Medical nutrition therapy in hospitalized patients with pemphigus vulgaris
Dysphagia due to involvement of the oral, pharyngolaryngeal, and esophageal mucosa and increased catabolism due to epidermal shedding can contribute to a decline in nutritional status in pemphigus vulgaris (PV) patients. On the other hand, decreased lean body mass is associated with immune system im...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Indonesian Nutrition Association
2023-08-01
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| Series: | World Nutrition Journal |
| Subjects: | |
| Online Access: | https://worldnutrijournal.org/OJS/index.php/WNJ/article/view/490 |
| _version_ | 1797730815513198592 |
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| author | Bintari Anindhita Nurul Ratna Mutu Manikam |
| author_facet | Bintari Anindhita Nurul Ratna Mutu Manikam |
| author_sort | Bintari Anindhita |
| collection | DOAJ |
| description | Dysphagia due to involvement of the oral, pharyngolaryngeal, and esophageal mucosa and increased catabolism due to epidermal shedding can contribute to a decline in nutritional status in pemphigus vulgaris (PV) patients. On the other hand, decreased lean body mass is associated with immune system impairment, increased risk of infection, and delayed wound healing in PV patients, therefore, nutritional screening and assessment are necessary. Medical nutritional therapy in PV patients aims to overcome the metabolic response to the insults, prevent further malnutrition, modulate the immune system, and accelerate wound healing process. An aggressive nutritional support to minimize protein loss during the phase of mucocutaneous lesion healing is needed in patients with PV. Aside from macronutrient adequacy, micronutrients including vitamin A supplementation can be considered to accelerate wound healing process. Medical nutritional therapy including provision of adequate macronutrients, micronutrients, addressing dehydration and electrolyte imbalances should be the cornerstone of multidisciplinary treatment in PV patients. |
| first_indexed | 2024-03-12T11:49:43Z |
| format | Article |
| id | doaj.art-6fb7c1cd1b664679a957b1cab92784ba |
| institution | Directory Open Access Journal |
| issn | 2580-7013 |
| language | English |
| last_indexed | 2024-03-12T11:49:43Z |
| publishDate | 2023-08-01 |
| publisher | Indonesian Nutrition Association |
| record_format | Article |
| series | World Nutrition Journal |
| spelling | doaj.art-6fb7c1cd1b664679a957b1cab92784ba2023-08-31T10:25:37ZengIndonesian Nutrition AssociationWorld Nutrition Journal2580-70132023-08-01701142210.25220/10.25220/WNJ.V07.i1.0004490Medical nutrition therapy in hospitalized patients with pemphigus vulgarisBintari Anindhita0Nurul Ratna Mutu Manikam1Faculty of Medicine Universitas Indonesia – dr. Cipto Mangunkusumo General Hospital. Jakarta, IndonesiaFaculty of Medicine Universitas Indonesia – dr. Cipto Mangunkusumo General Hospital. Jakarta, IndonesiaDysphagia due to involvement of the oral, pharyngolaryngeal, and esophageal mucosa and increased catabolism due to epidermal shedding can contribute to a decline in nutritional status in pemphigus vulgaris (PV) patients. On the other hand, decreased lean body mass is associated with immune system impairment, increased risk of infection, and delayed wound healing in PV patients, therefore, nutritional screening and assessment are necessary. Medical nutritional therapy in PV patients aims to overcome the metabolic response to the insults, prevent further malnutrition, modulate the immune system, and accelerate wound healing process. An aggressive nutritional support to minimize protein loss during the phase of mucocutaneous lesion healing is needed in patients with PV. Aside from macronutrient adequacy, micronutrients including vitamin A supplementation can be considered to accelerate wound healing process. Medical nutritional therapy including provision of adequate macronutrients, micronutrients, addressing dehydration and electrolyte imbalances should be the cornerstone of multidisciplinary treatment in PV patients.https://worldnutrijournal.org/OJS/index.php/WNJ/article/view/490malnutritionmedical nutrition therapypemphigus vulgariswound healingmicronutrients |
| spellingShingle | Bintari Anindhita Nurul Ratna Mutu Manikam Medical nutrition therapy in hospitalized patients with pemphigus vulgaris World Nutrition Journal malnutrition medical nutrition therapy pemphigus vulgaris wound healing micronutrients |
| title | Medical nutrition therapy in hospitalized patients with pemphigus vulgaris |
| title_full | Medical nutrition therapy in hospitalized patients with pemphigus vulgaris |
| title_fullStr | Medical nutrition therapy in hospitalized patients with pemphigus vulgaris |
| title_full_unstemmed | Medical nutrition therapy in hospitalized patients with pemphigus vulgaris |
| title_short | Medical nutrition therapy in hospitalized patients with pemphigus vulgaris |
| title_sort | medical nutrition therapy in hospitalized patients with pemphigus vulgaris |
| topic | malnutrition medical nutrition therapy pemphigus vulgaris wound healing micronutrients |
| url | https://worldnutrijournal.org/OJS/index.php/WNJ/article/view/490 |
| work_keys_str_mv | AT bintarianindhita medicalnutritiontherapyinhospitalizedpatientswithpemphigusvulgaris AT nurulratnamutumanikam medicalnutritiontherapyinhospitalizedpatientswithpemphigusvulgaris |