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All Journal Dentino: Jurnal Kedokteran Gigi MDJ (Makassar Dental Journal)
Rahmatia Djou
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Dentistry

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ATROPHIC GLOSSITIS AS A CLINICAL SIGN FOR ANEMIA IN THE ELDERLY (Case report) Rahmatia Djou; Indah Suasani Wahyuni
Dentino : Jurnal Kedokteran Gigi Vol 4, No 1 (2019)
Publisher : FKG Unlam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/dentino.v4i1.6179

Abstract

Background: Atrophic glossitis is caused by nutritional deficiencies and this condition commonly affects elderly patients. It may be the first sign of more serious systemic diseases or condition like anemia. Aim: Describe about the atrophic glossitis in an elderly woman as a first clinical sign of anemia and the treatment. Case:  The patient was a 74-year-old woman with complaints of pain, burning sensation and numb of the tongue for the last 3 months. The patient has gone to the general dentist and given some medicines but the complaint still persists. Case management: Extra oral examination showed the conjunctiva was anemic, and from intraoral examination found depapillated and glossy tongue. Then the laboratory tests showed haemoglobin, haematocrite and the number of erythrocytes were decreased, while MCV and MCH level were increased. The patient's tongue abnormalities were diagnosed as atrophic glossitis associated with anemia Vitamin B (B12 dan folate) deficiencies. Patients were given high dose of folic acids and vitamin B12 per oral, and mouthwash containing hyaluronic acid as anti inflammation alternating with chlorhexidine gluconate 0,2% mouthwash as an antiseptic. The tongue was repaired after 1 month therapy and healed in 2 months. Discussion: Atrophic glossitis is considered as one of the the clinical signs of anemia, that appears as areas of complete or irregular partial loss of papillae of the tongue, which is caused by atrophy of the lingual papillae. The analysis of the appropriate diagnose and causative factors can be assisted through a complete blood examination and will help us to decide the appropriate therapy. Conclusion: Dentists must be aware of the clinical signs of atrophic glossitis, because it can be an indication of a major health problem especially anemia.
Dugaan HIV pada pasien postpartum dengan anomali HSV: laporan kasus: Suspected case of HIV in postpartum patients with HSV anomalies: a case report Rahmatia Djou; Tenny Setiani Dewi
Makassar Dental Journal Vol. 8 No. 2 (2019): Vol 8 No 2 Agustus 2019
Publisher : Makassar Dental Journal PDGI Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (342.06 KB) | DOI: 10.35856/mdj.v8i2.272

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Masalah: Lesi oral virus herpes dan kondisi terkait HIV merupakan kelainan rongga mulut yang sering tampak mirip dan sulit dibedakan. Tujuan: Laporan kasus ini menggambarkan tantangan dalam memecahkan masalah untuk membedakan lesi oral disebabkan virus herpes atau suatu kondisi terkait HIV. Kasus: Pasien perempuan 21 tahun, mengeluhkan adanya sariawan sejak melahirkan bayi 3 bulan yang lalu dan menyebabkan kesulitan makan serta berbicara. Pasien telah berobat ke dokter gigi namun sariawan tidak hilang. Pemeriksaan intra oral terdapat ulser multipel pada daerah bukal, labial, palatal, lidah. Pada daerah genital ditemukan pustula. Hasil laboratorium, Anti-HSV 1 IgG reaktif, Anti-HSV 2 IgG non reaktif, Anti-HIV negatif. Penatalaksanaan farmakologi diberikan acyclovir, nystatin, vitamin B12, asam folat, obat kumur chlorhexidine dan suplemen susu. Pendekatan non-farmakologi dengan mengoptimalkan komunikasi. Kondisi pasien membaik dalam waktu satu bulan. Simpulan: Anamnesis yang mendalam, pemeriksaan yang lengkap dan penatalaksanaan yang tepat serta mengoptimalkan komunikasi sangat diperlukan untuk mencapai hasil maksimal.
Co-Authors Indah Suasani Wahyuni Tenny Setiani Dewi