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INDONESIA
Journal of General-Procedural Dermatology & Venereology Indonesia
Published by Universitas Indonesia
ISSN : 24607991     EISSN : -     DOI : https://doi.org/10.19100/jdvi.v1i1.8
Core Subject : Health,
Medicine & Pharmacology
Journal of General-Procedural Dermatology & Venereology Indonesia is an open access and peer-reviewed journal that focuses on dermatology and venereology. This journal publishes original articles, reviews, case reports, and brief communications which contain short features of medicine, current developments in diagnostic procedures, treatments, or other health issues that are relevant and important.
Arjuna Subject : Kedokteran - Dematologi
Articles 143 Documents
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Correlation Between Serum 25 Hydroxy-vitamin D Levels and The Worst Pain Intensity in Postherpetic Neuralgia Mellaratna, Wizar Putri; Jusuf, Nelva K; Yosi, Ariyati
Journal of General - Procedural Dermatology & Venereology Indonesia Vol. 6, No. 2
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Background: Postherpetic neuralgia (PHN) is persistent pain in the affected dermatome that occurs more than three months after the eruption of the herpes zoster has disappeared. Vitamin D has a role in Schwann cell regeneration and stimulates the release of nerve growth factors. Methods: Blood sampling was performed to test serum 25(OH)D levels. Patients filled out their worst pain intensity using the Zoster Brief Pain Inventory questionnaire. The score was reported in Likert score (0-10), 0 indicating no pain and 10 indicating the most severe pain. Spearman correlation test was used, and p 0.05) and PHN durations (p >0.05). However, there were significant differences in serum 25(OH)D levels between sex groups (p Conclusion: No correlation exists between serum 25(OH)D levels and the worst pain intensity in PHN patients. Further research with a control group, liver function tests, and the duration of sun exposure data is needed to conclude the role of 25(OH)D in PHN patients.
Haircare Practice and Dandruff Problems Among Indonesian Medical Students Wikanto, Jessica Rosemary; Wijaya, Lorettha; Astiarani, Yunisa; Regina, Regina
Journal of General - Procedural Dermatology & Venereology Indonesia Vol. 6, No. 2
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Background: Dandruff is an understated hair and scalp problem that causes striking social and concentration issues among medical students. Haircare practice among them may or may not be related to the dandruff incident. Methods: A cross-sectional study was conducted on 74 pre-clinical medical students at Atma Jaya Catholic University of Indonesia. Trained health staff assessed dandruff prevalence by physical examination, and the haircare practice was measured using a questionnaire. Bivariate analysis was utilized to assess the association between haircare practice and dandruff prevalence’s. Result: Among respondents, 85.1% of them have dandruff. Respondents who shampooed less than five times a week, combed their hair more than seven times a week, did not use hair care and styling products were associated with higher dandruff prevalence (p Conclusion: There was a significant association between haircare practice and dandruff in medical students.
Clinicodemographic and Laboratory Characteristics of Cutaneous Tuberculosis at Tertiary Referral Hospital in West Java, Indonesia Sediadini, Anisa; Gunawan, Hendra; Hidayah, Risa Miliawati Nurul
Journal of General - Procedural Dermatology & Venereology Indonesia Vol. 6, No. 2
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Background: Cutaneous tuberculosis (TB) is a chronic infectious disease affecting the skin caused by Mycobacterium tuberculosis (M. tuberculosis). It constitutes 1–1.5% of extrapulmonary TB, with Indonesia being the third-highest TB burden country worldwide. Cutaneous TB is difficult to diagnose due to its varied presentations. This study aimed to describe the clinicodemographic and laboratory characteristics of cutaneous TB in a tertiary referral hospital in West Java, Indonesia. Methods: This was a descriptive retrospective cross-sectional study. Data were obtained from the medical record of patients with cutaneous TB in the Tropical Dermatology Clinic of Hasan Sadikin Hospital Bandung, West Java, Indonesia from January 2017 to December 2019 using total sampling method. Results: Of the 15 data retrieved, tuberculosis verrucosa cutis (n=5) was the most common type of cutaneous TB. Most of patients were males (n=8), between 15–24 years of age (n=6), were students (n=5), with the highest education level of primary school (n=5). Clinically, most of the cases presented as plaques and ulcers (n=6, respectively), had multiple lesions (n=9), located on lower limb (n=6). Acid-fast staining was negative in 8/8 cases, and culture was negative in 4/4 cases. The DNA of M. tuberculosis was detected in 2/5 polymerase chain reaction tests, while granuloma with caseous necrosis was found in 3/5 histopathological examinations. Conclusion: Patients with cutaneous TB have a variety of characteristics. The results of laboratory examinations are often negative, and diagnosis may depend on clinical morphology. Therefore, clinicians should be familiar with the diverse clinical manifestations of cutaneous TB.
