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Angraini, Dwi Indria
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Kasus dan Penanganan Luka Bakar Derajat 1 dan Derajat 2 pada Pasien Anak-anak Azizza, Zahra Qori; Angraini, Dwi Indria; Berawi, Khairun Nisa
Medula Vol 14 No 1 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i1.923

Abstract

Combustio are injuries that occur on the surface of the skin due to fire or objects with high temperatures and cause damage to the epidermis and surrounding tissue. Many combustio occur due to unplanned events so children often become victims. The high incidence of combustio in children is caused by children's impulsiveness, lack of children's awareness, high activity levels, and low control by parents. Children often suffer 1st degree combustio which is erythema of the skin and 2nd degree combustio which is damage of epidermis to the reticular layer. Treatment of 1st and 2nd degree combustio in children generally uses dressings combined with hyaluronic acid to speed up the healing process. This article is a literature review and used reference articles that published in 2012-2022 on Google Scholar, Science Direct, and PubMed.
Kandidiasis Vulvovaginalis dan Kondiloma Akuminata : Laporan Kasus pada Anak Mareta, Cindy Ayu; Angraini, Dwi Indria
Medula Vol 14 No 4 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i4.1058

Abstract

Vulvovaginal candidiasis (CVV) and condyloma acuminata (KA) are sexually transmitted infections (STIs) that are frequently reported. KVV is generally caused by Candida albicans. KA is caused by Human Papilloma Virus (HPV) 6 and 11. The incidence of KA in children has increased in the last few decades. This case report aims to report cases of KVV and KA in children. A 13 year old girl came to the skin and genital clinic at Dr. RSUD. H. Abdul Moeloek, Lampung Province with complaints of white, lumpy and itchy vaginal discharge since 1 month ago. On physical examination, venerological status revealed diffuse erythematous lesions with satellite lesions on the labia majora. In the vulva there is a moderate amount of lumpy, rice-like discharge. In the vulva to perianal region, multiple verrucous papillomatosis papules appeared with positive acetowhite test results. The results of KOH examination of vaginal secretions showed Candida sp. The patient's therapy was given systemic fluconazole and cetrizine, as well as topical myconazole nitrate cream. In this case, there was clinical improvement in CVV after systemic and topical antifungal therapy.
Pasien Wanita 41 Tahun dengan Sindrom Hipersensitivitas Obat (SHO) akibat Antibiotik Purba, Kevin Jeremia; Angraini, Dwi Indria
Medula Vol 15 No 2 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v15i2.1619

Abstract

Aberrant reactions to drugs vary, ranging from mild to severe clinical symptoms. Drug Hypersensitivity Syndrome (SHO) is a systemic autoimmune disorder caused by aberrant reactions to drugs which can cause symptoms in the form of skin eruptions, fever accompanied by involvement of one or several internal organs. Drug Hypersensitivity Syndrome is often caused by drugs such as trimethoprim, allopurinol, metronidazole, dapsone and abacavir. This disease can also occur due to cross-reaction of drugs, such as anti-convulsant drugs (carbamazepine, phenytoin, phenobarbital) and non-steroidal anti-inflammatory drugs (piroxicam). Reported on a 41 year old female patient with complaints including: the main complaint was red spots accompanied by itching all over the body and yellowing of both eyes. Clinical symptoms appeared after the patient consumed various types of drugs in the last two weeks. Investigation revealed thrombocytopenia and a drastic increase in liver enzymes. Based on the physical and supporting examination, a diagnosis of Drug Hypersensitivity Syndrome et causa susp was made. amoxicillin. The main management of SHO is identification and stopping the causative drug, symptomatic therapy and recommended administration of systemic corticosteroids.