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Journal : Jurnal Kedokteran Gigi Universitas Padjadjaran

Penggunaan Kessler psychological distress scale, food recall dan food frequency questionnaire dalam menentukan faktor predisposisi recurrent aphthous stomatitis Dewi, Ayu Galih Permata; Herawati, Erna; Wahyuni, Indah Suasani
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 29, No 3 (2017): Desember
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (359.139 KB) | DOI: 10.24198/jkg.v29i3.15941

Abstract

Pendahuluan: Recurrent Aphtous Stomatitis merupakan kelainan mukosa rongga mulut, dengan ulser berbatas regular secara berulang. Etiologi belum diketahui, tetapi ada beberapa faktor predisposisi yang dapat menginisiasi, antara lain defisiensi nutrisi dan stres. Tujuan artikel ini untuk membahas kasus Recurrent Aphtous Stomatitis minor terkait defisiensi nutrisi dan stres emosional. Laporan Kasus: Wanita, 23 tahun mengeluhkan sariawan pada bibir, sakit saat makan dan berulang 2 bulan sekali. Pasien jarang makan sayur dan buah, serta banyak pekerjaan. Secara klinis ulser berdiameter 2mm, ditutupi pseudomembran putih kekuningan, dengan margin regular pada mukosa labial kanan atas. Pasien didiagnosis Recurrent Aphtous Stomatitis minor dan diterapi dengan Triamsinolone acetonide 0,1% gel. Faktor predisposisi yaitu stress diukur dengan kuisioner Kessler Psychological Distress Scale, dan asupan nutrisi diukur dengan kuisioner Food Recall 24 jam dan food frequency questionnaire. Hasil: Tingkat stres skala 35 dikategorikan stres berat. Berdasarkan kuisioner kecukupan gizi pasien mengalami defisiensi nutrisi terutama asam folat dan zat besi. Penyembuhan terjadi lebih lama, sekitar 16 hari, dibandingkan Recurrent Aphtous Stomatitis pada umumnya. Simpulan: Penggunaan Kessler Psychological Distress Scale, Food Recall dan Food Frequency Questionnaire dapat menentukan faktor etiologi dan membantu dalam tatalaksana Recurrent Aphtous Stomatitis. The usage of Kessler psychological distress scale, food recall, and food frequency questionnaire in determining predisposing factors of recurrent aphthous stomatitis ABSTRACTIntroduction: Recurrent Aphthous Stomatitis was a common disorder in oral mucosa, signed by recurrent ulcer with regular margin. The aetiology was unknown, but there were such predisposing factors initiated the disease, one of them were nutrient deficiency and stress. The purpose of this article was to reported the Recurrent aphthous stomatitis minor case related to nutrient deficiency and stress emotional. Case Report: A young woman, 23-years-old with chief complaints of mouth ulcers, chewing illness, and all recurrent symptoms every 2 months. The woman had many school tasks, with seldom fruits and vegetable consumption. Clinically, the ulcers’ diameter was 2mm, with regular margin covered with white-yellowish pseudomembrane at the upper labial mucosa. The patient was diagnosed Recurrent Aphthous Stomatitis minor and treated using 0.1% Triamcinolone acetonide gel. The expected predisposing factors were nutrient deficiency and stress, which were measured with the Kessler Psychological Distress Scale for the stress level, and the 24 hours food recall and food frequency questionnaire for the nutrient intake. Results: The stress level score was 35 and classified as severe categories. Based on the nutrition questionnaire, the patient had a nutrient deficiency, especially folic acid and iron. The healing process was quite long compared to the general healing time, approximately in 16 days. Conclusion: The use of Kessler Psychological Distress Scale, Food Recall, and Food Frequency Questionnaire could determine the aetiology factors and assisted the management of Recurrent aphthous stomatitis.Keywords: Recurrent aphthous stomatitis minor, kessler psychological distress scale, food recall questionnaire, food frequency questionnaire.
Suplementasi mikronutrien pada pasien eritema multiforme dengan penurunan kualitas eritrositMicronutrient supplementation in erythema multiforme patients with decreased erythrocyte quality I Nyoman Gede Juwita Putra; Suniti Suniti; Nanan Nur'aeny; Indah Suasani Wahyuni
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 32, No 3 (2021): Februari 2021 (Suplemen 2)
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v32i3.31871

