ABSTRACT
Acrodermatitis enteropathica (AcE) is a rare, autosomal recessive inherited disorder caused by mutation of the SLC39A4 gene coding for zinc transport protein (ZIP 4). The disease appears during childhood especially in breastfeeding or post-breastfeeding infant. Eczema herpeticum refers to a disseminated skin infection of herpes simplex virus that usually leads to vesicular eruptions commonly seen on a background of atopic dermatitis (AD). We describe an 11-year-old boy with periorificial erosions in periorbital, perinasal, perioral, perineal, and gluteal areas, accompanied with itchy vesicles, some covered with hemorrhagic crusts. A clinical diagnosis of AcE and eczema herpeticum with AD was supported by typical lesions and acute and chronic eczematous changes found mainly in the flexural aspects of extremities, which is diagnostic of AD. Laboratory findings showed anti HSV1 IgG (23.43) and high levels of IgE (478.9 IU/L). There was no multinucleated giant cell in the Tzanck test. Skin histology was compatible with AcE. Direct immunofluorescent examination showed no deposits of IgG, IgM, IgA, or complement. Complete resolution occurred within 2 weeks of acyclovir and oral zinc supplementation.
ABSTRACT
Objective: This quasi-experimental, pre-/post-test study aimed to examine the effect of a community-based spiritual life review program on the resilience of elders residing in a disaster-prone area. Method: Fifty-two participants who met the inclusion criteria were recruited from three villages in the Kutaraja sub-district in Banda Aceh, Indonesia. The participants were randomly assigned to an experimental group and a control group. The participants' names were listed and then randomly selected by a random number generator. The experimental group underwent a community-based spiritual life review program, which included a review of their spiritual lives, the appreciation of feelings, affirmation by the religious leader, a reevaluation of their lives, and a reconstruction of their lives to recognize their memories and present feelings. Results: The elderly resilience scores were evaluated four weeks after the program was implemented. The control group received the same program after the study was finished. The participants in the experimental group significantly improved their resilience levels after completing the program (p < .05). There was a slight increase in the resilience scores from the pre-test to the post-test in the experimental group compared with the control group (p < .05). Conclusions: Future studies should add implementation sessions and avoid photos that would induce participants' traumatic memories or experiences during the spiritual life review
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