DAFTAR ISI
Hal.
1. Daftar Isi ... 1
2. Peer review ... 2
3. Indeks jurnal ... 5
4. Home Jurnal ... 6
5. Editor ... 7
6. Table of Contents ... 8
7. Bukti Peserta Minimal 2
Negara
... 10
LEMBAR
HASIL PENILAIAN SEJAWAT SEBIDANG ATAU PEER REVIEW KARYA ILMIAH : JURNAL ILMIAH
Judul Artikel Ilmiah : Indoleamine 2, 3-dioxygenase (IDO) levels in leprosy patients with positive serology
Nama semua penulis : Ago Harlim penulis, M. Zen Rahfiludin
Status Pengusul (coret yg tidak perlu) : Penulis Utama/ Penulis Utama & Korespondensi/ Penulis Korespondensi/
Penulis Anggota Status Jurnal:
Nama Jurnal : Journal of Pakistan Association of Dermatologist
Tahun terbit/Vol/No/halaman : Volume 27 / No. 2 / Hal. 131-134
Edisi (bulan, tahun) : April – Juni 2017
ISSN : 1560 – 9014 (Print) , 2413 – 7650 (Online)
DOI : -
Alamat WEB Jurnal : http://www.jpad.com.pk/index.php/jpad/article/view/1079
Terindex di : Scopus Q4 SJR 2019 : 0,173 Kategori Publikasi (beri tanda V yang sesuai)
Jurnal Internasional [ [ [ ] ] ]
Jurnal internasional bereputasi & memiliki impact factor Jurnal internasional bereputasi,
Jurnal Internasional
Jurnal Nasional [√]
[ ] [ ] [ ]
Jurnal Nasional Terakreditasi
Jurnal Nasional berbahasa Inggris Terindeks CABI atau Copernicus, atau Berbahasa Inggris Terkreditasi Peringkat 3 atau 4
Jurnal Nasional berbahasa Indonesia Terakreditasi peringkat 3 atau 4 Jurnal Nasional
Hasil Penilaian Peer Review :
Komponen Yang Dinilai
Nilai Reviewer Nilai Rata-rata /Nilai Akhir
yang diperoleh Reviewer I Reviewer II
a. Kelengkapan unsur isi jurnal (10%) 1 1,5 1,25
b. Ruang lingkup dan kedalaman pembahasan (30%) 6 4,5 5,25
c. Kecukupan dan kemutahiran data/informasi dan
metodologi (30%) 6 4,5 5,25
d. Kelengkapan unsur dan kualitas penerbit (30%) 6 4,5 5,25
Total = (100%) 19 15 17
Nilai pengusul = 40% x 17 = 6,8
Reviewer 1
Prof. Dr. Sri Sumarmi, S.KM., M.Si NIP 196806251992932002
Unit kerja: FKM Universitas Airlangga
Reviewer 2
Prof. Dr. Merryana Adriani, S.KM., M.Kes NIP 195905171994032001
Unit kerja : FKM Universitas Airlangga
Lamp C….
