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A Case Report : Recurrent Herpes Labialis In A 12 Year Old Boy Putu Mahadevy Pradnyandhari Putri; Ida Ayu Uttari Priyadarshini; Putu Ayu Paramitha Saraswaty
The International Journal of Medical Science and Health Research Vol. 7 No. 1 (2024): The International Journal of Medical Science and Health Research
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/cqjtjb90

Abstract

Introduction: Herpes labialis, commonly known as cold sores, is an infection predominantly caused by herpes simplex type 1 (HSV-1).  Transmission of herpes labialis occurs through direct contact with active lesions or bodily fluids, including saliva, from infected individuals. Patients with herpes labialis often report prodromal symptoms before lesions appear, such as fever, fatigue, loss of appetite, and muscle aches. Localized symptoms, including pain, burning, or itching at the site of the impending eruption, are also common. This case report discusses a recurrent herpes labialis case at Wangaya Regional General Hospital, aiming to enhance understanding of the condition's presentation, management strategies to prevent recurrence, and measures to minimize transmission. Case Report : A 12-year-old boy was diagnosed with recurrent herpes labialis caused by an infection with herpes simplex virus type 1 (HSV-1). This diagnosis was based on the patient's medical history, which indicated prodromal symptoms and polymorphic lesions, as well as dermatological examination findings that showed herpetiform vesicles with crusting. The patient’s history of similar symptoms and the lesion’s localization to the vermillion border of the lips support the diagnosis of a recurrent infection. Herpes labialis is most commonly seen in children, particularly those under 19 years of age, which corresponds with the patient’s age. The primary risk factor is direct contact with an infected individual, which aligns with the patient's history of frequently sharing food and drinks with a friend who also exhibited similar symptoms. Additionally, the patient was known to share electronic cigarettes (vapes) with schoolmates. Recurrent herpes labialis can be triggered by various factors, including weakened immunity and UV exposure, both of which were present in this case.   Conclusion: The main treatment provided for this patient was oral acyclovir. The use of acyclovir aims to reduce symptoms, accelerate healing, and lower the risk of infection transmission. Acyclovir works by inhibiting viral replication through the suppression of DNA polymerase, which reduces the amount of active virus and speeds up recovery. The dosage of acyclovir given to the patient was in accordance with recommended guidelines. Supportive diagnostic tests, such as serology or Tzanck smear, are recommended to confirm the diagnosis. However, in this case, the diagnosis was already established through medical history and physical examination. Given that this is a contagious disease, the patient was educated on measures to reduce the risk of transmission.
PENYULUHAN KESEHATAN TENTANG KULIT KERING (DRY SKIN) AKIBAT KERUSAKAN SKIN BARRIER PADA REMAJA DI PHOENIX RADIO BALI OLEH FAKULTAS KEDOKTERAN UNIVERSITAS MAHASARASWATI DENPASAR SEBAGAI PENGABDIAN KEPADA MASYARAKAT Ida Ayu Uttari Priyadarshini; Ni Luh Putu Nadia Saraswati; Ni Kadek Kanaya Anindya Praba Puja
J-ABDI: Jurnal Pengabdian kepada Masyarakat Vol. 4 No. 9: Februari 2025
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53625/jabdi.v4i9.9790

Abstract

Kulit kering akibat kerusakan skin barrier merupakan masalah umum yang sering dialami oleh remaja yang dapat memengaruhi aktivitas sehari-hari, menyebabkan rasa tidak nyaman, gatal dan iritasi. Jika dibiarkan, kondisi ini bisa berkembang menjadi masalah kulit yang lebih serius. Oleh karena itu, penting untuk memahami cara penanganan yang tepat. Tujuan pengabdian masyarakat ini adalah untuk memberikan informasi tentang kulit kering (dry skin) akibat kerusakan skin barrier pada remaja di wilayah jangkauan siar Phoenix Radio Bali. Sasaran pengabdian ini adalah para remaja di wilayah Denpasar dan sekitarnya yang merupakan audiens utama untuk diberikan penyuluhan mengenai penyebab, pencegahan dan cara merawat kulit dengan baik. Pengabdian dilaksanakan melalui siaran interaktif langsung di Phoenix Radio Bali 91 FM, yang juga dapat diakses kembali kapan saja melalui saluran YouTube Phoenix Radio Bali. Metode yang digunakan berupa siaran interaktif langsung, di mana dilakukan penjelasan mengenai penyebab dan cara penanganan kulit kering (dry skin) akibat kerusakan skin barrier yang banyak dialami oleh remaja. Pertanyaan dari pendengar yang diterima melalui aplikasi whatsapp maupun direct message (DM) Instagram dijawab secara langsung oleh narasumber. Wawancara dipandu oleh staf penyiar radio. Respon pendengar menunjukkan bahwa setelah mendengarkan penyuluhan dan mendapatkan jawaban atas pertanyaan mereka, mereka memiliki pemahaman yang lebih baik mengenai cara menjaga kulit, seperti penggunaan produk perawatan yang sesuai, hidrasi kulit yang tepat, serta teknik non-medis seperti pijat wajah, penggunaan bahan alami, dan perlindungan dari paparan sinar UV
Characteristics Of Herpes Zoster Patients At The Dermatology And Venereology Outpatient Clinic Of Wangaya Regional Hospital  From January 2021 - December 2024 Ida Ayu Trisna Wulandari; Putu Ayu Krisna Cahyaning Putri; Putu Eksa Bidja; Ida Ayu Uttari Priyadarshini
The Indonesian Journal of General Medicine Vol. 13 No. 2 (2025): The Indonesian Journal of General Medicine
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/1v86qx81

