Kortikosteroid Oral Jangka Pendek sebagai Tata Laksana Psoriasis Vulgaris: Sebuah Laporan Kasus

Authors

  • Ariel Linus Fakultas Kedokteran, Universitas Tarumanagara, Jakarta, Indonesia
  • Catharina Sagita Moniaga Fakultas Kedokteran, Universitas Tarumanagara, Jakarta, Indonesia
  • Gina Triana Sutedja Rumah Sakit Umum Daerah Ciawi, Bogor, Indonesia

DOI:

https://doi.org/10.36452/jkdoktmeditek.v31i3.3670

Keywords:

exploratory laparotomy, intussusception, obstructive ileus

Abstract

Introduction: While oral corticosteroids are not included in the psoriasis systemic therapy algorithm, they are still utilized in certain cases because of their anti-inflammatory and immunosuppressive properties. This case report describes a case of psoriasis vulgaris treated with oral corticosteroids as replacement therapy for first-line drugs. Case Illustration: A 53-year-old male presented to Ciawi Regional Hospital with a complaint of a red, scaly rash that had been itchy on his back for a year, which was spreading to his entire body and worsening over the last 3 months. The physical examination revealed erythematous papules and plaques with thick, silver scales throughout his body. He was diagnosed with psoriasis vulgaris, with a Psoriasis Area Severity Index (PASI) score of 32.6. The patient utilized National Health Insurance, which did not cover the first-line drugs; therefore, he was prescribed oral methylprednisolone instead. After two weeks of medication, his clinical manifestations improved, resulting in a PASI score of 5.5. Discussion: The oral corticosteroid provided a significant improvement in skin lesions for this patient. This improvement may be due to its anti-inflammatory and immunosuppressive effects. Close monitoring after treatment is crucial, as flare-ups and side effects may occur after treatment with oral corticosteroids. Conclusion: The use of oral corticosteroids in the treatment of psoriasis vulgaris is an option when first-line drugs are not available, followed by post-treatment observation

Author Biographies

Catharina Sagita Moniaga, Fakultas Kedokteran, Universitas Tarumanagara, Jakarta, Indonesia

Departemen Kulit dan Kelamin, Fakultas Kedokteran Universitas Tarumanagara, Jakarta, Indonesia

Gina Triana Sutedja, Rumah Sakit Umum Daerah Ciawi, Bogor, Indonesia

Departemen Kulit dan Kelamin RSUD Ciawi, Bogor, Indonesia

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Published

2025-06-21

How to Cite

Linus, A., Moniaga, C. S., & Sutedja, G. T. (2025). Kortikosteroid Oral Jangka Pendek sebagai Tata Laksana Psoriasis Vulgaris: Sebuah Laporan Kasus. Jurnal Kedokteran Meditek, 31(3). https://doi.org/10.36452/jkdoktmeditek.v31i3.3670

Issue

Section

Laporan Kasus