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      • KCI등재

        A Case Report of Male Systemic Lupus Erythematous with Antinuclear Antibodies-Negative: A Challenging Diagnosis

        Ruziana Baharudin,Nur Suhaila Idris,Juliawati Muhammad,Wan Noor Hasbee Wan Abdullah 대한가정의학회 2022 Korean Journal of Family Medicine Vol.43 No.2

        Systemic lupus erythematosus (SLE) is a connective tissue disease of unknown etiology that predominantly affects women of childbearing age. We report a case of male systemic lupus erythematous with antinuclear antibodies and typical clinical presentations of multiple skin lesions, polyarticular joint pain, fatigue, anorexia, and hair loss. Full evaluations were used to establish a diagnosis of SLE. The lower prevalence of SLE among males and antinuclear antibody-negative patients poses a great challenge for diagnosis. Therefore, as primary care doctors, we need to have a high suspicion of systemic lupus erythematous even in male and antinuclear antibody-negative patients. Thus, early treatment may help patients improve their quality of life.

      • KCI등재

        Diabetic Neuropathic Cachexia in a Young Woman

        Nurul Azreen Yusof,Nur Suhaila Idris,Faridah Mohd Zin 대한가정의학회 2019 Korean Journal of Family Medicine Vol.40 No.3

        Profound weight loss with painful symmetrical peripheral neuropathy in diabetic patients was first described as di-abetic neuropathic cachexia more than 4 decades ago. It is a distinct type of diabetic peripheral neuropathy that oc-curs in the absence of other microvascular and autonomic complications of diabetes. The mechanism and precipi-tating cause are unknown. It was reported to have good prognosis with spontaneous recovery within months to 2 years. However, it was frequently missed by clinicians because the profound weight loss is the most outstanding complaint, rather than the pain, numbness, or weakness. This often leads to extensive investigation to exclude more sinister causes of weight loss, particularly malignancy. We report a case of a young woman with well-con-trolled diabetes who presented with profound unintentional weight loss (26 kg), symmetrical debilitating thigh pain, and clinical signs of peripheral neuropathy. As the disease entity may mimic an inflammatory demyelinating cause of neuropathy, she was treated with a trial of intravenous immunoglobulin, which failed to give any signifi-cant benefit. However, she recovered after 6 months without any specific treatment, other than an antidepressant for the neuropathic pain and ongoing rehabilitation.

      • KCI등재

        Coronavirus Disease 2019 Presenting as Conjunctivitis

        Ying Ng Ying,Idris Nur Suhaila,Muhamad Rosediani,Ahmad Imran 대한가정의학회 2021 Korean Journal of Family Medicine Vol.42 No.6

        Coronavirus disease 2019 (COVID-19) is an infectious disease caused by a novel coronavirus named severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The world is currently challenged to handle this pandemic. The common symptoms of COVID-19 are fever, cough, fatigue, and shortness of breath. There are few reports on the as-sociation of SARS-CoV-2 with ocular abnormalities including conjunctivitis. We report a case of a 54-year-old woman who presented solely with conjunctivitis subsequently diagnosed with COVID-19. A lack of full history of her travel abroad was another issue leading to a delay in evaluating her COVID-19 status that increased the infec-tion risk to her managing team. Thus, primary care practitioners should be suspicious of this atypical feature of CO-VID-19, thus enabling us to identify such patients at entry points. Maintaining safety measures while managing pa-tients is also crucial.

      • KCI등재

        Alternative Tobacco Products Use among Late Adolescents in Kelantan, Malaysia

        Nurul Azreen Yusof,Faridah Mohd Zin,Nur Suhaila Idris,Rosediani Mohammad 대한가정의학회 2019 Korean Journal of Family Medicine Vol.40 No.4

        Background: The rising prevalence of alternative tobacco and nicotine products (ATNPs) use among adolescents is a global concern that has been attributed to the reemergence of preexisting alternative tobacco products and emergence of new ones in the market. This study examined ATNP use among late adolescents. The association be-tween ATNP use and reasons for using them was explored.Methods: This cross-sectional study conducted in 2016 involving 388 late adolescents from six government colleges in Kelantan, Malaysia, aged 18 to 19 years. They were requested to answer self-directed questionnaires with items on sociodemographic information and types of ATNP used. Other variables obtained include the environmental influence and reasons for using the products. Regression analyses between the dependent and independent vari-ables were conducted using IBM SPSS ver. 20.0 (IBM Corp., Armonk, NY, USA).Results: The prevalence of ATNP use among late adolescents was 14.4%. The male sex, cigarette smoking status, and peer use were significantly associated with ATNP use. Several reasons for use were not significantly associated with ATNP use: perception of ATNP being less harmful and less addictive compared with cigarettes, curiosity, less expensive than cigarettes, to aid smoking cessation, and pleasurable flavors and taste.Conclusion: The prevalence of ATNP use among late adolescents studying in government colleges in Kelantan is significant. There is higher perception on ATNP being less harmful and addictive than the conventional cigarette among the users compared with non-users. Significant associations are seen for the male sex, peer use, and con-current cigarette smoking.

      • KCI등재

        Essential Oils as an Alternative Treatment for Migraine Headache: A Systematic Review and Meta-Analysis

        Murtey Pireimathy,Noor Norhayati Mohd,Ishak Azlina,Idris Nur Suhaila 대한가정의학회 2024 Korean Journal of Family Medicine Vol.45 No.1

        Background: Alternative and complementary medicines are widely used to treat migraine headaches. This review aimed to determine the effectiveness of essential oils as an alternative treatment approach. Methods: A structured search was conducted to identify randomized trials comparing essential oils with a placebo for migraine headaches, using databases (MEDLINE and CENTRAL) to search for articles published between 1966 and 2021. We included trials involving adult males and females diagnosed with migraine headaches according to the International Headache Society. The outcomes included number of attacks, headache severity, associated symptoms, number of days of limited activity, headache duration, use of analgesics, and adverse effects. Seven tri-als were included with a total of 558 participants. Results: No difference was observed in the number of migraine headache attacks compared to placebo (mean dif-ference [MD], -1.34; 95% confidence interval [CI], -3.31 to 0.64; I2=94%; P=0.190; four trials, 242 participants; mod-erate-quality evidence). There was no difference in this outcome between the essential oils treated group and the placebo (MD, -0.38; 95% CI, -1.76 to 0.99; I2 statistics=86%; P=0.580; five trials, 240 participants; moderate-quality evidence). Conclusion: We found no significant difference between the use of essential oils and placebo in managing mi-graine headaches.

      • KCI등재

        A Case Report of Failure to Thrive Caused by Parental Intellectual Disability: The Invisible Population

        Atirah Az-Zahrah Abu Bakar,Azidah Abdul Kadir,Nur Suhaila Idris 대한가정의학회 2021 Korean Journal of Family Medicine Vol.42 No.5

        This case illustrates the medical complication of a child that arose as a consequence of parents with intellectual disabilities in a primary care setting. A 9-month-old girl presented with multiple admissions because of recurrent pneumonia and was later diagnosed with failure to thrive based on child neglect resulting from the parents’ disabilities. This exemplifies a failure to thrive case with a complex and undiagnosed psychosocial background that required interdepartmental involvement to mitigate the health problem.

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