LEMBAR
HASIL PENILAIAN SEJAWAT SEBIDANG ATAU PEER REVIEW KARYA ILMIAH: JURNAL ILMIAH
Judul Artikel Ilmiah : Indoleamine 2, 3-dioxygenase (IDO) levels in leprosy patients with positive serology
Nama semua penulis : Ago Harlim penulis, M. Zen Rahfiludin
Status Pengusul (coret yg tidak perlu) : Penulis Utama/ Penulis Utama & Korespondensi/ Penulis Korespondensi/
Penulis Anggota Status Jurnal:
Nama Jurnal : Journal of Pakistan Association of Dermatologist
Tahun terbit/Vol/No/halaman : Volume 27 / No. 2 / Hal. 131-134
Edisi (bulan, tahun) : April – Juni 2017
ISSN : 1560 – 9014 (Print) , 2413 – 7650 (Online)
DOI : -
Alamat WEB Jurnal :
http://www.jpad.com.pk/index.php/jpad/article/view/1079
Terindex di : Scopus Q4 SJR 2019 : 0,173
Kategori Publikasi (beri tanda V yang sesuai)
Jurnal Internasional [ [ [
] ] ]
Jurnal internasional bereputasi & memiliki impact factor Jurnal internasional bereputasi,
Jurnal Internasional
Jurnal Nasional [√]
[ ] [ ] [ ]
Jurnal Nasional Terakreditasi
Jurnal Nasional berbahasa Inggris Terindeks CABI atau Copernicus, atau Berbahasa Inggris Terkreditasi Peringkat 3 atau 4
Jurnal Nasional berbahasa Indonesia Terakreditasi peringkat 3 atau 4 Jurnal Nasional
Hasil Penilaian Peer Review:
No Komponen yang dinilai Nilai Maksimal Artikel
Jurnal Nasional Terakreditasi Nilai yang didapat artikel
a Kelengkapan unsur isi artikel (10 %) 2,5 1
b Ruang lingkup & kedalaman pembahasan (30 %) 7,5 6
c Kecukupan dan kemutahiran data/informasi dan
metodologi (30 %) 7,5 6
d Kelengkapan unsur dan kualitas jurnal (30%) 7,5 6
Nilai Total 25 19
Nilai yang didapat pengusul: 40% X 19 = 7,6 Catatan Penilaian artikel oleh Reviewer
a Kelengkapan unsur isi artikel Unsur artikel lengkap, telah memenuhi kaidah penulisan artikel dalam jurnal ilmiah
b Ruang lingkup & kedalaman pembahasan Artikel membahas tentang gambaran kadar indoleamin 2, 3- dioxygenase (IDO)pada penderita kusta. Pembahasan cukup baik menggunakan referensi yang relevan
c Kecukupan dan kemutahiran data/informasi dan metodologi
Data mutakhir, diperoleh dari penelitian cross sectional dengan besar sampel memadai untuk analisis statistic comparative.
d Kelengkapan unsur dan kualitas jurnal Diterbitkan pada jurnal terindex scopus Q4 SJR adalah 0,173 similarity index 17%. Artikel terindeks scopus namun editor dalam jurnal hanya berasal dari Pakistan sehingga nilai artikel turun menjadi jurnal nasional terakreditasi
Surabaya, 31 Desember 2019 Reviewer 1
Prof. Dr. Sri Sumarmi, S.KM., M.Si NIP 196806251992932002
Unit kerja: Fakultas Kesehatan Masyarakat Universitas Airlangga
Lamp C...
LEMBAR
HASIL PENILAIAN SEJAWAT SEBIDANG ATAU PEER REVIEW KARYA ILMIAH: JURNAL ILMIAH
Judul Artikel Ilmiah : Indoleamine 2, 3-dioxygenase (IDO) levels in leprosy patients with positive serology
Nama semua penulis : Ago Harlim penulis, M. Zen Rahfiludin
Status Pengusul (coret yg tidak perlu) : Penulis Utama/ Penulis Utama & Korespondensi/ Penulis Korespondensi/
Penulis Anggota Status Jurnal:
Nama Jurnal : Journal of Pakistan Association of Dermatologist
Tahun terbit/Vol/No/halaman : Volume 27 / No. 2 / Hal. 131-134
Edisi (bulan, tahun) : April – Juni 2017
ISSN : 1560 – 9014 (Print) , 2413 – 7650 (Online)
DOI : -
Alamat WEB Jurnal :
http://www.jpad.com.pk/index.php/jpad/article/view/1079
Terindex di : Scopus Q4 SJR 2019 : 0,173
Kategori Publikasi (beri tanda V yang sesuai)
Jurnal Internasional [ [ [
] ] ]
Jurnal internasional bereputasi & memiliki impact factor Jurnal internasional bereputasi,
Jurnal Internasional
Jurnal Nasional [√]
[ ] [ ] [ ]
Jurnal Nasional Terakreditasi
Jurnal Nasional berbahasa Inggris Terindeks CABI atau Copernicus, atau Berbahasa Inggris Terkreditasi Peringkat 3 atau 4
Jurnal Nasional berbahasa Indonesia Terakreditasi peringkat 3 atau 4 Jurnal Nasional
Hasil Penilaian Peer Review:
No Komponen yang dinilai Nilai Maksimal Artikel
Jurnal Nasional Terakreditasi Nilai yang didapat artikel
a Kelengkapan unsur isi artikel (10 %) 2,5 1,5
b Ruang lingkup & kedalaman pembahasan (30 %) 7,5 4,5
c Kecukupan dan kemutahiran data/informasi dan
metodologi (30 %) 7,5 4,5
d Kelengkapan unsur dan kualitas jurnal (30%) 7,5 4,5
Nilai Total 25 15
Nilai yang didapat pengusul: 40% x 15 = 6 Catatan Penilaian artikel oleh Reviewer
a Kelengkapan unsur isi artikel Isi jurnal telah sesuai dengan “Guide for Author” substansi bidang ilmu telah sesuai dengan bidang ilmu pengusul “Ilmu Gizi Kesehatan Masyarakat”. Telah ada benang merah dalam struktur penulisannya.