Abstract

Pendahuluan: Eritema multiforme (EM) adalah penyakit peradangan akut yang merupakan reaksi hipersensitivitas pada mukokutan dan jarang ditemukan. Gambaran klinis EM berupa lesi erosi-ulseratif dan memiliki tendensi perdarahan. Kualitas eritrosit yang menurun dapat mempengaruhi proses penyembuhan penyakit ini, namun hal ini dapat diatasi dengan pemenuhan asupan mikronutrien. Tujuan laporan kasus ini untuk memaparkan hasil terapi suplementasi mikronutrien yang diberikan untuk tatalaksana EM pada pasien yang mengalami penurunan kualitas eritrosit. Laporan kasus: Seorang wanita berusia 21 tahun mengeluhkan perdarahan bibir dan sariawan dalam rongga mulut, terasa sakit sejak 3 minggu sebelumnya. Riwayat keluhan yang sama pernah dialami 7 tahun sebelumnya. Pemeriksaan ekstraoral memperlihatkan krusta hemoragik pada bibir, sedangkan hasil pemeriksaan intraoral menunjukkan ulserasi multipel pada hampir seluruh mukosa rongga mulut. Hasil pemeriksaan laboratorium menunjukkan adanya penurunan kualitas eritrosit berdasarkan parameter Mean Corpuscular Volume (MCV), Mean Cell Hemoglobin (MCH), dan Mean Cell Hemoglobin Concentration (MCHC); peningkatan jumlah eritrosit; dan eosinofil pada borderline atas, serta anti HSV-I IgG non-reaktif. Diagnosis pasien adalah eritema multiforme dengan riwayat stomatitis aftosa rekuren (SAR). Tatalaksana farmakologis diberikan asam folat dan vitamin B12 sebagai suplementasi mikronutrien. Diberikan pula chlorhexidine digluconate 0,12% mouthrinse sebagai antiseptik, dan petroleum jelly untuk pelembab bibir. Lesi oral pasien sembuh setelah 2 minggu terapi. Simpulan: Suplementasi mikronutrien berperan penting dalam mempercepat penyembuhan lesi mukosa oral pada pasien eritema multiforme yang mengalami penurunan kualitas eritrosit. Mikronutrien berupa asam folat dan vitamin B12 berperan penting dalam sintesis DNA eritrosit, pembelahan sel, dan perbaikan jaringan. Kata kunci: Mikronutrien, eritema multiforme, kualitas eritrosit. ABSTRACTIntroduction: Erythema multiforme (EM) is an acute inflammatory disease as a hypersensitivity reaction to mucocutaneous and is rarely found. The clinical feature of EM is an erosive-ulcerative lesion with a tendency of bleeding. Decreasing erythrocyte quality can affect its healing process, although able to be overcome by fulfilling the micronutrient intake. The purpose of this case report was to describe the results of micronutrient supplementation therapy given in the management of EM patients with decreasing erythrocyte quality. Case report: A 21-year-old woman complained of lip bleeding and oral thrush, which felt pain three weeks prior. A similar complaint history had been experienced in the previous seven years. Extraoral examination revealed haemorrhagic crusting on the lips, whereas intraoral examination showed multiple ulcerations of almost the entire oral mucosa. Laboratory examination results showed a decreasing erythrocyte quality based on the parameters of Mean Corpuscular Volume (MCV), Mean Cell Haemoglobin (MCH), and Mean Cell Haemoglobin Concentration (MCHC); an increasing number of erythrocytes and eosinophils in the upper borderline, as well as non-reactive anti-HSV-I IgG. The patient was diagnosed with erythema multiforme with a history of recurrent aphthous stomatitis (RAS). Pharmacological management was performed by given folic acid and vitamin B12 as micronutrient supplementation. Also, given a 0.12% chlorhexidine digluconate mouth rinse as an antiseptic and petroleum jelly for lip balm. The patient’s oral lesions resolved after two weeks of therapy. Conclusion: Micronutrient supplementation plays an essential role in accelerating the oral mucosal lesions healing in erythema multiforme patients with decreasing erythrocyte quality. Micronutrients in folic acid and vitamin B12 play an important role in erythrocyte DNA synthesis, cell division, and tissue repair.Keywords: Micronutrient, erythema multiforme, erythrocyte quality.
Penilaian faktor predisposisi recurrent aphthous stomatitis dengan menggunakan Kessler psychological distress scale, food recall, dan food frequency questionnaireAssessment of predisposing factors for recurrent aphthous stomatitis using Kessler psychological distress scale, food recall, and food frequency questionnaire Ayu Galih Permata Dewi; Erna Herawati; Indah Suasani Wahyuni
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 29, No 3 (2017): Desember
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (359.139 KB) | DOI: 10.24198/jkg.v29i3.15941

