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INDONESIA
Berkala Ilmu Kesehatan Kulit dan Kelamin
Published by Universitas Airlangga
ISSN : 19784279     EISSN : 25494082     DOI : 10.20473
Core Subject : Health, Science,
Arjuna Subject : -
Articles 505 Documents
The Validity of Point-of-Care Test (POCT) Lateral Flow Immunochromatographic Assay (LFIA) Candida albicans for the Diagnosis of Vulvovaginal Candidiasis Puspitasari, Monika; Retno Pudjiati, Satiti; Sri Siswati, Agnes
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 36 No. 2 (2024): AUGUST
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bikk.V36.2.2024.136-141

Abstract

Background: Vulvovaginal candidiasis is one of the most common causes of complaints of vaginal discharge, which is mostly caused by Candida albicans. The common diagnosis of vulvovaginal candidiasis is microscopic and culture examination. However, the availability of examinations is limited at the private clinic, and for culture examinations, the cost is high and results take several days. The point-of-care test (POCT) lateral flow immunochromatographic assay (LFIA) is a tool that can detect Candida albicans antigens, but this diagnostic test has never been carried out in Indonesia. Purpose: to know the validity of POCT LFIA Candida albicans for the diagnosis of vulvovaginal candidiasis caused by Candida albicans in women with complaints of vaginal discharge. Methods: Cross-sectional observational study with a diagnostic test design, using vaginal discharge samples. Vaginal discharge samples were subjected to POCT LFIA examination with the Medomic Candida albicans/ Trichomonas vaginalis/ Gardnerella vaginalis Antigen Combo Test KitÒ and Candida spp culture. Result: POCT LFIA Candida albicans had a sensitivity of 100%, specificity of 89.9%, accuracy of 90.32 %, LR (+) 9, LR (-) 0, PPV 50%, and NPV 100% against Candida spp. culture. Conclusion: The POCT LFIA Candida albicans can be used to diagnose vulvovaginal candidiasis caused by Candida albicans in women who complain of vaginal discharge.
The Incidence and Characteristics of Dermatophytosis in Boarding School Students in Bandar Sei-Kijang, Pelalawan, Riau Province, Indonesia Maryanti, Esy; Inayah; Enny Lestari; Ade Wirdayanto; Namira, Syafira Nihla; Robiatul Adawiyah
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 36 No. 2 (2024): AUGUST
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bikk.V36.2.2024.131-135

Abstract

Background: Indonesia is a tropical country with high humidity and temperatures, making dermatophytosis a persistent health issue. Dermatophytoses are superficial mycoses caused by dermatophytes affecting the skin, hair, and nails. Also known as tinea infections. Purpose: To determine the incidence of dermatophytosis and types of dermatophytosis among boarding school students in Sei-Kijang, Pelalawan, Riau Province. It was conducted from August 2023 until October 2023. Methods:  This research is a simple descriptive study with a cross-sectional design. The aim of the study was to detect dermatophytes in the skin lesions. Dermatophytosis examination was carried out by microscopic examination of skin scrapings with 10-20% potassium hydroxide (KOH) and fungal culture using Sabouraud’s dextrose agar and then examined with a light microscope (lactophenol cotton blue staining). Result: In this study, there were 339 research subjects with 51% male students and 49% female students with an average age of 14.3 years. This study found that the incidence of dermatophytosis was 4.1%, with male students in the 10 to 14-year-old age group having a higher infection rate (71%) than female students. The incidence of tinea corporis was 64.3%, followed by tinea cruris, tinea pedis, and tinea faciei, depending on the type of dermatophytosis. Tinea capitis and tinea unguium were not found. Conclusions: This study demonstrates a high incidence of dermatophytosis, tinea corporis being the predominant type among boarding school students in Bandar Sei-Kijang.
The Relationship Between Diet and Body Mass Index with Events of Acne Vulgaris among Medical Students Bunga, Yeheskiel Holoaino; Manuputty, Amanda Gracia; Asmin, Elpira; Lestaluhu, Santi Aprilian; Djuhastidar Tando, Yudhie
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 36 No. 2 (2024): AUGUST
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bikk.V36.2.2024.123-130

