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"Artritis reumatoid merupakan penyakit autoimun yang ditandai dengan inflamasi kronik pada daerah persendian. Daun babandotan terbukti memiliki khasiat dalam terapi inflamasi. Tetapi belum ada data terkait efeknya terhadap artritis reumatoid sehingga dapat dijadikan alternatif terapi artritis. Penelitian ini bertujuan untuk mengetahui efek antiartritis ekstrak etanol 70% daun babandotan diamati dari volume edema kaki tikus yang diinduksi complete freund?s adjuvant, serta pengaruh ekstrak terhadap kadar TNF-α dan parameter hematologi darah diamati dari jumlah leukosit, limfosit, granulosit, hemoglobin, eritrosit, dan mean cells volume of RBCs (MCV). Penelitian ini menggunakan 30 tikus putih jantan Sprague-Dawley, dibagi menjadi 6 kelompok. Kelompok kontrol normal dan negatif diberikan CMC 0,5%, kelompok kontrol positif diberikan suspensi metotreksat 0,05 mg/200 g bb, kelompok variasi dosis ekstrak diberikan 6,48 mg; 12,96 mg; dan 25,92 mg/200 g bb. Semua kelompok diinduksi 0,1 ml CFA pada hari ke-1 kecuali kelompok kontrol normal. Bahan uji diberikan satu kali sehari secara oral pada hari ke-29 sampai hari ke-49. Pengukuran volume telapak kaki dilakukan pada hari ke- 1, 29, dan 50. Perhitungan parameter hematologi dilakukan pada hari ke-29 dan 50, serta uji kadar TNF-α dilakukan pada hari ke-50. Hasil yang diperoleh menunjukkan bahwa pemberian ekstrak etanol 70% daun babandotan, mampu menurunkan volume edema, kadar TNF-α, jumlah leukosit, limfosit, dan granulosit pada kelompok dosis 25,92 mg/200 g BB melalui mekanisme penghambatan sitokin inflamasi seperti TNF-α. Namun pemberian bahan uji tidak signifikan dalam mempengaruhi jumlah hemoglobin, eritrosit, dan MCV.

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Rheumatoid arthritis is an autoimmune disease characterized by chronic inflammation in joints. Babandotan leaves is proven to be used in inflammation theraphy, but there is yet any data regarding the effects of the leaves on rheumatoid arthritis. At the same time, the extract can be an alternative arthritis therapy. The aim of this research is to determine the anti-arthritic effect of 70% ethanolic extract of babandotan leaves in terms of reduction in edema volume on rat paw induced by complete freund?s adjuvant (CFA), and the effect of extract to TNF-α and haematological parameters observed the number of leukocytes, lymphocytes, granulocytes, haemoglobin, erythrocytes, and mean cells volume of RBCs (MCV). This research used white male Sprague-Dawley rats which were divided into 6 groups; normal control and negative control groups, both given 0.5% CMC; positive control group, given methotrexate suspension 0.05 mg/200 g bw; the dose variation extract are 6.48 mg; 12.96 mg; 25.92 mg/200 g bw. All the groups were induced with 0.1 ml CFA on day-1, except normal control group. Test material were administered orally once daily on days-29 to 49. Foot-pad volume measurements were performed on days-1, 29, and 50. The number of leukocytes, lymphocytes, granulocytes, haemoglobin, erythrocytes, and mean cells volume of RBCs (MCV) were counted on days-29 and 50, and TNF-α assay were counted on days-50. The results showed that the 70% extract ethanolic of babandotan leaves with a given dose variation have been able decrease edema volume, TNF-α, the number of leukocytes, lymphocytes, granulocytes at 25.92 mg/200 g bw dose groups by inhibit cytokins inflammation. However, administration of the test materials did not significantly influence the number of haemoglobin, erythrocytes, mean cells volume of RBCs (MCV)."

