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MANAGEMENT OF ALLERGIC STOMATITIS CAUSED BY CHICKEN AND EGG Ganesha, Raziv
Interdental: Jurnal Kedokteran Gigi Vol 17 No 1 (2021): Interdental Jurnal Kedokteran Gigi (IJKG)
Publisher : Faculty of Dentistry, Mahasaraswati Denpasar University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46862/interdental.v17i1.1934

Abstract

Introduction: Aller gic stomatitis is a hypersensitivity reaction caused by an allergen such as medicines, foods, dental materials. Chicken and egg are one of the common food we usually consumed. Chicken contains low amount of protein and fat, while egg contains nutrient and easy to process. Although allergic reactions in poultry products are commonly found in eggs and feathers, chicken is often as a cause of the allergic reaction. Case: 28-year-old male patient complained an ulcer in his mouth. It shows past 3 days on his upper lips then it shows on his left cheek. Case Treatment: Diagnosis made by anamnesis, clinical examination and supporting examination such as complete blood count, total IgE, and Skin Prick Test. The patient was prescribed by topical anti-inflammatory 2 times daily and after Skin Prick Test was done the patient was given methylprednisolone 3times daily for 7 days, patient was treated in 3 visits. Discussion: A Food allergic usually involved type 1 and 4 hypersensitivity reaction, or both. Skin Prick Test is one of the skin test that commonly used by clinicians to prove the presence of specific IgE bound to skin mastocyte cells. Treatment for this case beside of medication was advised to avoid food that cause the allergic reaction. Conclusion: Management of this case can be successful if clinician understand the clinical manifestation of hypersensitivity reaction to food and can made the right diagnosis to provide proper treatment. Furthermore requires patient cooperation to follow the prescribed care instruction.
TATALAKSANA RECURRENT INTRA ORAL HERPES DISERTAI CANDIDIASIS YANG DIRUJUK OLEH DERMATOLOGIST Ganesha, Raziv; Setyaningtyas, Dwi; Savitri E, Diah; Hadi, Priyo; Israyani
Interdental: Jurnal Kedokteran Gigi Vol 16 No 1 (2020): Interdental Jurnal Kedokteran Gigi (IJKG)
Publisher : Faculty of Dentistry, Mahasaraswati Denpasar University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46862/interdental.v16i1.794

Abstract

Introduction : Herpes simplex virus (HSV) is one variant of the herpes virus that infects humans, has two main types of HSV-1 that manifests more found in the mucosa of the mouth, pharynx, and skin (upper waist), and the type HSV-2 manifests in the genital area (lower waist). Case: 16-year-old female patient were referred from dermatologis RSAL Dr Ramelan Surabaya with complaints of many ulcers, whitish area of the tongue, palatum, vestibulum and genitals. Case Treatment: patients treated with systemic drugs of acyclovir, fluconazole, folic acid, vitamin B, vitamin C, methyl prednisolone, aloe vera extract topical. Patients were tested for blood, HSV-1 & HSV-2 (+), HIV (-), ANA (-). Discussion: Herpes simplex infection is a disease caused by the herpes simplex virus (HSV) which is a DNA virus (Deoxyribonucleic acid). In humans, the herpes virus can be latent and reactivate Reactivation can occur because of a trigger in the form of decreased immunity due to weather changes, fever, sun exposure, emotional stress, trauma, pregnancy, hormonal, systemic diseases, allergies, and immunosuppression. In this case the cause is thought to be due to hormonal. The diagnosis of primary HSV infection and recurrent infection is usually obtained from clinical features and laboratory tests are used establish the diagnosis. Conclucion: Recurrence of HSV infection can be reduced if avoid trigger factors. HSV infection management aimed at the control of pain, supportive treatment and definitive treatment. In this case, multidisciplinary collaboration is required in the treatment because it involves two sites, oral and genital. Keyword : HSV, Recurrent Herpes Oral, Oral Candidiasis
PERAWATAN GINGIVOSTOMATITIS HERPETIKA PRIMER PADA PASIEN REMAJA Ganesha, Raziv
Interdental: Jurnal Kedokteran Gigi Vol 16 No 2 (2020): Interdental Jurnal Kedokteran Gigi (IJKG)
Publisher : Faculty of Dentistry, Mahasaraswati Denpasar University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46862/interdental.v16i2.1132