b Ruang lingkup & kedalaman
pembahasan Substansi artikel telah sesuai dengan ruang lingkup “Journal of Pakistan Association of Dermatologist” kedalaman pembahasan telah melibatkan semua rujukan (15 rujukan) dalam analisis yang tertuang dalam pembahasan.
c Kecukupan dan kemutahiran data/informasi dan metodologi
Data hasil penelitian telah dianalisis dengan metodologi yang sesuai sehingga dapat ditarik kesimpulan yang dapat dipertanggung jawabkan.
d Kelengkapan unsur dan kualitas jurnal Journal of Pakistan Association of Dermatologist merupakan jurnal internasional bereputasi dengan indeks scimagojr 0,18 Best Quartile (Q4) dengan cite score 0,11 (43 citatios >317 documents).
Editorial team hanya berasal dari 1 negara yaitu Pakistan sehinnga nilai menjadi jurnal nasional terakreditasi
Surabaya 3 Januari 2020 Reviewer 2
Prof. Dr. Merryana Adriani, S.KM., M.Kes NIP 195905171994032001
Unit kerja : Fakultas Kesehatan Masyarakat Universitas Airlangga
7 of 15
Indoleamine 2, 3-dioxygenase (IDO) level in leprosy patients with positive serology
(Article),
Faculty of Medicine, The Christian University of Indonesia, Jl. Mayjen Sutoyo., Cawang, Jakarta Timur, 50275, Indonesia
Faculty of Public Health, Diponegoro University, Indonesia Jl. Prof. Soedarto, Sh, Tembalang, Semarang, 50239, Indonesia
Abstract
Background Seropositive leprosy individuals have a tendency to experience a change into leprosy lepromatous type.
Previous studies have demonstrated that the activity of indoleamine 2, 3-dioxygenase (IDO) in patients with lepromatous type leprosy is higher than those with tuberculoid type leprosy. However, no study has been available showing how IDO level can be correlated to seropositive subjects. Methods Our observational cross-sectional study was conducted in Brebes, Central Java, Indonesia. Leprosy seropositivity was determined by measuring the level of anti-phenolic glycolipid-1 IgM and IDO level using ELISA. Results Result of The IDO level in seropositive leprosy subjects was higher compared to those who were seronegative (p = 0.048). Conclusion In the early stage of leprosy infection, a high level of IDO level can already be found; therefore, it can affect immune response and ultimately affecting further course of the disease.
