Relationship between Diet and Acne

Background: Acne is a disorder of pilosebasea unit, that mostly affect an adolesecent, caused by hormonal changing. Dietary is one factor that was thought to induce acne. But the association  between diet and acne are still controversial.  Purpose: Review the role of  some diets for acne Review: Acne is multifactorial disease, whereas diet is one of many factors that excarcerbate acne.  Some dietaries are thought have some roles in acne, including carbohidrate, milk, chocolate, fatty acid, zinc-iodine, vitamin A, and antioxidant. Some research has proved the relationship between diets and acne but there are still few limitations. Conclusion: Relationship between diets and acne still need more research with better methods.    Key words: acne, diet, glicemic index

Retrospective Study: Glycolic Acid Peel in Photoaging Patient

Background: Photoaging is premature skin aging that is caused by sun exposure in long periode. Glycolic acid peel is one of photoaging treatment that improve skin at epidermal layer. Improper patient selection and irregular follow-up may become factors of unsuccessful treatment. Purpose: To evaluate gycolic acid peel treatment for photoaging for improvement of medical service in the future. Methods: A retrospective study to photoaging patiens that were managed with glicolyc acid peel in Medical Cosmeutic Division Dermatology and Venereology Departement Dr. Soetomo General Hospital Surabaya on period from January 2011 to December 2013. The data were collected from medical record, Results: New patient of photoaging is 455 patients in Medical Cosmetic Division, 15.8% patients were treated with glycolic acid peel. Diagnosis classification were using Glogau classification. Thirty six point one percent of patient did not undergo follow up and 47.1% of patient’s interval of follow up were more than 4 weeks. Majority of patient (37.5%) have no improvement. Conclusion: Education to photoaging patient that undergo glycolic acid peel need to be improved. Clinical worsening and no improvement in some patients may be caused by irregular follow up.   Key words: photoaging, retrospective study, glycolic acid peel

Retrospective Study: Atopic Dermatitis in Childhood

Background: Atopic dermatitis is a chronically and relapsing inflammatory skin disease affecting individuals with atopic history or their families. Atopic dermatitis affects all ageswith percentage 15-30% in children and 1-2% in adults. Chronic pruritus, skin infection, sleep disorder, and growth disorder are signs and symptomps commonly found in childhood atopic dermatitis. Evaluation of the profile and management of DA were needed to improve the management of atopic dermatitis. Purpose:To evaluate the profile of childhood atopic dermatitis. Methods: A retrospective study of all new cases of childhood atopic dermatitis who visited the Pediatric Division, Dermatology and Venereology Outpatient Clinic, Dr. Soetomo General Hospital, Surabaya from January 2007 to Desember 2011. Results: Numbers of chilhood atopic dermatitis increased from 2007 to 2011. Itchy was the main complaint of DA, but redness patches (32,3%) and xerosis cutis (9,1%) were also found. Atopic history in patients and or their families were found in 842 patients (74,3%). Treatment was antihistamin in 879 patients (77,5%). Conclusions: Chilhood atopic dermatitis are still increasing by years. Determining and avoiding trigger factors are education for DA's patients and their families in preventing it recurrency. Key words: atopic dermatitis, childhood, retrospective study

Studi Retrospektif: Profil Penyakit Rosasea

Latar Belakang: Rosasea adalah penyakit inflamasi kulit kronis yang biasanya terdapat pada bagian tengah wajah, termasuk pipi, hidung, dagu, dan dahi. Area yang terlibat tidak hanya wajah, tetapi juga daerah sekitarnya seperti leher, dada, punggung, dan kulit kepala serta mata. Tujuan: Mengevaluasi gambaran umum dan evaluasi pasien baru rosasea di Divisi Kosmetik Medik Unit Rawat Jalan (URJ) Kesehatan Kulit dan Kelamin RSUD Dr. Soetomo Surabaya periode tahun 2013-2015. Metode: Penelitian retrospektif dengan meneliti catatan medik pasien rosasea di Divisi  Kosmetik Medik URJ Kesehatan Kulit dan Kelamin RSUD Dr. Soetomo Surabaya selama Januari 2013 sampai Desember 2015. Hasil: Jumlah kunjungan pasien baru rosasea selama periode 2013-2015 sebesar 24 pasien. Sebagian besar pasien adalah wanita. Usia terbanyak adalah 25-44 tahun.  Keluhan utama terbanyak adalah jerawat atau bintil serta kemerahan di wajah. Subtipe rosasea yang paling banyak ditemukan adalah subtipe eritematotelangiektasis sebesar 37,5%. Terapi yang terbanyak untuk pengobatan topikal adalah metronidazol dan pengobatan sistemik adalah doksisiklin. Sebesar 75% pasien melakukan kunjungan ulang. Simpulan: Terdapat penurunan jumlah pasien rosasea. Subtipe rosasea yang banyak ditemukan adalah subtipe eritematotelangiektasis dan subtipe papulopustular, subtipe phymatous hanya sedikit, sedangkan subtipe okular tidak ditemukan

