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Clinical Profile of Scabies in Children in the Outpatient Installation of Dr. Moewardi General Hospital Surakarta, the Period of January 2015- December 2019 Eka Devinta Novi Diana; Alfina Rahma; Frieda; Indah Julianto; Moerbono Mochtar; Suci Widhiati
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i4.16841

Abstract

Background: Scabies is caused by parasite, called Sarcoptes scabiei, infestation into the skin. Scabies isgenerally found in children who live in crowded environments and poor hygiene.Methods: This is a retrospective descriptive study with secondary data collection from medical record datain the Outpatient Installation of RSDM for the period January 2015-December 2019. The subjects wereinfants to children aged 14 years with a diagnosis of scabies. Data variables used included age, gender,family history of scabies, diagnosis, comorbidities, supporting examinations and, therapy in scabies patients.Results: There were 88 pediatric patients with scabies. The most age group that experienced child scabieswas 11-14 years (33%) with the most sex being male (55%). The largest source of scabies transmission wasfrom the family (39%). The most common lesion morphology was papules and excoriations (49%). Thelesion location was found mostly between the fingers (24%). Examination of skin scrapings using NaCl0.9% was positive only in 5 patients (6%) with the most diagnosis was scabies (77%)Conclusion: This study shows that most of pediatric patients with scabies in the 11-14 years range aredominated by males. The most common sources of infection were families with papule morphology andexcoriation, whereas the most lesions were found between the fingers. Skin scrapings are only positive 6%of cases. The most commonly used topical therapies are 5% permethrin and 2% ointment mupirocin whilethe systemic therapies are cetirizine and cefadroxil.
Hemorrhagic Varicella in a 41-Year-Old Woman with Evans Syndrome : Case Report Alfina Rahma; Eka Devinta Novi Diana; Frieda; Wibisono Nugraha; Muhammad Eko Irawanto; Moerbono Mochtar
Indian Journal of Forensic Medicine & Toxicology Vol. 16 No. 1 (2022): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v16i1.17445

Abstract

Background: Varicella is an infection caused by the varicella-zoster virus (VZV) with symptomsof an exanthematous vesicular rash and systemic symptoms. Hemorrhagic varicella commonlyseen in immunocompromised patients. Evans syndrome (ES) is an autoimmune with two or morecytopenias,including autoimmune hemolytic anemia (AIHA) and immune thrombocytopenia (ITP).Case: 41-year-old woman complains of swelling filled with reddish fluid almost all over herbody,sometimes painful and accompanied by fever. Patient also experienced vaginal bleeding resultingin anemia (Hb 8.8 g/DL) and thrombocytopenia (platelets 34,000/uL). Dermatological status of thegeneralized,multiple hemorrhagic vesicles with an erythematous base,partially ruptured. Tzank testrevealed multinucleated giant cells. Patient suffered AIHA and received therapy with methylprednisolone4 mg/day and mycophenolic acid 2x500 mg/day.Conclusion: We report a case of hemorrhagic varicella in a 41-year-old woman with Evan’s syndromewith concurrent features of AIHA and ITP. Dermatological status of the generalized, multiplehemorrhagic vesicles with an erythematous base,some of ruptured with erosions. Tzank test revealedmultinucleated giant cells. Patient was treated with acyclovir 5x800 mg for 7 days,2% salicylic acid and0.5% menthol applied every 12 hours and mupirocin 2% ointment applied twice a day on the erosionarea and clinical improvement was found after 17 days of therapy.
Secondary Syphilis in the Second Trimester Pregnancy : Case Report Wibisono Nugraha; Eka Devinta Novi Diana; Frieda; Alfina Rahma; Prasetyadi Mawardi
Indian Journal of Forensic Medicine & Toxicology Vol. 16 No. 1 (2022): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v16i1.17670

Abstract

Background: Syphilis is a sexually transmitted disease caused by Treponema pallidum, which is transmitted through sexual contact, blood transfusion and transplacental from an infected mother to the fetus. Syphilis in pregnancy can cause complications including abortion, low birth weight, premature birth, neonatal death or congenital syphilis infection.Case: A 39-year-old woman, 16 weeks pregnant, presented with a complaint of a small lump on the genitals accompanied by red patches on the palms of the hands and feet. Serological tests showed a reactive VDRL of 1:512 and a reactive TPHA of 1:640. Based on the history, physical examination and serological tests the patient was diagnosed with secondary syphilis in pregnancy. The management of this patient was given a single dose of Benzathine Penicillin G injection of 2.4 million units intramuscularly.Conclusion: Early screening for syphilis in pregnancy isvery important to prevent complications in the fetus. VDRL serological test examination 3 months after therapy was carried out to determine the success of therapy. In this case, there was a decrease in the VDRL titer to 1:4 in the absence of skin lesions 3 months after therapy with benzathine penicillin G 2.4 million units intramuscularly single dose.
Tinjauan Histopatologi pada Pyoderma Gangrenosum dengan Infeksi Sekunder Wibisono Nugraha; Danu Yuliarto; Eka Devinta Novi Diana; Alfina Rahma; Prasetyadi Mawardi; Frieda; Ambar Mudigdo
MEDICINUS Vol. 36 No. 2 (2023): MEDICINUS
Publisher : PT Dexa Medica

