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Penggunaan Sulfur di Bidang Dermatologi

Dr. dr. Thianti Sylviningrum, M.Pd.Ked, M.Sc, Sp. KK

Muhammad Arya Mandalika G4A022003


Alifah Nur Maysaroh G4A022023
Table of contents

01 02 03
Definisi Indikasi &
Kontraindikasi Sediaan Sulfur

04 05
Efek Samping Interaksi Sulfur
Pendahuluan
Pendahuluan
Penyakit kulit sering terjadi di Indonesia karena Indonesia ialah
negara dengan beriklim tropis akibatnya mempengaruhi perkembangan
parasit, bakteri, jamur, dan virus. Gejala kulit merupakan infeksi kulit
dapat menyebabkan timbulnya reaksi infeksi serta merasa gatal, dan
terjadinya inflamasi.
Sulfur atau belerang merupakan unsur kimia murni non-logam yang
tersedia di alam. Sulfur telah lama digunakan sebagai sediaan topikal atau
sediaan yang digunakan di kulit. Mekanisme kerja sulfur pada terapi
jerawat dan sebarrhoik dermatitis adalah keratolitik. Sulfur juga memiliki
aktivitas sebagai anti seboroik, anti-akne, anti-skabies, anti bakteri, dan
anti jamur (Hutagaol, 2018).
Tinjauan
Pustaka
Definsi
Sulfur atau belerang merupakan unsur kimia murni non-logam yang
tersedia di alam. Sulfur telah lama digunakan sebagai sediaan topikal atau
sediaan yang digunakan di kulit. Mekanisme kerja sulfur pada terapi
jerawat dan sebarrhoik dermatitis adalah keratolitik. Sulfur juga memiliki
aktivitas sebagai anti seboroik, anti-akne, anti-skabies, anti bakteri, dan
anti jamur (Hutagaol, 2018).

Belerang pertama kali dibuat pada tahun 1888 oleh Debus dan Sven
Odén pada tahun 1911 melakukan penyelidikan lebih lanjut terhadap
belerang ini. Belerang sering digunakan untuk aplikasi lokal pada kulit
bertahun-tahun sebelum dermatologi menjadi spesialisasi yang diakui.
Mekanisme Kerja Sulfur Pada Kulit

Sulfur diduga berinteraksi dengan sistein pada keratinosit. Sistein


merupakan salah satu asam amino yang terkandung dalam stratum
korneum yang memiliki peran penting pada proses keratinisasi normal.
Sulfur juga memiliki aktivitas sebagai antifungi. Ketika diaplikasikan di
kulit, sulfur akan dikonversikan menjadi asam pentathionat oleh bakteri
yang ada di kulit dan keratinosit. Selain itu, aktivitas keratolitik dari
sulfur juga dapat membantu menghilangkan jamur dan bakteri dari
stratum korneum (Hutagaol, 2018).
Mekanisme Kerja Sulfur Pada Kulit

Sulfur juga memiliki aktivitas antioksidan. Antioksidan merupakan


senyawa yang dapat melakukan penyerapan adanya radikal bebas serta
melakukan pencegahan munculnya penyakit degeneratif. Antioksidan
berperan dalam menjaga kesehatan kulit dan meningkatkan pertahanan
tubuh untuk menetralisir radikal bebas. Antioksidan bekerja dengan cara
mendonorkan elektron ke senyawa yang bersifat oksidan, sehingga dapat
menghambat aktivitas oksidan tersebut. Keseimbangan oksidan dan
antioksidan sangat penting karena berkaitan dengan berfungsinya sistem
kekebalan tubuh (Parwata, 2016).
Mekanisme Sulfur
Sulfur

Acne Vulgaris Scabies D. Seboroik

Antimikrobial Keratolitik Antiparasit Antifungi Keratolitik

Menghambat Menghilangkan Menghambat Menghambat Menghilangkan


pertumbuhan bakteri Pertumbuhan pertumbuhan Jamur
bakteri tungau jamur
Indikasi dan Kontraindikasi