A Retrospective Study: Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis

Background: Stevens-Johnson Syndrome (SJS) and Toxic Epidermal Necrolysis (TEN) is rare, but threaten the patient's life. Purpose: To evaluate management of SJS and TEN. Methods: A  retrospective study to patient with SJS and TEN in  2011-2014, data regarding the prevalent of patients, history of patients, etiology, clinical manifestation, supporting of examination, therapy, complication, mortality, follow up, and duration of treatment patients recorded from medical report. Result: Total patient with SSJ and NET were 37 patients. Most patients were female (73%) with majority age range 25-44 years (48.6%), epilepsy is the most comorbidities (27%), the main etiology the use of drug (62.1%), the highest class of drugs is analgesic drugs (38.6%), 37 patients using corticosteroid for therapy (100%), skin is the most complication (50.9%), and death rate was zero (0%). Conclusion: Management of patients with SJS and TEN gives complete recovery.   Key words: Stevens-Johnson syndrome, toxic epidermal necrolysis, management

Profile And Treatment of Stevens-Johnson Syndrome Patients in DR. Soetomo General Hospital

Background: Stevens-Johnson Syndrome (SJS) is a rare but potentially life- threatening form of Severe Cutaneous Adverse Reaction (SCAR). SJS is mostly caused by drugs and is associated with high morbidity and mortality. Moreover, no standard treatment has been established for SJS. The aim of this study is to present epidemiological features, etiologies, clinical outcomes, medical histories, and treatments of SJS patients at the Inpatient Units Kemuning I and II Dr. Soetomo General Hospital between 2011 until 2015.Methods: This retrospective study used secondary data collected from medical records. All patients in the Inpatient Units Kemuning I and II of Dr. Soetomo General Hospital from the year 2011 until 2015 who was diagnosed SJS were included in this study.Result: There were 29 medical records consisting of 23 females and 6 males with the diagnosis of SJS found in 2011-2015. Most patients were aged 25-44 years old, with no family history of SJS. A majority first presented with a clinical history of fever. The main cause of SJS in this cohort was amoxicillin. Mucosal areas that were involved the most was the eye and mouth. Systemic treatments for patients were corticosteroid. The average duration of treatment was 15,88 days. None of the patients died.Conclusion: SJS was more common in females compared to males. The main systemic therapy in Inpatient Units Kemuning I dan II of Dr. Soetomo General Hospital was intravenous cortiosteroid and no patients died

Behavior of Sunscreen Usage Among Medical Students

Background: Photoaging is an early skin aging process caused by sun exposure. Sunscreen is effective as a primary photo-protection to protect the skin from the dangers of ultraviolet radiation (UV) sunlight. However, sunscreen is often used in the wrong manner, so that it can reduce the effectiveness of the work of sunscreen. Purpose: To describe the knowledge and the practice of sunscreen usage among medical students of Universitas Airlangga and find out the relationship between the knowledge and the practice of sunscreen usage. Methods: This study is an analytic-observational study. Data were collected through questionnaire sheets that distributed to medical students of Universitas Airlangga class of 2016, 2017, and 2018. The results were analyzed using the Spearman test with a significance level of 1%. Result: Obtained total respondents that fulfilled the inclusion criteria were 159 respondents, with 88.68% were female and 11.32% were male. Based on Fitzpatrick skin type, 55.97% respondents found with skin type-IV. There were 59.12% respondents got score of knowledge in the medium category and 64.78% respondents got score of practice also in the medium category. Based on analytic statistic correlation test between knowledge and practice of sunscreen usage, known that the significance value is equal to 0,006 with coefficient correlation is equal to 0.216. Conclusion: The knowledge and the practice of sunscreen usage among medical students of Universitas Airlangga is already in a fairly good range. There is a parallel relationship between the knowledge and the practice of sunscreen usage among medical students of Universitas Airlangga but with a low level of correlation strength

