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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,
Immunology & microbiology Public Health
Arjuna Subject : -
Articles 481 Documents
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StudiRetrospektif:Diagnosis dan Terapi Pasien Melasma Umborowati, Menul Ayu; Rahmadewi, Rahmadewi
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol 26, No 1 (2014): BIKKK APRIL 2014
Publisher : Faculty Of Medicine Airlangga University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (388.071 KB) | DOI: 10.20473/bikkk.V26.1.2014.1-8

Abstract

Latar belakang:Melasmaadalah penyakit yang banyak dijumpai terutama dinegara beriklim tropis seperti Indonesia. Masalah yang dihadapi adalah responsterhadap terapiyang beragam, sehingga diagnosis dan terapi yang tepat untuk penyakit ini masih perlu terus dikembangkan.Tujuan: Mengevaluasi penegakan diagnosis dan pemberian terapi melasma guna meningkatkan pelayanan terhadap pasien di masa yang akan datang. Metode:Penelitian retrospektif pasienmelasma di Divisi Kosmetik Medik Unit Rawat Jalan (URJ) Kulit dan Kelamin RSUD Dr.Soetomo Surabaya selama periode 1 Januari 2009 sampai dengan 30Desember 2011. Data diperoleh dari rekam medis.Hasil:Pasienmelasma sebanyak 14,1% dari seluruh pasienbaru Divisi Kosmetik Medik, pasienperempuan sebanyak 99,2% dengan faktor pencetus utama adalah sinar matahari. Diagnosis ditegakkan dari pemeriksaan fisik dan lampu Wood, terapi topikal yang banyak diberikan adalah tabir surya, formula Kligman, dan Alpha Hydroxy Acid(AHA).Simpulan:Metode penegakan diagnosis dan pilihan agen pemutih sebagai terapi melasma di Divisi Kosmetik Medik URJ Kulit dan Kelamin RSUD Dr.Soetomo Surabaya masih perlu dievaluasi sesuai dengan bukti dan temuanterbaru.Kata kunci:melasma, studi retrospektif, diagnosis, terapi.
Tinea Capitis Kerion Type: A Case Report Anggarini, Dyah Ratri; Setyaningrum, Trisniartami
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol 26, No 3 (2014): BIKKK DESEMBER 2014
Publisher : Faculty Of Medicine Airlangga University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (612.892 KB) | DOI: 10.20473/bikkk.V26.3.2014.1-7

Abstract

Background: Tinea capitis is a superficial fungal infection. Kerion is one of its form, which is an inflammation form due to a hypersensitivity reaction to fungal infection caused by group Mycosporum and Trichophyton. Purpose: To understand the clinical manifestation, species causing agent, and management of tinea capitis.  Case management: A four-year-old boy, 17 kg, came with a mass on the head, accompanied with pain, fever, and hair loss since 1 week before hospitalization, it appeared after playing with the neighbors pets. General examination showed enlargement of the right preauricular lymph node. Dermatological examination revealed a mass in the head 7 cm in size with pus, partially covered with crust, and there were also warm and pain on palpation. Wood lamp examination was negative, but in potassium hydroxide examination showed spores outside and inside the hair shaft. Result of fungal cultures was T. mentagrophytes. Routine blood tests obtained only leukocytosis, which was 12.390/µL. The patient was treated with griseofulvin, erythromycin, wet dressing, and ketokonazole shampoo. It was shown good results after therapy for 8 weeks. Conclusions: Tinea capitis caused by T. mentagrophytes presenting an inflammatory reaction, causing a fungal infection in the hair shaft. Auxiliary examination for the diagnosis of tinea capitis can be done in various ways, the easiest one is by potassium hydroxide 20% examination, fungal culture is then performed to determine the species causing the infection. Therapeutic use of griseofulvin is still the main choice.Key words: tinea capitis kerion type, T. mentagrophytes, griseofulvin.
Retrospective Study : Rosacea Profile Indraprasta, Shakti; Setyaningrum, Trisniartami
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol 27, No 2 (2015): BIKKK AGUSTUS 2015
Publisher : Faculty Of Medicine Airlangga University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (119.323 KB) | DOI: 10.20473/bikkk.V27.2.2015.114-120

