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Berkala Ilmu Kesehatan Kulit dan Kelamin

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Published by Universitas Airlangga

ISSN : 19784279 EISSN : 25494082 DOI : 10.20473

Core Subject : Health, Science,

Immunology & microbiology Public Health

Arjuna Subject : -

Articles 505 Documents

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Penile Ulcer Caused by Lintah Oil Injection Kartika Paramita; Cita Rosita Sigit Prakoeswa
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 28 No. 3 (2016): DESEMBER
Publisher : Faculty of Medicine, Universitas Airlangga

Background: Lintah oil that was injected for genital augmentation, can cause penile ulcer, which is also one of the ulcer that occur due to ‘self-inflicted’. It could occur in nodul or abscessformation, and undergoes ulceration. It can cause psychological stress to affected patient, so that a proper diagnosis is expected to support well management. Purpose: To describe the clinical manifestation, laboratory examination, and management of penile ulcer caused by lintah oil injection. Case: A 58-year-old male presented a single deep wound on his shaft penis, with diameter ± 2 x 5 cm, undermined, ragged edges, containing pus and easily to bleed, occured about 6 months after the injection of lintah oil, which was used for his genitalia enlargement and performed by untrained person. There were complaints about redness skin and swelling on his shaft penis about 3 months after the injection, which then underwent fester with the sense of burning sensation and painful. Discussion: Blood examination indicated a slightly increase of leukocyte. Pus culture and sensitivity test were performed, while waiting for the result, patient was given cotrimoxazole tablet 480 mg twice daily for seven days. Another examination result were within normal limit. Treatment consisted of oral antibiotic for seven days, and for the wound dressing has given NaCl 0.9% as the wet dressing and covered with framycetin sulfate 1% gauze. Conclusion: Diagnosis of penile ulcer caused by lintah oil injection was established by patient’s history and physical examination. Therapy was given based on culture result. Lesion was healed after 1 month of treatment. Education not to repeat the injection was given to the patient to prevent the recurrence of this condition.

Superficial Mycoses Fatma Rosida; Evy Ervianti
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 29 No. 2 (2017): AGUSTUS
Publisher : Faculty of Medicine, Universitas Airlangga

Background: Superficial mycoses were superficial fungal infections caused by fungal or yeast colonization. The prevalence of fungal infection is estimated 20-25% of the world’s population and one of the most common infection in humans. Purpose: To evaluate the profile of superficial mycoses patients. Method: A retrospective study of all new cases of superficial mycoses who visited the Mycology Division, Dermatology and Venereology Outpatient Clinic, Dr. Soetomo General Hospital, Surabaya from January 2011 until December 2013 (3 years). Results: The total new patients in 2011-2013 was 1.136 with the percentage 5,47% in 2011, 4,91% in 2012, and 5,90% in 2013. Men were more affected than women, and it was more common in the age group 15-24 and 25-44. Most patients complaint were itchy and most commonly used therapies were ketoconazole 200 mg and griseofulvin 125 mg orally. Conclusion: Superficial mycoses is still a common issue in Indonesia, especially in Surabaya.

Profile of Fungal and Bacterial Infections in Inguinal Erythrosquamous Dermatoses Irma Tarida Listiyawati; Sunarso Suyoso; Rahmadewi Rahmadewi
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 29 No. 3 (2017): DESEMBER
Publisher : Faculty of Medicine, Universitas Airlangga