"Artritis rematoid AR adalah penyakit inflamasi sistemik kronik dan progresif, yang menyerang sendi secara simetris. Daun babandotan yang banyak terdapat di Indonesia dan di berbagai negara diharapkan dapat dijadikan alternatif penanganan AR karena obat anti-artritis rematoid yang digunakan saat ini mempunyai efek samping toksisitas yang cukup besar. Penelitian ini bertujuan untuk mengetahui efek anti-rematoid artritis dari ekstrak etanol daun babandotan berupa pengamatan pada volume edema kaki yang diinduksi Complete freund rsquo;s adjuvant CFA , gambaran histopatologi membran sinovial pada sendi pergelangan kaki berupa skor sinovitis dan jumlah osteoklas pada tulang calcaneus kaki tikus. Setelah tikus diinduksi dan ditunggu 28 hari, diberikan perlakuan dengan ekstrak daun babandotan 40, 80, 160 mg/200 g bb , larutan normal salin kontrol normal dan negatif dan metotreksat kontrol positif pada hari ke-29 dan dilakukan pengamatan pada hari 29, 36, 43 dan 50. Pada hari ke- 50, dibuat sediaan histoPA untuk mengamati skor sinovitis dan jumlah osteoklas. Hasil penelitian menunjukkan pemberian ekstrak daun babandotan dapat menurunkan volume edema kaki, skor sinovitis, dan jumlah osteoklas pada tulang calcaneus secara signifikan P.

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Rheumatoid arthritis RA is a systemic chronic and progressive inflammatory disease, which attacks the joints symmetrically. Babandotan leaves are widely available in Indonesia and in various countries are expected to be used as an alternative in the treatment of RA because anti rheumatoid arthritis drugs are used today have major toxic side effects. This study aims to determine the effect of anti rheumatoid arthritis of the ethanol extract of the babandotan leaves by observations on paw edema volume induced by Complete freund 39 s adjuvant CFA, inflammation of the synovial membrane at the ankle joint as synovitis score and the number of osteoclasts in calcaneus bone. RA animal models created by inducing the CFA on the left hindpaw of rats. Volume paw edema observed at the day of induction and wait until the 28th day. Given treatment babandotan leaves extract 40, 80, 160 mg 200 g bb, normal saline normal and negative control and methotrexate control positive on day 29 and was observed on day 29, 36, 43 and 50. On day 50, preparations histopathology made at the ankle joint to observe synovitis score and the number of osteoclasts. The results showed that treatment babandotan leaves extract can reduce significantly P "

"Artritis reumatoid merupakan penyakit otoimun yang ditandai dengan inflamasi kronik pada daerah persendian. Rumput mutiara sering digunakan dalam terapi inflamasi dalam praktik pengobatan herbal, tetapi belum banyak data yang mendukung. Penelitian ini bertujuan untuk mengetahui efek antiartritis ekstrak etanol 70% rumput mutiara diamati dari penurunan volume udem telapak kaki tikus yang diinduksi Complete Freund's Adjuvant (CFA) serta pengaruhnya terhadap sistem imun diamati dari jumlah leukosit, limfosit serta granulosit. Penelitian ini menggunakan 36 tikus putih jantan galur Sprague-Dawley, dibagi menjadi 6 kelompok. Kelompok kontrol normal dan kontrol induksi, keduanya diberikan CMC 0,5%, kelompok kontrol diklofenak diberikan suspensi natrium diklofenak 1 mg/200 g bb tikus, kelompok variasi dosis diberikan ekstrak etanol 70% rumput mutiara dengan variasi dosis berturut-turut, 28,06 mg; 63,14 mg; dan 142,07 mg/200 g bb tikus. Semua kelompok diinduksi dengan 0,1 ml CFA pada hari ke-1 kecuali kontrol normal. Bahan uji diberikan satu kali sehari secara oral pada hari ke-2 sampai 28. Pengukuran volume telapak kaki dilakukan pada hari ke-7, 14, 21 dan 28 setelah induksi, dan penghitungan jumlah leukosit, limfosit dan granulosit dilakukan pada hari ke-14 dan 28. Hasil yang diperoleh menunjukkan bahwa pemberian ekstrak etanol 70% rumput mutiara dengan variasi dosis yang diberikan belum mampu menurunkan volume udem, tetapi mampu menurunkan jumlah leukosit, limfosit serta granulosit secara signifikan pada kelompok dosis 142,07 mg/200 g bb.

