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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 481 Documents
Profile of Scabies in Children Paramita, Kartika; Sawitri, Sawitri
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 (122.621 KB) | DOI: 10.20473/bikkk.V27.1.2015.41-47

Abstract

Background: Scabies is a common parasitic infestation of the skin caused by Sarcoptes scabiei. Scabies is a common public health problem that occurs throughout the world with an estimated prevalence of 300 million individuals. Factors that lead to the high prevalence of scabies include high humidity, lack of sanitation, overcrowding, malnutrition, poor personal hygiene, knowledge, attitude, and behaviour of less supportive healthy lifestyle. Although scabies is not fatal or life-threatening, but the disease can be severe and persistent, which may lead to weakness and secondary skin infections. Purpose: To evaluate the clinical presentation, diagnosis, and treatment of scabies in children at Dermatovenereology outpatient clinic of Dr. Soetomo General Hospital Surabaya. Methods: A retrospective study within 2009 to 2011 using medical record of new patients, aged < 14 years old. Results: The total patients of scabies were 282 patients (5,9% of all pediatric patients in outpatient clinic). Most common group of age was 5-14 years old with the total 180 patients (63,8%), the majority of complaint was itching at night (90,1%), the most frequent location of the lesions was in the web of the fingers and the most common source of transmission is the patients family  (51,4%). The most given topical scabisid was Permethrin cream 5% (97,3%). Conclusions: The diagnosis of scabies could be established by anamnesis and physical examination. Patients education is needed to reduce the reinfection and cut the source of transmission.Key words: scabies, children, Sarcoptes scabiei, retrospective study.
Dermoscopic Features of Alopecia Patient Paramita, Kartika; Listiawan, M. Yulianto; Rahmadewi, Rahmadewi
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 (109.569 KB) | DOI: 10.20473/bikkk.V27.3.2015.163-169

Abstract

Backgroud: Alopecia is hair loss of the scalp that occurs in mostly men and about 30% of women during their lifetime. Prevalence of alopecia is increased along with age in both men and women. Using of dermoscope can help the diagnostic accuracy and avoid scalp biopsy for diagnosis. Purpose: Identifying dermoscope examination results and determine the pathophysiology of dermoscope features. Methods: Cross sectional and descriptiove observational study to all of alopecia patients who fulfilled the inclusion criteria at outpatient clinic Dr. Soetomo General Hospital Surabaya in December 2014 through February 2015 performed dermoscope examination Result: There were 20 patients who fulfilled the inclusion criteria, consisted of 3 patients with androgenetic alopecia, 8 alopecia areata, 4 tinea capitis, 2 discoid lupus erythematosus, 1 psoriasis vulgaris, 1 seborheic dermatitis, and 1 trichotilomania. Conclusion: Most of all dermoscope features accordance with the description in the literature, the most diagnosis is androgenetic alopecia.Key words: alopecia, dermoscope, zig-zag hair, black dots.
Gambaran Histopatologi Nekrobiosis Lipoidika Sari, Maylita; Setyaningrum, Trisniartami; Sandhika, Willy
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 (1210.161 KB) | DOI: 10.20473/bikkk.V26.1.2014.1-8

Abstract

Latar belakang: Nekrobiosis Lipoidika (NL) merupakan keadaan dermatologis idiopatik yang menjadi masalah secara kosmetik dan berhubungan erat dengan penyakit diabetes mellitus. Pemahaman tentang patogenesis dan diagnosis NL sangat penting karena adanya komplikasi yang bisa terjadi seperti ulserasi dan karsinoma sel skuamosa, disamping kesulitan penegakan diagnosis NL melalui histopatologi. Tujuan: Memahami patofisiologi, gambaran klinis, dan histopatologi NL serta diagnosis banding granuloma non infeksi. Telaah kepustakaan: Perubahan vaskular dan degenerasi kolagen serta faktor lain adanya Antibody Mediated Vasculitis diduga terjadi pada patogenesis NL. Prinsipnya didapatkan kerusakan mikrosirkulasi pada individu non diabetik dengan NL. Pemeriksaan histopatologi menunjukkan terdapat granuloma interstitial dan palisade yang melibatkan jaringan subkutan dan dermis. Granuloma tersusun berlapis-lapis (tierlike, layered) dan bercampur dengan area degenerasi kolagen, terdiri dari histiosit, beberapa diantaranya limfosit berinti banyak, sel plasma, dan eosinofil. Penebalan dinding pembuluh darah dan pembengkakan sel endotel pada dermis bagian tengah sampai dalam. Imunofluoresens direk didapatkan immunoglobulin M, Ig A, C3, dan fibrinogen pada pembuluh darah. Manifestasi klinis ditandai dengan plak berbatas jelas dengan area atrofi kekuningan pada tengahnya dan tepi menonjol berwarna merah sampai ungu, yang bisa mengalami ulserasi, bilateral, dan multipel. kesimpulan: NL merupakan suatu penyakit degeneratif kronis pada jaringan konektif dermis, dengan etiologi yang tidak diketahui dan terjadi hampir seluruhnya pada penderita diabetes mellitus. Diagnosis ditegakkan secara klinis dan histopatologi. Gambaran histologi NL hampir sama dengan granuloma annulare, namun manifestasi klinis berbeda.Kata kunci: nekrobiosis lipoidika, diabetes melitus, histopatologi, granuloma.
Management of Drug Eruption in Dermatovenereology Ward of Dr. Soetomo General Hospital Surabaya: Retrospective Study Anggarini, Dyah Ratri; Prakoeswa, Cita Rosita Sigit
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 (120.387 KB) | DOI: 10.20473/bikkk.V27.1.2015.1-8