Background: Erythrosquamous dermatoses are diseases of the skin, characterized with the erythematous changing accompanied with scales. Usually, the patients were treated with antifungal and antibiotic, but there were no data to support this therapy. Purpose: To describe the profile of fungal and bacterial infections in erythrosquamous dermatoses. Methods: This is a descriptive cross-sectional study in patient with inguinal erythrosquamous dermatoses in Dermatology and Venereology Outpatient Department, Dr. Soetomo General Hospital 2016. Subjects have been collected through consecutive sampling, and the amount of subject were determined as total sampling from May – August 2016 Results: The profile of fungal infections were tinea kruris (57.14%) and intertriginous candidiasis (9.52%). Fungal infections as a trigger were seborrheic dermatitis (14.29%) and erythema intertrigo (14.29%). Profile of bacterial infections were erythrasma (4.76%). Result of fungal culture were T. mentagrophytes (52.38%), C. parapsilosis (9.52%), S. ciferii (4.76%), C. albicans (4.76%), T. inkin (4.76%), Malaszesia spp (9.52%), and negative result (14.28%). Result of gram positive bacterial culture were S. aureus (38.10%), S. epidermidis (9.52%), S. lentus, S. haemolyticus, S. hominis 4.76%. Mixed gram positive bacteria were S. aureus-S. haemolyticus dan S. lentus-E. faecalis 4.76%. Gram positive and gram negative bacteria were S. aureus-A. baumanii, S. aureus-S. haemolyticus-A. baumanii 4.76% each. Gram negative bacteria were A. baumanii and K. pneumoniae 4.76% each and contamination 9.52%. Conclusion: The profile of fungal and bacterial infections in inguinal erythrosquamous dermatoses mostly were tinea cruris. The result of fungal culture mostly were T. mentagrophytes. The result of bacterial culture mostly were gram positive bacteria, consist of S. aureus, S. epidermidis, S. lentus, S. haemolyticus, S. hominis, E. faecalis.

Penelitian Retrospektif: Gambaran Pasien Baru Kusta Icha Aisyah; Indropo Agusni
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 30 No. 1 (2018): APRIL
Publisher : Faculty of Medicine, Universitas Airlangga

Latar belakang: Kusta adalah penyakit menular, menahun, yang disebabkan oleh Mycobacterium leprae. Penyakit kusta menyerang saraf tepi, kulit dan jaringan tubuh lainnya kecuali susunan saraf pusat. Endemis di beberapa negara di kawasan Asia Tenggara, Amerika dan Afrika. Tujuan: Mengevaluasi gambaran pasien baru kusta Unit Rawat Jalan (URJ) Kesehatan Kulit dan Kelamin RSUD Dr. Soetomo Surabaya periode tahun 2011-2015. Metode: Penelitian retrospektif dengan meneliti catatan medik pasien kusta di Divisi Kusta URJ Ilmu Kesehatan Kulit dan Kelamin RSUD Dr. Soetomo Surabaya selama Januari 2011 sampai Desember 2015. Hasil: Jumlah pasien kusta adalah 713 pasien. Kelompok umur terbanyak adalah 15-34 tahun (45,1%), jenis kelamin terbanyak adalah laki-laki (67,7%). Pasien sebagian besar berasal dari wilayah Surabaya (60,3%). Pasien dengan reaksi kusta tipe 1 (15,6%) dan reaksi kusta tipe 2 (23,8%). Penemuan pasien baru kusta terbanyak dari rujukan (56,6%) dan alasan rujukan untuk pemeriksaan Basil Tahan Asam (BTA) (59,2%). Sebanyak 671 pasien (94,1 %) tidak ada riwayat kontak dengan pasien kusta Pasien dengan reaksi kusta tipe 1 terbanyak pada tipe Mid Borderline (BB) (71,2%). Pasien dengan reaksi kusta tipe 2 terbanyak pada tipe Lepromatous Leprosy (LL) (68,2%). Kesimpulan: Gambaran pasien baru kusta dapat membantu dalam meningkatkan penatalaksanaan pasien kusta di masa yang akan datang.

Laboratory Examination in Genital Chlamydia trachomatis Infection Novianti Risky Reza; Tantari SHW
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 27 No. 2 (2015): BIKKK AGUSTUS 2015
Publisher : Faculty of Medicine, Universitas Airlangga

Background: Chlamydia trachomatis (CT) is one of the most common agents caused nonspesific genital infections in both men and women worldwide and also in Indonesia. Chlamydial infection can be asymptomatic, became source of infection for the partner, and serious complication may be occurred. Early diagnosis and prompt treatment were needed to prevent the complication. Purpose: To review the advantages and disadvantages of numerous laboratory diagnostic methods of genital CT infections. Review: The gold standart in CT infection diagnosis was culture but it was difficult to do in clinical setting. Diagnosis by direct antigen methods for diagnosing CT infections, such as direct fluoresence assay (DFA),enzim immuno assay (EIA), nucleic acid detection, citology ,and serology can be done. Conclusion: Combining two or more different methods of laboratory examination will give better results in diagnosis with better sensitivity and specificity.Key words: Chlamydia trachomatis, genital infection, laboratory.