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Rheumatoid arthritis is an autoimmune disease characterized by chronic inflammation in the joints. Pearl grass are often used in inflmamation therapy in the practice of herbal medicine, but not a lot of data that support. This study aimed to determine the anti-arthritic effect of 70% ethanolic extract of pearl grass in terms of reduction in edema volume on rat foot induced by Complete Freund's Adjuvant (CFA) and its influence on the immune system in terms of the number of leukocytes, lymphocytes and granulocytes. This study used 36 male white rats Sprague-Dawley strain, were divided into 6 groups. Normal control and induction control group, both given 0.5% CMC, the diclofenac control group given a suspension of sodium diclofenac 1 mg/200 g bw, the dose variation is given by the variation of pearl grass extract consecutive doses, 28,06 mg; 63,14 mg; dan 142,07 mg/200 g bw. All the groups induced with 0,1 ml of CFA on day-1 except for the normal controls. Test material administered orally once daily on days 2 through 28. Foot-pad volume measurements performed on days 7, 14, 21 and 28 after induction, and the number of leukocytes, lymphocytes and granulocytes counted on day 14 and 28. The results showed that the extract of pearl grass with a given dose variations have not been able to reduce the volume of edema, but can decrease leukocytes, lymphocytes and granulocytes in a significant at 142,07 mg/200 g bw dose groups."

"Artritis reumatoid (AR) dapat menyebabkan penurunan massa tulang sistemik akibat adanya peningkatan osteoklastogenesis dan penghambatan osteoblastogenesis melalui peningkatan sklerostin yang menyebabkan penghambatan jalur Wingless(Wnt)-bcatenin canonicaldan bone morphogenetic proteins(BMP). Sampai saat ini masih belum ada penelitian tentang korelasi TNF-adan sklerostin terhadap penanda turnovertulang (CTX dan P1NP) pada pasien AR perempuan premenopause.Penelitian ini bertujuan untuk menjelaskan patogenesis hilangnya massa tulang pada pasien artritis rheumatoid perempuan premenopause dengan menilai hubungan antara kadar sitokin proinflamasi TNF-α, penghambat Wnt signalingsklerostin, dan penanda resorpsi tulang P1NP dan CTX.Studi potong lintang ini melibatkan 38 perempuan AR premenopause. Pengambilan sampel dilakukan secara konsekutif. Pemeriksaan dilakukan dengan ELISA.Penelitian ini didapatkan kadar CTX (rerata 2,74 ng/ml) yang lebih tinggi dan P1NP (median 34,04 pg/ml) yang lebih rendahdibandingkan dengan sampel sehat pada penelitian sebelumnya. Terdapat korelasi negatif (r = -0,388) antara kadar TNF-α dengan kadar sklerostin yang bermakna secara statistik (p = 0,016). Terdapat pula korelasi positif (r = 0,362) antara kadar TNF-α dengan kadar P1NP yang bermakna secara statistik (p = 0,026). didapatkan adanya peningkatan CTX dan penurunan P1NP, adanya korelasi negatif bermakna antara kadar TNF-α dan sklerostin serta adanya korelasi positif bermakna antara kadar TNF-α dan P1NP.

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Rheumatoid arthritis is associated with systemic bone mass loss due tostimulation of osteoclastogenesis and inhibition of osteoblastogenesis through inhibition of Wingless(Wnt) -bcatenin canonical and bone morphogenetic proteins(BMP) pathway by sclerostin. There are currently no studies that assess the correlation of TNF-α and sclerostin with bone resorption markers CTX and P1NPin premenopause rheumatoid arthritis patients. This study aims to explainthe pathogenesis of bone mass decrease by assessing the correlation between TNF-α, sclerostin, P1NP and CTX. This cross-sectional study involves 38 premenopausal women with AR. Sampling is done consecutively. Examination is done by ELISA.

This study found higher level of serum CTX (mean 2,74ng/mL) and lower level of P1NP (median 34,04 pg/mL) than normal population in previous studies. There was a negative correlation (r = -0,388) between TNF-α levels and sclerostin levels which was significant (p = 0,016). There wasalso a positive correlation (r = 0,362) between TNF-α levels and P1NP levels which was also significant (p = 0,026). This study found an increase in CTX and decrease in P1NP. There was a significant negative correlation between TNF-α and sclerostin levels and also a significant positive correlation between TNF-α and P1NP levels."

