About 81% of pregnant women with trichomoniasis are asymptomatic, while trichomoniasis in pregnant women can increase the risk of complications, include premature rupture of membranes, preterm birth, and babies with low birth weight. Trichomoniasis can also increase the risk of other sexually transmitted infections (STIs) and human immunodeficiency virus (HIV) transmission. Trichomoniasis case in pregnant women could be influenced by demographic characteristics,, the sexual behavior, and also the diagnostic method used. Until now, there is no data about prevalence of trichomoniasis in pregnant women in Indonesia. The aim of this research was to determine the prevalence of trichomoniasis in pregnant women in Bandung, West Java, Indonesia. A descriptive cross-sectional study was performed in December 2016 until January 2017. The study participants were 50 pregnant women who visit antenatal care to Obstetric and Gynecology Clinic of ’Rumah Sakit Khusus Ibu dan Anak Kota Bandung’, and meet the inclusion and exclusion criteria, through consecutive sampling. The study participants had a history taking, venereological examination, and Trichomonas rapid test from vaginal swabs. Trichomoniasis in this study was diagnosed based on Trichomonas rapid test, a test that uses color immunochromatographic, capillary flow, dipstick technology, and has high sensitivity and specificity in diagnosing trichomoniasis. Almost all participants in this study were low risk pregnant women to have STI based on demographic characteristics and sexual behaviour. The positive Trichomonas rapid test result was found from one of 50 study participants. In conclusion, prevalence of trichomoniasis in pregnant women in Bandung was 2%. Trichomoniasis case in low-risk pregnant women population is still found.
Ingrowing toenails (IT) is puncture of periungual skin by its surrounding nail plate. IT most frequently occurs in males aged 10-30 years. Pathogenesis of IT is multifactorial. Patients most commonly present with toe pain and may also complain erythema, swelling, or discharge from the nail edge. The clinical presentation of IT has been divided into three stages; stage I or inflammatory stages, stage II or abcess formation, and stage III or granulation tissue formation. IT is a nail disease with high reccurences that commonly seen in daily practice. Several treatment approaches ranging from conservative therapy (gutter splint) to surgical treatment (decompression technique). We report a case of IT in a 13-year-old boy that treated with decompression and gutter splint technique. The combination of this technique provides good results for IT and there was no recurrences after two months of observation.
Incontinentia pigmenti (IP) is a rare genodermatosis, inherited in an X-linked dominant pattern, making it generally found among women. Among several characteristics of IP are four phases of skin manifestation that tend to follow Blaschko’s lines, in addition to abnormalities of the eye, central nervous system (CNS), and teeth. Ocular involvement in IP patients can occur since birth, which can be classified into retinal or non-retinal disorders. Retinal disorders can result in detachment, which is a major ocular threat for IP patients. This article reports two IP cases with overlapped phases of skin disorders in baby girls with ocular manifestations since early life. Clinical signs and additional examination of the skin and eyes are utilized to make the diagnosis. All the features of the histopathological examination supported the diagnosis of IP, and ocular exams revealed abnormalities in the form of retinal neovascularization (RN). Although RN may resolve spontaneously, patients should be monitored for the development of other eye disorders such as visual impairment.
Dermatofibroma merupakan tumor jinak dengan predileksi pada tungkai bawah. Lesi dapat berupa papul atau nodul, soliter atau multipel, dan berwarna merah muda hingga kecoklatan. Dermatofibroma biasanya asimtomatis, meskipun beberapa lesi mungkin terasa gatal atau nyeri. Kelainan kulit ini terutama dibentuk oleh kolagen dan fibroblas yang tersusun tidak teratur. Dermatofibroma asimtomatis tidak memerlukan terapi. Namun, pada kasus simtomatis dan lesi yang sering mengalami trauma diperlukan terapi. Salah satu terapi dermatofibroma berupa injeksi steroid intralesi. Dilaporkan sebuah kasus dermatofibroma pada seorang laki-laki usia 39 tahun dengan keluhan kulit berupa nodul eritematosa yang kadang terasa gatal. Pemeriksaan dermoskopi, menunjukkan gambaran peripheral pigment network dan central white area, serta pemeriksaan histopatologis mendukung diagnosis dermatofibroma. Pasien diterapi dengan injeksi triamsinolon asetonid (TA) 10 mg/ml intralesi, perbaikan klinis mulai tampak satu minggu setelah terapi berupa lesi kulit menjadi lebih kecil dan hilangnya gatal. Setelah 7 minggu terapi, lesi kulit menjadi rata dan meninggalkan bercak hiperpigmentasi. Dermatofibroma simtomatis yang diterapi dengan injeksi TA intralesi memberikan hasil yang baik.Kata kunci: dermatofibroma, injeksi intralesi, kortikosteroid, triamsinolon asetonid
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