Abstract

Introduction: Herpes zoster (HZ) is a clinical condition resulting from the reactivation of the varicella zoster virus (VZV), typically presenting as painful, unilateral vesicular eruptions. Its incidence tends to increase with advancing age and in individuals with compromised immune systems. Objective: This study aims to describe the demographic and clinical characteristics of patients diagnosed with HZ at the Dermatology and Venereology outpatient clinic of Wangaya Regional Hospital. Methods: A retrospective, descriptive study was conducted using a cross-sectional design. Secondary data were obtained from medical records of patients diagnosed with HZ between January 2021 and December 2024. A total sampling method was applied, including 56 eligible patients. Results: The highest proportion of patients was in the 61–80-year age group (30.36%), followed by those aged 41–60 years (28.57%). Females accounted for 53.57% of cases. Vesicular and/or bullous lesions were the most common presentation (89.28%), with the thoracic dermatome being the most frequently affected region (44.64%). A majority of patients (60.71%) had no comorbidities; however, hypertension was the most prevalent comorbid condition (27.28%). Most patients (80.36%) received combination therapy comprising oral antivirals and topical agents. Post-herpetic neuralgia (21.43%) was the most commonly reported complication. Conclusion: Herpes zoster predominantly affects elderly individuals, particularly involving the thoracic dermatomes. Early diagnosis and appropriate management are crucial in minimizing complications.
Ciprofloxacin-Associated Stevens-Johnson Syndrome in A Healthy Young Woman: A Case Report Grady; Dewa Ayu Putu Mitha Paramitha Rahayu; Ida Ayu Uttari Priyadarshini
The International Journal of Medical Science and Health Research Vol. 15 No. 1 (2025): The International Journal of Medical Science and Health Research
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/j9b9r465

Abstract

Background: Stevens-Johnson Syndrome (SJS) and Toxic Epidermal Necrolysis (TEN) are rare but life-threatening mucocutaneous reactions, primarily triggered by medications. These conditions are characterized by extensive epidermal necrosis, mucosal involvement, and systemic complications. Ciprofloxacin, a fluoroquinolone antibiotic, is an uncommon but recognized cause of SJS. Early recognition and multidisciplinary management are crucial in reducing morbidity and mortality. Case Presentation: We report a case of a previously healthy 23-year-old woman who developed SJS following ciprofloxacin use. The patient presented with widespread erythematous patches, blistering lesions, mucosal erosions, ocular involvement, and urogenital ulcerations. The SCORTEN score was calculated to be 2, indicating an estimated mortality risk of 12.1%. Management included immediate discontinuation of the suspected causative drug, systemic corticosteroids, wound care, fluid and electrolyte balance maintenance, and supportive ophthalmologic and urologic treatments. The patient demonstrated clinical improvement and was discharged after a 11-day hospital stay. Conclusion: This case highlights the potential for ciprofloxacin to induce SJS, emphasizing the need for vigilance in drug-induced cutaneous reactions, even in younger patients. Prompt diagnosis, drug withdrawal, and comprehensive supportive care play pivotal roles in patient outcomes. Given the unpredictability of long-term sequelae, continued monitoring is essential.
Case report: a child with type 1 neurofibromatosis and intellectual disability Elice Wijaya; Ni Luh Putu Ratih Vibriyanti Karna; Ida Ayu Uttari Priyadarshini
Bali Dermatology Venereology and Aesthetic Journal BDVJ - Vol. 4 No. 2 (December 2021)
Publisher : Explorer Front

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/fz3cvm46

Abstract

Background: Neurofibromatosis is a genetic disorder that manifests as a tumor surrounding the nerves and several other pathologic presentations. Case: Female, 11 years old, according to history, physical examination and supporting the investigation, was consistent with the diagnostic criteria of type 1 neurofibromatosis (NF-1). The patient also has an intellectual disability. A tumor on the foot region that was functionally disabling was found on the patient, and surgical treatment was performed. Cognitive disorder is the most common neurological complication in individuals with NF-1 and usually presents with a low intelligence quotient (IQ). There is no specific treatment to prevent the development of NF-1. However, early treatment can minimize and prevent further complications. Treatment for the patient involves multiple clinical disciplines. Conclusion: A neurofibromatosis case can be diagnosed clinically alone, since many other systemic involvements require a multi-disciplinary approach.