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All Journal Medical Journal of Indonesia Media Dermato-Venereologica Indonesiana Journal of General Procedural Dermatology and Venereology Indonesia Jurnal Kedokteran Meditek Cermin Dunia Kedokteran
Astriningrum, Rinadewi
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Characteristics of pressure injuries among geriatric patients at an Indonesian tertiary hospital: a cross-sectional study Yusharyahya, Shannaz Nadia; Legiawati, Lili; Astriningrum, Rinadewi; Jonlean, Reganedgary; Andhira, Vega
Medical Journal of Indonesia Vol. 32 No. 3 (2023): September
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13181/mji.oa.237092

Abstract

BACKGROUND Pressure injury develops due to sustained pressure at the bony prominence of the skin and tissues. Geriatric patients often have multiple comorbidities, predisposing them to pressure injury. Data on the characteristics of the geriatric with pressure injuries are still limited. This study aimed to report the characteristics of geriatric patients with pressure injuries admitted at a tertiary hospital in Indonesia. METHODS This cross-sectional study used medical records of geriatric patients admitted with all stages of pressure injuries consulted to the Department of Dermatology and Venereology at a tertiary hospital in Indonesia between January 2017 and April 2021. Pressure injuries were classified based on the 2019 National Pressure Injury Advisory Panel guideline. RESULTS 39 patients presented with varied pressure injury characteristics. The sacral region was the most reported site (36%), with stage 2 pressure injury being the most commonly found stage in the patients (74%). Interestingly, 22% of the patients had pressure injuries found on the atypical sites due to prolonged surgery or the pressure of medical devices. More than half of the patients used conventional dressings (51.3%). Immobility was found in 35.9% of the patients due to being bedridden. CONCLUSIONS No characteristics were found as a significant risk factor for pressure injury formation during or outside the admission period. However, a history of surgery might be related to pressure injury formation during admission.
PITYRIASIS LICHENOIDES PASCA VAKSINASI mRNA COVID-19 Laurensia, Riani; Nadia Yusharyahya, Shannaz; Legiawati, Lili; Astriningrum, Rinadewi; Rihatmadja, Rahadi; Andrianus, Kenny
Media Dermato-Venereologica Indonesiana Vol 53 No 1 (2026): 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.v53i1.514

Abstract

   Pendahuluan: Pityriasis lichenoides (PL) merupakan spektrum kelainan kulit yang tumpang tindih secara klinis maupun histopatologis dengan dua bentuk utama yaitu pityriasis lichenoides et varioliformis acuta (PLEVA) dan pityriasis lichenoides chronica (PLC). Sekitar 20% PL terjadi pada anak-anak dan dewasa muda. Beberapa publikasi ilmiah melaporkan PL pascavaksinasi coronavirus disease (COVID-19). Kasus: Seorang laki-laki, 64 tahun didiagnosis PL, 4 hari pascavaksinasi COVID-19 booster pertama Pfizer® sejak 14 bulan lalu. Pemeriksaan dermoskopi ditemukan dotted vessels, yellowish-orange structureless area, vesicles with red background. Pemeriksaan laboratorium didapatkan peningkatan D-dimer 490 mG/L dan IgE 730 IU/ml. Pemeriksaan histopatologi kulit sesuai PLEVA, ditemukannya eosinofil dipertimbangkan sebagai hipersensitivitas vaksin. Perbaikan klinis signifikan tercapai dengan terapi metilprednisolon setara prednison 0.5 mg/kgBB dan doksisiklin selama 2 minggu. Diskusi: : Patogenesis PL disebabkan oleh peningkatan kompleks imun, deposit IgM, dan C3 pada vaskular taut dermo-epidermal, serta kumpulan sel sitotoksik pada dermis dan epidermis yang berkorelasi dengan hipersensitivitas tipe lambat terhadap bahan vaksin. Pemeriksaan histopatologi membantu menegakkan diagnosis. Terapi kortikosteroid dan doksisiklin memberikan respon terapi dan luaran klinis yang baik pada P. Simpulan: Kasus PL pascavaksinasi Pfizer® COVID-19, perbaikan klinis dengan terapi kortikosteroid dan doksisiklin, serta pentingnya mengawasi efek samping pascavaksinasi, pemeriksaan klinis dan evaluasi histopatologi penting dalam penegakan diagnosis.
Co-Authors Adistri, Kara Andhira, Vega Andrianus, Kenny Arini Astasari Widodo Azizah, Fitri Chandrakesuma, Vivianne Githa Rahmayunita Gunardi, Keiko Yolanda Halim, Dionisius Ivan Yonathan Hartanto, David Dwiadiputra Hoemardani, Aida SD Isni Maulina Sukmara, Isni Maulina Jonlean, Reganedgary Kusmarinah Bramono Kusumawardhani, Dina Laurensia, Riani Lili Legiawati Lim, Henry W. Marizki Ramadhani, Reinanda Mughni, Fadhli Aulia Nadia Yusharyahya, Shannaz Nadia, Department of Dermatology and Venereology, Faculty of Medicine Universitas Indonesia – Dr. Cipto Mangunkusumo National Central General Hospital Jakarta, Indonesia Shannaz, Yusharyahya Narla, Shanthi Rahadi Rihatmadja Rahman, Yusnita Reshinta, Reisa Rheza, Agung Mohamad Sampurna, Adhimukti T. Shannaz Nadia Yusharyahya Shwayder, Tor Sirait, Sondang Panjaitan Sutarjo, Agassi Suseno Triana Agustin Yosi, Ariyati