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Case Report: Medical Aspect, Growth, and Quality of Life in Children with 46,XX Testicular Disorder of Sex Development (DSD) Rochmah, Nur; Faizi, Muhammad; Andriani, Irwina Rahma; Pasulu, Soraya Salle
Folia Medica Indonesiana Vol. 54, No. 3
Publisher : Folia Medica Indonesiana

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Abstract

46,XX testicular disorder of sexual development (DSD) is characterized by male phenotype with 46,XX karyotype. The incidence rate is 1:25,000 in male newborn. Infants with ambiguous external genitals will be confronted with issue of gender assigment and may result in a stressful condition in the parents. Since gender assignment is inevitable, several factors should be considered in DSD management. The management approach for children born with DSD is individualized and multidisciplinary. Gender assignment aims to facilitate the patient to obtain the best quality of life. Adaptation of children with 46,XX testicular DSD as a determinant of quality of life is also influenced by psychological and family conditions. The purpose of this report was to observe medical growth and development aspects of the child with 46,XX terticular DSD as indicated by the aspects of growth and development, and health related quality of life, as well as the influential aspects. PA, 18 months, was diagnosed with 46,XX testicular DSD. The patient routinely visited to endocrinology clinic, urologic surgery, and child psychiatry clinic from the age of 6 months. The parents decided to raise patient as male. The patient had undergone surgery for hypospadias correction, hormone injections, child growth monitoring, and psychological monitoring (medical records of Dr. Soetomo Hospital, Surabaya in 2015). Management should consider individual and multidiciplinary accompaniment of the patient and parents, the importance of group support, and follow-up to adulthood, as well as possible longterm outcomes that will occur in the future so that the patients and the parents need to be prepared.
Prokalsitonin dan Sel Darah Putih sebagai Penanda Infeksi pada Anak dengan Ketoasidosis Diabetikum Nur Rochmah; Muhammad Faizi; Yudhi Kurniawan; Latifatu Choirunisa; Anang Endaryanto; Soetjipto Soetjipto
Majalah Kedokteran Indonesia Vol 70 No 12 (2020): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, V
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.70.12-2020-291

Abstract

Introduction: Diabetic ketoacidosis (DKA), an acute complication of type 1 (insulin dependent) diabetes mellitus (T1DM), can be precipitated by infection. Procalcitonin (PCT) is an accurate marker of bacteremia, sepsis, and inflammation, however white blood cells (WBC) are still often used by clinicians. We aimed to analyze PCT levels and WBC counts in children with DKA.Methods: A cross-sectional study was conducted in Dr. Soetomo General Hospital, Surabaya, Indonesia, between 2015 and 2019. T1DM and DKA diagnosis was based on the International Society for Pediatric and Adolescent Diabetes. PCT levels and WBC counts were measured in samples from patients with and without DKA, and were compared using the Mann-Whitney test.Results: A total of 41 samples were included, with 15 samples (36.6%) from children with DKA, and 26 (63.4%) from children without DKA. PCT levels and WBC counts were significantly higher in those with DKA (p less than 0.001). The receiver operating characteristic curve analysis of WBC was lower than PCT (0.849 vs. 0.982). PCT had a higher sensitivity and spesificity as an infection marker than WBC (93.3 vs. 86.7; 92.3 vs. 88.5, respectively).Conclusion: PCT is a better infection marker in children with DKA than WBC
Co-Authors Adwina Nurlita Kusuma Wardhani AGUNG PRANOTO Ahmad Suryawan Alfaqih, Muhammad Subhan Alpha Fardah Athiyyah Alviano Satria Wibawa Aman Bhakti Pulungan, Aman Bhakti Anang Endaryanto Andi Cahyadi Andriani, Irwina Rahma Andy Darma Anny Hanifah Anugrah, Andreas Surya Arie Purwana Arifa Mustika Ariyanto Harsono Ariyanto Harsono Badriul Hegar Syarif Bambang Permono Basuki, Mudjiani Bernie Endyarni Medise Budiono Budiono Deakandi, Wika Yuli Deasy Ardiany Dinda Chandra Yuliantari Dwiyanti Puspitasari, Dwiyanti Erni Nuraeni Evi Triandini Evita Karianni Bermanshah Fadhil Abiyyu Yofi Faisal Faisal Faisal Faisal Fatimah Arief Fidiana Garindra Wicaksono Grawira Drana Putra Respati Hanifah, Anny Herman Kosasih Hermina Novida, Hermina I Dewa Gede Ugrasena I Gusti Ayu Putu Eka Pratiwi I Gusti Made Reza Gunadi Ranuh IDG Ugrasena Ike Wahyu Triastuti Irwina Rahma Andriani Ismi Citra Ismail, Ismi Citra Jose RL Batubara Juniastuti Juniastuti Khadijah Rizky Sumitro Khadijah Rizky Sumitro Kuswanto, Djoko Latifatu Choirunisa Leonardo Ferryanto Mak Samadhi Marcos, Imella Maria Christina Shanty Larasati Mia Ratwita Andarsini Minawati Minawati, Minawati Montolalu, Ivan Adrian Nengcy Erlina Tasik Rerung Nesa, Ni Nyoman Metriani Netty Harjantien Neurinda Permata Kusumastuti Ni Nyoman Metriani Nesa Ni Nyoman Metriani Nesa Novina Novina Nur Rochmah Nur Rochmah Nur Rochmah, Nur Nurul Ima Suciwiyati Pasulu, Soraya Salle Perwitasari, Rayi Kurnia Praja, Nucky Indra Putu Adi Guna Permana Reza Gunadi Ranuh Reza Gunadi Ranuh Roedi Irawan Samadhi, Leonardo Ferryanto Mak Sensusiati, Anggraini Dwi Shofwan Hanief Sidarti Soehita Soesanti, Frida Soetjipto SOETJIPTO . Soraya Salle Pasulu Steven Christian Susianto Steven Christian Susianto Sudarmo, Subijanto Marto Sukmawati Basuki Sumitro, Khadijah Rizky Susianto, Steven Christian Syahruna, Pradipta Reza Vinzy Yulina Wika Yuli Deakandi Yudhi Kurniawan Yuni Hisbiyah Yuri Pamungkas