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Teuku Rizky Noviandy
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INDONESIA
Indonesian Journal of Case Reports
Published by PT. Heca Sentra Analitika
ISSN : -     EISSN : 30253578     DOI : https://doi.org/10.60084/ijcr
Core Subject : Health, Science,
Health Professions Medicine & Pharmacology Neuroscience Public Health
The journal aims to present challenging and stimulating cases in an educational format, enabling readers to engage as if they are actively collaborating with caring clinician scientists in patient management. Topics of this journal includes, but not limited to Exploration of new diseases and their manifestations, Investigation of new presentations or variations of known diseases, Identification of new associations between diseases or symptoms, Examination of new diagnostic techniques for skin, hair, and nail conditions, Evaluation of new treatment methods, including adverse events and procedural techniques, Reporting of unreported or unusual side effects or adverse interactions involving medications, Analysis of unexpected or unusual disease presentations, Discussion of new associations or variations in disease processes, Presentation, diagnosis, and management of new and emerging diseases, Reporting of unexpected events in patient observation or treatment, Discovery of findings that contribute to the understanding of disease pathogenesis or adverse effects
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 30 Documents
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Managing an Atypical Case of Pediatric Cutaneous Polyarteritis Nodosa: Clinical Perspectives Managing Rare Presentation of Cutaneous Polyarteritis Nodosa in Pediatric Patient: Insight from a Case Study Utama, Adelia Anggraini; Kisworini, Priyanti; Putri, Niarsari Anugrahing
Indonesian Journal of Case Reports Vol. 3 No. 1 (2025): June 2025
Publisher : Heca Sentra Analitika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60084/ijcr.v3i1.265

Abstract

Cutaneous polyarteritis nodosa is a rare form of necrotizing vasculitis affecting small and medium-sized arteries, characterized by localized inflammation and ischemia without systemic organ involvement. This case report highlights a 7-year-old girl who presented with severe cutaneous manifestations, including digital necrosis and livedo reticularis, accompanied by arthralgia and myalgia. Laboratory findings revealed elevated inflammatory markers and a high anti-streptolysin O titer, indicating a possible post-streptococcal etiology. Angiographic evidence confirmed arterial occlusion in the left hand. The patient was treated with high-dose intravenous methylprednisolone, anticoagulation, and long-term methotrexate, resulting in symptom resolution and sustained remission over one year. This case emphasized the importance of prompt recognition, diagnosis, and multidisciplinary management of cutaneous polyarteritis nodosa to prevent and improve outcomes.
Malignant Syphilis in HIV: A Diagnostic and Management Challenge Regina, Senduk Cindy; Niode, Nurdjannah Jane
Indonesian Journal of Case Reports Vol. 3 No. 1 (2025): June 2025
Publisher : Heca Sentra Analitika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60084/ijcr.v3i1.268

Abstract

Malignant syphilis is a rare and severe form of secondary syphilis, often seen in immunocompromised individuals, including those with advanced HIV infection. We report a 29-year-old male with newly diagnosed Stage IV HIV who presented with widespread erythematous plaques and scales and systemic symptoms. Dermatological examination revealed generalized erythematous macules and plaques with scaling, erosion, and crusting. Ulcerative lesions with crusts were noted on the toes and soles. Venereological findings included erythematous to skin-colored macules on the scrotal and penile areas. Serological tests revealed high VDRL (1:128) and TPHA (>1:5120) titers, and histopathology confirmed secondary syphilis. The patient was treated with intramuscular benzathine penicillin G (2.4 million units) weekly for three weeks in conjunction with antiretroviral therapy (ART). Although the patient experienced a Jarisch-Herxheimer reaction, there was significant clinical and serological improvement, with a fourfold reduction in VDRL titers after nine months. This case emphasizes the need for early recognition of malignant syphilis in immunocompromised patients and highlights the effectiveness of benzathine penicillin G and ART in treatment. Regular follow-up is essential to monitor progress and prevent recurrence.
Hope After Cancer: Pregnancy Outcomes Following Fertility-Sparing Surgery – A Case Report Marpaung, Richardo; Armanza, Ferry; Yuseran, Hariadi; Waluyo, Setyo Teguh; Salan, Yosef Dwi Cahyadi
Indonesian Journal of Case Reports Vol. 3 No. 1 (2025): June 2025
Publisher : Heca Sentra Analitika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60084/ijcr.v3i1.260