Abstract

Background: Acne vulgaris is a chronic inflammatory disease of the pilosebaceous unit characterized by clinical features such as comedones, papules, pustules, and nodules that affect social and psychological functions. Foods containing carbohydrates with a high glycemic index can trigger acne vulgaris. Consumption of fatty foods, chocolate, milk, nuts, and cheese can stimulate the recurrence of acne vulgaris. Objective: This study aims to determine the relationship between dietary habits and body mass index (BMI) and the incidence of acne vulgaris among students of the Faculty of Medicine of Pattimura University. Methods: This research is an observational analytic study with a cross-sectional design. Samples were selected using a proportional stratified random sampling technique with a simple random sampling approach, totaling 89 respondents. Respondents were required to fill out the SQ-FFQ questionnaire and undergo height and weight measurements. Result: Out of 89 respondents, 81% frequently (≥2×/day) consumed carbohydrates 82% often (1×/day) consumed proteins and 71% often (1×/day) consumed reduced-fat. Regarding the quantity of intake, 55% of respondents consumed high carbohydrates per day, 69% consumed high proteins per day, and 24% consumed high fat intake per day. The prevalence of acne vulgaris was 66%p-value <0.05. Conclusion: There is a significant relationship between dietary habits based on carbohydrate, protein, and fat intake and the incidence of acne vulgaris. However, there is no significant relationship between BMI and the incidence of acne vulgaris among medical students at Pattimura University.
Assessing the Potential Diagnostic Value of Indonesian Local Allergen Skin Prick Testing (SPT) for Cow’s Milk Allergy among Atopic Dermatitis Patients Anggraeni, Sylvia; Damayanti; Umborowati, Menul Ayu; Prakoeswa, Cita Rosita Sigit
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 36 No. 2 (2024): AUGUST
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bikk.V36.2.2024.88-93

Abstract

Background: Atopic dermatitis (AD) is a multifactorial chronic, frequently recurrent, inflammatory skin condition. The development of IgE-mediated food allergies and food sensitivity are both associated with atopic dermatitis. Cow’s milk allergy (CMA) caused the most common hypersensitivity reaction during childhood; however,  the prevalence in adults is around 0.5%. Patients with AD use the Skin Prick Test (SPT) to evaluate the specific sensitization process. Purpose: This study aimed to assess cow's milk allergy among adult AD patients using local allergen extract SPT, standard SPT, and specific IgE (sIgE), as well as evaluating the conformity and relevance of the test results. Methods: Using consecutive sampling technique, the study was conducted twice on 45 adult AD patients with a one-week interval between administrations. Result: Local cow's milk SPT showed 4 positive results, and standard SPT showed 5. No sIgE test was positive. Local SPT was negative for 86.67% of individuals without a history of suspected cow's milk allergies. Standard SPT results were positive for 2.22% of individuals with a history of suspected cow's milk allergies and negative for 86.67% of those without. The relevance between local and standard SPT was shown to be substantial (k = 0.384, p = 0.000). Conclusion: The result of the local cow’s milk SPT and the patient’s history had good conformity, and the relevance with standard SPT was significant in diagnosing cow’s milk allergy among AD patients.
Analysis of Personal Hygiene and Characteristics of Living Environment in Elementary Student with Pediculosis Capitis Petri, Alya; Murlina, Nelli; Nurfadly; Hervina
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 36 No. 2 (2024): AUGUST
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bikk.V36.2.2024.81-87

Abstract

Background: Pediculosis capitis is one of the parasitic infections that can cause pruritus and allergic reactions. The prevalence of Pediculosis capitis is relatively high and can occur both in developed and developing countries regardless of socioeconomic status. The occurrence of Pediculosis capitis can be caused by poor personal hygiene factors and living environmental conditions, which can also increase the incidence of this ectoparasitic infection. Purpose: To analyze the correlation between personal hygiene and characteristics of the living environment, and the incidence of Pediculosis capitis. Methods: This study is quantitative research with a correlational analysis method and a cross-sectional study approach. Result: The examination of the correlation between poor personal hygiene and the incidence rate of Pediculosis capitis showed a result of 0.000 (p<0.05). Similarly, the examination of the correlation between the characteristics of the living environment and the incidence rate of Pediculosis capitis also showed a figure of 0.000 (p<0.05), indicating that there is a correlation between personal hygiene, and the characteristics of the living environment, and the incidence rate of Pediculosis capitis. Conclusion: There is a significant correlation between personal hygiene, and the characteristics of the living environment, and the incidence of Pediculosis capitis.
Update Management of Atopic Dermatitis Sari, Indri Widya; Diba, Sarah; Nopriyati; Athuf Thaha; Raden Pamudji; Fitriani
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 36 No. 3 (2024): DECEMBER
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bikk.V36.3.2024.213-221

