Introduction:Psoriasis is an immunologically mediated chronic disease characterized by skin inflammation and epidermal hyperplasia. The incidence in the total population in the United States is 63.8 per 100,000 person-years. The incidence increases with age and peaks among individuals aged 70 to 79 years at a rate of 92.3 per 100,000 person-years. This research aims to determine the characteristics of psoriasis sufferers in the Dermatology and Venereology Outpatient Polyclinic of the Regional General Hospital of West Nusa Tenggara Province for the period January 2016 -December 2020 Method: The research design used was a descriptive retrospective by taking secondary data from medical records in new psoriasis patients for the period January 2016 -December 2020 who came for treatment. Result: The total number of patient visits at the Dermatology and Venereology Outpatient Polyclinic of the Regional General Hospital of West Nusa Tenggara Province for the January 2016 -December 2020 period was 8,524 people. The study found 140 new patients (92.7%), which were dominated by women (52.1%).Latar Belakang: Psoriasis merupakan penyakit inflamasi kronik yang diperantarai secara imunologis serta ditandai dengan adanya inflamasi kulit dan hiperplasia epidermal. Insidensi dalam populasi keseluruhan di Amerika Serikat adalah 63,8 per 100.000 orang-tahun. Insiden meningkat dengan usia dan memuncak di antara individu berusia 70 sampaiThe incidence of psoriasis in 2016-2020 was 16.42%. The highest age group was found at the age of 41-50 years as many as 33 people (23.6%), the most visits in 2018 were 37 people (26.4%), the predominant diagnosis was psoriasis vulgaris as many as 105 people (75%) with the site of the lession in the trunk as many as 93 people (66.4%). Therapy was dominated by topical therapy as many as 131 people (93.6%) and systemic therapy as many as 108 people (77.1%). Systemic therapy with methotrexate injection was 78 people (72.2%), and the topical combination of steroids and salicylic acid were 79 people (60.3%) were the most frequently used. Conclusion: Psoriasis sufferers in the Dermatology and Venereology Outpatient Polyclinic of the Regional General Hospital of West Nusa Tenggara Province have a tendency to increase every year. The therapy given is topical therapy with the most administration in the form of a combination of topical corticosteroids and salicylic acid, and the most systemic therapy is methotrexate injection. 79 tahun dengan angka 92,3 per 100.000 orangtahun. Penelitian ini bertujuan untuk mengetahui karakteristik penderita psoriasis di Poliklinik Rawat
Cutaneous adverse drug reactions (CADR) are an unfavorable condition caused by drugs manifesting on the skin. Exanthemata's drug eruption is the most common manifestation. The symptoms are itchy rash and burning sensation at the lesion and can occur along with fever and pain. The most common types of drugs inducing CADR are antibiotics, non-steroidal, anti-inflammatory drugs (NSAID), and anticonvulsants. A 48-year-old woman with complaints of itching on the chest followed by both arms and legs. Complaints arose 8 days after surgical excision of the craniometrical tumors when the patient was treated with polypharmacy medications. The description of the lesions is regional, multiple, well-defined maculopapular lesions with erythema, crusts, and excoriation. The working diagnosis is exanthemata's drug eruption with ceftriaxone, paracetamol, and phenytoin as the suspected causative drugs. No history of drug allergy was known before. Polypharmacy can cause difficulty in making clinical decisions for discontinuing the suspected drugs and cause patient's comorbidity left untreated. Therefore, it is important to identify the type of drugs and drug interaction causing cutaneous adverse drug reactions and minimize the use of polypharmacy therapy if possible.
Gray patch type of tinea capitis is one of clinical manifestations of dermatophytosis in scalp and hair that usually occurs in tropical areas such as Lombok, mainly taking place in 6-month-old to 12-year-old children and could cause hair loss. The risk factors are direct contact with microorganisms from animals, humans, and soil. In addition, indirect contact with fomite and inappropriate use of topical corticosteroid. We are reporting two cases, two siblings, a 7-yearold girl and 11-year-old boy with gray patch tinea capitis. The risk factors in these two patients were exposure to cats, sleeping in the same bed, and the use of betamethasone valerate cream. On Wood's lamp examination, a yellow-green fluorescent was found and on 20% potassium hydroxide (KOH) examination, an ectothrix spore was found. The systemic therapy given to both patients was ultramicrosize griseofulvin, vitamin D3, cetirizine, and topical therapy, which is terbinafine cream 1%. Identification of risk factors in this case is the main thing in determining effective and efficient management.
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