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56951/medicinus.v36i2.123

Abstract

Background: Pyoderma gangrenosum (PG) is a complex neutrophilic dermatosis, characterized by sterile, painful, necrotic ulcer, and is associated with systemic conditions. PG manifests as papules and vesicles that evolve into painful ulcers. Incidence of PG is relatively rare in Dr. Moewardi Hospital, so it is important to identify and correctly diagnose PG based on its’ histopathological features. Case A 54-year-old man complained of painful scab on several body parts. Hematoxylin and eosin staining in the epidermal layer showed a basket-weave orthokeratosis with necrotic tissue, acanthosis, and basal cell hypermelanosis. In the dermis layer there is a lymphocyte and neutrophil cell infiltrate with slight appearance of leukocytoclastic. Discussion: Pyoderma gangrenosum is a reactive, non-infectious inflammatory dermatosis (neutrophilic dermatoses). In this case, PG occurs in 54-year-old man as painful scab on back and legs. Classical PG characterized by papules, pustules, crusted or necrotic plaque, which typically have undermined, overhanging, dusky purple edges with surrounding induration and erythema. In this patient, the epidermal layer showed ulceration and slight appearance of leukocytoclastic vasculitis in the dermis area and lymphocyte infiltrate with slight neutrophil in the perivascular accompanied by erythrocyte extravasation, which support the diagnosis of PG.
Bakti Sosial Sunat Massal Gratis Dalam Rangka Kolaborasi Lintas Sektor Memperingati Pesta Rakyat Agustusan Untuk Kesehatan Masyarakat di Kampus Universitas Sunan Giri Surabaya Abdullah Ilmi; Rizal Muhaimin; Alfina Rahma; Rommy Hardyansah; Bambang Aji Prasetyo; Heriyana Amir; Muas Mubarak; Adi Herisasono; Mujito Mujito
Harmoni Sosial : Jurnal Pengabdian dan Solidaritas Masyarakat Vol. 1 No. 4 (2024): Harmoni Sosial : Jurnal Pengabdian dan Solidaritas Masyarakat
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/harmoni.v1i4.749

Abstract

The free mass circumcision social service activity held at Sunan Giri University Surabaya is a cross-sector collaboration initiative to commemorate the August people's party. This activity aims to improve public health, especially among children, by providing quality and free medical services. Involving various parties, including government agencies, non-governmental organizations, and local communities, this activity not only educates the public about the importance of reproductive health, but also strengthens social solidarity. In its implementation, this activity succeeded in attracting active participation from the surrounding community, creating awareness of the importance of children's health and welfare, and fostering a spirit of mutual cooperation. The results of this activity are expected to be a model for similar initiatives in the future, as well as providing long-term positive impacts on public health in the area
Pengembangan UMKM Dengan Pembuatan Daftar Menu Menarik dan Banner di Desa Pasinan Kecamatan Lekok Kabupaten Pasuruan Rizma Melina Oktabian Alifani; Nadifa Salsabilah; Alfina Rahma; Mila Hariani; Rommy Hardyansah; Misbachul Munir; Jahroni Jahroni
Bumi : Jurnal Hasil Kegiatan Sosialisasi Pengabdian kepada Masyarakat Vol. 2 No. 4 (2024): Bumi: Jurnal Hasil Kegiatan Sosialisasi Pengabdian kepada Masyarakat
Publisher : Asosiasi Riset Teknik Elektro dan Informatika Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/bumi.v2i4.446

Abstract

Community service is a form of implementation of the Tri Dharma of Higher Education, with the aim of having a positive impact on society. This activity was carried out on 29 July 2024 in Pasinan Village, Lekok District, Pasuruan, with a focus on developing local Micro, Small and Medium Enterprises (MSMEs). The Unsuri team collaborated with MSME players in designing marketing strategies through attractive menu list and banner designs. The approach used is participatory, where MSME players are actively involved in every stage of planning. The methods used include field observations, interviews, design, and implementation of marketing strategies based on the results of MSME needs analysis. Active participation from villagers is expected to increase programme engagement and sustainability, as well as strengthen the competitiveness of local products. The results of this programme show an increase in the visual appeal and professional image of MSMEs, which has a positive impact on sales potential and the village economy.