Rahmawati, Lita Diah
Bagian Penyakit Dalam Poliklinik Reumatologi FK Universitas Airlangga - RSUD Dr.Soetomo

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Psoriatic arthritis and Hashimoto's thyroiditis in a patient presenting with major depression and subclinical hyperthyroidism: A case report Rahmawati, Lita Diah; Mahdi, Bagus Aulia
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 8 No 01 (2024): Qanun Medika Vol 08 No 01 January 2024
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v8i01.17778

Abstract

Psoriatic arthritis (PsA) is a chronic, deforming arthritis associated with psoriatic skin lesions. Numerous patients with PsA carry other co-existing chronic diseases, adding to their overall disease burden and affecting the patient’s quality of life. Depression is a common illness known to coexist in about 20% of patients with PsA. Long-term inflammation conditions can make patients more depressed and make the treatment more difficult. Cushing Syndrome (CS) is a complication of long-term treatment due to the exposure of glucocorticoids given to turn the hypothyroid condition into hyperthyroid because hypercortisolism in humans lowers TSH secretion and TSH pulse amplitude. When PsA combines with depression and CS, it will create complex conditions and treatments. The complexity is all about how we control the disease activity of PsA and the vicious circle of an inflammatory process that is difficult to control. Conventional treatment will fail, and targeted therapy with monoclonal antibodies such as anti-IL-17 Secukinumab, is needed. Secukinumab as an anti-IL-17 will block the inflammation pathway from interleukin-17, decrease the inflammation process, and improve the symptoms of PsA. We report a patient with psoriatic arthritis and Hashimoto's thyroiditis (HT) with a major depressive episode with CS and subclinical hyperthyroidism successfully treated with Secukinumab.
Efficacy and Safety of Ozoralizumab versus Moxibustion for Rheumatoid Arthritis Susanti, Luthfiana Rofhani; Mustika, Arifa; Rahmawati, Lita Diah; Kencono Wungu, Citrawati Dyah
Folia Medica Indonesiana Vol. 60, No. 4
Publisher : Folia Medica Indonesiana

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Abstract

Rheumatoid arthritis is a chronic inflammatory disease that symmetrically damages the synovial membrane, affecting approximately 13% of the global population. Systemic complications and substantial declines in quality of life may result from untreated rheumatoid arthritis. This study investigated the safety and efficacy of moxibustion and ozoralizumab in reducing disease activity scores in rheumatoid arthritis patients. Between July 2023 and February 2025, we conducted a thorough search on four online databases (PubMed, Cochrane, Scopus, and ProQuest) using keywords, reference searches, and other methods following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The obtained randomized controlled trials (RCTs) were assessed using the Cochrane Risk of Bias 2 (ROB2) tool. MetaInsight version 5.2.1 was utilized to perform the indirect network meta-analysis, using mean difference (MD) as the summary statistics. The measurement of the Disease Activity Score 28 (DAS28) indicated that ozoralizumab had a more significant effect on rheumatoid arthritis compared to placebo (MD=-1.88, 95% CI=-2.24-(-1.52)) and moxibustion (MD=-0.69, 95% CI=-1.07-0.31). Ozoralizumab demonstrated mild, moderate, and severe side effects, whereas moxibustion displayed modest side effects in comparison to placebo. In summary, both ozoralizumab and moxibustion reduced DAS28 in patients with rheumatoid arthritis, with ozoralizumab proving to be the more effective treatment. However, the adverse effects of ozoralizumab were more varied than those of moxibustion.
Complement Profile, Ana Test, And Anti-Dsdna in Systemic Lupus Erythematosus (Sle) Patients Treated At Dr. Soetomo General Hospital Surabaya 2022–2023 Reisya Fadhilah Noor Hafizhah; Yuliasih Yuliasih; Betty Agustina Tambunan; Lita Diah Rahmawati
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.52851

Abstract

The complement system is an important part of the innate immune system, consisting of several proteins that play a role in defending the body against infection, tissue repair, and immune complex clearance. Components C3 and C4 are major parts of this system that can describe immune response activity in autoimmune diseases such as systemic lupus erythematosus (SLE). This study aims to determine the complement levels (C3 and C4), ANA test results, and anti-dsDNA levels in patients with systemic lupus erythematosus (SLE) treated at the Dr. Soetomo General Hospital in Surabaya during the period 2022–2023. This study used a retrospective descriptive design with secondary data from the medical records of SLE patients treated at Dr. Soetomo General Hospital in Surabaya. The variables analyzed included patient characteristics (age, gender, occupation), C3 and C4 complement levels, ANA test results, and anti-dsDNA levels. The results showed that out of 1,978 SLE patient data, 274 patients met the inclusion criteria for the study. Most patients were female (81%) with the highest age range being 15–19 years (28.1%). Complement level tests showed that 57.6% of patients had below-normal C3 levels, while 51.1% of patients had normal C4 levels. Positive ANA test results were found in 52.6% of patients, while 26.6% of patients showed positive anti-dsDNA levels. Spearman's correlation analysis showed a significant negative correlation between anti-dsDNA levels and C3 levels (r = –0.498; p < 0.001) and C4 levels (r = –0.561; p < 0.001), meaning that an increase in anti-dsDNA levels was followed by a decrease in complement levels. The majority of SLE patients at Dr. Soetomo General Hospital in Surabaya were women of childbearing age. Most patients showed decreased complement levels and increased anti-dsDNA levels, which correlated with disease activity.