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Nandya Dwizella
Medical Faculty of Lampung University

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engelompokkan manifestasi kutan pada COVID-19 Nandya Dwizella; Nevristia Pratama
Medula Vol 12 No 4 (2022): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v12i4.491

Abstract

COVID-19 pandemic has gone through for more than two years, and it has taking millions of lives and has given a catastrophic damage globally in almost every aspect of life. The disease that is caused by SARS-CoV-2 virus is a novel disease that attack respiratory system in a swift manner. Even though respiratory system is the main concern of the disease, in the nature of its own disease, COVID is a systemic inflammatory disease and easily could make a different type of the symptoms in any other system of the body, not limited to respiratory system. It also gives a cutaneous manifestation with a lot of different lesion, but not handled properly and being overlooked. Until now, there is no concrete report of manifestation of cutaneous in COVID-19, this is one reason why clinician kept getting overlooked and do not giving patient a thorough and comprehensive therapy.  The importance of report in cutaneous manifestation in COVID-19 patient will make clinician easier to notice the manifestation and could help them to make a proper comprehensive therapy for patient. Giovani et al has proposed a group of cutaneous manifestation of COVID-19, characterized by its own lesion, the location, pathophysiology and incidence. This grouping of manifestation hopefully can help clinician to identify cutaneous manifestation in COVID-19.
Laporan Kasus : Henoch Schnolein Purpura dengan Keterlibatan Sendi dan Gastrointestinal Nandya Dwizella; Umi Rinasari; Nevristia Pratama
Medula Vol 13 No 1 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i1.586

Abstract

Henoch Schnolein Purpura (HSP) is one of the most Idiopatic Cutaneous Necrotizing Venulitis/Vasculitis, generally found on children compared to adult. The diagnosis HSP based on clinical manifestation which characterized purpuric with one or more following  athralgia/arteritis, renal involvement, gastrointestinal involvement or  Ig-A deposit  in tissue biopsy.  The aim is report a case of HSP with joint and gastrointestinal involvement. A 20-year-old woman came with red spots on both lower limbs and felt  joint pain and vomit, a history of similar red spot and joint pain felt intermittent since 6 years ago. There was history of pain in oral cavity 2 days before red spot appear.  Physical examination, vital signs were within normal limits, epigastric tenderness was found in abdominal examination. Dermatological examination in the cruris-dorsum pedis bilateral found macula erythematous, multiple, milier-lenticular, well-demarcated, discrete-confluent. Patients are diagnosed with HSP according to the clinical symptoms. Trigger factor for HSP is a history of infection. The patient was treated with acetaminophen, steroids, and topical therapy. Most HSP is self-limiting disease, supportive therapy is given to reduce clinical manifestation  and administration of corticosteroids prevent gastrointestinal complication