There are three phase in progresivity of dengue infection which are afferent phase, efferent phase and efector phase. In dengue infection, it has been found endothelial cells leak age, the pro inflammatory cytokine level alteration and other mediator followed by the plasma migration and it has the potency to become dengue shock. The mam clinical manifestationare fever and bleeding. The aim of t…
Terapi metilprednisolon dan siklofosfamid puls telah digunakan dalam tatalaksana berbagai penyakit ginjal baik pada dewasa maupun anak. Beberapa penyakit ginjal yang telah ditatalaksanaan dengan terapi plus ini antara lain nefritis lupus, glomerulo-sklerosis fokal segmental, glomerulonefritis membranoproliferatif tipe 1, glomerulo-nefritis berat, nefritis purpura Henoch-Schonlein, dan sindrom n…