cover
Contact Name
Anak Agung Gde Putra Wiraguna
Contact Email
editor.balidv@gmail.com
Phone
+6282339990824
Journal Mail Official
editor.balidv@gmail.com
Editorial Address
Dermatology and Venereology Department, Medical Faculty, Universitas Udayana/Prof. dr. I G. N. G. Ngoerah General Hospital, 3rd Floor (Jl. Diponegoro, Dauh Puri Klod, Kecamatan Denpasar Barat, Kota Denpasar, Bali 80113)
Location
Kota denpasar,
Bali
INDONESIA
Bali Dermatology Venereology and Aesthetic Journal
Published by Universitas Udayana
Core Subject : Health, Science,
Bali Dermatology Venereology and Aesthetic Journal is an open access; peer-reviewed journal aiming to communicate high-quality research articles, reviews, and general articles in the Dermatology, Venereology and Aesthetic field. The Journal aims to bridge and integrate the intellectual, methodological, and substantive diversity of Dermatology, Venereology and Aesthetic and to encourage a vigorous dialogue between researcher, medical scholars and practitioners. The scope of this journal includes: General dermatology Venereology Cosmetic dermatology/aesthetic Pediatric dermatology Allergy and immunology Skin and tumor surgery Tropical dermatology Genodermatosis (hereditary skin disease) Travel dermatology Traditional, Complementary, and Integrative medicine in dermatology Diagnostic method and artificial intelligence in dermatology
Arjuna Subject : Kedokteran - Dematologi
Articles 80 Documents
A dermatitis possibly due to contact with Cyanophyceae: a case report from a rural area in Indonesia Suvianto, Christa Adelia; Tjahjady, Mikhael; Clarissa, Fiani; Djohan, Putra Brillian
Bali Dermatology Venereology and Aesthetic Journal BDVAJ - Volume 8, Issue 1 (2025)
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/balidervenaesthj.v8i1.105

Abstract

Background: Diagnosing skin conditions can be challenging in resource-limited settings. Cyanophyceae, or blue-green algae, are found in water bodies worldwide and can lead to harmful algal blooms under specific conditions. East Nusa Tenggara, a province in eastern Indonesia, with its hot, dry climate and pristine waters, creates ideal conditions for these blooms. While dermatitis from Cyanophyceae exposure is rare, the potent biotoxins produced by these algae may cause skin reactions. This case report aimed to describe the dermatitis that was possibly caused by Cyanophyceae. Case description: A 22-year-old male from rural East Nusa Tenggara presented with pruritic papules, pustules, and vesicles on both arms for two days. The lesions began as erythematous papulo-vesicular formations and progressed to oozing and crusting shortly after he cleaned a neglected fish pond with algal blooms. The eruptions were confined to exposed areas of both arms. The patient reported no fever, cough, headache, or throat pain, and other physical findings were normal. After two weeks, the lesions improved significantly with topical mometasone furoate. The patient was educated on proper hand hygiene and avoiding similar allergens. Conclusion: Cyanophyceae can release biotoxins that may cause hypersensitivity reactions on human skin. In addition, the lipopolysaccharides found in their cell walls can also irritate human skin. Skin reactions vary and depend on factors such as individual susceptibility, cyanobacterial profile, toxin types and concentrations, and skin barrier disruption. Cyanophyceae can cause irritation and allergic responses.
Drug reaction with eosinophilia and systemic symptoms (DRESS) with acute kidney injury and transaminitis: A rare case Luziani, Stefani; Roslina, Nina; Zakaria, Rio; Sumarmi
Bali Dermatology Venereology and Aesthetic Journal BDVAJ - Volume 8, Issue 1 (2025)
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/balidervenaesthj.v8i1.108

