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Tenny Setiani Dewi
Departemen Ilmu Penyakit Mulut Fakultas Kedokteran Gigi, Universitas Padjadjaran Bandung, Indonesia
Dentistry

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Honey as a risk factor for erythema multiform: case report: Madu sebagai faktor risiko eritema multiform: laporan kasus Ani Megawati; Tenny Setiani Dewi
Makassar Dental Journal Vol. 11 No. 2 (2022): Volume 11 Issue 2 Agustus 2022
Publisher : Makassar Dental Journal PDGI Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35856/mdj.v11i2.590

Abstract

Erythema multiform (EM) is an acute and recurrent hypersensitivity reaction that occurs on the skin and oral mucosa. EM's risk factors include viral infections,drugs, radiation, autoimmune diseases, foodstuffs, and chemicals. Various bee products such as propolis, honey, and bee pollen are believed to have therapeutic effects for various diseases but can trigger allergic reactions. A 31-year-old female patient came to the Oral Medicine clinic with swollen and bleeding lips 2 weeks ago. The patient initially felt her lips were dry and exfoliate, then smeared her lips with honey but they became swollen and painful. The patient felt itchy on hertongue after consuming honey a few months ago. Clinical examination showed edema accompanied by erosive lesions, and ulcers, tend to bleed hemorrhagic crusts on the upper lip to the upper labial mucosa and lower lip. Laboratory examination showed IgE titer increased fourfold, IgG and IgM anti-HSV-1 were negative. The diagnosis was erythema multiforme. The therapy given is 0.9% NaCl compress on the lips using sterile gauze, applying topical corticosteroids to the lips, and educating the patient to not use and consume honey or other bee products. The patient recovered without scarring after two weeks of therapy. It was concluded that honey can be a risk factor for the emergence of EM, so it is very important to eliminate risk factors for the management and prevention of EM recurrence.
Psychosomatic disorders of quality of life in burning mouth syndrome patients during the Covid-19 pandemic: two case reports: Gangguan psikosomatis terhadap quality of life pada pasien burning mouth syndrome di masa pandemi Covid-19: dua laporan kasus Embun Manja Sari; Tenny Setiani Dewi
Makassar Dental Journal Vol. 11 No. 3 (2022): Volume 11 Issue 3 Desember 2022
Publisher : Makassar Dental Journal PDGI Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35856/mdj.v11i3.642

Abstract

Pandemi Covid-19 menyebabkan gangguan psikosomatis berupa burning mouth syndrome (BMS), yaitu suatu kumpulan gejala rasa sakit dan panas pada satu atau beberapa struktur mulut dengan tampilan mukosa normal. Artikel ini membahas pengaruh gangguan psikosomatis terhadap nilai quality of life (QoL) pada pasien BMS di masa pandemi Covid-19 pada dua kasus. Kasus pertama, perempuan usia 74 tahun dalam masa menopaus, mengeluhkan rasa mulut kering, perih pada lidah, bibir atas, dan rasa pengecapan berubah sejak 3 tahun lalu. Terdapat riwayat hipertensi, mengonsumsi amlodipine sejak 5 tahun terakhir. Pemeriksa-an ekstra dan intra oral tidak ditemukan kelainan. Kasus kedua, laki-laki usia 36 tahun, keluhan nyeri yang tidak spesifik, rasa kebas pada ujung lidah sejak 1,5 tahun lalu, dan mulut terasa kering. Pasien mengalami kecemasan yang sulit dijelaskan. Kon-sultasi ke bagian psikiatri, penyakit dalam, dan saaraf namun tidak ditemukan kelainan. Kedua pasien terjadi penurunan berat badan. Berdasarkan anamnesis dan pemeriksaan klinis kedua kasus didiagnosis BMS. Penatalaksanaandari Ilmu Penyakit Mulut, diberikan obat kumur yang mengandung Aloe vera, sodium chloride, essential oils serta memberikan informasi, edukasi, dan dukungan moral terkait keluhannya. Disimpulkan bahwa gangguan psikosomatis berpengaruh terhadap QoL pada pasien BMS di masa pandemi Covid-19.Kedua pasien mengalami penurunan QoL. Pentingnya pendekatan medis dan psikologis memban-tu meningkatkan QoL pada pasien BMS.
Co-Authors Ani Megawati Embun Manja Sari