Profile of Condylomata Acuminata in Patients with HIV/AIDS Dian Pertiwi Habibie; Jusuf Barakbah
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 28 No. 3 (2016): DESEMBER
Publisher : Faculty of Medicine, Universitas Airlangga

Background: Condylomata acuminata is human papilloma virus (HPV) infection, and one of the most common sexually transmitted disease, characterized with papul or papillomatous nodul in genital, perineum and anal, this disease can be asymptomatic as well. Some study proved sexually transmitted infection increase the incidence of Human immunodeficiency virus (HIV)/ acquired immunodeficiency syndrome (AIDS), and vice versa. Purpose: To evaluate the profile of condylomata acuminata in HIV/AIDS patients. Methods: Retrospective study of the incident of condylomata acuminata in HIV/AIDS patients using medical record within 4 years period from 2011 to 2014. Results: HIV/AIDS patients in outpatient clinic intermediate care infection disease unit RSUD Dr.Soetomo Surabaya in period 2011-2014 is 4057 patients, 63 (1.15%) of it with condylomata acuminata. HIV/AIDS patients with condylomata acuminata at the age group 25-44 (69.8%), the most sexual partner is heterosexual (58.7%), CD4+ count group mostly shown < 200/mm3 (46.0%), most of the patients got antiretroviral therapy (ART) as 66.7%, the most therapy for condylomata acuminata is trichloracetic acid (TCA) with fucidic acid (98.4%), most of the patient through 1-3 times therapy (50.8%), and the result is mostly not yet healed (76.2%). Conclusion: Most of condylomata acuminata patient in outpatient clinic intermediate care infection disease unit (UPIPI) got ART, TCA, and fucidic acid, and not complete resolution.

Skin Aging and Basic Skin Care in Elderly Damayanti Damayanti
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 29 No. 1 (2017): APRIL
Publisher : Faculty of Medicine, Universitas Airlangga

Background: In the last few decades, the world population of older adults is increasing significantly. One-fifth of the global population will be more than 65 years old by the year 2050. Of interest is those 85 years old and older has the fastest growing segmen of population. Since the human population is living longer, chronic disease including skin disease and skin aging problems, will be more prevalence. Purpose: To review the pathogenesis and clinical manifestation of skin aging, and to review basic skin care in elderly. Reviews: Skin aging is caused by endogen and extrinsic factors. Skin aging divided into intrinsic (chronologic) skin aging and extrinsic photoaging. The elderly population, that has rapidly increase, needs for basic skin care in order to delay skin aging process. Basic skin care consist of cleansing, hidrating, replenishing, and protection. Photoprotection, such as avoiding midday sun, using photoprotective clothes, hat, sunglasses, and administration of sunscreen, has important role in preventing skin damage. Conclusion: Good visible aging process can be delayed by preventive skin care to reach successful aging, which has good physical health, good mental health and adaptive psychosocial functioning, so that older person can live a happy, health and active life.

Three Different Genotyping of Mycobacterium leprae in a Family: A Case Report Renata Mayangsari; M. Yulianto Listiawan
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 27 No. 3 (2015): BIKKK DESEMBER 2015
Publisher : Faculty of Medicine, Universitas Airlangga

