APLIKASI FORMULASI AZADIRACHTA INDICA DAN HYPERICUM PERFORATUM TERHADAP PROSES PENYEMBUHAN ULKUS DIABETIKUM

Authors

  • Dedianto Hidajat
  • Nadia Puspa Dewi Bagian/SMF Ilmu Kesehatan Kulit dan Kelamin FK Universitas Mataram/RSUD Provinsi Nusa Tenggara Barat
  • I Wayan Hendrawan Bagian/SMF Ilmu Kesehatan Kulit dan Kelamin FK Universitas Mataram/RSUD Provinsi Nusa Tenggara Barat
  • I Gusti Agung Ayu Ratna Medikawati Bagian/SMF Ilmu Kesehatan Kulit dan Kelamin FK Universitas Mataram/RSUD Provinsi Nusa Tenggara Barat
  • Yunita Hapsari Bagian/SMF Ilmu Kesehatan Kulit dan Kelamin FK Universitas Mataram/RSUD Provinsi Nusa Tenggara Barat
  • Dinie Ramdhani Kusuma Bagian/SMF Ilmu Kesehatan Kulit dan Kelamin FK Universitas Mataram/RSUD Provinsi Nusa Tenggara Barat

DOI:

https://doi.org/10.33820/mdvi.v47i4.368

Keywords:

ulkus diabetikum, Azadirachta indica, Hypericum perforatum

Abstract

Azadirachta indica (neem) and Hypericum perforatum formulation have been used for centuries in traditional medicine. Neem oil contains diterpenoid and triterpenoid, while Hypericum perforatum flower oil extract is quite popular as a treatment for excoriations, wounds, and bruises. Both of these plant extracts have bacteriostatic, antifungal, immunomodulatory, and antiinflammatory effects, and also safe to use as an external treatment for wounds. Several studies have shown the benefit of this formulation for diabetic foot ulcer. A 41- year-old woman had a wound on her right leg that had not been healed for the past two months. Dermatological examination showed an ulcer with an irregular border, measuring 7.5x3.4x0.3 on the lateral region of the right foot. The ulcer’s edge was elevated, while the wall was gently sloping. The surrounding skin was unaffected. The base of the ulcer consisted of granulation tissue and was clean, without any pus formation. The ulcer was painless and odorless. Laboratory tests showed hyperglycemia and hypercholesterolemia. Doppler ultrasound examination showed deep vein thrombosis in the right leg.A topical formulation containing Azadirachta indica and Hypericum perforatum was given. After 49 days of therapy, diabetic ulcer wounds had healed completely.

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References

1. Holoil System by Ri.Mos. R&D. What is Hyperoil?. 2018. [Disitasi 10 Agustus 2019]. Tersedia di: https://hyperoil.com/wp- content/uploads/2018/09/What-is-Hyperoil-2018.pdf
2. Alzohairy MA. Therapeutics role of Azadirachta indica (Neem) and their active constituents in diseases prevention and treatment. Evid Based Complement Alternat Med. 2016;
7382506:1-11.
3. Iabichella ML. In vitro bacteriostatic effect of a scaffold with
a mixture of Hypericum perforatum and Azadirachta indica
oil extracts. Brit J Med Med Res. 2015; 6: 431-8.
4. Perkumpulan Endokrinologi Indonesia. Konsensus Pengelolaan dan Pencegahan Diabetes Melitus Tipe 2 di
Indonesia. Jakarta: PB Perkeni; 2015. h. 1.
5. Schachtel A, Kalus A. Diabetes and other endocrine diseases.
Dalam: Kang S, Amagai M, Bruckner AL, Enk AH, Margolis DJ, McMichael AJ, dkk., penyunting. Fitzpatrick’s Dermato- logy. Edisi ke-9. New York: McGraw-Hill Education; 2019. h. 2493-526.
6. Iabichella ML. The use of a mixture of hypericum perforatum and azadirachta indica for the management of diabetic foot ulcers: a case series. J Diabetes Metab. 2015; 6(2):1-6.
7. Nirjana M, Thayabaran M, Sathinjani WLY, Wijerathna AWIG. Prevalence and risk factors for diabetic foot ulcer among diabetes patients attending the medical clinic in teaching hospital Batticaloa. IJSRP. 2018; 8(2):523-27.
8. Pemayun TG, Naibaho RM, Novitasari D, Amin N, Minuljo TT. Risk factors for lower extremity amputation in patients with diabetic foot ulcers: a hospital-based case-control study. Diabet Foot Ankle. 2015;6:29629.
9. Sorensen MLB, Jansen RB, Fabricius TW, Jorgensen B, Svendsen OL. Healing of diabetic foot ulcers in patients treated at the Copenhagen wound healing center in 1999/2000 and in 2011/2012. J Diabetes Res. 2019; 6429575.
10. Banik PC, Barua L, Moniruzzaman M. Risk of diabetic foot ulcer and its associated factors among Bangladeshi subjects: a multicentric crosssectional study. BMJ Open. 2020;10:e034058.
11. Del Core MA. The evaluation and treatment of diabetic foot ulcers and diabetic foot infections. Foot & Ankle Orthopaedics. 2018. July: 1-11.
12. Barnes JA, Eid MA, Creager MA, Goodney PP. Epidemiology and risk of amputation in patients with diabetes mellitus and peripheral artery disease. Arterioscler Thromb Vasc Biol. 2020; 40(8):1808-17.
13. Rowe VL. Diabetic Ulcers. Medscape [Internet]. 2019 [Disitasi 24 Juli 2019]. Tersedia di: https://emedicine.medscape.com/article/460282-overview
14. Alotaibi HK, Abo el-Fetoh NM, Menwer Alanazi A, Alanazi OA, Alanazi AB, Alhowaish MA, dkk. Deep venous thrombosis among diabetic patients in King Abdulaziz University (KAU) Hospital, Jeddah, Kingdom of Saudi Arabia. Electron Physician. 2017; 9 (9): 5185-90.
15. Giuggioli D. Use of neem oil and hypericum perforatum for treatment of calcinosis-related skin ulcers in systemic sclerosis. J Int Med Res. 2019; 48(4):1-9.
16. Iabichella ML. A case of skin ulcer in severe acute malnutrition treated with hyperoil. Austin J Clin Case Rep. 2017; 4(1):1111.

Published

2022-07-12

How to Cite

Hidajat, D., Dewi, N. P., Hendrawan, I. W., Medikawati, I. G. A. A. R., Hapsari, Y., & Kusuma, D. R. (2022). APLIKASI FORMULASI AZADIRACHTA INDICA DAN HYPERICUM PERFORATUM TERHADAP PROSES PENYEMBUHAN ULKUS DIABETIKUM. Media Dermato-Venereologica Indonesiana, 47(4), 183–188. https://doi.org/10.33820/mdvi.v47i4.368

Issue

Section

Laporan Kasus