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All Journal Jurnal Kesehatan Andalas Jurnal Kedokteran Meditek Cermin Dunia Kedokteran
Alfadli, Robby
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Prevalensi Penyakit Kulit Infeksi dan Non-infeksi di Poliklinik Kulit dan Kelamin RSUD Jagakarsa Periode Februari 2023 - Januari 2024 Alfadli, Robby; Khairunisa, Sasa
Jurnal Kedokteran Meditek Vol 30 No 3 (2024): SEPTEMBER
Publisher : Fakultas Kedokteran Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jkdoktmeditek.v30i3.3254

Abstract

Penyakit kulit dapat disebabkan oleh infeksi maupun non-infeksi. Faktor lingkungan dan sanitasi serta kebersihan yang tidak memadai seringkali menjadi penyebab terjadinya penyakit kulit di Indonesia. Studi epidemiologi terkait penyakit kulit di Indonesia masih sangat jarang, termasuk di Jakarta. Penelitian ini bertujuan untuk mengetahui prevalensi penyakit kulit infeksi dan non-infeksi pada pasien yang mengunjungi Poliklinik Kulit dan Kelamin di RSUD Jagakarsa selama periode Februari 2023 hingga Januari 2024. Penelitian ini menggunakan studi retrospektif deskriptif yang dilakukan pada data rekam medis pasien yang berkunjung dari Februari 2023 - Januari 2024. Data yang dikumpulkan mencakup profil klinis pasien dan diagnosis. Total 1066 kasus penyakit kulit teridentifikasi, dengan penyakit non-infeksi mendominasi (62,2%). Di antara penyakit non-infeksi, dermatitis (34,4%) dan liken simpleks kronis (10,5%) adalah yang paling umum. Penyakit kulit infeksi menyumbang 39,59% kasus, dengan infeksi jamur (47,63%) dan infeksi parasit (26,54%) sebagai penyebab utama. Kesimpulan penelitian ini adalah penyakit kulit non-infeksi terbanyak adalah dermatitis, sementara penyakit kulit infeksi terbanyak adalah infeksi jamur (tinea corporis) dan parasit (skabies).
Tuberkulosis Kutis Verukosa: Laporan Kasus yang tidak Terdiagnosis Selama 20 Tahun Alfadli, Robby; Khairunisa, Sasa
Jurnal Kesehatan Andalas Vol. 14 No. 1 (2025): March 2025
Publisher : Faculty of Medicine, Universitas Andalas

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Abstract

Cutaneous tuberculosis is an infectious disease caused by Mycobacterium tuberculosis. One form of cutaneous tuberculosis that is rare and often difficult to diagnose is Verrucous Cutaneous Tuberculosis (VCTB). This case report aims to describe the clinical presentation, diagnosis and management of VCTB in a delayed patient receiving appropriate therapy. It has been reported a 32-year-old man presented with a painful verrucous rash and yellowish discharge on his left thigh that has lasted for 20 years. The patient had a history of trauma at the lesion site and had received topical and oral therapy, but did not show satisfactory results. Physical examination and histopathology confirmed the diagnosis of VCTB. The patient was treated with antituberculosis drugs for six months and experienced significant clinical improvement. VCTB is often challenging to diagnose because of its non-specific clinical manifestations and similarity to other skin diseases. Delay in diagnosis and therapy may worsen the prognosis and increase the risk of complications. The VCTB diagnosis is based on a combination of history, physical examination, histopathological examination, and other supporting tests. Treatment for VCTB is the same as pulmonary tuberculosis, namely with antituberculosis drugs for six months. VCTB needs to be considered in diagnosis because many clinical verrucous rashes resemble this disease, especially in patients with a history of trauma and inadequate response to therapy. Keywords: antituberculosis, rash, verrucous cutaneous tuberculosis
Pustulosis Eksantematosa Akut Umum dengan Disfungsi Organ: Laporan Kasus Alfadli, Robby; Khairunisa, Salsa
Cermin Dunia Kedokteran Vol 52 No 3 (2025): Oftalmologi dan Dermatologi
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v52i3.1182

Abstract

Background: Acute generalized exanthematous pustulosis (AGEP) is a severe cutaneous adverse reaction most commonly triggered by medications, particularly antibiotics. AGEP is characterized by the rapid onset of numerous small, sterile, non-follicular pustules on an erythematous base. Case: A 38 year-old female with a rapidly progressing rash, fever, and malaise after taking cefxime for surgical wound. Physical examination revealed difuse, erythematous plaques with numerous small, non-follicular pustules distributed to almost the entire body except the face. Laboratory fndings were leukocytosis and neutrophilia. Patient was treated with dexamethasone and ampicillin sulbactam injections. But skin reactions were severely worsened accompanied by a worsened vital signs, necessitating Intensive Care Unit (ICU) monitoring. The total EuroSCAR score is 9, categorized as defnite AGEP. Skin resolution occurred after 5 days of corticosteroid therapy. Discussion: The use of antibiotics is one of the triggering factors for AGEP. In this case, skin reactions appeared within 24-48 hours after drug exposure. Conclusion: AGEP is a rare clinical condition. Identifying and discontinuing the causative drug is crucial for successful treatment.
Co-Authors Khairunisa, Salsa Khairunisa, Sasa