Abstract

Introduction: Primary Herpetic Gingivostomatitis (PHGS) is a primary infection to Herpes Simplex Virus type 1 (HSV-1). PHGS often occurs in pre-school-aged children, but also occur in school-age children and teenager. This case report purpose to discuss management of PHGS in teenager. Case: Patient a 12-year-old with chief complaints are many ulcers in mouth. Ulcer appears after the patient has a fever for 2 days. The patient has never experienced like this before. On Intra Oral examination found multiple ulcers, varying in size, pain in the upper labial, lower labial, lower gingival and lower mucobucalfold. Case Management: patient was given a complete blood count and IgG antigen HSV-1, with reactive results. Patients received treatment in the form of aloe vera extract gel, Immunomodulator syrup. ulcers healed after 12 days of treatment. Conclucion: PHGS is a case that often occurs in pre-school age but also occur in school-age children and teenager. Anamnesis, objective examination and supporting examinations is needed to diagnosis to choose proper therapy.
MANAGEMENT OF HERPES LABIALIS TRIGGERED BY STRESS Ganesha, Raziv; Sari, Rina Kartika; Putra, I Nyoman Gede Juwita
Interdental: Jurnal Kedokteran Gigi Vol 17 No 2 (2021): Interdental Jurnal Kedokteran Gigi (IJKG)
Publisher : Faculty of Dentistry, Mahasaraswati Denpasar University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46862/interdental.v17i2.2966

Abstract

Introduction: Herpes Labialis is the most common form of orofacial herpes, beginning with a feeling of vesicle formation at the vermilion margin of the lips and the surrounding area within 24 hours and then rupture, superficial erosion occurs which is then covered with crusts. Herpes labialis occurs in 50-75% of individuals exposed to HSV-1 infection in the oral cavity and often has a recurrence followed by prodromal symptoms. Reactivation can occur due to triggers in the form of decreased immune conditions due to weather changes, fever, sun exposure, emotional stress, trauma, menstruation, systemic diseases, allergies, and immunosuppression. Case: 22 years old female with a complaint of a wound on the angular lip, initially the patient had a fever for 2 days then a fluid-filled blister appeared which then rupture. Case management: The diagnosis is made using anamnesis, clinical and supporting examination. CBC and Antybody Titer HSV-1 show value under normal for eosinophil and reactive for IgG HSV-1 established. Patient take medicine topical antiinflammation 3 time a day and multivitamins 1 time a day. Discussion: HSV-1 infektion is latent and can reaktivation. Under Stress Condition can caused a reduced circulating population of immune cells such as IL-6, TNFα, Lymphocites B, NK cell, dan Monocytes which HSV-1 Reactivation. Conclusion: Management in case can be successful if the clinician understand HSV-1 Infection Manifestation and added Suporting Examination. In Addition, cooperation from the patien is needed to manage stress so that the disease no more recurrence
Herpes-associated erythema multiforme in a postmenopausal woman Hendri Susanto; Nurhilailah Nurhilailah; Raziv Ganesha; Hening Tuti Hendarti; Priyo Hadi
Majalah Kedokteran Gigi Indonesia Vol 7, No 1 (2021): April
Publisher : Faculty of Dentistry, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/majkedgiind.43299