Abstract

Background: Rosacea is a chronic skin disorder which characterized by erythema of the central face that has persisted for months. Primary features of rosacea include flushing, papules, pustules, and telangiectatic. Although rosacea is clearly visible to all, it is largely unknown to misunderstood by the general public. Knowledge relating to the epidemiology, etiology, pathogenesis, and treatment of this facial disorder is limited. Purpose: To evaluate the management of patients with Rosacea in the cosmetic division, dermatovenereology outpatient clinic Dr. Soetomo general hospital period 2010-2012. Methods: Retrospective study of new patients with Rosacea in cosmetic division during 2010-2012. Results: During the period of three years (2010-2012), there were 49 new patients in cosmetic division, dermatovenereology outpatient clinic Dr. Soetomo general hospital. The most common patient was female, with the highest age group of 25-44 years old, and the most clinical feature found were papulopustular rosacea and erythemato-telangiectatic rosacea. The most common treatment were metronidazole for topical treatment and doxycycline for systemic treatment. Conclusions: The most clinical feature were papulopustular and erythematotelangiectatic subtype, only few cases of phymatous subtype, while the ocular subtype was not found. There were so many varieties in the management of rosacea because there was no standard therapy yet for the management of this disease.Key words: rosacea, retrospective study, rosacea subtype.
Kadar TNF- Lesi Kulit dengan Derajat Keparahan Psoriasis Vulgaris Budini, Sulamsih Sri; Cholis, M. Cholis; Rofiq, Aunur
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol 26, No 1 (2014): BIKKK APRIL 2014
Publisher : Faculty Of Medicine Airlangga University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (253.55 KB) | DOI: 10.20473/bikkk.V26.1.2014.1-7

Abstract

Latar belakang: Peranan TNF- dalam patogenesis terjadinya lesi kulit pada psoriasis sudah banyak diteliti, termasuk pemakaian terapi biologis pada psoriasis dengan bahan yang menghambat TNF- dan sel T. Kegunaan TNF- serum sebagai biomarker aktifitas penyakit psoriasis memberi hasil yang tidak konsisten baik dalam jumlah absolutnya maupun hubungannya dengan respon hasil pengobatan. Tujuan: Mengevaluasi kadar TNF- lesi kulit dengan derajat keparahan penyakit psoriasis. Metode: Desain penelitian adalah potong lintang analitik observasional dengan jumlah sampel duapuluh lima penderita psoriasis vulgaris yang datang ke poli rawat jalan RSUD Dr Saiful Anwar Malang sesuai kriteria inklusi dan eksklusi. Diagnosis ditegakkan berdasarkan pemeriksaan klinis dan histopatologis. Derajat keparahan dievaluasi dengan skor Psoriasis Area Severity Index (PASI), yaitu <10 ringan; 10-20 sedang; dan >20 berat. Kadar TNF- lesi kulit di ukur dengan metode ELISA. Kadar TNF- lesi kulit ditentukan dengan menghitung nilai rerata pada masing-masing derajat keparahan. Data diolah dengan program SPSS versi 14, hubungan antara kadar TNF- lesi kulit dengan derajat keparahan penyakit diuji dengan menggunakan rumus uji korelasi Spearman. Hasil: Didapatkan rerata kadar TNF- lesi kulit 135,00 + 30,04 pada PASI ringan, 229,40 + 38,06 pada PASI sedang, 258,00 + 53,04 pada PASI berat. Rerata skor PASI penderita psoriasis vulgaris pada derajat ringan 8,57 + 0,57, sedang 16,46 + 3,08 dan berat 28,21 + 10,86. Simpulan: Makin tinggi kadar TNF- makin bertambah pula derajat keparahan psoriasis vulgaris. Kata kunci: psoriasis, TNF-, PASI, derajat keparahan.
Studi Retrospektif: Vaginosis Bakterial Pujiastuti, Agustina Tri; Murtiastutik, Dwi
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol 26, No 2 (2014): BIKKK AGUSTUS 2014
Publisher : Faculty Of Medicine Airlangga University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (127.243 KB) | DOI: 10.20473/bikkk.V26.2.2014.1-7

