the right and left femoral regions and the gluteus, found that there were discrete, multiple shiny white pearl-like papules of 0.1-0.5 cm in size, smooth surface, well-defined, dome-shaped, umbilicated with caseous plug. Dermoscopic examination showed a white to yellow polylobular appearance with crown vessel. Histopathological examination showed an appearance of intracytoplasmic eosinophil inclusion bodies (molluscum bodies). Discussion: Clinical findings such as discrete multiple, pearl-colored, umbilicated dome-shaped papules, are characteristic features of molluscum contagiosum. Dermoscopic examination results and histopathological images also support the diagnosis of molluscum contagiosum. Treatment was carried out using curettage on the lesions and prescription of oral cimetidine 2x800 mg for 2 months. No recurrence was found after 5 months of follow-up
Laporan Kasus Kusta Pausibasiler Tipe Tuberkuloid dengan Lesi Wajah Menyerupai Facial Palsy Unilateral Annisa Fildza Hashfi
MEDICINUS Vol. 37 No. 3 (2024): MEDICINUS
Publisher : PT Dexa Medica

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56951/m7a02537

Abstract

Latar belakang: Kusta merupakan penyakit infeksi granulomatosa kronis yang disebabkan oleh Mycobacterium leprae. Penyakit ini memiliki tingkat penularan yang cukup tinggi. Lebih dari 80% total kasus kusta di dunia terjadi di Indonesia. Kusta dapat menyebabkan disabilitas fisik yang memengaruhi kehidupan sosial serta pekerjaan penderitanya, terlebih dengan masih tingginya stigma terhadap penyakit ini. Diagnosis kusta didasarkan pada anamnesis, pemeriksaan kulit dan saraf, pemeriksaan slit skin smear, serta pemeriksaan histopatologi. Pemeriksaan serologis saat ini sering digunakan apabila hasil pemeriksaan slit skin smear negatif dan pemeriksaan histopatologi mengalami keterbatasan. Kasus: Seorang laki-laki usia 19 tahun dengan keluhan utama bercak kemerahan di pipi kanan sejak 4 bulan yang lalu. Bercak dirasa tidak gatal, tidak nyeri, dan terasa agak kebas. Sejak 1 bulan yang lalu pasien mengeluh tidak dapat memejamkan mata kanannya dengan sempurna. Dari hasil pemeriksaan dermatologis didapatkan tampak plak eritem soliter berukuran 7,5 x 7,5 x 0,1 cm, berbatas tegas, bagian tepi meninggi, dan bagian tengah mengalami atrofi disertai skuama tipis di atasnya. Pemeriksaan inspeksi tampak kesan wajah kanan dan kiri asimetris. Pemeriksaan BTA negatif dan hasil biopsi mendukung diagnosis kusta tipe tuberkuloid. Pemeriksaan serologi menunjukkan hasil ELISA anti-PGL-1 IgM 903 µ/ml dan IgG 240 µ/ml. Diskusi: Adanya temuan klinis berupa lesi tunggal yang terasa kebas di pipi kanan serta lagoftalmus merupakan tanda kardinal pada kusta. Hasil pemeriksaan slit skin smear negatif serta gambaran histopatologi mendukung diagnosis kusta pausibasiler (PB) tipe tuberkuloid (TT). Diagnosis kusta diperkuat dengan hasil seropositif IgM anti-PGL-1 pada pemeriksaan serologis.