Indikasi Kontraindikasi
● Iritasi Pada Kulit ● Penderita diabetes
● Scabies
Sediaan Sulfur
Menurut penelitian yang dilakukan oleh irwan (2015)
mengenai kandungan belerang yang terdapat pada sabun,
belerang memilki khasiat sebagai antibakteri dan antiparasit
yang sering digunakan pada produk-produk sebagai terapi acne
(jerawat) dan Scabies dalam bentuk sabun, pembersih wajah,
salep dan krim dengan konsentrasi sampai 10%.
Efek Samping
Efek samping yang dapat ditimbulkan pada
penggunaan sabun sulfur adalah iritasi pada
kulit jika penggunaannya sangat berlebihan
dan pada orang hipersensitivitas, serta
kekeringan pada kulit yang berlebihan
(Adlia, et al., 2019).
Interaksi Sulfur
Asam salisilat sering dikombinasikan dengan ter maupun
sulfur dalam vehikulum vaselin. Kombinasi asam salisilat
dengan sulfur memiliki efek sinergistik yaitu meningkatkan
aktivitas keduanya sebagai bahan keratolitik dan antipruritus.
Pada pasien dermatitis seboroik dan psoriasis, berbagai
sampo terapeutik mengandung asam salisilat 2-3%, serta
kombinasi sulfur dan ter. Sampo tersebut cukup efektif dalam
mengatasi psoriasis pada skalp dan dermatitis seboroik.
Kesimpulan
Sulfur memiliki aktivitas antibakteri, antijamur, antivirus, dan keratolitik selain
aktivitas anti tumornya di bidang biomedis. Sulfur digunakan untuk pengelolaan
berbagai penyakit dermatologis seperti kudis, jerawat, dan ketombe. Sulfur juga
memiliki aktivitas sebagai antifungi. Mekanisme kerja sulfur dalam bidang
dermatologi bervariasi, dapat ditentukan dari jenis penyakit dan apa hasil yang
diharapkan. Sediaan sulfur dapat berupa sabun, pembersih wajah, salep dan
krim dengan konsentrasi sampai 10%.
TERIMA KASIH
Risk factors

Mercury
60% Risk factor 1
It’s the closest planet
to the Sun

50% Risk factor 2

Mars
90% Risk factor 3 Despite being red,
Mars is a cold place

Follow the link in the graph to modify its data and then paste the new one here. For more info, click here
Key numbers

50,000 5,000 20,000


Mercury Venus Mars
Mercury is the closest planet Venus is the second planet Despite being red, Mars is a
to the Sun from the Sun cold place
Diagnosis

Venus Mars Saturn


Venus is the second planet Mars is actually a very Saturn is composed of
from the Sun cold place hydrogen and helium

Mercury Jupiter Neptune


Mercury the closest planet Jupiter is the biggest Neptune is very far away
to the Sun planet of them all from the Sun
Awesome words
Recommendations
03 You can enter a subtitle here if you need it
150,000
Big numbers catch your audience’s attention
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Prevention

Habits Mars Mercury Venus

Habit 1 ✖ ✔ ✔

Habit 2 ✖ ✔ ✔

Habit 3 ✖ ✔ ✖
05
Treatment
You can enter a subtitle here if you need it
Treatment
Venus Mars
Venus is the second Despite being red, Mars
planet from the Sun is a cold place

01 02 03 04
Mercury Saturn
Mercury is the closest Saturn is a gas giant and
planet to the Sun has several rings
Prevalence

Venus
Venus has a
beautiful name

Mercury
It’s the closest
planet to the Sun

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For more info, click here
Conclusion 1
Mercury is the closest planet to the Sun and
the smallest one in the Solar System

Conclusion 2
Earth is the third planet from the Sun and the
only one that harbors life

Conclusion 3
Mars is a cold place. It’s full of iron oxide
dust, which gives the planet its reddish cast
Our team

John Doe Sarah James


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