Abstract

Background: Atopic dermatitis (AD) is a chronic recurrent skin disease that is very complex due to impaired skin barrier function in the form of xerosis, chronic eczematous lesions, and itching, commonly found in infants and children. Pathogenesis is thought to be the interaction of genetic factors, immune dysfunction, epidermal barrier dysfunction, and the role of the environment and infectious agents. Approach the disease by performing etiopathogenesis algorithms, clinical manifestations, diagnosis, and treatment. Based on the 2013 Asia-Pacific consensus, AD management guidelines using the 5-pillar principle have long been used. Currently, the European consensus in 2018 has developed new guidelines for AD management. Purpose: To provide an updated treatment for AD. Review: The ethiopathogenesis of AD is influenced by genetics, skin barrier disorders, and immune response disorders. Updated management of the European consensus in 2018 includes education, avoidance of precipitating factors, psychosomatic counseling, optimization of skin barrier function with moisturizers, anti-inflammatory and antimicrobial administration, allergen-specific immunotherapy, complementary and alternative drugs, phototherapy, and controlling the itch-scratch cycle with anti-itch in pediatric and adult AD patients. AD may affect patients’ quality of self-esteem. In general, patients expect higher. Conclusion: AD affects the psychosocial aspects of patients. Updated management of AD adequately improves the quality of life.
The Effectiveness of 20% Moringa Leaf (Moringa oleifera Lam) peel-off Mask on Facial Skin Moisture Nufuzi, Hayatun; Asrawati Sofyan
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 36 No. 3 (2024): DECEMBER
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bikk.V36.3.2024.174-179

Abstract

Background: Indonesia’s tropical climate creates a variety of skin problems, including dry skin. The ingredients for making masks can come from nature such as moringahich have high antioxidants n moisturize facial skin. Purpose: To determine the effectiveness of 20% Moringa leaf (Moringa oleifera) peel-off mask on facial skin moisture. Methods: This research is a double-blind quasi-experimental method with a pre-post design. The sample used in this research is workers and students in the Tadulako University area. Result: Based on the Friedman test, the use of 20% concentration moringa leaf extract peel-off mask for improving skin moisture was not significantthe positive control and treatment, and dercreasing insignificantly in negative control groups (with p values of 0.484, 0.538 and 0.981, respectively). Based on the Wilcoxon test, it was found that thesults of skin moisture were not significant in the positive control, treatment and negative control groups from week 0 to week 2 (p= 0.301, p= 0.675, 0.916), week 2 to week 4 (p= 0.806, p= 0.53, p= 0.441), and week 0 to week 4 (p= 0.889, p= 0.529, p= 0.694). Conclusion: The 20% moringa leaf extract peel-off facial mask has potential effect to improve facial skin moisture, but not significant. The effect of 20% moringa leaf extract peel-off facial mask on facial moisture is still need to be investigated more.
Periungual Pyogenic Granuloma in Multiple Nails due to Isotretinoin Ahluwalia, Daisy; Bansal, Shikha; Prathibha, Kuchana; Lachyan, Abhishek
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 36 No. 3 (2024): DECEMBER
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bikk.V36.3.2024.222-224