"Osteoartritis adalah penyakit degeneratif oleh peradangan kronis pada sendi. Penelitian menunjukkan, daun babandotan memiliki efek antiinflamasi. Penelitian ini bertujuan untuk menganalisis efek kuratif dari ekstrak etanol 70% daun babandotan pada parameter hematologi. Penelitian ini menggunakan 30 tikus putih jantan galur Sprague Dawley dan dibagi menjadi 6 kelompok yaitu kelompok normal, kelompok negatif, kelompok positif (glukosamin-kondroitin sulfat 540, g mg / 200 g BB) dan kelompok 3 variasi ekstrak (6,48 mg ; 12,9 mg; dan 25,9 mg) / 200 g BB. Semua kelompok diinduksi oleh 0,05 ml monosodium iodoasetat kecuali kelompok normal. bahan uji diberikan secara oral sekali sehari pada hari ke-29 sampai 49. Parameter penelitian ini adalah nilai leukosit, limfosit, granulosit, eritrosit, hemoglobin, dan volume rata-rata eritrosit (MCV) yang dihitung pada hari ke-29 dan 50, TNF alfa pada hari ke-50, dan volume edema pada hari ke-0, 29, dan 50. Hasil penelitian menunjukkan ekstrak etanol 70% daun babandotan dengan 3 variasi dosis mampu mengurangi volume edema, nilai TNF-α, jumlah leukosit, limfosit, granulosit dan juga tidak signifikan mempengaruhi jumlah hemoglobin, eritrosit, MCV.

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Osteoarthritis is a degenerative disease by chronic inflammation in joints. Research shown, babandotan leaf has anti-inflammatory effects. This study aimed to analyse curative effects of 70% ethanolic extract of the leaf of babandotan on hematology parameters. This study used 30 male white Sprague Dawley rats and divided into 6 groups they are normal group, negative group, positive group (glucosamine-chondroitin sulfate 540.g mg/ 200 g BW) and 3 doses variation of extract groups (6.48 mg, 12.9 mg, and 25.9 mg)/ 200 g BW. All groups were induced by 0.05 mL of monosodium iodoacetate except normal group. Test materials were given orally once daily on day 29 to 49.

The parameters of this study are level of leukocytes, lymphocytes, granulocytes,erythrocyte, hemoglobin, and mean corpular volume those counted on day 29th and 50th, TNF alpha on day 50th, edema volume on day 0, 29th, and 50th. Results showed 70% ethanolic extract of the leaf of babandotan with 3 doses variation have been able to decrease edema volume, TNF-α level, the number of leukocytes, lymphocytes, granulocytes and also did not significantly influence the number of haemoglobin, erythrocytes, mean cells volume of RBCs (MCV)."

"Osteoartritis (OA) merupakan sekumpulan nyeri kronik, yang terjadi karena kegagalan kartilago artikular dan diinduksi oleh faktor genetik, metabolik, biokimia dan biomedik. Pilihan terapi untuk OA masih terbatas, sehingga penelitian mengenai hal terebut terus dikembangkan. Penelitian ini bertujuan mengetahui adanya pengaruh pemberian ekstrak etanol 70% daun babandotan (Ageratum conyzoides L.) terhadap kartilago artikular pada tikus model yang diinduksi natrium iodoasetat. Parameter yang digunakan adalah volume edema, tebal dan area kartilago serta jumlah proteoglikan. Tiga puluh ekor tikus putih jantan galur Sprague Dawley dibagi dalam 6 kelompok. Kelompok tersebut diinduksi 0,05 ml natrium iodoasetat (20mg/ml) padahari ke-1, kecuali kontrol normal yang diinduksi larutan salin. Bahan uji diberikan secara oral pada hari ke 29 sampai 49 pada kontrol positif (glukosamin dan kondroitin) dan tiga kelompok dosis bahan uji yaitu 40mg/200g bb, 80mg/200g bb, dan 160mg/200g bb. Volume edema diukur pada hari ke-0, 8, 15, 22, 29, 43,dan 50. Histopatologi kartilago dengan pewarnaan H&E dan Safranin O-fast green pada hari ke-50. Hasil penelitian menunjukan bahwa Dosis 2 dan Dosis 3 memiliki efek menurunkan volume edema, meningkatkan nilai tebal dan area kartilago artikular serta jumlah proteoglikan. Dosis 3 (160mg/200g bb) merupakan dosis terbaik. Hasil ini menunjukan bahwa daun babandotan dapat diteliti lebih lanjut sebagai pengobatan osteoartritis.

