Profile Of Leper Patients With Reversal Reactions In Irj Skin And Genitals Morbus Hansen Division Dr Soetomo Regional Hospital
Keywords:
Leprosy, reversal reaction, type 1 reaction, clinical profile, RSUD Dr, SoetomoAbstract
Leprosy (leprosy) is still a public health problem in Indonesia, with East Java as one of the provinces with a high number of cases. Reversal reactions (type 1 reactions) are immunological complications in leprosy patients and can cause permanent nerve damage if not treated properly. This study aims to determine the clinical and epidemiological profile of leprosy patients with reversal reactions who seek treatment at the Skin and Venereology Outpatient Installation at RSUD Dr. Soetomo Surabaya for the period January 2015 to September 2024. Retrospective descriptive research by analyzing medical record data of leprosy patients who experienced reversal reactions at the Skin and Venereology Outpatient Installation at Dr. RSUD. Soetomo Surabaya from January 2015 to September 2024. Data collected includes demographic characteristics (age, gender, occupation, address), type of leprosy, time of reaction, clinical manifestations, degree of disability, and therapy modalities. The number of leprosy patients based on the results of research on patient medical records for the period 2015 to 2024 was 14,056 patients, an increase in the number of patients compared to previous years, of this number of patients with reversal reactions were 222 patients (1.58%) while type 2 (erythema nodosum leprosy) as many as 13,834 patients (98.42%). The conclusion of this study is that reversal reactions occur more often in patients with multibacillary leprosy (MB) and generally in adult men, more precisely over 17 years. The incidence of reversal reactions was also found more frequently in patients who had undergone treatment Multidrug Therapy (MDT), with most reactions occurring 1-3 years after treatment begins. Treatment of leprosy with a reversal reaction requires careful monitoring and multidisciplinary management involving a variety of therapies, including the use of appropriate medications as well as additional therapies to reduce inflammation and improve the patient's quality of life.
Downloads
Metrics
References
Adriaty, D., Karim, A., Putra, B. H. K., Agusni, R. I., Iswahyudi, Wahyuningtyas, P. A., Wahyuni, R., Widayati, E., Alinda, M. D., Listiawan, M. Y., & Prakoeswa, C. R. (2023). Analysis Mycobacterium lepromatosis as the causative agent of diffuse lepromatous leprosy patient in Indonesia. Biodiversitas, 24(8). https://doi.org/10.13057/biodiv/d240954
Aisyah, I., & Agusni, I. (2018). Penelitian retrospektif: gambaran pasien baru kusta. Periodical of Dermatology and Venereology, 30(1).
Etika, A.N , Sri Haryuni, N. H. (2015). Tingkat kecacatan dengan mekanisme koping pada pasien kusta. Java Health Journal, 1(2).
Fitriani, F., Rachman, P. O., Prasetyorini, B. E., Negara, A. S., Amelinda, N., Oktavriana, T., & Mudigdo, A. (2022). Reaksi reversal pada morbus hansen tipe borderline tuberkuloid: Tinjauan Histopatologi. Herb-Medicine Journal, 5(2). https://doi.org/10.30595/hmj.v5i2.13534
Idris, F., & Mellaratna, W. P. (2023). Morbus Hansen (Kusta). GALENICAL : Jurnal Kedokteran Dan Kesehatan Mahasiswa Malikussaleh, 2(6). https://doi.org/10.29103/jkkmm.v2i6.11582
Kemenkes RI. (2018). Pusat Data dan Informasi Kementerian Kesehatan RI. Hapuskan stigma dan diskriminasi terhadap kusta. In InfoDatin Pusat Data dan Informasi Kementrian Kesehatan RI.
Kementerian Kesehatan RI. (2018). Hapuskan stigma dan diskriminasi terhadap kusta. In InfoDatin Pusat Data dan Informasi Kementrian Kesehatan RI.
Kementerian Kesehatan RI. (2019). Peraturan menteri kesehatan RI Nomor 11 tahun 2019 tentang penaggulangan kusta. Progress in Retinal and Eye Research, 561(3).
Listiawan, M. Y., Tanojo, N., Fransisca, C., & Wardhani, P. H. (2022). Analisis faktor risiko reaksi kusta: studi retrospektif di rumah sakit rujukan tersier indonesia tahun 2015-2020.
Mohamad, T. M. (2021). Profilaksis pada penyakit kusta. LENTERA (Jurnal: Sains, Teknologi, Ekonomi, Sosial …, 5(3).
Nanda, S. (2023). Metode Penelitian Kualitatif: Pengertian, tujuan, ciri, jenis & contoh. In Academy Brain.
Sugiyono. (2023). Metode Penelitian Kualitatif (Untuk penelitian yang bersifat: eksploratif, enterpretif, interaktif dan konstruktif). CV. Alfabeta.
Widiatma, R. R., Rosita, C., & Prakoeswa, S. (2019). Studi Retrospektif: Reaksi kusta tipe 1. Berkala Ilmu Kesehatan Kulit Dan Kelamin, 31(2).
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
Terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
