DIFFERENCES IN SEBORRHOEIC DERMATITIS AREA SEVERITY INDEX IN IMMUNOCOMPROMISED AND NON IMMUNOCOMPROMISED PATIENTS

Theresia Dellia Rossa Amanda, Jose L. Anggowarsito, George Nicolaus Tanudjaja

Abstract


Background: Seborrhoeic Dermatitis (DS) is a papulosquamous skin disorder with a predilection for areas rich in sebaceous glands, scalp, face and body. Seborrheic dermatitis in immunocompromised patients is clinically different from non-immunocompromised seborrheic dermatitis patients. Seborrheic dermatitis is one of the clinical symptoms and is most often found in immunocompromised patients such as individuals who have HIV/AIDS compared to seborrheic dermatitis patients in general.

Objective: To determine the difference in seborrhoeic dermatitis area severity index in immunocompromised and non-immunocompromised patients.

Method: This research design uses analytical observational with a cross sectional approach. The population of seborrheic dermatitis patients was 70 people with 35 immunocompromised patient respondents and 35 non-immunocompromised respondents. Data collection starts from September 22 to October 26 2023. Seborrheic dermatitis examination is carried out on the face and scalp by comparing the area affected by seborrheic dermatitis with the surrounding area and then assessing the degree of the area affected by seborrheic dermatitis using SDASI. The assessment of the area of the lesion is multiplied by the sum of the erythema, scale and papule scores with a severity classification, namely: Mild: 0-7.9, Moderate: 8-15.9, Severe: >16. The results of the examination will be recorded and a score for the severity of seborrheic dermatitis on the face and scalp will be calculated.

Results: Seborrhoeic dermatitis in 35 immunocompromised respondents and 35 non-immunocompromised respondents. The results obtained from the seborrheic dermatitis patient group were immunocompromised patients, namely 14 respondents with mild degrees (40.0%), 17 respondents with moderate degrees (48.6%), and four respondents with severe degrees (11.4%) while in the group of non-immunocompromised patients there were 20 respondents with mild degrees. (57.1%), 11 respondents had a moderate degree (31.4%), and four respondents had a mild degree (11.4%). The results of research analysis using the independent T-test showed that there was a difference in SDASI in immunocompromised and non-immunocompromised patients with a value of p = 0.040 (p < 0.05).

Conclusion: there are differences in SDASI in immunocompromised and non-immunocompromised patients.


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Keywords


seborrhoeic dermatitis area severity index; immunocompromised; nonimmunocompromised

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References


Nabillah R. Prevalensi Dermatitis Seboroik Di Poli Kulit Dan Kelamin RSUD Meuraxa Kota Banda Aceh Periode Tahun 2016-2019. J Health sains. 2021;2(1):112-119.

Astindari, Sawitri, Sandhika W. Perbedaan Dermatitis Seboroik dan Psoriasis Vulgaris Berdasarkan Manifestasi Klinis dan Histopatologi. Berkah ilmu Kesehatan kulit dan kelamin. 2014;26(1).

Silvia E, Anggunan, Effendi A, Nurfaridza I. Hubungan Antara Jenis Kelamin Dengan Angka Kejadian Dermatitis Seboroik. J Ilmu Kesehatan Sandi Husada. 2020;9(1):37-46. doi:10.35816/jiskh.v10i2.216

Agustin T, Rahmayunita G, Astriningrum R, Miranda E,

Pusponegoro EHD, Widaty S. Quality of life assessment in patients with dandruff and scalp seborrheic dermatitis at a tertiary hospital in Indonesia. Iran J Dermatology. 2019;22(1):13-17.

Sembiring E. Hubungan Antara Dukungan Keluarga Dengan Keberhasilan Pelaksanaan Program Pengobatan Pasien HIV/AIDS Di Poli Penyakit Infeksi RSUD DR.H.Kumpulan Pane Tebing Tinggi Tahun 2020. J ners Indonesia. 2021;8(1):9-17.

