resume sk 4 klmpk d
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resume sk 4 klmpk DTRANSCRIPT
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RESUME TUTORIAL BLOK 15
KELOMPOK D
SKENARIO 4
KULIT MERAH DAN GATAL
Oleh:
1. Ni Putu Ricca Tiara (!"1114#
". A$u Mu%a&ar'h Ai (!"1111"#
). Rr. O*i%i%+t$a, K- (!"11114#
4. Di%iu,i Satiari (!"111""#
5. Sa*i%ah M/ (!"111")#
0. Sheila S'ra$a -h. (!"111)1#
!. Raha$u ilu2e%+ (!"111)0#
3. E*a Pra,et$a&ati (!"11141#
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. Titi, Dia A. (!"1114!#
1. ',i Rial 6. (!"11151#
11. Rach7a% E8e%9i (!"1115"#
1". Dit' a9illa (!"1115!#
1). Mira%9a,ari (!"1110)#
FAKULTAS KEDOKTERAN
UNIVERSITAS JEMBER
Januari, 2010
Skenari
KULIT MERAH DAN GATAL
Se'ra%+ re7a2a 9ata%+ *e 9'*ter 9e%+a% *eluha% a9a ;erca*
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4. Macula erite7at'u, ;ata, te+a, tei 7e%i%++i
%er&a$a'a(an
1. Ba,ic Scie%ce
a. =i,t'l'+i Kulit
;. Mi*r';i'l'+i Kulit
c. i,i'l'+i Kulit
9. E8lur',e%,i Le,i *ulit
". Pe%$a*it Kulit A*i;at Ba*teri (Pi'9er7a#
a. I7eti+'
;. 'li*uliti,
c. uru%*el>Kar;u%*el
9. E*ti7a
e. Seluliti,
). Pe%$a*it Kulit A*i;at Para,it
a. Pe9i*ul',i,
;. Sca;ie,
c. -reei%+ Erruti'%
4. Pe%$a*it Kulit A*i;at ?a7ur (Mi*',i,#
5. Pe%$a*it Kulit A*i;at Aler+i
a. Der7atiti,
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;. Urti*aria
c. Stehe% ?'h%,'% S$%9r'7
0. Der7at',i, Eritr',*ua7',a
a. P,'ria,i,
;. Pitria,i, R',ea
c. Eritr'9er7a
!. ar7a*'l'+i
a. Da,ar Pe%+';ata%
;. Se9iaa%
c. Baha% A*ti8
Hi$)'*i Ku'i)
I%te+u7e% atau *ulit 7erua*a% 2ari%+a% $a%+ 7e%utui er7u*aa% tu;uh@ $a%+
ter9iri ata, " lai,a% :1. Eitel $a%+ 9i,e;ut ei9er7i,
". ?ari%+a% e%+i*at $a%+ 9i,e;ut 9er7i, atau c'riu7
Ei9er7i, ;era,al 9ari ect'9er7 9a% 9er7i, ;era,al 9ari 7e,'9er7.
Di;a&ah *ulit ter9aat lai,a% 2ari%+a% e%+i*at $a%+ le;ih l'%++ar 9i,e;ut
h$'9er7i, $a%+ a9a ;e;eraa te7at ;a%$a* 7e%+a%9u%+ 2ari%+a% le7a*.
Pa9a ;e;eraa te7at *ulit 7ela%2ut*a% 7e%2a9i tu%ica 7uc',a 9e%+a% ,uatu
er;ata,a% *ulit
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u%+,i *ulit ,elai% 7e%utui tu;uh@ 2u+a 7e7u%$ai ;e;eraa 8u%+,i lai%C 7a*a
,elai% ,tru*tur eitel 9a% 2ari%+a% e%+i*at ter,e;ut 7a,ih 9ile%+*ai ;a%+u%a%
ta7;aha% $a%+ 9i,e;ut ae%9i *ulit@ 9i7a%a 7eliuti : +la%9ula ,u9'ri8era (*ele%2ar
*eri%+at#@ +la%9ula ,e;acea (*ele%2ar 7i%$a*#@ 8'li*el ra7;ut@ 9a% *u*u.
Per7u*aa% ;e;a, *ulit ti9a*lah halu,@ tetai 9ita%9ai a9a%$a alur alur halu, $a%+
7e7;e%tu* 'la terte%tu $a%+ ;er;e9a a9a ;er;a+ai te7at.