Abstract

Background:  Drug eruption is a skin alteration with or without the involvement of other organ, which appeared after administration of drug at dose used for prevention, diagnosis, or treatment. The mechanism divided into 2 groups, which are type A (can be predicted) and type B (can not be predicted). Purpose:  To evaluate the management of drug eruption in Dermatovenereology Ward at Dr. Soetomo General Hospital Surabaya. Methods: Retrospective study of drug eruptions patients was performed based on medical records within 2009-2011. Basic data, history of allergies, previous medical history, suspected drugs, diagnosis, and previous treatment were recorded. Results: The largest age group is 25-44 years, ratio of women and men is 1.4: 1, most suspected drugs as the cause of the eruption were paracetamol (59), amoxicillin (23), cefadroxil (17). Most common diagnosis was Steven-Johnson syndrome (SJS) as many as 23.4%, the most widely used treatment was steroids, and the average treatment duration was 10 days. Drug patch test (DPT) was conducted to determine the exact cause of drug eruption as the follow up. Conclusion: Drug eruptions can occur in varying degrees, potential to recur, and life-threatening thus appropriate treatment to prevent it is required. Management included given treatment, patient education regarding drug eruption causes, type of eruption, and DPT to determine the cause of drug eruption.Key words: drug eruptions, management, drug patch test (DPT), retrospective study.
Profile of Malassezia Folliculitis Pravitasari, Dwi Nurwulan; Suyoso, Sunarso; Ervianti, Evy
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 (134.317 KB) | DOI: 10.20473/bikkk.V27.2.2015.121-129

Abstract

Background: Malassezia folliculitis (MF) is a chronic infection of the pilosebaceous follicles caused by a skin fungus Malassezia sp. most often in teenagers who marked the onset of itchy erythematous perifolicular papules and pustules, especially in the upper body area and rarely on the face. The clinical appearance must be distinguished from acne vulgaris which has a similar clinical picture, so often have the wrong diagnosis that will affect the prognosis of the disease. Objective: To evaluate the profile of MF in Dermatology and Venereology Outpatient Clinic Dr. Soetomo General Hospital. Methods: A cross-sectional, observational, descriptive study, total samplingin three months of forty-five new patients with acne vulgaris appearance visiting Dermatology and Venereology Outpatient Clinic Dr. Soetomo General Hospital according to inclusion and exclusion criteria. Diagnosis based on history, clinical examination, Woods lamp and KOH 20%. Malassezia sp. identification using Mycobiotic culture that is added to the olive oil. Results: Forty five patients with a clinical appearance of acne vulgaris in the upper body and slightly exposed on the face area, the new MF patients showed a total of 36 patients (80%) and the remaining 9 patients (20%) were diagnosed with acne vulgaris. Conclusions:Thirty six MF patients with the highest age range 15-24 years, anamnesis obtained itching is moderate grade, predilection in the area of the upper body, and Woods Lamp examination produces greenish yellow color, KOH 20% examination obtained spores, whereas culture is not required for the diagnosis of MFKey words: Malassezia sp., Malassezia folliculitis, acne vulgaris, Woods lamp, KOH 20%.
Profil Spesies Candidapada Pasien Kandidiasis Oral dengan Infeksi HIV&AIDS Walangare, Tewu; Hidayat, Taufiq; Basuki, Santosa
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 (348.055 KB) | DOI: 10.20473/bikkk.V26.1.2014.1-7