Abstract

Herpes-associated erythema multiforme (HAEM) is an acute inflammatory mucocutaneous disease which is characterized by ulcerative lesion on oral mucous membrane with or without skin involvements. The etiology of erythema multiforme (EM) is probably hypersensitivity reaction to human herpes simplex virus tipe 1 (HSV-1). Lesions on lips with HAEM can be treated by corticosteroid and acyclovir topically and/or orally. The objective of this study wasto report the case of HAEM with painful ulcers accompanying with crust on lips. A 55 years old woman complained painful ulcers with crust on lips since the last five months. She had visited a primary health care service and received several medications such as antibiotic (ciprofloxacin), anti-inflammatory drug (corticosteroid), analgesic (mefenamic acid) but her complaint was never healed completely because it was always recurring. The lesion on her lips got worse when she ate hot and spicy food and after she went out for outdor activities. She had a history of herpes virus infection seven months before but it was completely healed after treated by acyclovir topically and amoxicilin orally. An extra oral examination found black brown crust on her upper lip vermillion, well-demarcated, irregular margin, rough surface, erythematous surrounding area, accompanied with pain. An intra oral examination identified ulcers, yellowish, 4-5 mm in size, well-demarcated, irregular margin, redness in surronding area, accompanied with pain. Acomplete blood count examination, serology test for HSV-1 (IgM and IgG) were taken and the result showed that only IgG was reactive. The therapies given to the patient were topical medications with a combination of corticosteroid, chloramphenicol and moisturizer, followed by methyl prednisolone and acyclovir orally. After 6-week treatment, the lesions were completely healed.Herpes-associated erythema multiforme (HAEM) caused by hypersensitivity reactionto herpes simplex virus type 1 (HSV-1) may have a characteristic of painful ulcers accompanied with crust on the lips. The combination of both anti-inflammatory and antiviral drugs can be a choice for the therapy.
TATALAKSANA STOMATITIS ALERGICA PADA PENDERITA YANG MENGALAMI STRESS (Management of Allergic Stomatitisin Patient with Stress) Raziv Ganesha; Diah Savitri E; Hening Tuti Hendarti
ODONTO : Dental Journal Vol 6, No 2 (2019): December 2019
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.6.2.134-140

Abstract

Introduction: Allergic stomatitisis ahypersensitivity reaction caused by allergens, such as drugs, food, and dental materials. Manifestation allergic reaction to food in oral cavity can be recurrent ulcer. Purpose: This case report pupose to report management allergic stomatitis in Stress condition.Case: female was a 44-year-old with complaintmany stomatitis in oral cavity. Patients say often since ± 6 years ago without knowing the cause. Stomatitis often moving location but also in the same site. On intra oral examination found ulcer multiple, variant size, irregular shape, paintfull.Management: the patient performed examination of total IgE with a result of 642.98 (normal<150), skin prick test in patients results positive on dust house, dog hair, cotton, beef, cow's milk, chicken egg yolk, shrimp, milkfish, pindang, chocolate, and peanuts.Patients given aloe vera extract oral rinse at the first visit, then after skin prick test was given methylprednisolone, hepaprotector caplet, multivitamin B-Complex plus Zinc. Patients are also given education and instruction to avoid a food become allergic. Conclusion: Allergic Stomatitis diagnosis requires a complete history and supportive examination. In this case, the treatment requires good cooperation between the patient and the dentist so that treatment can be done thoroughly.
MANAGEMENT OF HERPES LABIALIS TRIGGERED BY STRESS: Tatalaksana Herpes Labialis yang dipicu kondisi stress (Laporan Kasus) Raziv Ganesha; Rina Kartika Sari; I Nyoman Gede Juwita Putra
Interdental Jurnal Kedokteran Gigi (IJKG) Vol. 17 No. 2 (2021): Interdental Jurnal Kedokteran Gigi (IJKG)
Publisher : Fakultas Kedokteran Gigi, Universitas Mahasaraswati Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46862/interdental.v17i2.2966