Abstract

Pendahuluan: Recurrent aphtous stomatitis merupakan kelainan mukosa rongga mulut, dengan ulser berbatas regular secara berulang. Etiologi belum diketahui, tetapi ada beberapa faktor predisposisi yang dapat menginisiasi, antara lain defisiensi stres dan nutrisi. Laporan kasus ini bertujuan membahas penentuan faktor predisposisi recurrent aphtous stomatitis minor terkait defisiensi nutrisi dan stres emosional dengan menggunakan indikator pengukuran stres dan asupan nutrisi. Laporan Kasus: Seorang wanita berusia 23 tahun mengeluhkan sariawan pada bibir, sakit saat makan, dan berulang 2 bulan sekali. Pasien jarang makan sayur dan buah, serta banyak pekerjaan. Secara klinis ulser berdiameter 2mm, ditutupi pseudomembran putih kekuningan, dengan margin reguler pada mukosa labial kanan atas. Pasien didiagnosis recurrent aphtous stomatitis minor dan diterapi dengan gel Triamcinolone acetonide 0,1%. Faktor predisposisi yaitu stress diukur dengan kuisioner Kessler psychological distress scale, dan asupan nutrisi diukur dengan food recall 24 jam dan food frequency questionnaire. Tingkat stres skala 35 dikategorikan stres berat. Berdasarkan Angka Kecukupan Gizi (AKG) pasien mengalami defisiensi nutrisi terutama asam folat dan zat besi. Penyembuhan terjadi lebih lama, sekitar 16 hari, dibandingkan pasien recurrent aphtous stomatitis pada umumnya. Simpulan: Faktor predisposisi recurrent aphthous stomatitis dapat dinilai dengan menggunakan Kessler psychological distress scale, food recall dan food frequency questionnaire.Kata kunci: Recurrent aphtous stomatitis minor, faktor predisposisi, Kessler psychological distress scale, food recall questionnaire, food frequency questionnaire. ABSTRACTIntroduction: Recurrent aphthous stomatitis is a mucosal abnormality of the oral cavity, with regular border ulcers. The aetiology is unknown, but several predisposing factors can initiate, including stress deficiency and nutrition. This case report was aimed to discuss the determination of predisposing factors of minor aphthous stomatitis related to nutritional deficiencies and emotional stress by using indicators of stress measurement and nutritional intake. Case Report: A 23-years-old woman was complaining mouth ulcers, pain while eating, and recurred every two months. The patient was rarely eating vegetables and fruit, and having a lot of working burden. The ulcer was having a diameter of 2mm clinically, covered with a yellowish-white pseudomembrane, with a regular margin on the right upper labial mucosa. The patient was diagnosed with minor aphthous stomatitis and treated with a 0.1% Triamcinolone acetonide gel. Stress predisposing factors were measured by the Kessler psychological distress scale questionnaire, and the nutritional intake was measured by the 24-hours food recall and a food frequency questionnaires. The 35 scale stress level was categorised as severe stress. Based on the Recommended Dietary Allowance (RDA), the patient was having nutritional deficiencies, especially folic acid and iron. Healing process occurred longer, around 16 days, compared to patients recurrent aphthous stomatitis in general. Conclusion: Predisposing factors for recurrent aphthous stomatitis can be assessed using Kessler’s psychological distress scale, food recall and food frequency questionnaire.Keywords: Recurrent aphthous stomatitis minor, Kessler psychological distress scale, food recall questionnaire, food frequency questionnaire.