KESESUAIAN HASIL IDENTIFIKASI ALERGEN PADA PENDERITA DENGAN RIWAYAT DERMATITIS ATOPIK MENGGUNAKAN METODE WAWANCARA (ANAMNESIS) DAN METODE TES TUSUK KULIT

Abstract

Background: Atopic Dermatitis (AD) is an inflammatory skin disease which is marked as chronic itching skin and lesion’s specific distribution. It starts from erytheme, papulovesicular and enlarges as a white rim consisting of necrotic epidermis. The skin prick test is an allergic skin test which is used to identify some allergens affecting an allergic skin disease. Objective: The purpose of this research is to identify some allergic distribution patterns from patients with AD history in Dermato-venereology Clinic Dr. Kariadi Hospital Semarang. Methods: This research was done by an analytic descriptive method for 4 months with 43 AD history patients in Dermato-venereology Clinic Dr. Kariadi Hospital Semarang. These samples were scored by Hanifin and Rajka criteria, which must include 3 or more than 3 major and minor criterias. Samples were taken from patients with AD history and being examined with skin prick test. The skin prick test was proceed by pricking the morrow brown needle into the skin with some certain allergens. An alcohol sterilized needle was pricked into the skin on antebrachii region that was marked before. This test was repeated according to the number of allergens. After 20 minutes, we monitored if it had any erytheme or not on pricked location. Results: According to interview and skin prick test method, tuna fish (tongkol) and house dust were mostly food and sniff allergens causing AD. 81,4% of tuna fish (tongkol) and 90,7% of house dust allergens were percentage by interview (anamnesis). 83,7% of tuna fish (tongkol) and 93% of house dust allergens were percentage by skin prick test method. Conclusion: There was a compatibility (80,95%) of identifying some allergens between interview (anamnesis) and skin prick test method on 43 patients with AD history. Key Words: Atopic Dermatitis, Skin prick test method, Interview method