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Osteoarthritis (OA) is a group of chronic painful, result from articular cartilage failure induced by genetic factor, metabolic, biochemical and biomedical factor. The choice for OA theraphy are limited, so the research about this have to be developed. The aim of this research is to analyze the anti-inflammatory effect and the effect of 70% ethanolic extract of the leaves of Ageratum conyzoides on articular cartilage in rat model induced by natrium iodoacetate. The parameters evaluated were the edema volume, articular cartilage area and thickness, and proteoglican content. Thirty male white Sprague Dawley rats were divided into 6 different groups. These groups were induced with 0.05ml natrium iodoacetate (20mg/ml) on day 1, except normal control induced by saline. Test materials were administered orally once daily on days 29 until 49 to positive group (glucosamine and chondroitin) and 3 doses groups 40mg/200g bw, 80mg/200g bw,dan 160mg/200g bw. Edema volume measurements of rat knee were performed on days 0, 8, 15, 22, 29, 43,and 50. Cartilage histopathology with H&E and Safranin O-fast green staining on days-50. The results showed that dose 2 and dose 3 ethanolic extract of the leaves of Ageratum conyzoides can decrease the edema volume, increase articular cartilage thickness, area, and proteoglycan level. Dose 3 (160mg/200g bw) is the best result. These result indicate that babandotan leaves can be further investigated as a treatment for osteoarthritis."

"ABSTRAKBackgrounds : There was a two-fold increase in cardiovascular-related mortality in rheumatoid arthritis (RA). Postprandial triglyceride (PPTG) related to increased risk of ischemic heart disease, myocardial infarction, ischemic stroke, mortality and elevated level of adhesion molecules. Increased endothelial adhesion molecules was a sign of endothelial activation, an early process in the development of atherosclerotic lesion. There was no study evaluating the role of NTG in cardiovascular risk assessment in RA patients. Aim : This study observed the relationship between PPTG and sICAM-1 and sE-selectin, as markers of endothelial activation. Methods : This was a cross-sectional study of fifty consecutively-recruited RA patients. Lipid profiles, sICAM-1, and sE-selectin were measured postprandially. Further analysis using multiple regression was performed. Results : There was no correlation found between PPTG and sICAM-1, nor NTG and sE-selectin. Level of sICAM-1 was influenced by HDL (R2=0,087) while sE-selectin was influenced by DAS-28 (R2=0,174), body mass index (R2=0,125), and postprandial glucose (R2=0,138). Conclusion : PPTG did not correlated with sICAM-1 and sE-selectin in RA patients.

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ABSTRACTBackgrounds : There was a two-fold increase in cardiovascular-related mortality in rheumatoid arthritis (RA). Postprandial triglyceride (PPTG) related to increased risk of ischemic heart disease, myocardial infarction, ischemic stroke, mortality and elevated level of adhesion molecules. Increased endothelial adhesion molecules was a sign of endothelial activation, an early process in the development of atherosclerotic lesion. There was no study evaluating the role of NTG in cardiovascular risk assessment in RA patients. Aim : This study observed the relationship between PPTG and sICAM-1 and sE-selectin, as markers of endothelial activation. Methods : This was a cross-sectional study of fifty consecutively-recruited RA patients. Lipid profiles, sICAM-1, and sE-selectin were measured postprandially. Further analysis using multiple regression was performed. Results : There was no correlation found between PPTG and sICAM-1, nor NTG and sE-selectin. Level of sICAM-1 was influenced by HDL (R2=0,087) while sE-selectin was influenced by DAS-28 (R2=0,174), body mass index (R2=0,125), and postprandial glucose (R2=0,138). Conclusion : PPTG did not correlated with sICAM-1 and sE-selectin in RA patients."

"Mortalitas penderita artritis reumatoid(AR) yang cukup tinggi disebabkan oleh penyakit kardiovaskular akibat aterosklerosis.Penelitian ini bertujuan untuk mengetahui sensitivitas dan spesifitas skor kalsifikasi arkus aorta di foto polos toraks berdasarkan klasifikasi Ogawa dalam mendeteksi aterosklerosis pada penderita AR. Penelitian ini menggunakan desain potong lintang pada 76 pasien AR di Poliklinik Reumatologi RSUPN Cipto Mangunkusumo. Hasil penelitian menunjukkan sensitivitas 25% dan spesifitas 91,7% pada titik potong skor Ogawa 3,125%, dengan demikian lebih baik untuk mendeteksi pasien AR tanpa aterosklerosis. Pasien AR dengan kalsifikasi arkus aorta kemungkinan memiliki aterosklerosis sebesar 3,7 kali daripada pasien AR tanpa kalsifikasi arkus aorta.

