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Psoriasis gutata pada seorang anak yang diterapi dengan fototerapi narrow band ultraviolet B: sebuah laporan kasus

  • Nyoman Indra Karunia Murti ,
  • Prima Sanjiwani Saraswati Sudarsa ,
  • Ni Luh Sukma Pratiwi Murti ,
  • Putu Evindya Vipascitadewi Nandanaya Bharata ,

Abstract

Background: Guttate psoriasis is an inflammatory disease of the skin that is affected by the immune system. In addition to control the trigger factors, the main therapy for guttate psoriasis is by using topical corticosteroids. However, long-term use of topical corticosteroids often causes side effects, so a safer therapy is needed. Narrow band ultraviolet B (NB-UVB) phototherapy is currently an effective treatment for guttate psoriasis. Narrow band UVB is relatively safe and can be used for a long period. This case report aims to describe the use of NB-UVB in a case of pediatric guttate psoriasis.

Case Description: A 14-year-old boy, with complaints of small, thick, itchy red plaques appearing all over his body. The patient had multiple erythematous effluorescent papules covered with thick, silvery white scales. Dermoscopic appearance and histopathological examination were found to be consistent with guttate psoriasis. The use of NB-UVB phototherapy gives good results in patients.

Conclusion: In patients with guttate psoriasis, especially in cases that do not experience spontaneous resolution, it is feared that long-term topical steroid therapy may cause side effects. To overcome this, other therapeutic options are needed. The use of NB-UVB phototherapy is very beneficial in inflammatory skin diseases, one of which is guttate psoriasis. In cases, administration of NB-UVB phototherapy provides significant improvement.

 

 

Latar belakang: Psoriasis gutata adalah penyakit inflamasi pada kulit yang dipengaruhi oleh sistem imunitas. Selain mengontrol faktor pencetus, terapi utama dari psoriasis gutata adalah menggunakan kortikosteroid topikal. Namun penggunaan kortikosteroid topikal jangka panjang seringkali menimbulkan efek samping, sehingga terapi yang lebih aman sangat diperlukan. Fototerapi Narrow Band-UVB (NB-UVB) saat ini menjadi salah satu pengobatan yang efektif untuk psoriasis gutata. Narrow band-UVB relatif aman dan dapat digunakan dalam jangka waktu panjang. Laporan kasus ini bertujuan untuk menggambarkan penggunaan NB-UVB pada kasus psoriasis gutata pada anak.

Kasus: Seorang anak laki-laki berusia 14 tahun, dengan keluhan muncul bercak kemerahan berukuran kecil, menebal, dan gatal pada seluruh tubuhnya. Pada pasien tampak effloresensi papul-plak eritema multipel, tertutup skuama tebal berwarna putih keperakan. Gambaran dermoskopi dan pemeriksaan histopatologis ditemukan sesuai dengan psoriasis gutata. Penggunaan fototerapi NB-UVB memberikan hasil yang baik pada pasien.

Simpulan: Pada pasien dengan psoriasis gutata, khususnya pada kasus yang tidak mengalami resolusi spontan, pemberian terapi steroid topikal dalam jangka waktu yang panjang ditakutkan dapat menimbulkan efek samping. Untuk menanggulangi hal ini, maka pilihan terapi lain sangatlah diperlukan. Penggunaan fototerapi NB-UVB sangat bermanfaat pada penyakit kulit inflamasi, salah satunya pada psoriasis gutata. Pada kasus, pemberian fototerapi NB-UVB memberikan perbaikan bermakna.

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How to Cite

Murti, N. I. K., Sudarsa, P. S. S., Murti, N. L. S. P. ., & Bharata, P. E. V. N. . (2024). Psoriasis gutata pada seorang anak yang diterapi dengan fototerapi narrow band ultraviolet B: sebuah laporan kasus. Intisari Sains Medis, 15(1), 178–183. https://doi.org/10.15562/ism.v15i1.1771

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Nyoman Indra Karunia Murti
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Prima Sanjiwani Saraswati Sudarsa
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Ni Luh Sukma Pratiwi Murti
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Putu Evindya Vipascitadewi Nandanaya Bharata
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ISM Journal