Dewi I Sari Listiana, Hidayati A Nurul. Manifestasi Kelainan Kulit pada Pasien HIV & AIDS ( Manifestation of Skin Disorders in HIV & AIDS Patients ). Berkah ilmu Kesehatan Kulit dan

Kelamin-Periodical Dermatology Venereol. 2015;27(2):97-105.

Yunisa D. Manifestasi Kelainan Kulit pada HIV/AIDS. J Agromed Unila. 2015;2(4):402-407.

Dewi NP. Aspek Klinis Dermatitis Seboroik. CDK-305. 2022;49(6):327-331.

Widaty S, Bramono K, Listiawan M, et al. The management of seborrheic dermatitis 2020: An update. J Gen Dermatology Venereol Indonesian. 2020;5(1):19-27. doi:10.19100/jdvi.v5i1.234

Kementerian Kesehatan Indonesia. Pedoman Nasional Pelayanan Kedokteran Tata Laksana Dermatitis Seboroik. 2019;3:1-9.

Kang S, Amagai M, Bruckner Anna L, et al. Fittzpatrick’s Dermatology 9th Edition Vol 1.; 2019.

Hajar S. Manifestasi Klinis Dermatitis Seboroik Pada Anak. J Kedokteran Syiah Kuala. 2015;15(3):175-178.

Zulkifli AR, Gustia R, Ashal T. Perkembangan Pengobatan Topikal Untuk Dermatitis Seboroik Wajah: Sebuah Tinjauan Literatur Naratif. J ilmu Kesehatan Indonesia. 2021;2(1). doi:10.25077/jikesi.v2i1.505

Shu T, Zhang B, Tang YY. Novel noninvasive brain disease detection system using a facial image sensor. J Sensors. 2017;17(12). doi:10.3390/s17122843

Cortés-Correa C, Piquero-Casals J, Chaparro-Reyes D, Garré Contreras A, Granger C, Peñaranda-Contreras E. Facial Seborrheic Dermatitis in HIVSeropositive Patients: Evaluation of the Efficacy and Safety of a Non-Steroidal Cream Containing Piroctone Olamine, Biosaccharide Gum-2 and Stearyl Glycyrrhetinate – A Case Series. Clin Cosmet Investig Dermatol. 2022;15(March 2022):483-488. doi:10.2147/ccid.s344807

Masturoh I, T Anggita Nauri. Metodelogi Penelitian Kesehatan.; 2018.

Olina R, Thaha A, Suryadi Tjekyan R. Hubungan Kepadatan Spesies Malassezia dan Keparahan Klinis Dermatitis Seboroik di Kepala. Jurnal Kedokteran dan Kesehatan [Internet].2015;2(2):2116.Available from: http://eprints.unsri.ac.id/5973/1/Hubungan_Kepadatan_Spesies_Malassezia_dan_Keparahan_Klinis_Dermatitis_Seboroik_di_Kepala.pdf

Rostinawati T. Review: Potensi Tanaman Obat Sebagai Terapi Dermatitis Seboroik. 2022;20:82–104.

Ely IP, Nurdin D, Nasir M, Sofyan A.Dermatitis Seboroik. Jurnal Medical Profession. 2020;2(1):41–4.

Akbar H. Hubungan Personal Hygiene dan Pekerjaan dengan Kejadian Dermatitis di Wilayah Kerja Puskesmas Juntinyat The Relationship Between Personal Hygiene and Occupation with Dermatitical Events in The Working Area of Juntinyuat Health Center. 2020;10(1):1–5.

Ratulangi US, Pandeleke HEJ. Hubungan Penggunaan Hair Styling terhadap Kejadian Dermatitis Seboroik pada Mahasiswa Laki-laki di Fakultas Kedokteran. Jurnal e-clinic. 2019;7(1):7–11.

Menaldi SL, Bramono K, Indriatmi W. Ilmu Penyakit Kulit Dan Kelamin Edisi ke 7. Jakarta: Badan Penerbit FK UI; 2019.




DOI: https://doi.org/10.33508/jwmj.v6i2.5482

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