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Gangguan pertumbuhan sebagai komplikasi talasemia • mayor Nur Robbiyah; Hakimi dr; Melda Deliana; Siska Mayasari
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 47, No 1 (2014): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Abstract

Beta-thalassemias major are a group of hereditary blood disorders disease. Growth disorders are afrequent complication of patient with Beta-thalassemias major. The pathogenesis of disorders is multifactorial and is mainly due to chronic anemia and hypoxia, chronic liver disease, zinc and folic acid deficiency, iron overload and intensive use of chelating agents. Proper management of each patient with beta-thalassemias major include early recognition of growth disorders and appropriate of iron chelation therapy is very important to improve the quality of life.Keywords : beta-thalassemias major; growth disorders
Gangguan fungsi hormon tiroid pada anak penderita infeksi susunan saraf pusat Rahmad Sumiko; Melda Deliana; Hakimi dr; Siska Mayasari Lubis; Karina Sugih Arto
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 47, No 3 (2014): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Abstract

Dysfunction of thyroid hormone can occur in children with central nervous system (CNS) infections characterized by decreasing levels of triiodothyronine (T3). Severe CNS infections have symptoms such as seizures, respiratory failure, impaired consciousness, fever, and typical abnormalities on Elektroencephalografi (EEG). Central nervous system infected children with low T3 have tendency of lower survival rate compare to CNS infected children with low thyroxine (T4). Examination of thyroid hormone performed by using vena puncture and lumbar puncture. It was performed before treatment is given. Until now, there are onlyfew case reports of thyroid hormone dysfunction in children with central nervous system infections.Keywords : CNS infection, children, thyroid dysfunction