CURRICULUM VITAE

Laniyati Hamijoyo, dr.,SpPD-KR.,M.Kes

Etiology?
Fakultas Kedokteran Universitas Padjadjaran/ RSUP dr. Hasan Sadikin Bandung

Pendidikan :
Dokter Umum, Universitas Atmajaya, Jakarta
Sp1, Universitas Padjadjaran, Bandung
Fellowship, Santo Thomas, Philipina
Konsultan Reumatologi, Universitas Indonesia, Jakarta
> 75%
Magister Kesehatan, Universitas Indonesia

Organisasi
Ikatan Dokter Indonesia
Perhimpunan Ahli Penyakit Dalam Indonesia
Indonesian Rheumatism Association
Pehimpunan Osteoporosis Indonesia
Asia Pacific League of Association on Arthritis and Rheumatism
Philippines Rheumatology Association 1
 Autoimun di Indonesia

Laniyati Hamijoyo
Divisi Reumatologi Departement Ilmu Penyakit Dalam
FK Universitas Padjadjaran/RS Hasan Sadikin
Bandung
 Selena Gomez
(Artis dan penyanyi dunia)

• Tetap produktif
• Hidup “normal”
seperti orang lain
• Walaupun dengan
penyakit autoimun
 Autoimun

Suatu keadaan di
mana sistim imun
menyerang sel
tubuh yang sehat
 Epidemiologi Penyakit Autoimun
Incidence rates vary among the autoimmune diseases:
<1 newly-diagnosed case of systemic sclerosis to more
than 20 cases of adult-onset rheumatoid arthritis per
100,000 person-years.

Prevalence rates range from less than 5 per 100,000

(e.g. chronic active hepatitis, uveitis) to more than 500
per 100,000 (Grave disease, rheumatoid arthritis,
thyroiditis).

Cooper GS, Stroehla BC. The epidemiology of autoimmune diseases Autoimmun Rev. 2003 May;2(3):119-25.
 Epidemiologi Penyakit Autoimun
• At least 85% of thyroiditis, systemic sclerosis, SLE, and
Sjögren disease patients are female.

• childhood and adolescence (type 1 diabetes),

• mid-adult years (myasthenia gravis, multiple sclerosis),
• older adults (e.g. RA, primary systemic vasculitis).

Cooper GS, Stroehla BC. The epidemiology of autoimmune diseases Autoimmun Rev. 2003 May;2(3):119-25.
Estimated Prevalence: 7.6-9.4%
Top 10 Diseases at Rheumatology Clinic
Dr. Hasan Sadikin General Hospital
January – December 2017

N = 762

Candrianita S, Hamijoyo L, Rahmadi AR, Dewi S, Wachjudi RG, Pramudiyo R. RKB Bandung 2018
 Prevalence and Incidence of SLE
Incidence rates: 1 to 10 per 100,000 person-years.
Prevalence rates :20 to 70 per 100,000

SLE

INDONESIA?

Asia Incidence rates: 0.9–3.1(per 100,000 per years),

Pacific prevalence rates: 4.3–45.3 (per 100,000)
Pons-Estel et al, Understanding the Epidemiology and Progression of Systemic Lupus Erythematosus
Semin Arthritis Rheum. 2010 February ; 39(4): 257
Jakes RW, et al. Systematic review of the epidemiology of systemic lupus erythematosus in the Asia-Pacific
region: prevalence, incidence, clinical features, and mortality. Arthritis Care Res (Hoboken). 2012
Feb;64(2):159-68.
HASAN SADIKIN
LUPUS REGISTRY (HSLR)

GENDER (n = 813)

F : M ratio → 22:1

Hamijoyo L et al. Lupus database at Hasan sadikin Hospital Bandung (not published)
 HASAN SADIKIN LUPUS
REGISTRY (HSLR)

Age Diagnosed as SLE

SLE Duration Period

(in Months)

Hamijoyo L et al. Lupus database at Hasan sadikin Hospital Bandung (not published)
HASAN SADIKIN
LUPUS REGISTRY
(HSLR) ACR Criteria (n = 813)

Hamijoyo L et al. Lupus database at Hasan sadikin Hospital Bandung (not published)
Patofisiologi penyakit Autoimun
 Penyakit Autoimun
• bisa mengenai siapa saja:
- Laki-laki/perempuan
- Kaya atau miskin
- anak/ remaja/dewasa
- Kulit putih/ hitam
Pengaruh Vitamin D pada
penyakit Autoimun ?
 Who should be tested for
vitamin D deficiency?

Vitamin D and Bone Health: A Practical Clinical Guideline for Patient Management. National
Osteoporosis Society 2016
Penatalaksanaan penyakit Autoimun
§ Berbagai terapi yang perlu
diketahui

Update terapi untuk penyakit

autoimun itu penting
 Perlu kerja sama
• Dokter
• Pasien
• Perawat
• Penunjang
- laboratorium
- radiologi dll
• Keluarga
Lanny