Vol. 24 No. 2 (2026)
Medic Nutricia : Jurnal Ilmu Kesehatan, ISSN : 3025-8855

Articles

DERMATITIS KONTAK ALERGI AKIBAT SEMEN PADA KULI BANGUNAN: SEBUAH LAPORAN KASUS

Published 2026-10-26

  • Rakhmigasti Citra Ersa
    • ,
  • Winda Trijayanthi Utama

Rakhmigasti Citra Ersa
Program Studi Profesi Dokter, Fakultas Kedokteran, Universitas Lampung

Winda Trijayanthi Utama
Bagian Ilmu Kedokteran Komunitas, Fakultas Kedokteran, Universitas Lampung

Abstract

Dermatitis kontak alergi (DKA) adalah radang yang terjadi pada kulit akibat pajanan terhadap bahan alergen yang kontak pada kulit dan dimediasi oleh reaksi hipersensitivitas tipe 4. Kejadian DKA sering terjadi akibat paparan alergen saat ditempat kerja. Seorang laki-laki usia 45 tahun datang dengan keluhan kulit menebal yang gatal disertai kulit menghitam dan bersisik pada seluruh tubuh sejak 4 bulan setelah mulai bekerja. Pemeriksaan fisik didapatkan pada regio colli, trunkus, antebrachii, manus, cruris, pedis terdapat patch hiperpigmentasi, batas difus, jumlah multipel, ukuran numular-plakat, distribusi generalisata, disertai skuama kasar, berwarna putih, berlapis, kering, dan likenifikasi. Berdasarkan anamnesis dan pemeriksaan fisik, ditegakkan diagnosis kerja dermatitis kontak alergi akibat paparan semen. Pasien mendapatkan terapi topikal dan sistemik berupa krim klobetasol propionat 0,05%, salep asam fusidat 2%, pelembab, prednisone 20 mg 1x1 selama 3 hari, dan cetirizin 10 mg 1x1. Pasien diedukasi untuk menghindari paparan semen saat bekerja, menggunakan alat pelindung diri (APD) saat bekerja, tidak menggaruk lesi, dan cara penggunaan obat. Prognosis pasien DKA ditentukan oleh besar pajanan yang diterima dan penghindaran terhadap faktor pencetus.

Keywords

Dermatitis kontak alergi, semen

PDF

References

  1. 1. Perhimpunan Dokter Spesialis Kulit dan Kelamin Indonesia (PERDOSKI). Panduan praktik klinis bagi dokter spesialis dermatologi, venereologi, dan estetika Indonesia. Jakarta: PERDOSKI; 2024.
  2. 2. Johansen JD, Bonefeld CM, Schwensen JFB, Thyssen JP, Uter W. Novel insights into contact dermatitis. J Allergy Clin Immunol. 2022;149(4):1162-71. doi: 10.1016/j.jaci.2022.02.002.
  3. 3. Statescu L, Branisteanu D, Dobre C, Solovastru LG, Vasilca A, Petrescu Z, et al. Contact dermatitis—epidemiological study. Maedica (Bucur). 2011;6(4):277-81.
  4. 4. Madhumitha M, Gunalan P, Gunaseelan S, Arun Kumar T. A detailed study of allergic contact dermatitis, clinical patterns, allergens and patch testing. Indian J Clin Exp Dermatol. 2020;6(3):209-12. doi: 10.18231/j.ijced.2020.042
  5. 5. Gkagkari P, Tagka A, Stratigos A, Karalis V, Kyritsi A, Vitsos A, et al. Differential diagnosis of irritant versus allergic contact dermatitis based on noninvasive methods. Dermatol Pract Concept. 2024;14(4):e2024231. doi: 10.5826/dpc.1404a231
  6. 6. Uter W, Johansen JD. Prevention of allergic contact dermatitis: safe exposure levels of sensitizers. In: Contact Dermatitis. Cham: Springer International Publishing; 2019. p. 1–12. doi: 10.1007/978-3-319-72451-5_70-1.
  7. 7. Yap JF, Wan KS, Mohd Yusoff MF, Lim YC, Supramanian RK. Challenges in diagnosing occupational allergic contact dermatitis: a case report. Ann Occup Environ Med. 2025;37:e7. doi: 10.35371/aoem.2025.37.e7
  8. 8. Rizqi Fathiani Siti Oktarika, Larasati T, Djausal AN. Practical Approach to Occupational Contact Dermatitis. méd. prof. j. of Lampung [Internet]. 2023Apr.13 [cited 2026Oct.25];13(4):569-74. Available from: https://www.journalofmedula.com/index.php/medula/article/view/770
  9. 9. Aristizabal-Torres MA, Bruce CJ, Caruso MA, Wieczorek M, Pacheco-Spann LM, Carter RE, et al. Allergic contact dermatitis revisited: a comprehensive review. JAAD Rev. 2025;4:92-103. doi: 10.1016/j.jdrv.2025.03.011
  10. 10. Tramontana M, Hansel K, Bianchi L, Sensini C, Malatesta N, Stingeni L. Advancing the understanding of allergic contact dermatitis: from pathophysiology to novel therapeutic approaches. Front Med (Lausanne). 2023;10:1184289. doi: 10.3389/fmed.2023.1184289.
  11. 11. Litchman G, Nair PA, Atwater AR, et al. Contact dermatitis. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023. Updated 2023 Sep 4. Available from: https://www.ncbi.nlm.nih.gov/books/NBK459230/.
  12. 12. Brasch J, Becker D, Aberer W, Bircher A, Kränke B, Jung K, et al. Guideline contact dermatitis: S1-Guidelines of the German Contact Allergy Group (DKG) of the German Dermatology Society (DDG), the Information Network of Dermatological Clinics (IVDK), the German Society for Allergology and Clinical Immunology (DGAKI), the Working Group for Occupational and Environmental Dermatology (ABD) of the DDG, the Medical Association of German Allergologists (AeDA), the Professional Association of German Dermatologists (BVDD) and the DDG. Allergo J Int. 2014;23(4):126-38. doi: 10.1007/s40629-014-0013-5.
  13. 13. Funch AB, Geisler C, Bonefeld CM. Allergic contact dermatitis: immunopathology and potential therapeutic strategies. J Clin Med. 2025;14(20):7175. doi: 10.3390/jcm14207175
  14. 14. Lejding T, Mowitz M, Isaksson M, Bruze M, Pontén A, Svedman C, et al. A retrospective investigation of hexavalent chromium allergy in southern Sweden. Contact Dermatitis. 2018;78(6):386-92. doi: 10.1111/cod.12969
  15. 15. Uter W, Aerts O, Agner T, Brans R, Bruze M, Cannavó A, et al. European Society of Contact Dermatitis guideline for diagnostic patch testing—recommendations on best practice (update 2026). Contact Dermatitis. 2026;95(3):237-75. doi: 10.1111/cod.70195.
  16. 16. Houle MC, Holness DL, DeKoven J. Occupational contact dermatitis: an individualized approach to the worker with dermatitis. Curr Dermatol Rep. 2021;10(4):182-91. doi: 10.1007/s13671-021-00339-0.
  17. 17. Aristizabal-Torres MA, Bruce CJ, Caruso MA, Wieczorek MA, Pacheco-Spann LM, Carter RE, et al. Allergic contact dermatitis revisited: a comprehensive review. JAAD Rev. 2025;4:92–103. doi: 10.1016/j.jdrv.2025.03.011

Most read articles by the same author(s)

Similar Articles

You may also start an advanced similarity search for this article.