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Mortality of rheumatoid arthritis (RA) patients which is quite high caused by cardiovascular disease due to atherosclerosis. This study aims to determine the sensitivity and specificity of the aortic arch calcification score on plain chest X-ray based on classification Ogawa in detecting atherosclerosis in RA patients. This study used a cross-sectional design in 76 patients at the Rheumatology Division Cipto Mangunkusumo Hospital. The results showed a sensitivity of 25% and specificity of 91.7% at the cut off point Ogawa scores 3.125%, thus it is better to detect RA patients without atherosclerosis. The possibility of arthritis rheumatoid patients with aortic arch calcification having atherosclerosis by 3.7 times than RA patients without aortic arch calcification."

"Latar Belakang. Flat fool adalah salah satu kelainan kaki yang sering dijumpai pada penderita artritis reumatoid. Selain nyeri yang disebabkan oleh penyakitnya, penderita AR juga dapat mengalami nyeri akibat flat foot. Selama ini kita selalu menganggap nyeri kaki dan gangguan berjalan pada penderita AR selalu disebabkan oleh AR, padahal mungkin juga akibat flat fool. Di Amerika prevalensi flat foot sebesar 50%. Untuk itu ingin diketahui proporsi kelainan ini pada penderita AR yang mengunjungi poliklinik reumatologi RSCM, serta gambaran dan faktor-faktor yang mempengaruhinya.Tujuan. (1) Mengetahui proporsi flat foot pada penderita AR. (2) Mengetahui rasio odds faktor-faktor lama menderita penyakit (LMP), Disease Activity Score (DAS), dan Indeks Massa Tubuh (IMT) terhadap kejadianflat foot pada penderita AR.Metodologi. Dilakukan studi potong lintang pada penderita AR dengan keluhan kaki yang berobat ke poliklinik reumatologi RSCM untuk mengamati gambaran cetak kaki, dan kelainan kaki yang diderita, IMT, DAS, dan LMP. Gambaran kelainan kaki pada penderita AR disajikan dalam bentuk statistik deskriptif. Faktor-faktor yang mempengaruhi flat foot dianalisa dengan uji chi square serta perhitungan rasio odds.Hasil. Selama periode Juli - September 2005 terkumpul sebanyak 52 orang penderita AR di Poliklinik Reumatologi Rumah Sakit Dr. Cipto Mangunkusumo, Jakarta. Dua orang tidak sesuai dengan kriteria inklusi, sehingga hanya 50 orang yang dapat dianalisa. Ditemukan proporsi kelainan ini sebesar 40% (11(95% 26% - 53%). Pengujian bivariat menggunakan uji chi square menemukan faktor-faktor yang mempengaruhi kejadian flat foot ialah IMT (P = 0,03; 012 = 3,7; IK95% 1,1 - 12,2) dan DAS (P = 0,047; OR = 0,2; IK 95% 0,03 - 0,9). Untuk mengetahui faktor-faktor yang paling berperan, dilakukan uji multivariat terhadap faktor-faktor dengan P < 0,25 (LMP, DAS, dan IMT). Ditemukan faktor yang paling berperan ialah IMT (P = 0,05; OR = 3,5;IK95% 0,99 - 12,2).Kesimpulan. Proporsi kelainan flat foot pada penderita AR yang berobat di Poliklinik Reumatologi RSCM tidak berbeda dengan penelitian di Amerika. Faktor risiko yang berhubungan ialah IMT. Penelitian ini tidak menemukan hubungan LMP dan DAS terhadap kejadian. Flat foot pada penderita AR.

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Background. Flat foot, as one of the deformities found on Rheumatoid Arthritis (RA) patients, also causes pain. In the case of RA patients, we often thought foot pain or gait disturbances were caused by pain from RA, on the other hand they might be caused by flat foot. Study in United States of America (USA) revealed the prevalence of flat foot were 50%. For this reason we would like to know the proportion of these deformities among RA patients visiting the rheumatology outpatient unit in dr. Cipto Mangunkusumo hospital, and factors which influenced it.

