Angioedema in Systemic Lupus Erythematosus (SLE) in Emergency Setting: A Case Report

Abstract Systemic Lupus Erythematosus (SLE) is an autoimmune disease which causes chronic inflammation with its characteristics of the formation of autoantibody that attacks nuclear antigen. This disease may damage multisystem organs, and its diagnoses are barely implemented in the Emergency Depart...

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Main Authors: Nur Mujaddidah Mochtar, Ricky Indra Alfaray, Detty Irawaty, Yelvi Levani
Format: Article
Language:English
Published: Universitas Muhammadiyah Yogyakarta 2020-07-01
Series:Mutiara Medika
Subjects:
Online Access:https://journal.umy.ac.id/index.php/mm/article/view/7883
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author Nur Mujaddidah Mochtar
Ricky Indra Alfaray
Detty Irawaty
Yelvi Levani
author_facet Nur Mujaddidah Mochtar
Ricky Indra Alfaray
Detty Irawaty
Yelvi Levani
author_sort Nur Mujaddidah Mochtar
collection DOAJ
description Abstract Systemic Lupus Erythematosus (SLE) is an autoimmune disease which causes chronic inflammation with its characteristics of the formation of autoantibody that attacks nuclear antigen. This disease may damage multisystem organs, and its diagnoses are barely implemented in the Emergency Department. However, cases of angioedema on SLE patient are quite uncommon not only in Indonesia but also globally. This article report an interesting case of 20 years old woman who came to the Emergency Department of Siti Khodijah Sepanjang Hospital with a complaint of swollen lips for three days. The complaint and examination led to the diagnosis of SLE. However, because the incidence rate of angioedema on SLE is low, doctors tend to unconsider the appropriate diagnosis management and administration on this breathing problem caused by SLE. Keywords: Systemic Lupus Erythematosus, angioedema, emergency   Abstrak Sistemic Lupus Eritematosus (SLE) adalah penyakit autoimun yang menyebabkan peradangan kronis dengan karakteristik pembentukan autoantibodi yang menyerang antigen. Penyakit ini dapat merusak organ multisistem, dan diagnosisnya hampir tidak diterapkan di Unit Gawat Darurat. Namun, kasus angioedema pada pasien SLE sangat jarang tidak hanya di Indonesia tetapi juga secara global. Artikel ini melaporkan kasus menarik dari wanita berusia 20 tahun yang datang ke Unit Gawat Darurat Rumah Sakit Siti Khodijah Sepanjang dengan keluhan bibir bengkak selama tiga hari. Keluhan dan pemeriksaan mengarah pada diagnosis SLE. Namun, karena tingkat kejadian angioedema pada SLE rendah, dokter cenderung tidak mempertimbangkan manajemen diagnosis yang tepat dan administrasi pada masalah pernapasan yang disebabkan oleh SLE ini. Kata kunci: Sistemik Lupus Eritematosus, angioedema, gawat darurat
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spelling doaj.art-068a2f13ece24b9184b6a226fe6aace12022-12-22T03:00:58ZengUniversitas Muhammadiyah YogyakartaMutiara Medika1411-80332614-01012020-07-0120210410910.18196/mm.2002524436Angioedema in Systemic Lupus Erythematosus (SLE) in Emergency Setting: A Case ReportNur Mujaddidah Mochtar0Ricky Indra Alfaray1Detty Irawaty2Yelvi Levani3Faculty of Medicine Muhammadiyah University of SurabayaFaculty of Medicine, Muhammadiyah University of SurabayaDepartement of Internal Medicine of Siti Khodijah Sepanjang Hospital of SidoarjoFaculty of Medicine, Muhammadiyah University of SurabayaAbstract Systemic Lupus Erythematosus (SLE) is an autoimmune disease which causes chronic inflammation with its characteristics of the formation of autoantibody that attacks nuclear antigen. This disease may damage multisystem organs, and its diagnoses are barely implemented in the Emergency Department. However, cases of angioedema on SLE patient are quite uncommon not only in Indonesia but also globally. This article report an interesting case of 20 years old woman who came to the Emergency Department of Siti Khodijah Sepanjang Hospital with a complaint of swollen lips for three days. The complaint and examination led to the diagnosis of SLE. However, because the incidence rate of angioedema on SLE is low, doctors tend to unconsider the appropriate diagnosis management and administration on this breathing problem caused by SLE. Keywords: Systemic Lupus Erythematosus, angioedema, emergency   Abstrak Sistemic Lupus Eritematosus (SLE) adalah penyakit autoimun yang menyebabkan peradangan kronis dengan karakteristik pembentukan autoantibodi yang menyerang antigen. Penyakit ini dapat merusak organ multisistem, dan diagnosisnya hampir tidak diterapkan di Unit Gawat Darurat. Namun, kasus angioedema pada pasien SLE sangat jarang tidak hanya di Indonesia tetapi juga secara global. Artikel ini melaporkan kasus menarik dari wanita berusia 20 tahun yang datang ke Unit Gawat Darurat Rumah Sakit Siti Khodijah Sepanjang dengan keluhan bibir bengkak selama tiga hari. Keluhan dan pemeriksaan mengarah pada diagnosis SLE. Namun, karena tingkat kejadian angioedema pada SLE rendah, dokter cenderung tidak mempertimbangkan manajemen diagnosis yang tepat dan administrasi pada masalah pernapasan yang disebabkan oleh SLE ini. Kata kunci: Sistemik Lupus Eritematosus, angioedema, gawat darurathttps://journal.umy.ac.id/index.php/mm/article/view/7883systemic lupus erythematosus, angioedema, emergency
spellingShingle Nur Mujaddidah Mochtar
Ricky Indra Alfaray
Detty Irawaty
Yelvi Levani
Angioedema in Systemic Lupus Erythematosus (SLE) in Emergency Setting: A Case Report
Mutiara Medika
systemic lupus erythematosus, angioedema, emergency
title Angioedema in Systemic Lupus Erythematosus (SLE) in Emergency Setting: A Case Report
title_full Angioedema in Systemic Lupus Erythematosus (SLE) in Emergency Setting: A Case Report
title_fullStr Angioedema in Systemic Lupus Erythematosus (SLE) in Emergency Setting: A Case Report
title_full_unstemmed Angioedema in Systemic Lupus Erythematosus (SLE) in Emergency Setting: A Case Report
title_short Angioedema in Systemic Lupus Erythematosus (SLE) in Emergency Setting: A Case Report
title_sort angioedema in systemic lupus erythematosus sle in emergency setting a case report
topic systemic lupus erythematosus, angioedema, emergency
url https://journal.umy.ac.id/index.php/mm/article/view/7883
work_keys_str_mv AT nurmujaddidahmochtar angioedemainsystemiclupuserythematosussleinemergencysettingacasereport
AT rickyindraalfaray angioedemainsystemiclupuserythematosussleinemergencysettingacasereport
AT dettyirawaty angioedemainsystemiclupuserythematosussleinemergencysettingacasereport
AT yelvilevani angioedemainsystemiclupuserythematosussleinemergencysettingacasereport