Abstract

Pregnancy after diagnosis of ovarian cancer is a rare event. Ovarian Cancer is associated with difficulty in achieving pregnancy. Little is known about the mechanism of this condition due to limited literature and studies. In this paper, the authors report a rare case of successful pregnancy in a patient with ovarian cancer. Patient initially diagnosed with cystadenocarcinoma mucinous of the ovary, two years prior to pregnancy, and later diagnosed with suspected ovarian cancer in the third trimester. The patient was then treated with optimal debulking surgery and cesarean section at 35 weeks of pregnancy. The patient delivered a healthy baby girl. Debulking surgery was carried out, and the patient was scheduled for chemotherapy. The findings from this case conclude that patients with ovarian cancer who receive conservative surgical treatment could have successful pregnancy outcomes. The quality of the patient’s life should be a priority, and follow-up for further treatment is essential.
Coexistence of Psoriasis Vulgaris and Systemic Lupus Erythematosus: A Rare Clinical Case Earlia, Nanda; Zulfan, Zulfan; Pradistha, Aldilla; Asrizal, Cynthia Wahyu; Yoo, Soo-Ji; Wisesa, Wizurai; Abdurrazaq, Abdurrazaq; Ikram, Tubagus Pasca Faiz; Ismida, Fitri Dewi; Murtadha, Raihan; Zuhra, Sofi Alfia; Ramadhani, Cut Sukma
Indonesian Journal of Case Reports Vol. 3 No. 1 (2025): June 2025
Publisher : Heca Sentra Analitika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60084/ijcr.v3i1.278

Abstract

Psoriasis vulgaris is a chronic skin inflammation characterized by the appearance of clearly limited erythematous plaques, along with rough, thick, and silvery-white scales. Systemic Lupus Erythematosus (SLE) is a multifactorial autoimmune disease with diverse clinical manifestations and can involve one or more organs. This case report presents a patient with Psoriasis Vulgaris with SLE. A 47-year-old woman presented with erythematous plaque lesions with thick scales and some hyperpigmentation, numerous, plaque-sized lesions with regional distribution on the scalp, right and left cubital areas, gluteal, left tibia, and yellow unguium dyschromia was seen on the distal lateral aspect, solitary on the right 3rd digit. Histopathological examination found typical Psoriasis Vulgaris. The patient was diagnosed with Psoriasis Vulgaris. In 2022, the patient was diagnosed with SLE and received Hydroxychloroquine sulfate therapy. The patient was treated with a combination therapy including methotrexate (MTX) and topical medications. This case highlights the importance of comprehensive evaluation for Psoriasis Vulgaris therapy with a previous history of SLE and the choice of treatment in patients with the coexistence of PV and SLE.
Early Intervention in Unilateral Retinoblastoma: A 2-Year-Old’s Journey Through Enucleation and Evidence-Based Care Imelda, Eva; Adev, Sarra Mutiara; Jannah, Siti Rain; Toshniwal, Nikhil
Indonesian Journal of Case Reports Vol. 3 No. 1 (2025): June 2025
Publisher : Heca Sentra Analitika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60084/ijcr.v3i1.290

Abstract

Retinoblastoma is a neoplasm that arises from the retina and is frequently observed in pediatric patients, with a high degree of morbidity, particularly in underdeveloped nations. The classification of this tumor is based on its spread (intraocular and extraocular) and location (unilateral, bilateral, trilateral, and quadrilateral). Unilateral retinoblastoma is the most prevalent form, accounting for 60–70% of cases. A 2-year-old female patient was brought to the Eye Clinic of the Pediatric and Strabismus Department of Dr. Zainoel Abidin Regional Hospital by her parents with a complaint of a white spot in the center of her left eye, accompanied by decreased visual acuity for 3 months. A subsequent examination, using ultrasound (USG), revealed a mass at the base of the retina, accompanied by calcification and infiltration into the vitreous. An orbital scan revealed intraocular calcification, exclusively in the left eye. The patient was diagnosed with unilateral leukocoria OS et causa retinoblastoma grade E. Subsequent treatment plans included OS enucleation and EUA (Examination Under Anesthesia) procedures. Following the EUA procedure, no mass was identified in the right eye. An anatomical pathology examination revealed no spread to the optic nerve; therefore, chemotherapy was not given.
Managing Bilateral Congenital Cataracts in Early Childhood: A Clinical and Surgical Perspective Imelda, Eva; Lathifah, Lakaeisya SY; Lubis, Dara Amalia; Toshniwal, Nikhil; Adev, Sarra Mutiara
Indonesian Journal of Case Reports Vol. 3 No. 2 (2025): December 2025
Publisher : Heca Sentra Analitika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60084/ijcr.v3i2.318

Abstract

Congenital cataract is a leading cause of childhood blindness that demands prompt surgical intervention to prevent irreversible visual impairment. This case report presents an infant with bilateral congenital cataracts whose diagnosis and treatment were delayed beyond the optimal intervention window. The patient underwent cataract extraction using irrigation aspiration, primary posterior capsulotomy, and anterior vitrectomy. Intraocular lens (IOL) implantation was deferred due to considerations of the patient’s age and corneal diameter, and aphakia was managed with high-powered spectacles. Postoperative follow-up revealed improved visual responses, including fixation and following of light and objects, indicating positive visual development. This case highlights the importance of timely identification, appropriate surgical technique, and tailored postoperative visual rehabilitation in managing pediatric cataracts to optimize functional outcomes.
Overlapping Neurological Insults: Case Report of Herpes Zoster in Multibacillary Leprosy with Reversal Reaction Earlia, Nanda; Pradistha, Aldilla
Indonesian Journal of Case Reports Vol. 3 No. 2 (2025): December 2025
Publisher : Heca Sentra Analitika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60084/ijcr.v3i2.335

