Effect of Citrullus lanatus seed oil on xerosis in leprosy patients

https://doi.org/10.19106/JMedSci005404202203

Puteri Wulandari(1*), Syahril Rahmat Lubis(2), Deryne Anggia Paramita(3)

(1) Department of Dermatology and Venereology, Faculty of Medicine, Universitas Sumatera Utara, Medan
(2) Department of Dermatology and Venereology, Faculty of Medicine, Universitas Sumatera Utara, Medan
(3) Department of Dermatology and Venereology, Faculty of Medicine, Universitas Sumatera Utara, Medan
(*) Corresponding Author

Abstract


Xerosis in leprosy patients may result from defects in sweat gland function.Red watermelon (Citrullus lanatus) seed oil a lot of contains linoleic acid,which can hydrate the skin and reduce trans-epidermal water loss (TEWL).This study aimed to evaluate the effect of C. lanatus seed oil administrationin leprosy patients with xerosis. It was a clinical study with one group pretestposttest control group design involving 30 leprosy patients with xerosis at theDepartment of Dermatology and Venereology, Dr. Pirngadi Medan Hospital, thePolyclinic of Dermatology and Venerology, Universitas Sumatera Utara Hospitaland the Department of Dermatology and Venerology, H. Adam Malik GeneralHospital, Medan, Indonesia. Patients were asked to topically administration of2 mL C. lanatus seed oil to the right and left legs for two times daily for 4 weeks.Specified symptom sum score (SRRC) and skin capacitance (SCap) were thenmeasured before the intervention at the first visit (week 0), week 2, and week 4.A significantly different on SRRC and SCap of the leprosy patients was observedon the 2nd and 4th week after C. lanatus oil administration compared to week 0(p<0.001). No side effects of erythema, blistering, and burning were observed.However, a mild degree itching was observed in 2 (6.7%) patients. Majority ofleprosy patients feel good satisfaction (83.4%), followed by a moderate (13.3%)and a low satisfaction (3.3%). In conclusion, topically administration of redwatermelon (C. lanatus) seed oil can reduce the xerosis degree in leprosypatients as indicated by the decrease of SRRC and the increase of SCap. Theseed oil is well tolerated and gives a good satisfaction on the patients.

Keywords


C. lanatus; leprosy; watermelon seed oil; xerosis; side effects

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References

Pusat Data dan Informasi Kementerian Kesehatan RI. Hapuskan stigma dan diskriminasi terhadap kusta. Info DATIN. 2018: ISSN 2442-7669
2.Song SP, Lv CZ, Feingold KR, Hou QN, Li ZY, Guo CY et al. Abnormalities in stratum corneum function in patients recovered from leprosy. Skin Pharmacol Physiol 2009; 22(3):131-6.
https://doi.org/10.1159/000189802
3.Markendeya N, Srinivas CR. Ninhydrin sweat test in leprosy. Indian J Lepr 2004; 76(4):299-304.
4.von Stülpnagel CC, Augustin M, da Silva N, Schmidt L, Nippel G, Sommer R. Exploring the burden of xerosis cutis and the impact of dermatological skin care from patient's perspective. J Dermatolog Treat 2021; 1-6.
https://doi.org/10.1080/09546634.2021.1970704
5.Komane B, Vermaak I, Kamatou G, Summers B, Viljoen A. The topical efficacy and safety of Citrullus lanatus seed oil: a short-term clinical assessment. S Afr J Bot 2017; 112:466-73.
https://doi.org/10.1016/j.sajb.2017.06.028
6.Courage-Khazaka Electronic GmbH. Corneometer® CM825. Köln: Germany, 2004.
7.Oliveira MHP and Romanelli G. The effects of leprosy on men and women: a gender study. Cad Saude Publica 1998; 14(1):51-60.
htpps://doi.org/10.1590/s0102-311x1998000100013
8.van Noordende AT, van Brakel WH, Banstola N, Dhakal KP. The impact of leprosy on marital relationships and sexual health among married women in eastern Nepal. J Trop Med 2016; 2016:4230235.
https://doi.org/10.1155/2016/4230235
9.Darus NIM, Lubis RD, Jusul NK. Analysis of serum vitamin D level in leprosy patients. Bali Med J 2019; 8(3):795-9.
https://doi.org/10.15562/bmj.v8i3.1453
10.Harris JR, Browne SG. The management of dry skin in leprosy patients. Lancet 1966; 1(7445):1011-3.
https://doi.org/10.1016/s0140-6736(66)90118-8
11.Ekayanti NLPS, Darsono FL, Wijaya S. Formulasi sediaan krim pelembab ekstrak air buah semangka (Citrullus lanatus). J Farm Sains Ter 2019; 6(1):38-45.
https://doi.org/10.33508/jfst.v6i1.2011
12.Lima CR, López-García P, Tavares VF, Almeida MM, Zanolini C, Aurora-Prado MS, et al. Separation and identification of fatty acids in cosmetic formulations containing Brazil nut oil by capillary electrophoresis. Rev Ciênc Farm Básica Apl 2011; 32(3):341-8.
13.Wan DC, Wong VW, Longaker MT, Yang GP, Wei FC. Moisturizing different racial skin types. J Clin Aesthet Dermatol 2014; 7(6):25-32.
14.Yusuf ZK, Paramata NR, Dulahu WY. The effect of virgin coconut oil against skin treatment of leprosy patients. Asian J Pharm Clin Res 2019: 259-261.
https://doi.org/10.22159/ajpcr.2019.v12i10.35220
15.Hester SL, Rees CA, Kennis RA, Zoran DL, Bigley KE, Wright AS, et al. Evaluation of corneometry (skin hydration) and transepidermal water-loss measurements in two canine breeds. J Nutr 2004; 134(8):2110S-3.
https://doi.org/10.1093/jn/134.8.2110S
16.Lodén M and Maibach HI. Treatment of dry skin syndrome: the art and science of moisturizers. Heidelberg: Springer Science & Business Media; 2012.
17.Piraccini BM, Alessandrini A, Bruni F, Starace M. Acute periungueal dermatitis induced by application of urea-containing cream under occlusion. J Dermatol Case Rep 2012; 6(1):18-20.
https://doi.org/10.3315/jdcr.2012.1090
18.Purnamawati S, Indrastuti N, Danarti R, Saefudin T. The role of moisturizers in addressing various kinds of dermatitis: a review. Clin Med Res 2017; 15(3-4):75-87.
https://doi.org/10.3121/cmr.2017.1363
19.Rahman K. Studies on free radicals, antioxidants, and co-factors. Clin Interv Aging 2007; 2(2):219-36.
20.Zielińska A and Nowak I. Fatty acids in vegetable oils and their importance in cosmetic industry. CHEMIK 2014; 68(2):103-10.
21.Dewi S. Pengaruh ekstrak biji labu kuning (Cucurbita moschata) terhadap xerosis pada geriatric. [Thesis]. Medan: Universitas Sumatra Utara, 2019.



DOI: https://doi.org/10.19106/JMedSci005404202203

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