Abstract

Background: Drug reaction with eosinophilia and systemic symptoms (DRESS) is a rare, serious, and potentially life-threatening drug hypersensitivity reaction. The diagnosis of DRESS can be challenging to make because of the highly variable clinical presentation, progressive onset of manifestations, and the extended period from drug exposure to onset. Many DRESS cases remain undiagnosed or misdiagnosed. This study aims to report a rare case of an adult patient with DRESS to expand our knowledge and avoid delayed identification and treatment. Case: A 31-year-old male presented to the emergency department with a chief complaint of itchy, red desquamation rashes all over his body, with fever and swelling on his face. The dermatological status obtained was a generalized distribution; on nearly the entire body surface area, there were multiple lesions, confluent, with unclear boundaries, irregular in shape, plaque-sized, not raised, dry, in the form of erythematous macules with scales and light yellow crusts. Hematological laboratory analysis revealed hypereosinophilia. The renal function indicated a decreased eGFR of over 75%, and the hepatic function test revealed an elevated in liver function. The patient was diagnosed with DRESS, acute kidney injury, and transaminitis. There was an improvement in the patient's condition following the withdrawal of the previous medications and the administration of intravenous dexamethasone, oral antihistamine, and symptomatic treatment. Conclusion: Early identification and withdrawal of all suspected medications are essential for the management of DRESS, as a delayed diagnosis can be life-threatening. The administration of systemic steroids is efficacious for the treatment of DRESS.
Body hydration levels and pH measurements of bath soap used among Tarumanagara University medical students: a cross sectional study Maahirah, Raahiil Kusuma; Wijayadi, Linda Julianti
Bali Dermatology Venereology and Aesthetic Journal BDVAJ - Volume 8, Issue 1 (2025)
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/balidervenaesthj.v8i1.111

Abstract

Background: The skin has an essential function of protecting the body against external environmental influences. The stratum corneum plays an important role in maintaining skin hydration and pH, which contribute to the skin barrier function. The normal pH of the skin ranges from 4.1 to 5.8, which affects the stability of the microbiome, the hydration of the stratum corneum, and the epidermal barrier function. The use of cleansing products, such as body wash, affects skin pH, where soaps with a high pH (10-11) can damage the stratum corneum lipid layer, leading to dryness, irritation, and decreased hydration levels. This study aims to describe skin hydration levels and pH of body wash used among Tarumanagara medical students class of 2023. Methods: This descriptive research design involved measuring skin hydration in various body areas using a corneometer and identifying the pH of body skin with a pH meter among medical students. Results: The results showed that the majority of subjects (68.1%) used soap with an alkaline pH (>8), with the highest prevalence in women compared to men. The right upper arm area showed the highest skin hydration, where 65.7% of subjects had very moist skin. The legs showed the lowest hydration, with 48.8% of subjects having very dry hydration. Conclusion: This study emphasizes the importance of using pH-balanced soap to support optimal skin hydration. Moisturizer use after bathing and increased mineral water consumption are also recommended to maintain skin hydration balance. The findings provide important insights to raise awareness of skincare habits that support holistic skin health.
Nail Psoriasis in Nigerians Enigbokan, Omolulu Adedoyin; Ogunbiyi, A O; George, A O
Bali Dermatology Venereology and Aesthetic Journal BDVAJ - Volume 8, Issue 1 (2025)
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/balidervenaesthj.v8i1.115

Abstract

Background: Psoriasis is an inflammatory skin disorder that commonly affects the nails. Studies on psoriasis in our environment are very few, and data on nail abnormalities in our environment are lacking. The present study was undertaken to evaluate the frequency of nail involvement in patients with psoriasis, document the nail changes in psoriasis, and identify any existing association between some clinical parameters and nail involvement. Methods: A cross-sectional study of consecutive patients diagnosed with psoriasis at the dermatology unit of University College Hospital, Ibadan, Nigeria, between January 2015 and October 2016. Diagnoses of psoriasis were clinical and supported by histopathologic confirmation. After obtaining sociodemographic data, history of disorder, and nail symptoms, each patient had a baseline examination with special attention paid to fingernail changes, and the findings were documented. Nail involvement was compared between the two sexes and with the presence of arthritis. Severity of nail involvement was calculated using the Nail Psoriasis Severity Index Score.  Results: In total, fifty-nine patients were involved in the study. Majority (78.0%) of the patients were adults with a median age of 39.0 years (interquartile range 21 – 55 years) and a male to female ratio of 0.9: 1. Psoriasis vulgaris was the most typical form of presentation in the study and nail changes were present in 51 patients (86.4%) with psoriasis. The most common nail abnormalities observed were pitting, followed by onycholysis and nail discolouration. Nail involvement was seen statistically more frequent in patients with extensive cutaneous involvement. Conclusions: Involvement of the nail is quite common in psoriasis in our environment, and at times it may be the initial manifestation. Pitting, onycholysis, and discolouration with a brownish to yellowish brown hue are the most typical nail abnormalities in patients with psoriasis in this environment. From the study, it appears that nail abnormalities tend to occur more in patients with more severe cutaneous disease.
Effectiveness and tolerability of bakuchiol (Psolarea corylifolia) as a dermal anti-aging modality: A systematic review on skin wellness and harmony Limanda, Claudia Felicia; Els, Vanessa; Hernowo, Elliana Freya; Winaya, Ketut Kwartantaya
Bali Dermatology Venereology and Aesthetic Journal BDVAJ - Volume 8, Issue 1 (2025)
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/balidervenaesthj.v8i1.116