Clinicodemographic Characteristics of Cutaneous Larva Migrans: A 10-year Study In Tertiary Referral Hospital-West Java, Indonesia Avissa, Tuesi Fredella; Gunawan, Hendra; Hidayah, Risa Miliawati Nurul
Journal of General - Procedural Dermatology & Venereology Indonesia Vol. 6, No. 2
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Background: Cutaneous larva migrans (CLM) is the most common helminthic dermatosis caused by animal hookworm, commonly reported in tropical and subtropical regions. Most studies are on travellers returning from endemic areas, paradoxically very few reports in endemic countries, including Indonesia, where they mostly take place. This study aimed to describe the demographic and clinical characteristics of CLM patients for 10 years in a tertiary referral hospital in West Java, Indonesia. Methods: This was a descriptive retrospective cross-sectional study. The data were obtained from the medical record of patients who was diagnosed as CLM in Tropical Dermatology Clinic Hasan Sadikin Hospital Bandung from 1st January 2010 until 31st December 2019 using a total sampling method. Results: Of the 21 data retrieved, males (52.4%), age group of 35-44 years (23.8%), senior high school graduated (23.8%), and had a history of vacation to the beach (9.5%) comprised the majority of the patients. The most common clinical characteristics were multiple itchy serpiginous track lesion, located on the arm and hand, and treated with albendazole at 400 mg per day for 3 days showed the cure rate of CLM patients was high (100%). Conclusion: Patients with CLM have a variety characteristics based on clinico-demography. Although CLM is rare in this study, health information about this disease to community is important, especially those who frequently travelled to the endemic regions.
The Difference In Transepidermal Water Loss (TEWL) Values Between Sun-exposed and Non-sun-exposed Skin Among Male Medical Students Prihadi, Ihsany Arafiasetyanto; Ellistasari, Endra Yustin; Kusumawardani, Arie
Journal of General - Procedural Dermatology & Venereology Indonesia Vol. 6, No. 2
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Background: Transepidermal Water Loss (TEWL) is the amount of water released from the human body into the atmosphere through a diffusion process per unit of time. Changes in TEWL indicate impaired skin barrier function. Exposure to ultraviolet light for an extended period can cause photoaging, characterized by rough and dry skin (xerosis cutis). TEWL will increase significantly in the skin exposed to ultraviolet radiation. This study aims to determine the difference in the TEWL values among male medical students in the sun-exposed and non-sun-exposed skin areas. Methods: An analytical observational cross-sectional study was conducted at the Dermatology and Venereology Department of RSUD Dr. Moewardi Surakarta in January-March 2021. Sampling was carried out through consecutive sampling and 25 samples were obtained. TEWL examination was performed on the dorsal area of the forearm and the medial area of the upper arm using the Tewameter TM300. The mean value of TEWL was analyzed using the non-parametric Wilcoxon signed rank test and Spearman's correlation test. Results: Based on the Wilcoxon signed rank test, there was a significant difference in the value of TEWL (p = 0.000). Spearman correlation analysis shows the coefficient value of r = 0.599, with p = 0.002. Conclusion: There is a significant difference in TEWL values in the sun-exposed skin area compared to the non-sun-exposed skin area, with a moderate positive correlation.