Abstract

Latar belakang: Vaginosis bakterial (VB) adalah sindrom klinis akibat pergantian Lactobacillus spp. penghasil hidrogen peroksidase (HO) dalam vagina normal dengan bakteri anaerob konsentrasi tinggi, Gardnerella vaginalis dan Mycoplasma 22hominis. VB merupakan penyebab keluhan duh tubuh vagina dan keputihan berbau, namun 50% pasien VB tidak memberikan gejala apapun. Tujuan: Mengevaluasi gambaran umum kasus baru VB di Divisi Infeksi Menular Seksual (IMS) Unit Rawat Jalan (URJ) Kesehatan Kulit dan Kelamin RSUD Dr. Soetomo Surabaya periode tahun 2007-2011. Metode: Penelitian dilakukan secara retrospektif dengan melihat catatan medik kasus baru VB yang meliputi data dasar, anamesis, pemeriksaan fisik dan pemeriksaan penunjang. Hasil: Jumlah kasus baru VB adalah 35 pasien dari 33.201 (0,1%) kunjungan baru URJ Kesehatan Kulit dan kelamin RSUD Dr. Soetomo Surabaya, dengan kelompok usia terbanyak 25-44 tahun sebesar 26 (74,3%) pasien dan 31 pasien (88,6%) sudah menikah. Keluhan utama terbanyak berupa duh tubuh vagina tanpa keluhan subjektif yaitu sebanyak 16 (45,7%) pasien. Duh tubuh vagina terbanyak berbentuk serosa pada 25 (71,4%) pasien. Pada pemeriksaan laboratorium ditemukan clue cell pada 100% kasus. Obat yang paling banyak diberikan berupa metronidazol. Simpulan: Gambaran umum kasus baru VB di RSUD Dr. Soetomo Surabaya menunjukkan insidensi kecil, sebagian besar pada kelompok usia seksual aktif dan keluhan utama terbanyak yaitu duh tubuh vagina tanpa disertai keluhan subjektif lainnya.Kata kunci: vaginosis bakterial, keputihan, bau, clue cell.
Candida Species Profile of Vulvovaginal Candidiasis in HIV/AIDS Patients Treated With Systemic Antibiotic Widasmara, Dhelya; Suyoso, Sunarso; Murtiastutik, Dwi
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol 26, No 3 (2014): BIKKK DESEMBER 2014
Publisher : Faculty Of Medicine Airlangga University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (98.708 KB) | DOI: 10.20473/bikkk.V26.3.2014.1-5