Abstract

Skin aging is a natural phenomenon caused by a decline in collagen production that leads to skin thinning, dry and pale skin, wrinkles, and sagging. Skin aging may not contribute to the mortality rate. However, people tend to connect their symbol of inner self to external appearance. Therefore, psychosocial effects such as social anxiety, low self-esteem, and low satisfaction in life will affect their personal and social life. Anti-aging procedures focus on the prevention of damage, replacement of tissues, and skin rejuvenation. Bakuchiol (Psolarea corylifolia) is a novel anti-aging product with antioxidant, anti-inflammatory, and anti-aging properties that is deemed effective and tolerable in skin rejuvenation. This comprehensive review aims to further examine the effectiveness and tolerability of bakuchiol based on previous studies in order to provide new insights into delaying skin aging. A comprehensive literature search was conducted to assess the effectiveness and tolerability of bakuchiol as a dermal anti-aging modality from search engines, PubMed, Google Scholar, CORE, Science Direct, and Cochrane using search terms (“Bakuchiol” OR “Psolarea corylifolia”) AND (“Dermal Aging” OR “Skin Aging”). Bakuchiol proved to have anti-inflammatory and antioxidant properties to maintain youthfulness and skin appearance. Regarding tolerability, bakuchiol has fewer side effects compared to other commonly used modalities. Therefore, bakuchiol (Psolarea corylifolia) is an effective and tolerable modality in the treatment of aging skin.
Skin disorders that mimic melanoma: a review Citrashanty, Irmadita; Hendaria, Made Putri
Bali Dermatology Venereology and Aesthetic Journal BDVAJ - Volume 8, Issue 2 (2025)
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/balidervenaesthj.v8i2.114

Abstract

Malignant melanoma is a skin disorder that originates from the degeneration of melanocyte pigment cells towards malignancy, which is characterized by an increasingly enlarged and irregular and more prominent color change. Many skin disorders have similarities with malignant melanoma, which sometimes makes it difficult for medical personnel to make a diagnosis. Skin conditions that resemble melanoma are categorized into histogenetic lines such as melanocytic (Spitz naevus, Cellular blue naevus, melanocytic naevus with focal atypical epithelioid component/clonal naevus, Deep penetrating naevus), neural (Malignant peripheral nerve sheath tumor, Neurotheceomakell (Sicatrical). When the intraepidermal melanocytic component is subtle or missing, or the tumor displays uncommon histological features, misclassification of melanoma is more likely. The recent implementation of clearer clinical and histopathological criteria with the development of dermoscopy and computer technology has been able to led to the early detection of melanoma, which has contributed to the increased diagnosis of this disease and other skin diseases that may have similarities to melanoma. This review aimed to differentiate melanoma-like skin disorders.
Challenges of limited treatment options in suspected antimicrobial resistance of multibacillary Hansen's disease with chronic erythema nodosum leprosum: a case report and literature review Lukito, Agrevina Ane; Wibawa, I Ketut Suteja; Supradnyan, I Komang Harry
Bali Dermatology Venereology and Aesthetic Journal BDVAJ - Volume 8, Issue 2 (2025)
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/balidervenaesthj.v8i2.120