Association of Serum Testosterone with Various Severity of Acne Vulgaris in Adult Women

Background: Acne Vulgaris (AV) is a chronic and obstructive inflammatory skin disease of the pilosebaceous unit. Testosterone is main androgen hormone that have a role in the pathogenesis of AV. Pevious researches have shown controversial results regarding serum testosterone levels in AV. Purpose: To evaluate the association of serum testosterone levels with AV severity in adult women in Dermatovenereology Outpatient Clinic of Dr. Soetomo General Hospital Surabaya. Methods: This is an analitic observational study, with 37 patients based on the inclusion and exclusion criteria. Results: Mean serum testosterone level in mild AV group was 39.16 + 24.18µg/dL, moderate AV group was 39.75 + 23.75 µg/dL, and severe AV group was 52.46 + 24.00 µg/dL. These results indicate that serum testosterone level in severe AV group was higher than moderate and mild AV groups. But there was no statistically significant correlation between serum testosterone levels and the severity of AV. Conclusions: Serum testosterone levels in patients with severe AV was higher than moderate and mild AV. No correlation between serum testosterone levels with AV severity in adult women. Further research ruled out confounding factors is needed to determine hormonal role in the pathogenesis of AV

A Case Report of Cervicitis Gonorrhea

Background: Gonorrhea refers to a set of clinical conditions involving infection with the sexually acquired bacterial pathogen, Neisseria gonorrhoeae. One of the simplest gonococcal infections in women involves mucosal surfaces of the endocervix that cause cervicitis, a frequently asymptomatic inflammatory condition that results in an abnormal mucopurulent discharge and cervical friability. Purpose: To report a case of cervicitis gonorrhea in a female patient whose sexual partner had a hisstory of unprotected promiscuous intercource with multiple sex worker. Case: A 24-year-old female patient presented with increased vaginal discharge for 4 days. Her husband had a history of having sexual intercourse with a sex worker 8 days before. Physical examination revealed mucopurulent exudate in the genitalia and endocervical canal. The Gram staining showed numerous leucocytes and Gram-negative intracellular diplococci, while the result of polymerase chain reaction (PCR) examination for Chlamydia trachomatis was negative. The patient was treated with single-dose cefixime 400 mg orally and doxycycline 100 mg orally twice a day for 7 days. Discussion: The present case report showed cervicitis gonorrhea co-infected with a nonspecific genital infection that was felt asymptomatic and unintentionally found when the patient accompanied her husband to Sexually Transmitted Infection (STI) clinic. The presumptive treatment of cervicitis directed against N. gonorrhoeae and C. trachomatis in this patient leads to a complete cure of the disease. Conclusion: It is important to treat the sexual partner of a patient with urethritis gonorrhea. The empiric treatment of cervicitis that is directed against N. gonorrhoeae and also against C. trachomatis is mandatory in preventing further possible complications

Haemorrhagic Bullous Lesion in Henoch-Schonlein Purpura

Background: Henoch-Schonlein purpura (HSP) is a vasculitis of the small vessels and the most common type of vasculitis in children. Vesicles and haemorrhagic bullae were thought to be rare in HSP and maybe difficult to diagnose. Purpose: To describe the rare case of haemorrhagic bullous lesion in HSP. Case: A 15-year-old Javanese girl was admitted to Dr. Soetomo General Hospital Surabaya with one week history of multiple haemorrhagic blisters on her extremities, accompanied with joint pain, abdominal pain, and severe nausea. Firstly, it’s only a few redness patches then become numerous and changed to haemorrhagic blisters. A dermatological examination shown multiple bullae and vesicles on multiple palpable erythematous purpura. There were hypokalemia on laboratory examination and histopathological examination concluded a leukocytoclastic vasculitis. Discussion: Fluid balance, oral corticosteroid, oral antihistamine, antiemetic injection, and potassium correction were administered to the patient. Dexamethasone was discontinued because there was a presence of melena. Symptomatic treatment was given and significantly improvement was achieved in one month after treatment. Conclusion: Henoch-Schonlein purpura is diagnosed based on history, physical, clinical, and histopathological examination. Vesicles and haemorrhagic bullae are rare in HSP, and it does not seem to have any prognosis value in the outcome of HSP.   Key words: Henoch-Schonlein purpura, haemorrhagic bullous lesion, small vessel vasculitis