SciVal Topic Prominence
Topic:
Prominence percentile: 91.859
Author keywords
3-dioxygenase Anti-phenolic glycolipid-1 IgM Indoleamine 2 Seropositive leprosy
Indexed keywords
EMTREE drug terms: immunoglobulin M antibody indoleamine 2,3 dioxygenase phenolic glycolipid I
EMTREE medical terms:
adult Article clinical article controlled study cross-sectional study enzyme analysis enzyme linked immunosorbent assay female human immune response Indonesia leprosy lipid analysis male observational study outcome assessment serology
Chemicals and CAS Registry Numbers:
indoleamine 2,3 dioxygenase
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Open Access Journal of Pakistan Association of Dermatologists
Volume 27, Issue 2, 2017, Pages 131-134
Harlim, A.a Rahfiludin, M.Z.b
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Leprosy | Mycobacterium Leprae | Notifiable Disease
ISSN: 15609014 CODEN: JPADF Source Type: Journal Original language: English
Document Type: Article
Publisher: Pakistan Association of Dermatologists
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Zinc supplementation could modulate T cell to maintain interleukin-2 level in seropositive contact of leprosy patients Rahfiludin, M.Z. Wirjatmadi, B.
Agusni, I.
The difference of BMI and micronutrient intake between multibacillary leprosy and non leprosy (A study in district Brondong, Lamongan 2013) Fatimah, S. Rahfiludin, M.Z.
Epstein-barr virus infection induces indoleamine 2,3- dioxygenase expression in human monocyte-derived macrophages through p38/mitogen-activated protein kinase and Nf-κB pathways:
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Journal of Pakistan Association of Dermatology
The Journal of Pakistan Association of Dermatologists is the official journal the Pakistan. It is published quarterly, four issues per volume and one volume per year (ISSN 1560-9014). The journal is recognized by Pakistan Medical and Dental Council and is indexed in:
1. College of Physicians and Surgeons Pakistan MEDLIP 2. Ulrich’s International Periodical Directory, USA 3. ExtraMED, London
4. EMBASE/Excerpta Medica, The Netherlands 5. Index Medicus, WHO Alexandria, Egypt.
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Vol 30, No 4 (2020): October - December Table of Contents
Editorial
Artificial Intelligence and its growing role in dermatology
Amina Afzal, Shehla Shaukat, Mahwish Zahoor, Ijaz Hussain 536-539PDF
Original Articles
Mean platelet volume in patients with psoriasis vulgaris and its relationship with disease severity
Pooner Faiz Aman, Dr. Farid-ur-Rehman, Asma Javed Kiyani, Sobia Awan, Ayesha Kiran, Bilqees Fatima
540-543PDF
Retrospective analysis of severe cutaneous adverse drug reactions over a period of 6 years
Youssef Moutaouakkil, Rachid el Jaoudi, Samira Serragui, Yahia Cherrah, Jamal Lamsaouri, Samir Siah, Yassir Bousliman
544-549PDF
A clinical study of mucocutaneous manifestation of HIV/AIDs and its correlation with CD4 count
Niya Khat, Chandramohan Kudligi, Ravi Munasingh Rathod, Vidya Kuntoji, Pradeep Vittal Bhagwat, Sanjay Thejaswi Ramachandra, Rashmi Laxman Chavan
550-557PDF
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Dr. Zahida Rani, Professor of Dermatology Khawaja Muhammad Safdar Medical College, Sialkot Mobile: +92 3004421244, Pakistan
ISSN: 1560-9014
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Home > Archives > Vol 27, No 2 (2017)
Vol 27, No 2 (2017)
April - June
Table of Contents
Editorial
Blended learning: a pedagogical alternative to traditional learning in dermatology
Sadia Masood, Naveed Yousuf
PDF 99-101
Original Articles
VDR polymorphisms ApaI (rs7975232), TaqI (rs731236) and FokI (rs2228570) in Pakistani vitiligo patients and controls
Sumaira Sajjad, Saeeda Munir, Simeen Ber Rahman, Nusrat Saba, Sadia Rehman
102-109PDF
Efficacy of sclerotherapy with sodium tetradecyl sulphate in the treatment of pyogenic granuloma
Rutaba Kiran, Faria Asad, Sohaib Haider, Bushra Bashir, Zahida Rani, Khawar Khurshid, Sabrina Suhail Pal
110-113PDF
Comparison of efficacy of intralesional 5-fluorouracil plus triamcinolone acetonide versus intralesional triamcinolone acetonide in the treatment of keloids
Farah Saleem, Zahida Rani, Bushra Bashir, Faria Altaf, Khawar Khurshid, Sabrina Suhail Pal
114-119PDF
Childhood herpes zoster: a study from tertiary center Shashikant Malkud, Veeresh Dyavannanavar
PDF 120-123 Cutaneous lesions in neonatal intensive care unit in a tertiary
care center
Kikkeri Narayanshetty Naveen, Praveen S Bagalkote, Sachin Manohar Shetty, Umesh Dixit
PDF 124-130
Indoleamine 2, 3-dioxygenase (IDO) levels in leprosy patients with positive serology
Ago Harlim, M. Zen Rahfiludin
PDF 131-134
A clinico-demographic profile of 110 male patients with genital ulcer(s)
Piyush Kumar, Avijit Mondal, Satyendra Nath Chowdhury, Nilay Kanti Das, Pijush Kanti Datta, Ramesh Chandra Gharami
PDF 135-144
Changing trend in sexually transmitted infections among males in a tertiary care centre from Eastern India
MD Zeeshan, Abhijeet Kumar Jha, Amit Ranjan, P.K. Roy, S.