Risk Factors for HIV-positive Status In Condyloma Acuminata Purwoko, Izazi Hari; Karim, Putri Laksmi; Nugroho, Suroso Adi; Toruan, Theresia; ., Fitriani
Journal of General - Procedural Dermatology & Venereology Indonesia Vol. 6, No. 2
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Background: Condyloma acuminata (CA) is a sexually transmitted infection (STI) caused by human papillomavirus (HPV), especially types 6 and 11. The number of HPV infections increases in immunosuppressed conditions, such as human immunodeficiency virus (HIV) infection. Risk factors in CA patients such as gender, sexual partner, sexual orientation, and sexual intercourse can increase HIV status. Methods: This is a descriptive-analytic study with a cohort retrospective design. The subjects are all CA patients who visited the polyclinic STI Dr. Mohammad Hoesin, General Hospital, Palembang, Indonesia, between 2016-2020. The number of CA patients included in the study were 115 patients aged 14 to 71 years old. Chi-square and multivariate logistic regression were used to analyze the independent variables. Results: The total number of HIV-positive CA patients was 31 (26.8%) out of 115. There were more males than females, and the mean age was 29±9.90, with a range of 14-71 years old. The most common location was the genital (58.3%). Gender, marital status, number of partners, sexual orientation, sexual intercourse, location, and type of lesions had p Conclusion: Risk factors for HIV in CA patients are age, marital status, sexual partner, sexual orientation, and location of lesions. CA patients who were MSM had a 22-fold higher risk for HIV-positive status.
Seborrheic Keratosis Profile at Dr. Hasan Sadikin Central General Hospital Bandung 2015-2019 Sutedja, Eva Krishna; Gradia, Resti; Latifah, Tri Aswila
Journal of General - Procedural Dermatology & Venereology Indonesia Vol. 6, No. 2
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Background: Seborrheic keratosis (SK) is adults’ most prevalent benign skin tumor. SK originates from the proliferation of keratinocyte cells with varying morphology and degree of pigmentation. The lesions often resemble other types of malignancy. There are still many discrepancies in SK in Indonesia; hence, SK needs further understanding. This study aimed to describe the profile of seborrheic keratosis cases based on age, sex, location of lesions, and therapy at Dr. Hasan Sadikin Central General Hospital, Bandung, for five years Methods: This was a retrospective descriptive study with total sampling. Secondary data were collected from medical records of SK patients in the Tumor and Skin Surgery Polyclinic of Dr. Hasan Sadikin Central General Hospital, Bandung, from Jan 1, 2015, to Dec 31, 2019. A total of 105 medical records fulfilled the inclusion and exclusion criteria. Results: In most cases of SK, 41% occurred in middle-aged (40-59 years) patients. The average age was 49 ± 15 years old. Most patients, 64.8% were women. The location was mainly in the head and or neck (94.3%). SK was most frequently treated with a CO2 laser (56.2%), followed by electrocautery (36.2%). Conclusion: Most SK patients in this study were female, middle-aged (40-59 years), with lesions on the head and or neck, and were treated with CO2 laser.