Abstract

Background: Hansen's disease, or leprosy, is a chronic infection caused by Mycobacterium leprae that affects the skin and peripheral nerves. The emergence of antimicrobial resistance in leprosy poses a new challenge, potentially reducing treatment efficacy and increasing the risk of relapse. Recent studies report recurrent or chronic erythema nodosum leprosum (ENL)  cases linked to relapse caused by drug-resistant Mycobacterium leprae strains. This case report aimed to emphasize the knowledge and therapeutic approach of leprosy and leprosy reaction. Case Description: A 51-year-old female patient previously treated for multibacillary (MB) leprosy and declared released from treatment (RFT) a year earlier, presented with painful erythematous nodules on all extremities two months after RFT. Eight months after RFT, the patient developed new erythematous macules with loss of sensation on all extremities, consistent with leprosy relapse. Multi-drug therapy (MDT) was subsequently re-initiated. During follow-up, laboratory evaluation indicated a high bacterial load, raising suspicion of antimicrobial resistance. The patient was initiated on the regimen for leprosy with antimicrobial resistance. However, the complete regimen could not be provided immediately due to medication limitations in the remote region. Conclusion: Antimicrobial resistance in leprosy should be considered in patients with relapse who do not respond to MDT re-treatment and in those with chronic ENL. Limited availability of resistance testing resources and access to second-line therapies remain a significant barrier to the effective management of antimicrobial resistance leprosy.
Profile of syphilis in pregnancy at the Dermatovenereology Clinic, Bali Mandara General Hospital (2020–2024) Trisnawati, Febri Evalina; Wahyuni, Luh Putu Dina
Bali Dermatology Venereology and Aesthetic Journal BDVAJ - Volume 8, Issue 2 (2025)
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/balidervenaesthj.v8i2.121

Abstract

Introduction: Syphilis is a chronic and systemic sexually transmitted infection (STI) caused by Treponema pallidum. There are four stages of syphilis based on clinical manifestations: primary, secondary, latent, and tertiary. This study aimed to obtain data on pregnant women diagnosed with syphilis and their characteristics at the Dermatovenereology Clinic of Bali Mandara General Hospital, Denpasar, from January 2020 to December 2024. Methods: This research utilized a retrospective descriptive design by collecting secondary data from the medical records of patients who visited the Dermatovenereology Clinic of Bali Mandara General Hospital, Denpasar, during the period of January 2020 to December 2024. Results: A total of 23 cases of syphilis in pregnancy were recorded between January 2020 and December 2024, distributed as follows: 2 cases in 2020 (8%), 1 case in 2021 (5%), 14 cases in 2023 (61%), and 6 cases in 2024 (26%). The majority of cases occurred in women aged 26–35 years (52%). Most patients (15 individuals) were in their third trimester of pregnancy, and late latent syphilis was the most common stage found (87%). Conclusion: Between 2020 and 2024, there were 23 cases of syphilis in pregnancy at Bali Mandara General Hospital, with most cases classified as late latent syphilis diagnosed in the third trimester.
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)
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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.
Metabolic aging and cutaneous markers of metabolic syndrome: a narrative review Handayani, Theressia; Jawi, I Made
Bali Dermatology Venereology and Aesthetic Journal BDVAJ - Volume 8, Issue 2 (2025)
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/balidervenaesthj.v8i2.124

Abstract

Metabolic syndrome (MetS) is a constellation of metabolic abnormalities—including central obesity, dyslipidemia, hypertension, and impaired glucose regulation—that considerably increases cardiometabolic risk. Recent evidence emphasizes that MetS significantly influences the skin, which serves as a visible indicator of underlying metabolic dysfunction. The emerging concept of metabolic aging describes the acceleration of biological aging driven by chronic metabolic stress through mechanisms such as inflammaging, oxidative stress, mitochondrial dysfunction, microvascular injury, and the accumulation of advanced glycation end products (AGEs). Cutaneous signs associated with insulin resistance—including acanthosis nigricans, skin tags, acne in PCOS, hidradenitis suppurativa, and early-onset androgenetic alopecia (AGA)—are increasingly recognized as reliable clinical markers of metabolic dysregulation. Early-onset AGA has a strong epidemiological association with insulin resistance, dyslipidemia, and increased cardiometabolic risk. Understanding these links is essential for dermatologists and aesthetic practitioners, as metabolic dysfunction affects wound healing, treatment response, and procedural safety. This narrative review aims to summarize current evidence on the relationship between metabolic syndrome, metabolic aging, and cutaneous manifestations, with particular emphasis on clinically observable dermatologic markers of insulin resistance and their implications for dermatology and aesthetic practice.