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All Journal MEDICINUS Media Dermato-Venereologica Indonesiana Indonesian Basic and Experimental Health Sciences
Nareswari, Adniana
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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Laporan Kasus Acrodermatitis Enteropathica pada Anak 5 Tahun dengan Level Zink Serum Normal Nareswari, Adniana; Mochtar, Moerbono; Widhiati, Suci; Kusumawardani, Arie; Ellistasari, Endra Yustin; Julianto, Indah
MEDICINUS Vol. 34 No. 1 (2021): MEDICINUS
Publisher : PT Dexa Medica

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (123.849 KB) | DOI: 10.56951/medicinus.v34i1.51

Abstract

Acrodermatitis enterophatica (AE) is an inherited or acquired condition associated with zinc malabsorption. Clinical symptoms of AE are periorificial and acral dermatitis, alopecia, and diarrhea. Serum zinc levels usually decrease in AE patients. A 5-year-old boy presented with crusted erosion on the face, trunks and extremities that have been appeared for one year and worsened last month. It also accompanied by hair and eyebrow loss, diarrhea, and eating disorder. Patient was also malnourished. Dermatovenereology examination showed papules, patches, multiple erythematous plaques with squama, erosions with brownish yellow crust above located on perioral, periorbital, posterior trunk, inguinal, perianal, cubital, popliteal and dorsum pedis region. The oral region showed stomatitis and cheilitis. The orbital region showed conjunctival injection and eye discharge. The scalp, eyebrows and lashes showed total alopecia. Laboratory test showed normal serum zinc levels and decreased levels of alkaline phosphatase. The patient was diagnosed with acquired form of AE. Clinical improvement was seen after zinc supplementation. The diagnosis of AE cannot be made only by low serum zinc levels. If a classical triad of AE was found, we must be able to recognize it immediately, thus prompt and appropriate therapy could be given.
STUDI RETROSPEKTIF HEMANGIOMA INFANTIL DI RUMAH SAKIT PUSAT RUJUKAN DI SURAKARTA JAWA TENGAH Widhiati, Suci; Rahma, Alfina; Ellistasari, Endra Yustin; Nareswari, Adniana
Media Dermato-Venereologica Indonesiana Vol 52 No 2 (2025): Media Dermato Venereologica Indonesiana
Publisher : Perhimpunan Dokter Spesialis Kulit dan Kelamin Indonesia (PERDOSKI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33820/mdvi.v52i2.398

Abstract

   Pendahuluan: Hemangioma infantil (HI) merupakan tumor jinak vaskular yang muncul dalam beberapa minggu pertama kehidupan. Prevalensi HI secara global sekitar 4,5%. Umumnya HI tidak memerlukan terapi dan mengalami regresi spontan, namun 10-15% akan mengakibatkan komplikasi seperti obstruksi, ulserasi atau cacat. Tujuan penelitian ini untuk mengetahui karakteristik pasien baru HI di instalasi rawat jalan RSUD Dr. Moewardi Surakarta periode 1 Januari 2019 - 31 Desember 2021. Metode: Metode penelitian ini merupakan retrospektif dengan desain potong lintang, Data diambil dari rekam medis pasien hemangioma yang datang ke Instalasi Rawat Jalan RSUD Dr. Moewardi Surakarta periode 1 Januari 2019 - 31 Desember 2021. Hasil: Terdapat 135 pasien yang didiagnosis HI dengan kisaran usia 7 hari hingga 13 tahun. Kelompok usia terbanyak adalah 0-1 tahun sebanyak 69 pasien (51,11%), perempuan sebanyak 88 pasien (65,19%). Awitan terbanyak usia < 2 bulan yaitu 94 pasien (69,63%). Ujud kelainan kulit terbanyak berupa nodul sebanyak 101 pasien (74,81%), soliter pada 124 pasien (91,85%). Predileksi pada kepala dan leher sebanyak 76 pasien (56,29%). Pasien lahir aterm sebanyak 111 pasien (82,22%), berat badan lahir cukup 123 pasien (91,11%). Riwayat persalinan pervaginam 100 pasien (74,07%). Modalitas terapi terbanyak propranolol pada 37 pasien (27,42%). Kesimpulan: Gambaran HI di RSUD Dr. Moewardi Surakarta berdasarkan awitan, predileksi, jumlah lesi, manifestasi klinis dan terapi sesuai dengan deskripsi teori, namun faktor risiko yang diteliti tidak sejalan dengan teori. 
The Effectiveness of Topical Insulin for Ulcer Healing: A Pilot Study: A Pilot Study Nareswari, Adniana; Rosmarwati, Ervina; Wijayawati, Merlina; Oktiningrum, Hastika Dwi; Yasmin, Aulia
Indonesian Basic and Experimental Health Sciences Vol. 14 No. 2 (2026): April
Publisher : Rumah Sakit Umum Daerah Dr. Moewardi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/ibehs.vol14iss2pp123-127

Abstract

Introduction Chronic ulcers continue to pose a major clinical challenge, contributing to significant morbidity and mortality. These conditions are frequently associated with diabetes, venous disorders, neuropathy, and other systemic illnesses. Conventional treatments often yield suboptimal results, encouraging investigation into alternative approaches such as topical insulin. This study aims to evaluate the effectiveness and safety of topical insulin in promoting ulcer healing. Method A pre-post interventional pilot study was conducted at Dr. Moewardi General Hospital from September to October 2024. Seven patients aged 40-80 years with grade II-III ulcers were treated with a topical insulin solution (10 IU insulin in 1 mL saline), applied once daily for 14 days. Ulcer size was measured on days 0, 7, and 14. Adverse effects were also monitored. Result Out of seven participants, three showed significant improvement in ulcer size (75-100% reduction), three showed mild to moderate improvement (8-26%), and one had no response. No local or systemic adverse events, including hypoglycemia, were observed. Factors such as limited patient mobility affected follow-up adherence. Discussion The findings suggest topical insulin enhances ulcer healing through mechanisms involving cell proliferation, angiogenesis, and anti-inflammatory effects, consistent with prior studies. However, the small sample size and loss to follow-up limit generalizability. Further trials are required to confirm its clinical utility. Conclusion Topical insulin appears to be a safe and potentially effective adjunct therapy for ulcer healing in both diabetic and non-diabetic patients. Larger-scale studies with control comparisons are needed to confirm its efficacy and optimize treatment protocols.
Co-Authors Aulia Yasmin, Aulia Ellistasari, Endra Yustin Indah Julianto, Indah Kusumawardani, Arie Mochtar, Moerbono Oktiningrum, Hastika Dwi Rahma, Alfina Rosmarwati, Ervina Widhiati, Suci Wijayawati, Merlina