Article Per Year (5 Year)
p-Index From 2021 - 2026
0.408
P-Index
This Author published in this journals
All Journal AKSELERASI: Jurnal Ilmiah Nasional Bali Dermatology Venereology and Aesthetic Journal
Lumaksono, Maria Angela
Unknown Affiliation
Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Engineering Health Professions Immunology & microbiology Medicine & Pharmacology Public Health Social Sciences

Published : 2 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 2 Documents
Search

 1 
SCABIES WITH SECONDARY BACTERIAL INFECTION IN A BOARDING SCHOOL STUDENT: A CASE REPORT Imaroh, Rifa; Lumaksono, Maria Angela; Imani, Izzah; Widasmara, Dhelya
AKSELERASI: Jurnal Ilmiah Nasional Vol 7 No 3 (2025): AKSELERASI: JURNAL ILMIAH NASIONAL
Publisher : GoAcademica Research dan Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54783/jin.v7i3.1499

Abstract

Scabies is a contagious parasitic skin disease caused by Sarcoptes scabiei var. hominis. A 14-year-old male student residing in an Islamic boarding school presented to a public health centre with a long-standing history of scab-like skin lesions. The patient had sought treatment for more than one month without clinical improvement. He complained of intense nocturnal pruritus affecting the interdigital spaces and palms, accompanied by erythematous lesions, excoriations, vesicles, purulent discharge, swelling, pain, and fever. He also reported pain in the axillary and inguinal regions. Physical examination revealed multiple discrete erythematous papules and vesicles on the interdigital spaces and palms, accompanied by crusts, excoriations, and purulent discharge. Enlarged and tender axillary lymph nodes were also noted. Based on clinical findings, the patient was diagnosed with scabies complicated by secondary bacterial infection. Non-pharmacological management included patient and family education regarding the disease, personal hygiene, environmental sanitation, and a visit to the boarding school to prevent further transmission. Pharmacological therapy consisted of oral antibiotics, analgesics, antihistamines, and anti-inflammatory agents. Topical treatment included anti-scabietic therapy and a combination of topical antibiotic and anti-inflammatory agents. Scabies may be complicated by secondary bacterial infection due to delayed diagnosis and treatment, persistent scratching, and poor personal and environmental hygiene. Overcrowded living conditions, such as those in boarding schools, facilitate transmission and increase the risk of complications. A family-centred and community-based approach, particularly involving boarding school environments, plays a crucial role in controlling transmission and improving outcomes in patients with scabies complicated by secondary infection.
Tinea incognito due to misuse of steroids and whitening body lotion: a case report Imaroh, Rifa; Lumaksono, Maria Angela; Hardiati, Rien; Imani, Izzah; Widasmara, Dhelya
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.v8i2.122

Abstract

Background: Tinea incognito (TI) is a dermatophytic infection with atypical clinical manifestations resulting from inappropriate use of topical corticosteroids. The misuse of over-the-counter steroids and unregulated cosmetic products, such as whitening body lotions, can alter the classical presentation of dermatophytosis, leading to delayed diagnosis and treatment failure. This case report aims to highlight the clinical features of tinea incognito associated with topical steroid misuse and whitening body lotion application, emphasizing the importance of early recognition and appropriate management to prevent misdiagnosis and treatment delay. Case: A 29-year-old woman presented with persistent pruritic erythematous patches on her back that had progressively enlarged over two months. The lesions initially appeared as small erythematous patches and were treated with topical corticosteroids prescribed by non-physician health practitioners. The patient continued self-medication with freely purchased topical steroids without improvement. She subsequently applied a whitening body lotion in an attempt to resolve the lesions; however, the patches worsened and expanded. Physical examination of the thoracolumbosacral region revealed ill-defined erythematous plaques with multiple peripheral erythematous papules and fine scaling. Laboratory examinations were not performed. The diagnosis of tinea incognito was established based on clinical history and physical findings. Treatment consisted of oral ketoconazole 200 mg daily, topical ketoconazole 2% cream, ketoconazole 2% shampoo twice weekly, nonsteroidal moisturizer, and antihistamines for two weeks. The patient was advised to discontinue topical steroids and whitening body lotion and received education on clean and healthy living behaviors. Significant clinical improvement was observed during follow-up. Conclusion: Discontinuation of topical steroids and inappropriate cosmetic products, combined with appropriate antifungal therapy, resulted in favorable clinical outcomes. Improved regulation of steroid and cosmetic product distribution, along with increased awareness among healthcare providers, is essential to prevent misdiagnosis and the rising incidence of tinea incognito.
Co-Authors Dhelya Widasmara Hardiati, Rien Imani, Izzah Imaroh, Rifa