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All Journal Jurnal Akademik Pengabdian Masyarakat Indonesian Journal of Endocrinology Metabolism and Diabetes (InaJEMD)
Agus Joko Susanto
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Computer Science & IT Economics, Econometrics & Finance Education Health Professions Industrial & Manufacturing Engineering Medicine & Pharmacology Public Health Social Sciences

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Menurunkan Keluhan Nyeri Punggung Bawah Pada Guru Sma Melalui Edukasi Peregangan Otot Di Tempat Kerja Widya Andini; Chairul Ichsan; Agus Joko Susanto
JURNAL AKADEMIK PENGABDIAN MASYARAKAT Vol. 3 No. 2 (2025): Maret
Publisher : CV. KAMPUS AKADEMIK PUBLISING

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61722/japm.v3i2.4142

Abstract

Teachers are one of the groups at high risk of experiencing lower back pain (LBP). Teachers often experience lower back pain due to static sitting or working positions, which can trigger repetitive strain injuries. Community service aims to identify efforts to prevent and treat lower back pain in teachers. The method used is a quantitative approach by looking at the effects before and after education is given. The results of activities for SMAN 10 teachers showed a decrease in the average complaint of lower back pain before education was given 5.9 and after becoming 2.3, it was proven to be effective in overcoming the problem of lower back pain disorders
Multiple Autoimmune Syndrome (Graves’ Disease, Autoimmune Hepatitis, SLE) in Young Male with ASD Secundum: A Rare Case Dinar Dewi Miftah Tyas Arum; Herlina Kusuma Dewi; Eva Niamuzisilawati; Aritantri Darmayani; Agus Joko Susanto; Astri Kurniati Martiana; Brian Wasita
‎ InaJEMD - Indonesian Journal of Endocrinology Metabolic and Diabetes Vol. 2 No. 1 (2025): InaJEMD Vol. 2, No. 1
Publisher : PP PERKENI

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Abstract

Multiple autoimmune syndrome (MAS) is characterized by the presence of at least three autoimmune diseases, presenting complex clinical challenges due to overlapping conditions and varied manifestations. Multiple autoimmune syndrome is rarely reported in men, particularly with the combination of Graves’ disease, systemic lupus erythematosus (SLE), and autoimmune hepatitis (AIH). We report a case of a 22-year-old male who presented with symptoms of jaundice, significant weight loss, and classic signs of hyperthyroidism, including palpitations and tremors. Physical examination revealed jaundice, exophthalmos, and an enlarged thyroid gland, and he was diagnosed with Graves' disease, SLE, and AIH. Additional findings included stasis dermatitis and an atrial septal defect (ASD) with a moderate risk of pulmonary hypertension. The patient received thiamazole, propranolol, and corticosteroids, leading to clinical stabilization and symptom resolution. This rare MAS case with concurrent Graves’ disease, SLE, and AIH highlights the need for accurate diagnosis and individualized management. The immunological interplay among these diseases contributes to diverse clinical manifestations, requiring a multidisciplinary approach. Our patient’s management strategy effectively controlled hyperthyroidism, mitigated hepatic inflammation, and stabilized cardiac function, illustrating the effectiveness of comprehensive therapy. In young patients presenting with multiple autoimmune symptoms, MAS should be considered, especially with unusual combinations. Early detection and tailored treatment approaches, along with interdisciplinary collaboration, are essential to manage MAS and its associated complications.
Co-Authors Aritantri Darmayani Astri Kurniati Martiana Brian Wasita Chairul Ichsan Dinar Dewi Miftah Tyas Arum Eva Niamuzisilawati Herlina Kusuma Dewi Widya Andini