Objectives. To find : (1) the proportion of flat foot on RA patient, (2) the odds ratios of Body Mass Index, disease duration, and Disease Activity Score on the prevalence of flat foot in RA patients.

Methods. A cross sectional study was done on RA patients with lower extremity complaints who came to Rheumatology outpatient unit at Cipto Mangunkusumo General Hospital, Jakarta. The study was done by observing foot print, foot deformities, Body Mass Index (BMI), Disease Activity Score (DAS), and disease duration. The description of flat foot was presented in the form of descriptive statistics. Factors which influenced flat foot were analyzed using chi square method and odds ratios measurements.

Results. We observed 52 patients with RA during July - September 2005 in rheumatology outpatient unit Dr. Cipto Mangunkusumo Hospital, Jakarta. Two patients did not conform inclusion criteria, thus excluded from this study. We found the proportion of flat foot in those patients was 40% (95% CI = 26% to 53%). Bivariate analysis using chi square method revealed BMI (P = 0.03, OR = 3.7 95% CI = 1.1 to 12.2) and DAS (P = 0.047, OR = 0.2, 95% CI = 0.03 to 0.9) as factors related to flat foot in RA patients. Further analysis on variables which had P value <0.25 (BMI, DAS, and disease duration) using multivariate method revealed BMI as the factor related to flat foot in RA patients.

Conclusion. The flat foot proportion on RA patients visiting Rheumatology outpatient Unit RSCM did not differ from that in USA. Factor related to this deformity was BMI. This study did not find relations of disease duration and DAS to flat foot in RA patients."

"ABSTRACTArtritis Reumatoid AR merupakan penyakit inflamasi kronis sistemik yang ditandai dengan pembengkakan dan nyeri sendi, serta kerusakan dari membran sinovial pada persendian. Dalam memonitor penyakit ini, digunakan Disease Activity Score-28 DAS28 yang dapat menunjukkan aktivitas penyakit AR dari waktu ke waktu. DAS28 bermanfaat untuk mengevaluasi pengobatan serta menentukan keputusan klinis lainnya. DAS28 dapat dihitung menggunakan beberapa komponen seperti jumlah sendi yang nyeri, bengkak, nilai Visual Analogue Scale VAS , serta penanda inflamasi berupa nilai Laju Endap Darah LED atau C-Reactive Protein CRP . DAS28-LED dan DAS28-CRP digunakan secara luas dan keduanya ekuivalen. Namun, nilai LED dapat dipengaruhi berbagai faktor lain, seperti kejadian infeksi, yang angkanya cukup tinggi di Indonesia. Oleh karena itu, penelitian ini bertujuan untuk melihat apakah terdapat perbedaan antara nilai DAS28-CRP dengan DAS28-LED di Indonesia. Data ini belum diketahui sebelumnya. Data mengenai jenis kelamin, usia, jumlah sendi nyeri dan bengkak, nilai VAS, LED, dan CRP diperoleh dari 40 rekam medis pasien AR yang berobat di RSCM pada tahun 2015. Dari hasil penelitian, didapatkan bahwa terdapat perbedaan bermakna rerata antara nilai DAS28-CRP dan DAS28-LED sebesar 1,0107.

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ABSTRACTRheumatoid Arthritis RA is a systemic chronic inflammation disease marked by swollen and tender joint, also destruction of joint rsquo s synovial membrane. To monitoring this disease, Disease Activity Score 28 DAS28 used to show disease activity of RA in times to times. DAS28 is useful to evaluate disease rsquo s treatment and guide clinician to take a decision for the treatment itself. There are some component needed to count DAS28 score, they are number of tender and swollen joint, Visual Analogue Scale, and inflammatory marker such as Erythrocyte Sedimentation Rate ESR or C Reactive Protein CRP . Either DAS28 ESR or DAS28 CRP are used widely and are said to be equivalent to each other. Otherwise, ESR influenced by many other factors, one of them is infection disease, whose the incident number in Indonesia is relatively high. Therefore, the objective of this stuy is to know the comparison between DAS28 ESR and DAS28 CRP in Indonesia, which is still unknown. Data about gnder, age, number of tender and swollen joint, VAS, ESR, and CRP are obtained from 40 RSCM RA patients rsquo medical record in 2015. From this research known that there are significant mean difference between DAS28 CRP and DAS28 ESR which is 1,0107."