Background: Indonesia is the third country with the highest prevalence of leprosy worldwide after India and Brazil. The risk of transmission is higher in household contacts, siblings, and neighborhoods. Purpose: Familial leprosy due to household contacts has been considered as the main transmission in leprosy. The aim of the examination is to detect the presence of Mycobacterium leprae and analyze the variation number of TTC repeats. Case: A family, consisted of mother, 35 year-old, was diagnosed with lepromatous leprosy (LL) type and erythema nodosum leprosum (ENL) necroticans. Her husband, 36 year-old, was diagnosed with tuberculoid leprosy. Daughter, 4 year-old, was diagnosed as indeterminate leprosy due to white small patches on her left cheek, arm, and leg, but there was no complain about anesthesia. Case management: Enzyme-linked immunosorbent assay (ELISA), histopathological examination, and polymerase chain reaction (PCR) for detection of M. leprae were performed. All of PCR results were positive. After sequencing of the TTC area, it revealed that the number of TTC repeats were different. Conclusion: Transmission from mother to others was suspected in family with leprosy living in the same house. PCR examination revealed 16 times TTC repeats on mother, 18 times on father, and 13 times on daughter. It was proven that infection of M. leprae originated from different genomes, which means different source of infection.

Efficacy of 20% urea cream on uremic pruritus with uremic xerosis in chronic renal failure patients undergoing hemodialysis Yulia Farida Yahya; Nina Roiana; Rosi Andarina; Suprapti Suprapti; Irsan Saleh
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 30 No. 1 (2018): APRIL
Publisher : Faculty of Medicine, Universitas Airlangga

Background: Uremic pruritus (UP) is the most common symptoms in patients with chronic renal failure (CRF) undergoing hemodialysis (HD). It is a chronic itch sensation of the skin, with the most frequent clinical manifestation being xerosis, which is difficult to treat. There is a significant relationship between UP and moderate to severe uremic xerosis (UX) in CRF patients undergoing HD. This condition could affect the quality of life and increase the risk of morbidity and mortality. The causes of UP with xerosis are still unclear, however it is evident that there is a disruption of skin barrier function. A 20% urea with the base materials cream consisting sodium pidolat sodium lactate (NaPCA) and vegetable oils that act as a natural moisturizing factor (NMF) can improve the skin barrier function by increasing skin hydration, reducing transepidermal water loss (TEWL) will result in the improvement of UP with UX.

Retrospective Study: The Use of Chemical Peeling with A Modiﬁed Jessner's in Melasma Patients Zada Febrial Effendy; Trisniartami Setyaningrum
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 27 No. 2 (2015): BIKKK AGUSTUS 2015
Publisher : Faculty of Medicine, Universitas Airlangga

Background: Melasma is a hipermelanosis that lead to brownish or brownish-grey discoloration on the face. Chemical peeling is one of the additional therapy for melasma. The right indication using modiﬁed Jessner's solution give a good result for melasma. Purpose: To evaluate new patients of melasma which underwent chemical peeling therapy with Jessner's modiﬁed in Medical Cosmetics Division of Dermato-Venerology Department, Dr. Soetomo General Hospital Surabaya in 2010-2013. Methods: Retrospective study of the new medical records of melasma, including the number of patients, age distribution, gender, occupation, risk factors, history of previous treatment, duration of treatment, location of melasma, color of melasma, size of melasma, additional test results, type of melasma, melasma side effects, the use of priming, chemical peeling, post-peels, and follow up. Results: The number of new patients with melasma which underwent chemical peeling were 108 patients from 1544 (14.2%) new melasma patients visiting Cosmetics Division of Dermato-Venerology Department, Dr. Soetomo General Hospital. All patients were women with the largest age group of 40-49 years, which is 66 (61.1%) patients. Highest risk factor was a mixture of sun exposure and use of cosmetics product, which is 56 (51.8%) patients. Most melasma type was mixed melasma. Patients who used a Jessner's modiﬁed peels, mostly used alpha hydoxy acid (AHA), Kligman's formula, and tretinoin as priming as many as 28 (25.9%) patients and majority post-peels used a moisturizer, sunblock, hydrocortisone, which is 57 (52.8%) patients. Erythema after peeling were complained from 50 (46.3% ) patients. Conclusion: The use of chemical peeling is one of adjunctive therapy in melasma with a proper diagnosis.Keywords: melasma, chemical peeling, modiﬁed Jessner's, retrospective.

Page 12 of 51 | Total Record : 505

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