MANAGEMENT OF ALLERGIC STOMATITIS CAUSED BY CHICKEN AND EGG
TATALAKSANA STOMATITIS ALERGIKA YANG DISEBABKAN ALERGI AYAM DAN TELUR
Keywords:Allergic Stomatitis, IgE Total, Skin Prick Test
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.
Wardhana, E.A.D. Recurrent Aphthous Stomatitis Caused by Food Allergy (Review Article). Journal Acta Medica Indonesiana. 2010; 42(4): 236-40.
Tjokroprawiro A, Setiawan P, Efendi C, Santoso D, Soegiarto G. Buku Ajar Ilmu Penyakit Dalam. 2nd ed. Surabaya: Airlangga University Press; 2015. p.1-28.
Ariyanto H. Alergi makanan. Dalam: Arwin AP, Corry SM, penyunting. Buku ajar alergi imunologi anak Edisi Kedua. Jakarta: BP IDAI; 2010. p. 269-80.
Hoffman KM, Sampson HA. Evaluation and management of patient with adverse reactions. Dalam: Bierman CW, Pearlman DS, Shapiro GG, Busse WW, penyunting. Allergy, asthma, and immunology from infancy to adulthood. Edisi ke-3. Philadelphia: Saunders; 1996. h. 665-84.
Candra Y, Setiarini A, Rengganis I. Gambaran sensitivitas terhadap alergen makanan. Makara Kesehatan; 2011. h. 15:44-50.
Pawarti DR. Tes Kulit dalam Diagnosis Rinitis Alergi. Media Perhati. 2004; 10(3): 18-23.
Krouse JH, Marbry RL. Skin testing for Inhalant Allergy: current strategies. Otolaryngolo Head and Neck Surgery. 2003. 129 No 4 : 34-9.
Lie P. An Approach to Allergic Rhinitis, Respirology & Allergy Rounds. April 2004; 39-45
Nowak-Wegrzyn, A., Burks, A.W. Reactions to foods. In: Adkinson NF, Bochner BS, Burks W, Busse WW, Holgate ST, Lemanske RF, et al., editors. Middleton’s allergy and practice. 8th ed. Philadelphia: Elsevier Inc; 2014. pp.1310–38.
Baumgartner, S., Schubert-Ullrich, P. Egg Allergen. In: Jedrychowski L, Wicher HJ, editors. Chemical and biological properties of food allergens. New York: CRC Press; 2010. pp. 213–9.
Guo, S., DiPietro, L.A. Factors affecting wound healing. J Dent Res. 2010; 89(3): 219–134.
Moslemi, D., Babaee, N., Damavandi, M., Pourghasem, M., Moghadamnia, A.A. Oral zinc sulphate and prevention of radiation-induced oropharyngealmucositis in patients with head and neck cancers: a double blind, randomized controlled clinical trial. Int J Radiat Res. 2014; 12(3):2.
Lokanata MD. Pemakaian Glukokortikoid pada Pengobatan. Jakarta: EGC; 2006. Pp.8-13,15-40.
Dewoto HR. Farmakologi dan Terapi. Ed 5. Jakarta: FKUI; 2012. p 283,505.
Sitompul R. Kortikosteroid dalam Tata Laksana Uveitis: Mekanisme Kerja, Aplikasi Klinis, dan Efek Samping. J Indon Med Assoc. 2011; 61(1): p 265-9.