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All Journal International Journal of Public Health Science (IJPHS) Indonesian Journal of Rheumatology Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Essential: Essence of Scientific Medical Journal The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy Jurnal Penyakit Dalam Indonesia Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Rudy Hidayat
Divisi Reumatologi, Departemen Ilmu Penyakit Dalam, Fakultas Kedokteran, Universitas Indonesia/RSUPN Cipto Mangunkusumo
Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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The The Prevalence and Factors Associated with Metabolic Syndrome in RheumatoidArthritis Patients Rudy Hidayat
Indonesian Journal of Rheumatology Vol. 14 No. 2 (2022): IJR VOL 14 No 2
Publisher : Indonesian Rheumatology Associantion

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/IJR.v14i2.206

Abstract

Background: Rheumatoid arthritis (RA) is an independent risk factor ofcardiovascular disease (CVD), causing 30-50% mortality in RA patients.Metabolic syndrome is a combination of metabolic disorders that can bemanifested as central obesity, impaired blood pressure, or abnormalities ofcarbohydrate and lipid metabolism, which is closely associated with CVD inRA patients. The prevalence and factors associated with the incidence ofmetabolic syndrome in RA patients vary in previous studies. This studyaimed to determine the prevalence and factors associated with the incidenceof metabolic syndrome in RA patients at Cipto Mangunkusumo NationalCentral General Hospital, Jakarta. Methods: A total of 145 RA patients atthe Rheumatology Clinic of Cipto Mangunkusumo National Central GeneralHospital from October to December 2021 were included as research subjectsby consecutive sampling method. History taking about the disease anddemographic data, physical and anthropometric examination, andlaboratory tests were done on the patients. The prevalence of the metabolicsyndrome was determined using harmonization criteria. Statistical analysiswas performed to determine the association of the variables of age, smokinghabit, disease activity, duration of disease, glucocorticoid treatment, andmethotrexate treatment with metabolic syndrome in RA patients. Results:The prevalence of metabolic syndrome was 19.3% in RA patients with a mean age of 49.8 ± 11.6 years. The variables of gender, age, deformity, physical activity, extraarticular manifestation, smoking habit, disease activity,disease duration, glucocorticoid treatment, and methotrexate treatmentwere not statistically significant to the incidence of metabolic syndrome inRA patients. Conclusion: The prevalence of metabolic syndrome in RApatients in this study was 19.3%, and no variable was associated with theprevalence of metabolic syndrome. 
Characteristics and Treatment Responses of Rheumatoid Arthritis Patients at Dr.Cipto Mangunkusumo National General Hospital Rudy Hidayat
Indonesian Journal of Rheumatology Vol. 15 No. 2 (2023): IJR VOL 15 No 2
Publisher : Indonesian Rheumatology Associantion

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/IJR.v15i2.252

Abstract

Introduction. Rheumatoid arthritis (RA) is a chronic progressiveautoimmune rheumatic disease that primarily affects the joints. The goal ofRA treatment is to achieve remission or low disease activity, using a treatto-target approach. This study aims to explore the characteristics of RApatients and evaluate their treatment responses in Dr. CiptoMangunkusumo National General Hospital (RSCM). Methods. This crosssectionalstudyisconductedbycollectingdemographicandclinicaldata,as wellasinterviewingadultpatientsthathavebeendiagnosedwithRAatthe Rheumatology Clinic of RSCM and have been on disease-modifyingantirheumatic drugs (DMARD) treatment for a minimum of 6 months.Results. A total of 94 patients were included in this study. Subjects werepredominantly female (93.6%) and had no formal jobs (64.9%). A majority ofRA patients exhibited moderate disease activity (48.9%, based on DiseaseActivity Score-28 with erythrocyte sedimentation rate [DAS-28 ESR]), with arelatively high level of steroid use (86.2%). Notably, most patients startedDMARD treatment more than 2 years after the onset of symptoms (45.7%).The proportion of patients achieving therapy target (remission to low diseaseactivity) was 41.5%, with 13.8% attaining remission. Furthermore, HealthAssessment Quality (HAQ) scores were found to be significantly lower amongthe target-achieving group, indicating better quality of life. Conclusion.Therapy target was achieved in 41.5% of RA patients in RSCM, with 13.8%achieving remission. Further research can be conducted to evaluate factorswhich may affect treatment response among RA patients.   
Pseudogout Overlapping with Pre-Existing Joint Pathologies: A Case Series Johanda Damanik; Rizki Fauzi Suskhan; Rendy Asmaradhana Sahara; Rudy Hidayat; Suryo Anggoro Kusumo Wibowo; Anna Ariane; Faisal Parlindungan; Abirianty Priandani Araminta
Indonesian Journal of Rheumatology Vol. 18 No. 1 (2026): IJR VOL 18 NO 1
Publisher : Indonesian Rheumatology Associantion