Abstract

Latar belakang:Sampai saat ini di Indonesia keberadaan spesies Candida non-albicanssebagai penyebab Kandidiasis Oral pada pasienHIV&AIDS belum banyak diteliti. Spesies ini dapat menyebabkan masalah pada penatalaksanaanya.Tujuan: Mengetahui profil spesies Candidadan jumlah sel CD4 pada pasien kandidiasis oral dengan infeksi HIV&AIDS Metode:Desain penelitian adalah deskriptif observasional potong lintang. Penelitian dilakukan selama tigabulan mulai Juli2012 di RSUD Dr.Saiful Anwar Malang. Sesuai dengan kriteria penerimaan dan penolakan pasien didapatkan jumlah sampel sebesar dua puluh tujuhsubjekpenelitian yang terdiri dari delapan belas pria dan sembilan wanita. Identifkasi spesies Candidadengan tigametode yaitu kultur Cornmeal Tween80, uji fermentasi karbohidrat, dan kultur media CHROMagar Candida. Penentuan jumlah sel CD4 dengan metode flowcytometri.Hasil: Ditemukan spesies C. albicans88,8%,C.glabrata 7,4%, dan C.tropicalis 3,8%. Perbandingan C.albicansdan C. non-albicanssebesar 8:1. Jumlah sel CD4 pada rentang 1-285 sel/mm3. Jumlah sel CD 4 terbanyak pada kelompok < 200 sel/mm3 85,2%diikuti kelompok CD4 200-350 sel/mm3 14,8%. Jenis Spesies pada kelompok CD4 < 200 sel/mm3 adalah C.albicans, C.glabarata, dan C.tropicalis. Kelompok CD4 200-350 sel/mm3 spesies C.albicansdan C.glabrata.Simpulan: Pada penelitian ini C.albicansmerupakan spesies terbanyak yang ditemukan pada pasien Kandididasis oral dengan infeksi HIV&AIDS. Kata Kunci:kandidiasis oral, spesies Candida, HIV&AIDS.
Uji Difusi Sefiksim terhadap Neisseria gonorrhoeae pada Servisitis Gonore tanpa Komplikasi Astindari, Astindari; Lumintang,, Hans; Setyaningrum, Trisniartami
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 (101.151 KB) | DOI: 10.20473/bikkk.V26.2.2014.1-5

Abstract

Latar belakang: Gonore merupakan salah satu infeksi menular seksual yang sering ditemukan. Resistensi terhadap beberapa antibiotik banyak ditemukan dalam beberapa tahun terakhir. Sefalosporin generasi ketiga seperti sefiksim dan seftriakson merupakan pilihan terapi lini pertama di berbagai negara, namun penurunan kepekaan sefiksim sudah ditemukan dan mulai menyebar. Tujuan: Mengevaluasi kepekaan sefiksim terhadap Neisseria gonorrhoeae secara difusi. Metode: Penelitian laboratorium yang bersifat deskriptif observasional, potong lintang mulai November 2012-Januari 2013. Terdapat 12 isolat N. gonorrhoeae dari 68 sekret serviks yang dilakukan uji kepekaan sefiksim secara difusi. Hasil: Uji kepekaan sefiksim secara difusi terhadap N. gonorrhoeae didapatkan 3 dari 12 isolat (25%) resisten terhadap sefiksim dan 9 dari 12 isolat (75%) sensitif terhadap sefiksim. Empat dari 9 isolat (44,5%) yang sensitif terhadap sefiksim mempunyai zona hambat dengan diameter 31 mm yang merupakan batas kemampuan sefiksim untuk menghambat pertumbuhan N. gonorrhoeae. Simpulan: Ditemukan strain N. gonorrhoeae yang menunjukkan, sehingga perlu dilakukan penelitian lebih lanjut berupa uji kepekaan secara dilusi untuk mengetahui adanya peningkatan resistensi N. gonorrhoeae terhadap sefiksim.Kata kunci: sefiksim, uji kepekaan secara difusi, N.gonorrhoeae.
A Retrospective Study: Trichomoniasis Miranti, Umi; 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 | DOI: 10.20473/bikkk.V26.3.2014.1-6

