Profile of Skin pH in Leukaemia’s Children with Chemotherapy Treatments at Haji Adam Malik General Hospital, Medan

Authors

  • Radha Siregar Haji Adam Malik General Hospital, Dermatology and Venereology, Medan
  • Sri Purnama Haji Adam Malik General Hospital, Dermatology and Venereology, Medan
  • Salia Lakswinar Haji Adam Malik General Hospital, Dermatology and Venereology, Medan

DOI:

https://doi.org/10.3889/oamjms.2017.178

Keywords:

Leukemia, Chemotherapy, Skin pH, Children, Skin barrier

Abstract

BACKGROUND: One of the treatments for leukaemia is chemotherapy. Side effects and toxicity of this treatment can be seen on the skin, adnexal, and mucous membranes. They might increase potential hydrogen (pH) value on the skin surface, therefore, disrupting epidermal barrier defences.

AIM: To describe the pH of the skin in children with leukaemia who received chemotherapy.

SUBJECT AND METHOD: This study was an observational descriptive, cross-sectional study, conducted from March until December 2016 with 32 children with leukaemia who treated at Haji Adam Malik General Hospital, Medan as subjects. Skin pH was measured by a pH meter.

RESULT: We found mean skin pH in ALL (6.28 ± 0.58), CML (5.9 ± 0) and AML (6.5 ± 0.50). The mean skin pH after 1-5 weeks of chemotherapy was 6.13 ± 0.49, at 6-10 weeks (6.32 ± 0.51), and at 11-15 weeks (7.12 ± 0.36). The mean skin pH of patients with two drugs (5.98 ± 0.44), four drugs (6.28 ± 0.55), and six drugs (6.63 ± 0.56).

CONCLUSION: The highest mean of skin pH were obtained in AML group, 11-15 weeks length of chemotherapy and group with six drugs regimen.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

Pumala, Susan E. Epidemiology of childhood acute myeloid leukaemia. Pediatric blood & cancer. 2013; 60(5):728-733. https://doi.org/10.1002/pbc.24464 PMid:23303597 PMCid:PMC3664189

Lazownsky P, lipton J, Fish J. Lanzkowsky's Manual of Pediatric Hematology and Oncology 6th Edition. United states. Academic press. 2016; 6:36.

Pakpahan S. Karakteristik Anak Yang Menderita Leukemia Akut Rawat Inap di RSUP H. Adam Malik Medan Tahun 2011-2012 [thesis]. Medan; Universitas Sumatera Utara, 2014.

Sachs L. The control of hematopoiesis and leukemia: from basic biology to the clinic. Proceedings of the National Academy of Sciences. 1996; 93(10):4742-49. https://doi.org/10.1073/pnas.93.10.4742

Wiemels J. Perspectives on the causes of childhood leukemia. Chemico-biological interactions. 2012; 196(3):59-67. https://doi.org/10.1016/j.cbi.2012.01.007 PMid:22326931 PMCid:PMC3839796

Fabbrocini G. Chemotherapy and skin reactions. J Exp Clin Cancer. 2012; 31:50. https://doi.org/10.1186/1756-9966-31-50 PMid:22640460 PMCid:PMC3583303

Hachem, J-P. pH directly regulates epidermal permeability barrier homeostasis, and stratum corneum integrity/cohesion. Journal of Investigative Dermatology. 2003; 121(2):345-353. https://doi.org/10.1046/j.1523-1747.2003.12365.x PMid:12880427

Luebberding KS. Skin physiology in men and women: in vivo evaluation of 300 people including TEWL, SK hydration, sebum content and skin surface pH. International journal of cosmetic Science. 2013; 35(5):477-83. https://doi.org/10.1111/ics.12068

PMid:23713991

Primadiarti P, Rahmadewi, Zulkarnain I. Peningkatan pH Kulit Dermatitis Atopi pada Anak. Artikel Asli: FK Universitas Airlangga, 2014.

Hoeger PH, Enzmann CC. Skin physiology of the neonate and young infant: a prospective study of functional skin parameters during early infancy. Pediatric dermatology. 2002; 19(3):256-62. https://doi.org/10.1046/j.1525-1470.2002.00082.x

Heidary N, Naik H, Burgin S. Chemotherapeutic agents and the skin: an update. Journal of the American Academy of Dermatology. 2008; 58(4):545-70. https://doi.org/10.1016/j.jaad.2008.01.001 PMid:18342708

Wohlrab J, Bangemann N, Kleine-Tebbe A, Thill M, Kümmel S, Grischke EM, Richter R, Seite S, Lüftner D. Barrier protective use of skin care to prevent chemotherapy-induced cutaneous symptoms and to foksmaintain quality of life in patients with breast cancer. Breast Cancer: Targets and Therapy. 2014; 6:115. PMid:25114589 PMCid:PMC4126578

Webster-Gandy JD, How C, Harrold K. Palmar Plantar Erythrodysesthesia (Ppe): A Literature Review with Commentary On Experience in a Cancer Centre. Eur J Oncol Nurs. 2007;11:238-246. https://doi.org/10.1016/j.ejon.2006.10.004 PMid:17350337

Mancuso S, Greggi S, Giannice R, Margariti PA, Salerno MG, De Dilectis A, Scambia G. Cutaneous side-effects of antilastic chemotherapy: an emerging problem. Journal of applied cosmetology. 1998;16:165-78.

Published

2017-12-05

How to Cite

1.
Siregar R, Purnama S, Lakswinar S. Profile of Skin pH in Leukaemia’s Children with Chemotherapy Treatments at Haji Adam Malik General Hospital, Medan. Open Access Maced J Med Sci [Internet]. 2017 Dec. 5 [cited 2024 Apr. 24];5(7):945-7. Available from: https://oamjms.eu/index.php/mjms/article/view/oamjms.2017.178

Issue

Section

B - Clinical Sciences