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VITAMIN D PADA PASIEN ACNE VULGARIS DAN KORELASI DENGAN LUARAN KLINIS: REVIEW SISTEMATIK Pratama, Radya Putra; Arjadi, Fitranto; Mulyanto, Joko
Medical and Health Journal Vol 3 No 2 (2024): February
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mhj.2024.3.2.11004

Abstract

Background: Vitamin D is thought to have a role in the pathogenesis of acne vulgaris through anti-inflammatory effects. Research regarding the relationship between vitamin D and the severity of acne vulgaris still shows mixed results. Objective: To determine the correlation between vitamin D levels and clinical severity in acne vulgaris patients. Method: This systematic review uses Pubmed, Google Scholar, and Science Direct databases. Of the 362 articles, 13 articles that met the inclusion criteria were analyzed narratively. Results: Of 13 studies, 4 showed significant differences in serum vitamin D levels between degrees of acne severity. Meanwhile, the other 9 did not show any significant differences. One study showed significant differences in tissue vitamin D levels with severity. Conclusion: Overall, results are still inconsistent. There is evidence of a higher risk of vitamin D deficiency and decreased tissue vitamin D levels in people with acne vulgaris as severity increases. It is suspected that this is related to the role of vitamin D in suppressing inflammation. Further studies considering confounding factors are needed to clarify this association.
HIPERTENSI PADA ANAK: TINJAUAN PUSTAKA Pratama, Radya Putra; Alexandra, Florence; Saad, Nursan
Medical and Health Journal Vol 4 No 1 (2024): August
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mhj.2024.4.1.11952

Abstract

Hypertension in the pediatric population is a serious health problem that needs attention. Although the incidence is not as high as in adults, pediatric hypertension can increase the risk of cardiovascular and kidney disease later in life. This article aims to review the definition, epidemiology, etiology, pathogenesis, clinical manifestations, diagnosis, and management of pediatric hypertension. The causes of hypertension in the pediatric population can be divided into primary hypertension, which is generally associated with obesity and metabolic syndrome, and secondary hypertension, which is most often caused by kidney disorders. The diagnosis of pediatric hypertension is established through history taking, physical examination, and investigations. Management of pediatric hypertension includes lifestyle modifications and administration of antihypertensive drugs, depending on the severity and presence of target organ damage. Regular blood pressure checks after the age of 3 years are important so that pediatric hypertension can be detected and treated early to prevent long-term complications.
Comprehensive Management of Atopic Dermatitis in Adult Patients Using a Family Medicine Approach Pratama, Radya Putra; Wibowo, Yudhi
Jurnal Ilmu Kedokteran Keluarga Vol. 3 No. 1: July 2024
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56674/altera.v3i1.25

Abstract

Background: Atopic dermatitis is a chronic inflammatory skin disease that is multifactorial. Its management requires a comprehensive approach involving the family. Objective: To discuss the comprehensive management of atopic dermatitis in an adult using a family medicine approach. Case: A 48-year-old man presented with itchiness and dry skin on the neck and arms since 1 month ago. He was diagnosed with atopic dermatitis based on William's criteria. Topical and systemic therapies, education, and trigger modification were carried out. Conclusion: A comprehensive approach with family medicine is important to ensure optimal diagnosis and therapy in cases of atopic dermatitis, one of which is through patient family education.