Abstract

Background: Trichomoniasis is sexually transmitted infection caused by Trichomonas vaginalis. It caused urethritis on male and vaginitis on female. Purpose: To find out the general description of new patient of Trichomoniasis in Sexually Transmitted Infection Division, Departement of Dermato-veneorology of Dr. Soetomo General Hospital Surabaya from Januari 2008 to December 2012. Methods: Retrospective study method was performed by evaluating medical record of Trichomoniasis patient including the patients visitation, age, gender, marital status, occupation, patients complain, periode of illness, coitus suspectus, sexual partner, the history of previous treatment, the description of genital discharge, laboratory examination, management, and follow up. Results: There were 31 patients with Trichomoniasis. The majority of age was 25-44 years old. The most complained is itching genital discharge, and the most characteristic is purulent. Trichomonas vaginalis was found in all patients on wet preparation. 12 patients did not return to the hospital anymore. Conclusions: Based on 5 years data in medical record, most of patient complained about itchy genital discharge, and the most characteristic is purulent. In all patients found Trichomonas vaginalis in wet preparation and the main therapy of trichomoniasis is metronidazole.Key words: trichomoniasis, sexually transmitted infection, retrospective study.
Oral Antibiotic in Acne Vulgaris Patients: Retrospective Study Rimadhani, Marina; Rahmadewi, Rahmadewi
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 (113.979 KB) | DOI: 10.20473/bikkk.V27.2.2015.84-89

Abstract

Background: Antibiotic resistance is one of the health problem in Indonesia, the one of the reason is using combination of antibiotic, so that clinician should prevent resistance to any selected combination antibiotic therapy. The use of long period oral antibiotics in acne therapy can cause Propionibacterium acne resistanceto antibioticsincreasedfrom 20% in 1979to67% in 1996. Purpose: To describe and evaluate management of oral antibiotic in new patient with acne vulgaris. Methods: Retrospective study in patients with acne vulgaris who received oral antibiotic in Cosmetic Division Dermato-Venereology Department Outpatient Clinic of Dr. Soetomo General Hospital in period of January 2010 to December 2012. Results: Obtained 481 new patients receive oral antibiotic from the total visit of 3519 acne vulgaris patient. The proportion of the largest group of 15-24 years, female patient were found having higher incidence than male. The most clinical feature found was grade 2 papulopustular (49.6%). The most common treatment which were given to the patient were doxycycline (98.8%) for systemic treatment with topical combination therapy as sunscreen (24.8%), facial cleansers(23.6%), tretinoin(20.99%), clindamycin gel (19.3%), and benzoylperoxide(5.4%). Highest proportion of long duration use of antibiotics is 2 weeks(57.5%). Conclusions: Selection of combination therapy is appropriate, but the use oftopical antibioticsalong withoral antibioticsshould be considered. Combination therapy, duration, and education still play an important role in preventing resistance Propionibacterium acne to antibiotics.Key words: acne vulgaris, antibiotic resistance, combination therapy, retrospective.
Retrospective Study: Characteristic of Papular Pruritic Eruption in HIV/AIDS Patients Arista, Afria; Murtiastutik, 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 (118.684 KB) | DOI: 10.20473/bikkk.V27.3.2015.204-210

Abstract

Background: Acquired immunodeficiency syndrome(AIDS) is a symptoms caused by infection of Human immunodeficiency virus (HIV) that may cause the decreasing of immune system. Skin disorder that can occurin patients with AIDS are papular pruriticeruption (PPE), which often lead toimpaired quality of lifein patients. Purpose: To evaluate the general overview and management of PPE, hence better management can be provided. Methods: Retrospective study of PPE patien in UPIPI (Unit Perawatan Intermediate Penyakit Infeksi) Dr. Soetomo General Hospital Surabaya during 2014. Results: The number of PPE patients was 15.4% of hospitalized patients. The largest age group was 25-44 years (56.9%), sex most were male (65.5%). Patients mostly from Surabaya (72.4%). Most of the patients worked asprivate sector workers (43.1%), and 73.2% of those with high school education. The main complaints include itching (83.62%), the location is in the limbs (55.2%). The most effloresensi is +multiplepapuleshyperpigmentation sharply marginated (58.6%). Mosttypes oftransmissionarefree sex (78%), CD4 highest 3value is 1-100 cells/mm (32.7%), 56.9% of patients received ARV treatment. Skin treatment is topical steroids (73.3 %). Conclusion: PPE is a skin disorderthat often arises in patients with HIV/AIDS.Keywords: papular pruritic eruption , HIV/AIDS, retrospective.

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