Abstract

Herpes zoster (HZ) is a reactivation of the varicella zoster virus (VZV). Low immunity, whether due to advanced age, immunosuppressants such as corticosteroids, or chronic infectious conditions such as Morbus Hansen (MH), is the primary predisposing factor for VZV reactivation. A 48-year-old man, previously diagnosed with Morbus Hansen, presented with a painful, burning, erythematous rash that began 5 days before presentation, followed by the development of grouped, fluid-filled blisters on the left waist, some of which ruptured and formed crusts. In the TZANK test, multinucleated giant cells were identified. The patient was given acyclovir, gabapentin, and mupirocin ointment. Leprosy therapy was continued, but corticosteroids were temporarily discontinued until the HZ lesions improved. After 1 week, improvements were observed in the lesions. Adequate therapy is crucial to prevent severe complications in immunocompromised patients. Clinicians should be aware of the potential for this dual disorder, particularly in immunocompromised patients, to promptly identify and manage this condition, thereby minimizing nerve damage, improving patient outcomes, and preventing disability. This case also underscores the need for careful neurological assessment and tailored strategies and therapies in patients with complex infectious neuropathies.
Regeneration of the Anterior Talofibular Ligament Following PRP Therapy: A Case Report with Serial MRI Evidence See, Zhi Huang; Low, Sing Wei; Tan, Seu Kean
Indonesian Journal of Case Reports Vol. 3 No. 2 (2025): December 2025
Publisher : Heca Sentra Analitika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60084/ijcr.v3i2.352

Abstract

Lateral ankle sprain (LAS) is one of the most common lower limb injuries, particularly in individuals involved in sports and recreational activities. The anterior talofibular ligament (ATFL) is the structure most frequently affected. Platelet-rich plasma (PRP) has shown potential in promoting tissue regeneration and accelerating healing. We report a case of a grade 3 ATFL tear treated with a single PRP injection combined with functional rehabilitation therapy, with serial MRI scans demonstrating ligament continuity and clinical recovery. This case highlights PRP hypothesized as a useful adjunct treatment for LAS involving ATFL injury when combined with functional rehabilitation, as it may promote ligamentous healing, improve short-term symptoms, and potentially reduce the long-term risk of developing chronic ankle instability.
The Impact of Missed Red Reflex Screening on Binocular Vision Outcomes in a Child with Bilateral Congenital Cataracts Fadliyani, Eka; Sari, Munita; Imelda, Eva; Anggreiny, Cut Dini; Toshnowal, Nikhil
Indonesian Journal of Case Reports Vol. 3 No. 2 (2025): December 2025
Publisher : Heca Sentra Analitika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60084/ijcr.v3i2.355

Abstract

Delayed recognition of congenital cataracts during the critical period of visual development can result in permanent neurovisual deficits. This case report describes a 5-year-old child with bilateral congenital cataracts who presented late with alternating exotropia. Ocular evaluation showed bilateral cataracts, alternating fixation on cover testing, and absent stereopsis, indicating long-standing visual deprivation. Despite cataract extraction, binocular function remained poor due to disruption of cortical binocularity beyond the sensitive developmental window. This case underscores the irreversible impact of late intervention and highlights the need for strengthened neonatal red reflex screening and timely referral to prevent avoidable lifelong visual impairment.
Severe Diabetic Ketoacidosis Complicated by RRT-Requiring Acute Kidney Injury in an Adolescent with Newly Diagnosed Type 1 Diabetes Putri, Niarsari Anugrahing; Himawan, Indra Widjaja; Utama, Adelia Anggraini
Indonesian Journal of Case Reports Vol. 3 No. 2 (2025): December 2025
Publisher : Heca Sentra Analitika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60084/ijcr.v3i2.367

Abstract

Diabetic ketoacidosis (DKA) is a major and potentially life-threatening acute complication of type 1 diabetes mellitus (T1DM), particularly in children and adolescents. We report a 17-year-old male who presented with severe DKA as the first manifestation of previously undiagnosed T1DM. On admission, he was profoundly acidotic, markedly hyperglycemic, hemodynamically unstable, and anuric, with rising creatinine levels. Despite appropriate resuscitation and standard DKA therapy, renal function deteriorated to stage 3 AKI according to KDIGO, leading to the initiation of renal replacement therapy. During the initial phase of dialysis, the patient experienced several episodes of hypoglycemia, requiring insulin dose adjustment and closer glucose monitoring. Renal function gradually improved and patient was discharged in stable condition. This case highlights that DKA as the initial presentation of type 1 DM in adolescents can progress to severe AKI requiring dialysis, and emphasizes the importance of careful monitoring of renal function and glycemic management during renal replacement therapy in pediatric patients.

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