De7i*ia% ula er7u*aa% a%tara ei9er7i, 9a% 9er7i, ti9a* rata *are%a a9a%$a
t'%2'la% t'%2'la% 2ari%+a% e%+i*at *e arah ei9er7i,.
alauu% ;ata, a%tara ei9er7i, 9e%+a% 2ari%+a% e%+i*at >c'riu7 9i;a&ah%$a 2ela,@
tetai ,era;ut 2ari%+a% e%+i*at ter,e;ut a*a% ;er,atu 9e%+a% ,era;ut 2ari%+a%
e%+i*at 9i ;a&ah *ulit.
Kete;ala% *ulit ti9a*lah ,a7a a9a ;er;a+ai ;a+ia% tu;uh. Te;al%$a *ulit ter,e;ut
9aat 9i,e;a;*a% *are%a *ete;ala% 9ua ;a+ia% *ulit atau ,alah ,atu ;a+ia% *ulit.
Mi,al%$a a9a 9aerah i%tra,*auler *ulit%$a ,a%+at te;al ,a7ai le;ih 9ari @5 c7@
,e9a%+*a% 9i *el'a* 7ata ha%$a ,ete;al @5 77. Rata rata te;al *ulit a9alah 1
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$a%+ 9ii,ah*a% 'leh alur alur 9i%a7a*a% ,ulcu, cuti,.
Pa9a 7ula%$a cuti, ta9i 7e%+i*uti t'%2'la% c'riu7 9i ;a&ah%$a tetai *e7u9ia% 9ari
ei9er7i, ,e%9iri ter2a9i t'%2'la% *e ;a&ah ,ehi%++a ter;e%tu*lah ailla c'rii $a%+
9ii,ah*a% 'leh t'%2'la% ei9er7i,.
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Pa9a t'%2'la% ei9er7i, a%tara 9ua ailla c'rii a*a% ;er2ala% 9uctu, ecret'riu,
+la%9ula ,u9'ri8era u%tu* 7e%e7;u, ei9er7i,
E+i#er&i$
Dala7 ei9er7i, ter9aat 9ua ,i,te7 :
1. Si,te7 7ali+hi@ ;a+ia% ei9er7i, $a%+ ,el ,el%$a a*a% 7e%+ala7i *erati%i,a,i.
". Si,te7 i+7e%ta,i@ $a%+ ;era,al 9ari cri,ta %eurali, 9a% a*a% 7e7;eri*a%
7ela%',it u%tu* ,i%te,a 7ela%i%.
Di,a7i%+ ,el ,el $a%+ ter7a,u* 9ua ,i,te7 ter,e;ut ter9aat ,el lai%@ $aitu ,el
La%+erha%, 9a% ,el Mar*el $a%+ ;elu7 2ela, 8u%+,i%$a.
Stru*tur hi,t'l'+i,
Pa9a ei9er7i, 9aat 9i;e9a*a% 5 ,tratu7@ $aitu:
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1 S)ra)u& -a$a'e
Lai,a% i%i 9i,e;ut ula ,e;a+ai ,tratu7 i+7e%t',u7 atau ,traru7+er7i%atiu7 *are%a ali%+ ;a%$a* ta7a* a9a%$a 7it',i, ,el ,el.
Sel ,el lai,a% i%i ;er;ata,a% 9e%+a% 2ari%+a% e%+i*at c'riu7 9a% ;er;e%tu*
,ili%9ri, atau *u;'i9. Di 9ala7 ,it'la,7a%$a ter9aat ;utir ;utir i+7e%.
2 S)ra)u& $+in$u&
Lai,a% i%i ;er,a7a 9e%+a% ,tratu7 ;a,ale 9i,e;ut ula ,tratu7 7ali+hi atau
,tratu7 +er7i%atiu7 *are%a ,el ,el%$a 7e%u%2u**a% a9a%$a 7it',i, ,el. Sel
,el 9ari ,tratu7 ;a,ale a*a% 7e%9'r'%+ ,el ,el 9i ata,%$a 9a% ;eru;ah 7e%2a9i
'lihe9ral.