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.66446/IJR.v18i1.82

Abstract

Pseudogout, or calcium pyrophosphate deposition disease (CPPD), is a crystal-induced arthritis frequently mistaken for gout or septic arthritis, particularly in elderly patients or those with inflammatory disorders. We present two cases highlighting the diagnostic value of synovial fluid analysis and musculoskeletal ultrasonography (MSUS). A 34-year-old man diagnosed with ankylosing spondylitis presented with acute right knee pain after running; synovial fluid revealed rhomboid-shaped crystals with high leukocyte count, confirming pseudogout, while MSUS showed intra-cartilaginous crystal deposits. An 87-year-old man presented with mild left knee pain and swelling; synovial fluid again demonstrated rhomboid-shaped crystals, and MSUS confirmed intra-cartilaginous crystal deposition, consistent with pseudogout coexisting with osteoarthritis. These cases highlight the diagnostic challenges of acute monoarthritis in chronic inflammatory disease and advanced age, where inflammatory markers may mislead. Synovial fluid crystal analysis remains crucial, while MSUS offers a non-invasive alternative when aspiration poses challenges, ensuring accurate diagnosis and appropriate anti-inflammatory therapy.
Co-Authors A P Utari Abirianty Priandani Araminta ACHMAD FAUZI Achmad Fauzi Adiningsih Srilestari Adnan Prihartono, Nurhayati Andri Reza Rahmadi Anindito, Bagus Anna Ariane Anna Ariane Anna Ariane Anna Ariane Anna Ariane Anna Ariane, Anna Araminta, Abirianti P. Araminta, Abirianty Priandani Arief Nurudhin Awalia Awalia Ayu Paramaiswari Ayu Paramaiswari Bagus Anindito Bambang Setiyohadi Bambang Setiyohadi Bambang Setyohadi C Rinaldi A Lesmana C. Adisasmita, Asri Christina Simadibrata Dadang Makmun Damanik, Johanda Damaratri, Suci David Santosa Diana Sunardi Dicky L. Tahapary Dicky Levenus Tahapary Djuwita Hatma, Ratna Dwi Budi Darmawati Dwi R Helianthi, Dwi R Dyah Purnamasari E. Mudjaddid A. Siswanto Deddy N.W.Achadiono Hamzah Shatri Edy R Wahyudi, Edy R Eka Kurniawan Endang Susalit Endy Adnan Esthika Dewiasty, Esthika Evy Yunihastuti Fara Fauzia Farida Isroani Fauzia, Fara Gadang R. Dewantoro Gede Kambayana Ginting, Andi Raga Handono Halim Handono Kalim Harry Isbagio Harry Isbagio Harry Isbagjo Hasan Maulahela Herlina Yani I Nyoman Suarjana Ika Prasetya Wijaya Ika Vemilia Ika Vemilia Warlisti Ikhwan Rinaldi Jerry Eddya Putra Boer Johanda Damanik Juferdy Kurniawan Kasjmir, Yoga I Kusumo Wibowo, Suryo Anggoro Laniyati Hamijoyo Linda Kurniaty Wijaya Lisa Kurnia Sari Malikul Chair Marcel Prasetyo Marcellus Simadibrata K Maruhum B.H. Marbun Muhadi Muhadi Muhadi Muhadi, Muhadi Najirman Najirman Nunuk Mardiana, Nunuk Nur Asicha Nurhayati Adnan Prihartono Pande Ketut Kurniari Pande Ketut Kurniari Parlindungan, Faisal Perdana Aditya Pratama, Mirza Zaka Prihartono, Nurhayati Adnan Pringgodigdo Nugroho, Pringgodigdo Purwita Wijaya Laksmi R.M. Suryo Anggoro Kusumo Wibowo Radiyati Umi Partan Rakhma Yanti Hellmi Rakhma Yanti Hellmi Rakhma Yanti Helmi Ratih Manuaba Rendy Asmaradhana Sahara Reza Yogaswara Ricky Ridho Adriansyah Rizki Fauzi Suskhan RM Suryo Anggoro RM. Suryo Anggoro RM. Suryo Anggoro KW Safri, Ahmad Yanuar Santosa, David Sepmeitutu, Iwandheny Siti Setiati Sosialita, Tiara Diah Sukamto Koesnoe Sumariyono Sumariyono Sumariyono Sumariyono Sumariyono Sumariyono Sarmidi Sumariyono Sumariyono Sumartini Dewi Sumartini Dewi Surya Darma Surya Darma Suryana, Bagus Putu Putra Suryo Anggoro Kusumo Wibowo Suryo Anggoro Kusumo Wibowo Triyanta Yuli Pramana Umi Partan, Radiyati Utari, A P Virnanda Amu, Ivan Wahono, Cesarius Singgih Wardoyo, Elizabeth Y Wulansari Manuaba, Ida Ayu Ratih Yoga I Kasjmir Yogaswara, Reza Yulyani Werdiningsih Yulyani Werdiningsih