Mishra, R.K.P. Chaudhary
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Superficial cryotherapy – An effective therapeutic modality for ingrown toenail
Naveen Sethi, B.K. Brar, B.B. Mahajan
PDF 149-153
Journal of Pakistan Association of
Dermatologists
1/15/2021 Vol 27, No 2 (2017)
https://www.jpad.com.pk/index.php/jpad/issue/view/73 2/2
Histopathological analysis of skin biopsies in a tertiary care setting
Faiza Azam, Sidra Munir, Ameena Ashraf, Ambereen Anwar Imran, Tariq Rashid
PDF 154-157
Cutaneous adverse drug reactions profile in a tertiary care hospital in North India
B.K. Brar, Jashandeep Kaur, Sumir Kumar, Naveen Sethi, Raj Kumar
PDF 158-163
Low-fluence Q-switched neodymium-doped yttrium aluminum garnet (1064nm) laser for the treatment of facial melasma in local population
Tahir Kamal, Usma Iftikhar
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Adams-Oliver syndrome: A case report
Shehla Shaukat, Ansa Nida Fatima, Muhammad Nadeem, Tahir Jamil Ahmad
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Plasmapheresis: an effective treatment in patients of toxic epidermal necrolysis: case report of two patients
Maheen Irfan, Nadia Ali Azfar, Lamees Mahmood Malik, Tariq Rashid
173-176PDF
Multiple familial trichoepithelioma in mother and daughter Bushra Bashir, Zahida Rani, Rutaba Kiran, Ijaz Hussain
177-179PDF
Generalized morphea - a case report
Aneela Asghar, Saira Riaz, Tahir Jamil Ahmad
PDF 180-182 Delayed diagnosis of neural signs of leprosy
Mutaher Zia, Muhammad Irfan Anwar
PDF 183-186 Papillon-Lefevre syndrome: case report
Ghasem Rahmatpour Rokni, Tahereh Karimi, Mahnaz Sharifian
PDF 187-191 Urticaria pigmentosa in a child with sporadic bilateral diffuse
conjunctival redness: Case report and review of the literature Ali H. Al-Ghamdi, Ahmed Hassan Al-Ghamdi, Hasan S. Al- Ghamdi, Aziz A. Al-Sohaimi, Mesfer Al-Ghamdi
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PDF 197-199
ISSN: 1560-9014
Journal of Pakistan Association of Dermatologists. 2017;27 (2):131-134.
131 Address for correspondence
Dr. M. Zen Rahfiludin Faculty of Public Health,
Universitas of Diponegoro, Jl. Prof Soedarto Sh, Tembalang. Semarang. Indonesia
Email: [email protected]
Original Article
Indoleamine 2, 3-dioxygenase (IDO) levels in leprosy patients with positive serology
Introduction
Leprosy still remains a major public health problem in Indonesia since the incidence of leprosy is relatively high.
1It is possibly due to contact with seropositive leprosy patients that have been turning into manifest leprosy.
Measuring the level of anti-phenolic glycolipid- 1 immunoglobulin M (PGL-1 IgM) is one of the methods to detect seropositive leprosy subjects.