Abstract

Background: Isotretinoin, a first-generation nonaromatic retinoid approved in 1973 for severe nodulocystic acne treatment in the United States, has historically been associated with mucocutaneous adverse events. Case: The case involves a 22-year-old male with chronic plaque psoriasis who, after eight weeks of isotretinoin use, experienced swelling, pain, and bleeding in the periungual area of multiple fingers. Dermoscopic examination and follow-up assessments, including images, demonstrate the progression and eventual complete resolution of the periungual pyogenic granuloma following discontinuation of isotretinoin and topical application of fusidic acid and betamethasone combination. Discussion: The discussion delves into potential mechanisms linking isotretinoin to increased skin fragility and granulation tissue development, drawing on insights from experts like Baran and Piraccini. Additionally, we explore the role of angiogenic factors, particularly vascular endothelial growth factor (VEGF), in the context of psoriasis and its potential contribution to the development of pyogenic granuloma, with the aim of providing a comprehensive understanding of the underlying processes leading to this unique adverse event. Conclusion: In conclusion, this case report underscores the importance of recognizing and promptly addressing rare adverse events associated with medication errors. The successful resolution of the periungual pyogenic granuloma highlights the significance of timely intervention and appropriate management strategies in mitigating adverse outcomes.
The Relationship between the Severity of Atopic Dermatitis and Sleep Quality in Widya Mandala Surabaya Catholic University Teaching Hospital Patients Caecilia Elva; Oenarta, Dave Gerald; Djaputra, Edith Maria
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 36 No. 3 (2024): DECEMBER
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bikk.V36.3.2024.202-206

Abstract

Background: Atopic dermatitis is a chronic inflammatory skin disease that commonly begins during childhood. Most atopic dermatitis patients may experience symptoms that continue into adulthood. Itching is the characteristic symptom of atopic dermatitis. Over time, patients’ itching can lead to sleep disturbances. In fact, every human being requires sleep to maintain the balance of metabolism, calories, temperature, and immunity. If a person often lacks sleep, the risk of obesity, type 2 diabetes mellitus, hypertension, heart disease, stroke, deterioration of mental health, and premature death will increase. Purpose: To analyze the relationship between the severity of atopic dermatitis and sleep quality in Widya Mandala Surabaya Catholic University (WMSCU) teaching hospital patients. Methods: This is an analytic study with a cross-sectional research design. This study used the purposive sampling technique as its sampling method. A dermatologist used the Eczema Area and Severity Index (EASI) instrument, to assess the severity of atopic dermatitis in the samples, and Pittsburgh Sleep Quality Index (PSQI) questionnaire to assess their sleep quality. Result: The Mann-Whitney test showed a p value of 0.348 (p> 0.05). Conclusion: There is no significant relationship between the severity of atopic dermatitis and sleep quality in WMSCU teaching hospital patients.
Scabies Risk Factor Analysis in Students at Islamic Boarding School Mawardi, Prasetyadi; Oktavriana , Triasari; Murasmita , Alamanda; Murastami , Ammarilis; Primisawitri , Pratiwi Prasetya; Rosyid , Azhar; Putri , Osdatilla Esa; Pradestine, Sesia
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 36 No. 3 (2024): DECEMBER
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bikk.V36.3.2024.168-173

Abstract

Background: Scabies is a highly contagious skin disease that often occurs in densely populated settings, especially among children, including those in boarding schools. Purpose: We aimed to investigate the risk factors for scabies infestation in boarding schools. Methods: This crosssectional analytic research was conducted at the Imam Syuhodo Modern Islamic Boarding School. This study consisted of four main steps: survey questionnaires, a pre-test, one-on-one doctor examination, and a brief discussion. The collected data was analyzed using the ChiSquare test and bivariate analysis. Additional multivariate analysis was performed to determine the most influential risk factors. Result: The total sample for the study was 490 students (242 males and 248 females). The overall prevalence of scabies in the boarding school was 16.12%. Bivariate analysis showed a significant relationship between male sex, age (<14 years), history of itchiness, and sharing belongings. In the multivariate analysis, sex (OR 5.56, 95% CI 2.5911.93) and age (OR 2.09, 95% CI 1.23-3.56) turned out to be the most significant factor for scabies. Dermatology specific quality of life index assessment showed more severe negative effects on students with scabies (p<0.001). Discussion: Scabies prevalence was more common in younger males patients. The prevalence of male students was very disproportionate, which needs further attention when designing an intervention model. Students in boarding schools dealing with scabies have worse impacts on their daily lives, which could impede their academic progress.