Abstract

Introduction: Herpes Labialis is the most common form of orofacial herpes, beginning with a feeling of vesicle formation at the vermilion margin of the lips and the surrounding area within 24 hours and then rupture, superficial erosion occurs which is then covered with crusts. Herpes labialis occurs in 50-75% of individuals exposed to HSV-1 infection in the oral cavity and often has a recurrence followed by prodromal symptoms. Reactivation can occur due to triggers in the form of decreased immune conditions due to weather changes, fever, sun exposure, emotional stress, trauma, menstruation, systemic diseases, allergies, and immunosuppression. Case: 22 years old female with a complaint of a wound on the angular lip, initially the patient had a fever for 2 days then a fluid-filled blister appeared which then rupture. Case management: The diagnosis is made using anamnesis, clinical and supporting examination. CBC and Antybody Titer HSV-1 show value under normal for eosinophil and reactive for IgG HSV-1 established. Patient take medicine topical antiinflammation 3 time a day and multivitamins 1 time a day. Discussion: HSV-1 infektion is latent and can reaktivation. Under Stress Condition can caused a reduced circulating population of immune cells such as IL-6, TNFα, Lymphocites B, NK cell, dan Monocytes which HSV-1 Reactivation. Conclusion: Management in case can be successful if the clinician understand HSV-1 Infection Manifestation and added Suporting Examination. In Addition, cooperation from the patien is needed to manage stress so that the disease no more recurrence
MANAGEMENT OF ALLERGIC STOMATITIS CAUSED BY CHICKEN AND EGG : TATALAKSANA STOMATITIS ALERGIKA YANG DISEBABKAN ALERGI AYAM DAN TELUR Raziv Ganesha
Interdental Jurnal Kedokteran Gigi (IJKG) Vol. 17 No. 1 (2021): Interdental Jurnal Kedokteran Gigi (IJKG)
Publisher : Fakultas Kedokteran Gigi, Universitas Mahasaraswati Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46862/interdental.v17i1.1934

Abstract

Introduction: Aller gic stomatitis is a hypersensitivity reaction caused by an allergen such as medicines, foods, dental materials. Chicken and egg are one of the common food we usually consumed. Chicken contains low amount of protein and fat, while egg contains nutrient and easy to process. Although allergic reactions in poultry products are commonly found in eggs and feathers, chicken is often as a cause of the allergic reaction. Case: 28-year-old male patient complained an ulcer in his mouth. It shows past 3 days on his upper lips then it shows on his left cheek. Case Treatment: Diagnosis made by anamnesis, clinical examination and supporting examination such as complete blood count, total IgE, and Skin Prick Test. The patient was prescribed by topical anti-inflammatory 2 times daily and after Skin Prick Test was done the patient was given methylprednisolone 3 times daily for 7 days, patient was treated in 3 visits. Discussion: A Food allergic usually involved type 1 and 4 hypersensitivity reaction, or both. Skin Prick Test is one of the skin test that commonly used by clinicians to prove the presence of specific IgE bound to skin mastocyte cells. Treatment for this case beside of medication was advised to avoid food that cause the allergic reaction. Conclusion: Management of this case can be successful if clinician understand the clinical manifestation of hypersensitivity reaction to food and can made the right diagnosis to provide proper treatment. Furthermore requires patient cooperation to follow the prescribed care instruction.
TATALAKSANA STOMATITIS ALERGICA PADA PENDERITA YANG MENGALAMI STRESS (Management of Allergic Stomatitisin Patient with Stress) Raziv Ganesha; Diah Savitri E; Hening Tuti Hendarti
Odonto : Dental Journal Vol 6, No 2 (2019): December 2019
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (698.95 KB) | DOI: 10.30659/odj.6.2.134-140

Abstract

Introduction: Allergic stomatitisis ahypersensitivity reaction caused by allergens, such as drugs, food, and dental materials. Manifestation allergic reaction to food in oral cavity can be recurrent ulcer. Purpose: This case report pupose to report management allergic stomatitis in Stress condition.Case: female was a 44-year-old with complaintmany stomatitis in oral cavity. Patients say often since ± 6 years ago without knowing the cause. Stomatitis often moving location but also in the same site. On intra oral examination found ulcer multiple, variant size, irregular shape, paintfull.Management: the patient performed examination of total IgE with a result of 642.98 (normal<150), skin prick test in patients results positive on dust house, dog hair, cotton, beef, cow's milk, chicken egg yolk, shrimp, milkfish, pindang, chocolate, and peanuts.Patients given aloe vera extract oral rinse at the first visit, then after skin prick test was given methylprednisolone, hepaprotector caplet, multivitamin B-Complex plus Zinc. Patients are also given education and instruction to avoid a food become allergic. Conclusion: Allergic Stomatitis diagnosis requires a complete history and supportive examination. In this case, the treatment requires good cooperation between the patient and the dentist so that treatment can be done thoroughly.