2,3The level of such cellular immune response will determine leprosy spectrum. The
cellular immunity in leprosy tuberculoid type is still good, on the contrary, there is decreased cellular immunity in leprosy lepromatous type.
4Individuals with seropositive leprosy contact (IgM anti-PGL-1 level more than 600 unit/ml), have a tendency to experience a change into leprosy lepromatous type.
Previous studies have demonstrated that leprosy patients with lepromatous type have a higher activity of indoleamine 2, 3-dioxygenase (IDO) compared to those with tuberculoid type. The role of IDO levels in leprosy has been studied
and an increased number of
macrophages/dendritic cells (DC–lineage IDO+
cells were found in lepromatous (LL) compared to tuberculoid (BT) and reversal reaction (RR) patients. LL lesions were characterized by
Ago Harlim, M. Zen Rahfiludin*Faculty of Medicine, The Christian University of Indonesia, Jl. Mayjen Sutoyo. Cawang . Jakarta Timur (50275). Indonesia
* Faculty of Public Health, Diponegoro University, Indonesia Jl. Prof. Soedarto, Sh, Tembalang, Semarang (50239). Indonesia
Abstract
Background Seropositive leprosy individuals have a tendency to experience a change into leprosy lepromatous type. Previous studies have demonstrated that the activity of indoleamine 2, 3- dioxygenase (IDO) in patients with lepromatous type leprosy is higher than those with tuberculoid type leprosy. However, no study has been available showing how IDO level can be correlated to seropositive subjects.Methods Our observational cross-sectional study was conducted in Brebes, Central Java, Indonesia.
Leprosy seropositivity was determined by measuring the level of anti-phenolic glycolipid-1 IgM and IDO level using ELISA.
Results Result of The IDO level in seropositive leprosy subjects was higher compared to those who were seronegative (p = 0.048).
Conclusion In the early stage of leprosy infection, a high level of IDO level can already be found;
therefore, it can affect immune response and ultimately affecting further course of the disease . Key words
Seropositive leprosy, indoleamine 2, 3-dioxygenase, anti-phenolic glycolipid-1 IgM.
Journal of Pakistan Association of Dermatologists. 2017;27 (2):102-109 .
102 Address for correspondence
Ms Sumaira Sajjad
Institute of Biomedical and Genetic Engineering Mauve Area G-9/1 Islamabad Pakistan,
Email: [email protected]
Original Article
VDR polymorphisms ApaI (rs7975232), TaqI (rs731236) and FokI (rs2228570) in Pakistani vitiligo patients and controls
Introduction
Vitiligo is a depigmentation skin disorder caused by destruction of melanocytes.
1The prevalence of the disease is around 1% in the United States and Europe, while in rest of the world its ranges from less than 0.1% to greater than 8%. Gujrat India tops the list in having prevalence of about
8.8%.
2According to US Census Bureau, International Data Base 2004 estimated prevalence in Pakistan is 0.1%. The etiopathogenesis of vitiligo has not been fully elucidated and several theories have been proposed. Among those, the autoimmune hypothesis is currently the most accepted one.
The presence of T cell-mediated melanocyte destruction and the association of vitiligo with autoimmune conditions, such as Hashimoto’s and Addison’s diseases, pernicious anemia, type 1 diabetes and systemic lupus erythematosus, are
Sumaira Sajjad, Saeeda Munir, Simeen-Ber-Rahman*, Nusrat Saba, Sadia RehmanInstitute of Biomedical and Genetic Engineering Islamabad, G9/1 Mauve Area, 44000, Pakistan
*Siemens’ Skin and laser center Peshawar road Rawalpindi
Abstract
Objective To understand the role of three single nucleotide polymorphisms (SNP) of vitamin D receptor (VDR) gene rs7975232, rs731236 and rs2228570 in Pakistani vitiligo patients and ethnically matched controls.Methods 196 vitiligo patients and 262 controls were included in this study. Genomic DNA was extracted and polymerase chain reaction, restriction length polymorphism (PCR-RFLP) was done.