TORCH Re-activation Concomitant with Drug-induced Hypersensitivity Syndrome Shows Erythema Multiforme-like and Vasculitis Clinical Features Budianti, Windy Keumala; Rihatmadja, Rahadi; Aulia, Izzah; Effendy, Isaak
Journal of General - Procedural Dermatology & Venereology Indonesia Vol. 6, No. 2
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Background: Drug-induced hypersensitivity syndrome (DIHS) can be associated with cytomegalovirus (CMV) infection, besides induced by drugs. We report a case of DIHS with prolonged atypical clinical features and vasculitis precipitated by drug allergy, CMV, and other viral infections. Case illustration: A 54-year-old female presented with generalized follicular erythematous papules and waxy palmoplantar keratoderma since one month before admission. The symptoms started as a purpuric lesion on the upper extremities, spreading as erythematous papules on the trunk with facial edema, accompanied by fever and chronic cough. She had been previously treated with ambroxol and cephalosporin. Cutaneous drug allergy reaction was assessed. Although in therapy with systemic corticosteroids, lesions still appeared and became confluent, with new palpable purpura on the extremities. Histopathology showed interface dermatitis, consisting of lymphocytes and plasma cells but lacking eosinophils, leukocytoclastic vasculitis, and numerous dyskeratotic keratinocytes. The possibility of systemic infection was sought, and TORCH examination suggested acute and latent infection. The patient had a positive PCR for CMV. Intravenous ganciclovir 500 mg/day for three weeks and a low dose of systemic corticosteroids led to complete cessation of skin and pulmonary symptoms. Discussion: The clinical and histopathological examination was consistent with erythema multiforme. Therefore, high titer of IgM and IgG anti-CMV, and excellent response to ganciclovir supported our suspicion of an infection-induced process. The infection might be precipitated by a drug allergy. Conclusion: CMV-associated skin lesion could be precipitated by drug hypersensitivity, resulting in erythema multiforme-like clinical features with vasculitis. Severe systemic involvement related to CMV reactivation. Early anti-CMV therapy showed good improvement and reduce risk of mortality.
A Case of Longitudinal Melanonychia in A Child: Benign or Malignant? Putri, Heffi Anindya; Asri, Ennesta; Anum, Qaira
Journal of General - Procedural Dermatology & Venereology Indonesia Vol. 6, No. 2
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Background: Longitudinal melanonychia (LM) describes a longitudinal brown-to-black band of discoloration affecting a finger, thumb, or toenail. Discoloration of the nails can be a sign of benign or malignant nail disorders. Although nail melanoma rarely occurs in children, health practitioners should be aware of melanonychia. Dermoscopy and histopathology are helpful in the diagnosis. Case Illustration: A case of LM in a thirteen-year-old girl was reported with a complaint of brownish-black discoloration, sometimes painful, on her right thumb since 1 year ago. She had no history of trauma, nail damage, or bleeding tendency. Dermatological examination found a homogeneous brownish-black band on the right thumbnail. Dermoscopy revealed regular, homogeneous black linear pigmentation and pigment through the translucent cuticle and proximal nail fold (pseudo-Hutchinson’s sign). Punch biopsy was done on proximal nail fold reaching nail matrix. Histopathology revealed increased melanocytes, some nests of melanocytes in rete Malpighi, and no atypical cells. She was diagnosed with nail matrix nevus. Five months after the punch biopsy, the nail grew well without onychodystrophy. Discussion: Nail matrix nevus is a benign LM. Diagnosis is based on anamnesis, physical examination, dermoscopy, and histopathology. Dermoscopy of the nails is a useful, quick, non-invasive, and highly effective tool that may help differentiate benign or malign melanonychia. Conclusion: Histopathology is important to determine whether the pigmented lesion is benign or malignant.
Atypical mycobacterial infection mimicking carbuncle in an elderly patient: A case report Barros, Terlinda; Legiawati, Lili; Yusharyahya, Shannaz Nadia; Sularsito, Sri Adi; Wihadi, Imelda
Journal of General - Procedural Dermatology & Venereology Indonesia Vol. 1, No. 1
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Background: Atypical mycobacterium infection occurs under certain skin conditions, namely the disruption of skin integrity and mucous membranes accompanied by the reduction of cellular immunity. However, atypical mycobacterial infection in elderly patients is rarely reported. Case: A 64 years old male patient, complained of red lumps on the upper-backfor a month, accompanied by mild fever and minimal pain. Three months before, the patient had accupuncture on the neck and upper back. Physical examination showed multiple miliar to lenticular sized papules and pustules on an erythematous-violaceus base with hard and immobile palpable nodes and infiltrate. After clinical and laboratory workup, the patient was diagnosed withcarbuncle with Candida spp colonization. The treatment consisted of systemicantibiotics and topical antifungals. There was no clinical improvement after 3 weeks. Histopathology and laboratory results suggested atypical mycobacterium infection. Discussion: Atypical mycobacterium infection should be considered in elderly patients with skin and soft tissue infections that show no clinical improvement tostandard therapy.

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