Article Per Year (5 Year)
p-Index From 2021 - 2026
3.688
P-Index
This Author published in this journals
All Journal Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Jurnal Kesehatan Andalas Majalah Kedokteran Andalas Bioscientia Medicina : Journal of Biomedicine and Translational Research Sumatera Medical Journal Bioscientia Medicina : Journal of Biomedicine and Translational Research Jurnal Ilmu Kesehatan Indonesia (JIKSI) Medic Nutricia : Jurnal Ilmu Kesehatan Jurnal Riset Ilmiah Seroja Husada: Jurnal Kesehatan Masyarakat Jurnal Sains, Teknologi dan Kesehatan JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia
Rudy Afriant
Departemen Ilmu Penyakit Dalam Fakultas Kedokteran Universitas Andalas, RSUP Dr. M. Djamil, Padang 25163, Indonesia
Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Economics, Econometrics & Finance Engineering Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

Published : 30 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 2 Documents
Search
Journal : Sumatera Medical Journal

 1 
Warm Autoimmune Hemolytic Anemia with Chronic Hepatitis B Wahyudi, Adefri; Fadrian; Afriant, Rudy
Sumatera Medical Journal Vol. 7 No. 1 (2024): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v7i1.11836

Abstract

Background: Warm autoimmune hemolytic anemia (wAIHA) is caused by erithrocytes destruction by IgG or IgG plus C3d-mediated autoantibody. Objective: To present a case of warm autoimmune hemolytic anemia (wAIHA) in a patient with chronic hepatitis B infection. Methods: This is a case report that showed a special case. Results: Man, 64 y.o, hospitalized with diagnosis wAIHA and chronic hepatitis B. Diagnosis of wAIHA is built by: severe normocytic normochromic anemia, reticulocytosis 42.29%, increasing lactate dehydrogenase 397 U/L, direct Coombs test (+4), antibody screening IgG (+4). Anothers laboratorium findings: HbsAg (+), albumin 3.5 g/dL, ALT U/L, rapid HIV (-), anti HCV (-). There is no blast found in peripheral blood and bone marrow smear. Patient also diagnosed chronic hepatitis B inactive phase with negative HbeAg, HBV DNA 547 IU/L, normal liver finding in abdominal USG and moderate fibrosis from fibroscan. Washed red cell transfussion was administered, 2 x 125 mg methilprednisolone iv (3 days) tapering off until to 40 mg/day doses. He did not get antiviral prophylaxis and be planned to reevaluate in next 6 months. Conclusion: Steroid is first line therapy in wAIHA. When wAIHA is diagnosed, determination of chronic hepatitis B status should confirmed.  There is a risk of reactivation of chronic hepatitis B infection so monitoring is needed.
Diabetic Ketoacidosis in Type 1 Diabetes Mellitus Nurhakim, Lukman; Afriant, Rudy; Aprilia, Dinda
Sumatera Medical Journal Vol. 7 No. 1 (2024): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v7i1.11837

Abstract

Background: Diabetic ketoacidosis (DKA) is a state of metabolic decompensation/disorder characterized by the triad of hyperglycemia, acidosis and ketosis, caused by absolute or relative insulin deficiency and increased counter-regulatory hormones. Objective: To report a case of diabetic ketoacidosis (DKA) in a young adult patient with type 1 diabetes mellitus and scalp abscess, emphasizing the importance of early diagnosis and prompt management to achieve clinical improvement. Methods: This case report describes the clinical presentation, diagnostic approach, and therapeutic management of a 19-year-old male with DKA. Results: A 19-year-old male treated in the internal medicine ward of Dr. M djamil Padang with diabetic ketoacidosis, type 1 DM, and Abscess capitis. The patient was treated with rehydration and intravenous insulin infusion can show clinical improvement. Conclusion: The diagnosis in patients is based on anamnesis, physical examination and supporting examinations. Immediate therapy is needed in the management of DKA in patients. After DKA is resolved, look for the causes of the risk of DKA. On the third day of treatment the patient's condition improved clinically and the laboratory.
Co-Authors Aga Pratama Alexander Kam Alifia Damanil Putri Amirah Zatil Izzah Aprilia, Dinda Avino Mulana Fikri Avino Mulana Fikri Dedy Kurnia Deka Viotra Dian Pertiwi Dinda Aprilia Drajad Priyono Dwitya Elvira, Dwitya Efrida Efrida Eifel Faheri Eldi Sauma Elfira Yusri Eti Yerizel Fadil Oenzil Fadrian, Fadrian Fauzar Fikri, Avino Mulana Ghany, Firhan Fadlillah Hannie Qalbina Syaiful Hendriati, Hendriati Irza Wahid Irza Wahid Kam, Alexander Kemala Sayuti Khalisha Azzahra Pramesti Abdillah Laksono Trisnantoro Lestari, Rahmi LUKMAN NURHAKIM, LUKMAN Malinda Meinapuri Muhammad Ridhwan Fatharanifurqan Nabilah, Hanifah Putra, Syandrea Prima Putri Ariani Putri, Azhara Dhiya Yosse Rahmat, Nia Aulia Rahmatini . Raveinal Rendi Dwi Prasetyo Restu Susanti Rido Wandrivel Rikarni Rina Gustia Rinal Effendi Rismawati Yaswir Rivani Sintia Suratman Rizki Rahmadian Rizky Loviana Roza Roza Mulyana Salsabila, Nada Shafa Saptino Miro Seilla Dinta Yastina Wahyudi, Adefri Yaslinda Yaunin Yenita Yenita Yulia, Dwi Yuniar Lestari Yusri, Elfira Yustini Alioes Yustini Alioes Zahira, Aisyah Dhia zahra salsabila Zelly Dia Rofinda Zulkarnain Edward