Results Genotype CA (rs7975232) was found to be associated with susceptibility (Odd ratio=1.46, 95% CI=1.01-2.13, p=0.046) and TT genotype (rs731236) with protection (Odd ratio=0.48, 95%
CI=0.25-0.92, p=0.003) to vitiligo. TT genotype for rs731236 was significantly high in controls and absent in undetermined/unclassified group of patients. Vitiligo patients and controls were also compared on the basis of gender. Genotype CA (OR=2.12, 95% CI=1.18-3.79, p=0.013) and CC (OR =0.21 95% CI=0.06-0.73, p=0.007) for rs7975232 were significantly high in male patients and controls, respectively. For rs2228570 CC genotype was significantly high in controls (OR=0.52, 95% CI=0.2-0.97), p=0.04) while TC genotype showed significant difference between patient and controls (OR=1.93, 95% CI=1.02-3.6), p=0.05). In combined effect haplotype A-T-C was found significantly high in controls as compared with the patients (Odd ratio=0.57, 95% CI=0.34-0.97, p=0.04).
Conclusion VDR polymorphisms may be involved in etiology of vitiligo and future studies should be design to screen large sample size for more VDR polymorphism to get more precise picture.
Key words
Vitamin D receptor, vitiligo, polymorphism, polymerase chain reaction, restriction length polymorphism.
Journal of Pakistan Association of Dermatologists. 2017;27 (2):120-123.
120 Address for correspondence
Dr. Shashikant Malkud, Assistant Professor Department of Dermatology, Venereology &
Leprosy,
MNR Medical College & Hospital Sangareddy - 502001, Telangana, India Email: [email protected]
Original Article
Childhood herpes zoster: a study from tertiary center
Introduction
Herpes zoster (HZ) results from reactivation of a latent infection by varicella-zoster virus (VZV).
VZV is present in dormant form in sensory ganglia after varicella infection. It usually occurs due to decline in specific cell-mediated immunity against VZV. It is most often seen in old age and immunocompromised patients.
However, it may also occur in children.
1During the past decades, HZ has been identified
with increasing frequency in apparently immunocompetent children.
2HZ in immunocompetent children typically has a benign course with mild constitutional symptoms.
1Till today only few studies have been conducted in India on childhood herpes zoster.
Methods
It was a hospital-based cross-sectional study conducted in department of Dermatology, Venereology and Leprosy of Employee State Insurance Corporation (ESIC) hospital, Kalaburagi, Karnataka. The study was conducted between the period of February 2013 to February 2016. Study approval was taken from institutional ethical committee. Thirty
Shashikant Malkud, Veeresh Dyavannanavar*Department of Dermatology, Venereology & Leprosy, MNR Medical College & Hospital, Sangareddy-502001, Telangana, India
* Department of Dermatology, Venereology & Leprosy, Gadag Institute of Medical Sciences, Gadag-582103, Karnataka, India
Abstract
Objective To document clinical features of herpes zoster in children.Methods Thirty children with herpes zoster were included in the study. Detailed history and thorough clinical examination was done in all patients. Tzanck smear was prepared from the floor of vesicle. Blood was collected for complete blood count, human immunodeficiency virus (HIV) serology, anti-VZV IgM and IgG antibodies. After parental consent skin biopsy was taken and sent for histopathology.
Results Of 30 children, 18 (60%) were boys and 12 (40%) were girls. Most of the patients were immunocompetent and only 3 patients were immunocompromised. Past history of varicella was noted in 13 (43.3%) patients. Only 5 (16.6%) patients had received VZV immunization. Thoracic dermatomes were more commonly involved in 17 (56.7%) patients followed by lumbar in 6 (20%), cervical in 5 (16.7%), cranial in 1 (3.3%) and sacral in 1 (3.3%) patient. Most of the children were asymptomatic and only 4 (13.3%) patients had noticed zoster associated pain.
Conclusion Most of the children with herpes zoster were immunocompetent. Thoracic dermatomes were more frequently involved. The disease is generally mild with fewer complications.
Key words
Children, immunocompetent, herpes zoster.