Abstract

Background: Vulvovaginalis Candidiasis (VVC) is a vulva and vaginal infection of Candida, which one of predisposition factors is systemic antibiotics. Humoral immunity does not play a role on VVC, thus VVC in HIV/AIDS patients is as much as VVC in immunocompetent patient. Purpose: Identify the profile of Candida sp. of VVC in HIV/AIDS patients who got systemic antibiotics. Methods: Descriptional study to identify the pattern of Candida sp. of VVC in HIV/AIDS patient who got systemic antibiotic with cultures of Saboroud Dextrose Agar, Cornmeal Tween80 with Carbohydrat Test and Candida CHROM agar. Results: Broad-spectrum antibiotics were given to HIV/AIDS patient with VVC at Dr. Soetomo general hospital Surabaya two times higher than narrow-spectrum antibiotics (66,7% vs. 33,3%), they were ciprofloxacin (42,8%), ceftazidime (19,1%) and ceftriaxone (4,8%); the  narrow-spectrum antibiotics were cotrimoxazole (19,0%) and rifampicin (14,3%). Conclusion: C.albicans (57,1%) and C. glabrata (9,6%) were found in VVC of HIV/AIDS patients that have been given broad-spectrum antibiotics, while C. albicans (28,6%) & C. glabrata (4,7%) also found in VVC of HIV/AIDS patients that have been given narrow-spectrum antibiotics. C. dubliniensis were not found in this studyKey words: Candida spp, vulvovaginal candidiasis, HIV/AIDS, antibiotics
Successful Treatment of Actinomycetoma with Combination of Cotrimoxazole and Tetracycline Verdy, Verdy; Dewi, Vina Ajeng Puspa; Budiyanto, Arief; Siswati, Agnes Sri
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol 27, No 1 (2015): BIKKK APRIL 2015
Publisher : Faculty Of Medicine Airlangga University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1047.729 KB) | DOI: 10.20473/bikkk.V27.1.2015.77-83

Abstract

Background: Actinomycetoma is an infection of chronic granulomatous disease on the skin, subcutaneous tissue, fascia, and bone, occured after trauma because of bacteria innoculation. Clinical features seem painless nodules, abscess, fistula, and sinus  with granulated discharge.Gold standard treatment for actinomycetoma is cotrimoxazole. Combination therapy with other antibiotic is needed to prevent resistance and improve therapeutic efficacy. Purpose: To discuss successful treatment of actinomycetoma with combination of cotrimoxazole and tetracycline Case: A 19-years-old woman had complained of  chronic post-traumatic wounds since two years ago. Dermatological examination showed multiple painless nodules, sinus, and discharge on right dorsum pedis. Histopathological examination demonstrated sinus in dermis, suppurative granulomas, and SplendoreHoeppli phenomenon in dermis layer. Case Management: Combination therapy consist of cotrimoxazole 2x960 mg, that was given for 6 months and tetracycline 4x500 mg, that was given in the first 1 month.  No side effects and drug allergy during and/or post treatment was found. After clinical evaluation for 6 months, successful of treatment  was obtained and no recurrence was found. Conclusion: The combination therapy of cotrimoxazole for 6 months and tetracycline for 1 month was proven to be effective and no recurrence was found.Key words: actinomycetoma, cotrimoxazole, tetracycline.
Retrospective Study: Candidiasis Vulvovaginalis in Human Immunodeficiency Virus (HIV) and Acquired Immunodeficiency Syndrome (AIDS) Infection Patient Sari, Diana Kartika; MurtiastutikDepartemen, Dwi
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol 27, No 3 (2015): BIKKK DESEMBER 2015
Publisher : Faculty Of Medicine Airlangga University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (119.814 KB) | DOI: 10.20473/bikkk.V27.3.2015.197-203

Abstract

Background: Candidiasis vulvovaginal is an opportunistic fungal infection. The case of candidiasis vulvovaginalis increases in women with Human immunodeficiency virus (HIV) infection mainly with moderate to severe immunocompromised state. Purpose: To evaluate general feature of candidiasis vulvovaginalis in HIV and acquired immunodeficiency syndrome (AIDS) patient in Outpatient Clinic of Intermediate Care of Infection Disease, Dr. Soetomo General Hospital Surabaya. Methods: Retrospective study of candidiasis vulvovaginalis in HIV and AIDS patients on outpatient UPIPI Instalation Dr. Soetomo General ndthHospital Surabaya during January 2 2009 until Desember 30 2011. Data was taken from medical records. Results: The highest number of new candidiasis vulvovaginalis patient visit was in 2011. Seven patients underwent wet mount and gram examination, all showed positive results. The highest CD4+ examination results are < 200. All patients received ketoconazole treatment. Three patients came back for follow up and having complete healing. Conclusions: Number of candidiasis vulvovaginalis in HIV and AIDS infection cases per year were 5-7 patients. Diagnosis of candidiasis vulvovaginalis was based on patient complaints, physical, and laboratory examinations.Key words: vulvovaginal candidasis, HIV, AIDS.
Peeling Asam Glikolat pada Pasien Photoaging Primadiarti, Pedia; Rahmadewi, Rahmadewi
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol 26, No 2 (2014): BIKKK AGUSTUS 2014
Publisher : Faculty Of Medicine Airlangga University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (102.676 KB) | DOI: 10.20473/bikkk.V26.2.2014.1-6

