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All Journal Bioscientia Medicina : Journal of Biomedicine and Translational Research Bioscientia Medicina : Journal of Biomedicine and Translational Research Media Dermato-Venereologica Indonesiana
Radityastuti
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience

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VITILIGO SEGMENTAL PADA ANAK YANG DITERAPI DENGAN REGIMEN MOMETASONE FUROATE 0,1%, SOLANUM LYCOPERSICUM L 3%, DAN CERAMIDE (MSC) Suhartono, Suhartono; Ridha Setiawati; Rahmat Sugianto; Radityastuti; Armita Asri Apsari; Tri Nugraha Susilawati
Media Dermato-Venereologica Indonesiana Vol 52 No 1 (2025): Media Dermato Venereologica Indonesiana
Publisher : Perhimpunan Dokter Spesialis Kulit dan Kelamin Indonesia (PERDOSKI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33820/mdvi.v52i1.517

Abstract

Pendahuluan: Vitiligo adalah penyakit depigmentasi (hipomelanosis) didapat pada kulit, membran mukosa, dan rambut yang berbatas tegas, disebabkan oleh hilangnya melanosit secara progresif. Vitiligo biasanya muncul pertama kali saat masa anak-anak atau dewasa muda. Kasus: Seorang anak perempuan berusia 21 bulan 3 minggu timbul bercak putih di pantat sejak usia 5 bulan. Pemeriksaan fisik ditemukan makula depigmentasi, simetris, berbatas tegas, bentuk menyerupai popok ukuran ± 15 cm x 16 cm. Pemeriksaan dengan lampu Wood didapatkan makula berwarna putih seperti kapur dan berbatas tegas. Terapi yang diberikan adalah regimen MSC selama 5 bulan yang terdiri dari mometasone furoate 0,1%, Solanum lycopersicum L 3 % dan ceramide. Diskusi: Faktor- faktor yang berperan dalam proses terjadinya vitiligo antara lain genetik, autoimun, stress oksidatif dan pajanan bahan kimia. Sel T CD8+ berperan penting dalam proses terjadinya vitiligo dengan cara menyerang melanosit dan menghancurkannya. Peningkatan Reactive Oxygen Species (ROS) dapat menyebabkan kerusakan pada melanosit. Pasien ini diberikan steroid topikal mometason furoate 0,1% sebagai terapi lini pertama, dikombinasikan dengan antioksidan dari Solanum lycopersicum L 3% untuk mengurangi kerusakan melanosit akibat ROS, dan ceramide diberikan untuk memperbaiki sawar kulit sehingga progres perjalanan penyakit tidak menjadi lebih buruk. Kesimpulan: Regimen MSC efektif untuk mengobati vitiligo luas pada kasus ini dan dapat ditoleransi dengan baik tanpa menimbulkan efek samping. 
VAT Dyes as Primary Sensitizers in Occupational Contact Dermatitis: Clinical and Patch Test Profiles in the Traditional Sasirangan Textile Industry Medisiana Sukses Soenoe; Muslimin; Radityastuti
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 10 No. 5 (2026): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v10i5.1595

Abstract

Background: Occupational contact dermatitis (OCD) significantly impacts workers in the informal textile sector. While disperse dyes are well-documented sensitizers, the allergenic potential of VAT dyes in traditional manufacturing, such as the Indonesian Sasirangan batik industry, remains under-evaluated. Methods: An analytical observational cross-sectional study was conducted on 40 Sasirangan artisans (20 wet workers, 20 dry workers). Clinical diagnoses were established using the Mathias criteria and NOSQ-2002. Epicutaneous patch testing was performed using a baseline series and specific synthetic dyes (1% in petrolatum), read at 48, 72, and 96 hours per ICDRG criteria. Multivariable logistic regression complemented the primary statistical analysis to assess predictive risk factors. Results: The prevalence of positive patch tests was 62.5% (25/40). The primary sensitizers were VAT dye willanthrene brill rose 4R (42.5%) and VAT dye willanthrene green B (37.5%). A significant correlation was found between a clinical history of OCD and positive patch test outcomes (p=0.014, OR=5.6). Surprisingly, job type (wet vs. dry), handwashing frequency, and PPE use did not significantly correlate with patch test positivity (p>0.05), highlighting the pervasive nature of dye allergens across the workspace. Conclusion: VAT dyes are potent primary sensitizers in the traditional Sasirangan textile industry. A clinical history of OCD is a strong predictor of patch test positivity, emphasizing the need for targeted allergen identification and barrier protection.
VAT Dyes as Primary Sensitizers in Occupational Contact Dermatitis: Clinical and Patch Test Profiles in the Traditional Sasirangan Textile Industry Medisiana Sukses Soenoe; Muslimin; Radityastuti
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 10 No. 5 (2026): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v10i5.1595

Abstract

Background: Occupational contact dermatitis (OCD) significantly impacts workers in the informal textile sector. While disperse dyes are well-documented sensitizers, the allergenic potential of VAT dyes in traditional manufacturing, such as the Indonesian Sasirangan batik industry, remains under-evaluated. Methods: An analytical observational cross-sectional study was conducted on 40 Sasirangan artisans (20 wet workers, 20 dry workers). Clinical diagnoses were established using the Mathias criteria and NOSQ-2002. Epicutaneous patch testing was performed using a baseline series and specific synthetic dyes (1% in petrolatum), read at 48, 72, and 96 hours per ICDRG criteria. Multivariable logistic regression complemented the primary statistical analysis to assess predictive risk factors. Results: The prevalence of positive patch tests was 62.5% (25/40). The primary sensitizers were VAT dye willanthrene brill rose 4R (42.5%) and VAT dye willanthrene green B (37.5%). A significant correlation was found between a clinical history of OCD and positive patch test outcomes (p=0.014, OR=5.6). Surprisingly, job type (wet vs. dry), handwashing frequency, and PPE use did not significantly correlate with patch test positivity (p>0.05), highlighting the pervasive nature of dye allergens across the workspace. Conclusion: VAT dyes are potent primary sensitizers in the traditional Sasirangan textile industry. A clinical history of OCD is a strong predictor of patch test positivity, emphasizing the need for targeted allergen identification and barrier protection.
Co-Authors Armita Asri Apsari Medisiana Sukses Soenoe MUSLIMIN Rahmat Sugianto Ridha Setiawati Suhartono Tri Nugraha Susilawati