Abstract

Latar belakang: Penuaan kulit memiliki dua komponen, yaitu penuaan secara intrinsik dan ekstrinsik. Faktor ekstrinsik yang paling penting dalam proses penuaan adalah sinar matahari yang disebut dengan photoaging. Salah satu terapi photoaging adalah pengelupasan kimiawi dengan menggunakan asam glikolat (AG). Tujuan: Mengevaluasi gambaran, distribusi, diagnosis pasien photoaging, pelaksanaan dan hasil akhir pelaksanaan peeling AG pasien photoaging di IRJ Kesehatan Kulit dan Kelamin RSUD Dr. Soetomo Surabaya Periode 2008-2010. Metode: Studi retrospektif dari data rekam medis pada kunjungan baru pasien photoaging selama periode 2008-2010. Dicatat data dasar, diagnosis, pengobatan sebelum peeling, proses pelaksanaan peeling dan evaluasi hasil peeling. Hasil: Jumlah pasien yang menjalani peeling dengan menggunakan AG adalah 159 orang, terbanyak berumur 31-40 tahun, keluhan paling banyak adalah ingin mencerahkan kulit dan kulit kusam. Pemeriksaan fisik yang paling banyak ditemukan adalah perubahan pigmen. Interval pelaksanaan peeling sebagian besar adalah 4 minggu. Simpulan: Peeling dengan AG merupakan salah satu terapi pilihan untuk photoaging di RSUD Dr. Soetomo terutama untuk kasus photoaging Glogau 1 dan 2. Pelaksanaan yang baik dan kepatuhan pasien merupakan faktor yang menentukan hasil peeling.Kata kunci: peeling, photoaging, retrospektif.
Dermoscopy Supports the Diagnose of Papulosquamous Disorders Alinda, Medhi Denisa; Hutomo, Marsudi; Setyaningrum, Trisniartami
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol 26, No 3 (2014): BIKKK DESEMBER 2014
Publisher : Faculty Of Medicine Airlangga University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (108.201 KB) | DOI: 10.20473/bikkk.V26.3.2014.1-7

Abstract

Background: The diagnose of papulosquamous skin disorder was established by clinical symptoms. However, some of papulosquamous manifestation are alike with each other and lead to misdiagnostic. Histopathology examination usually can help to establish diagnose but this method is invasive and time consuming. Purpose: To evaluate dermoscopic features of papulosquamous disorder. Methods: Descriptive observasional cross sectional study, total sampling in ward and out patient clinic of Dermato-venereology Department Dr. Soetomo General Hospital. Twenty four samples were included in the study, followed by the procedures from anamnesis, physical examination, dermoscopy procedures, and histopathology examination. Results: From 24 samples, 19 samples showed plaque psoriasis describing 12 ring patterns, 1 cluster pattern, 2 patchy patterns, 2 reguler patterns, and 2 unspesific patterns; 3 samples showed nummular dermatitis describing 2 cluster patterns and 1 unspesific pattern; and 2 samples showed pityriasis rosea describing 2 pheripery patterns. Conclusion: Dermoscopy can support the diagnosis of papulosquamous skin disorder especially plaque psoriasis.Key words: papulosquamous disorder, dermosocopy, histopathology examination, plaque psoriasis.

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