Sratu7 ,i%',u7 i%i ter9iri ata, ;e;eraa lai,a% ,el ,el $a%+ ;er;e%tu*
'lihe9ral 9a% a9a e7eri*,aa% 9e%+a% 7i*r',*' caha$a a9a tei ,el
7e%u%2u**a% t'%2'la% t'%2'la% ,eerti 9uri 9uri. Se7ula t'%2'la% t'%2'la%
ter,e;ut 9i,a%+*a ,e;a+ai 2e7;ata% i%ter,eluler 9e%+a% 9i 9ala7%$a ter9aat
t'%'8i;ril $a%+ 7e%+hu;u%+*a% 9ari ,el $a%+ ,atu *e ,el $a%+ lai%.
. S)ra)u& *ranu'$u&
Lai,a% i%i ter9iri ata, "
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Butir ;utir $a%+ ter9aat ,it'la,7a le;ih ter&ar%a 9e%+a% he7at'$li% (;utir
;utir *erat'hiali%# $a%+ 9aat 9i*eliru*a% 9e%+a% i+7e%. A9a%$a ;utir ;utir
*erat'h$ali% ,e7ula 9i9u+a ;erhu;u%+a% 9e%+a% r',e, *erati%i,a,i@ tetai ti9a*
,elalu 9i2u7ai 9ala7 r',e, ter,e;ut@ 7i,al%$a a9a *u*u.
Ma*i% *e arah er7u*aa% ;utir ;utir *erati% 7a*i% ;erta7;ah 9i,ertai i%ti ,el
ecah atau larut ,a7a ,e*ali@ ,ehi%++a ,el ,el a9a ,tratu7 +ra%ul',u7 ,u9ah
9ala7 *ea9aa% 7ati.
/ S)ra)u& 'ui#u&
Ta7a* ,e;a+ai +ari, ;er+el'7;a%+ $a%+ 2er%ih a%tara ,tratu7 +ra%ul',u7 9a%
,tratu7 c'r%eu7. Ter9iri ata, ;e;eraa lai,a% ,el $a%+ telah +ee%+ ter,u,u%
,a%+at a9at. Ba+ia% $a%+ 2er%ih i%i 7e%+a%9u%+ at elei9i% $a%+ 9i9u+a
7erua*a% ha,il 9ari *erat'hiali%.
S)ra)u& rneu&
Pa9a 'la 7a%u, 9a% la%ta e9i,@ lai,a% i%i ,a%+at te;al $a%+ ter9iri ata,
;a%$a* ,e*ali lai,a% ,el ,el +ee%+ $a%+ telah 7e%+ala7i *'r%i8i*a,i atau
*erati%i,a,i. =u;u%+a% a%tara ,el ,e;a+ai 9uri 9uri a9a ,tratu7 ,i%',u7
,u9ah ti9a* ta7a* la+i.
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Pa9a er7u*aa%@ lai,a% ter,e;ut a*a% 7e%+elua, (9e,Fua7ati'# *a9a%+
*a9a%+ 9i,e;ut ,e;a+ai ,tratu7 9i,2u%ctiu7
Der&i$
Ter9iri ata, " lai,a% $a%+ ti9a* ;e+itu 2ela, ;ata,%$a@ $aitu :
1 S)ra)u& +a+i'are
Merua*a% lai,a% tii, 2ari%+a% e%+i*at 9i ;a&ah ei9er7i, $a%+ 7e7;e%tu*
ailla c'rii. ?ari%+a% ter,e;ut ter9iri ata, ,el ,el $a%+ ter9aat a9a 2ari%+a%
e%+i*at l'%++ar 9e%+a% ,era;ut *'la+e% halu,.
2 S)ra)u& re)iu'are
Lai,a% i%i ter9iri ata, 2ari%+a% e%+i*at $a%+ 7e%+a%9u%+ ,era;ut ,era;ut
*'la+e% *a,ar $a%+ 2ala%%$a ,i7a%+ ,iur tetai ,elalu ,e2a2ar 9e%+a%
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er7u*aa%. Di 9ala7%$a ,elai% ter9aat ,el ,el 2ari%+a% e%+i*at ter9aat ula
,el *hr'7at'8'r $a%+ 9i 9ala7%$a 7a%+a%9u%+ ;utir ;utir i+7e%.
Di ;a&ah ,tratu7 reticulare ter9aat ,u;cuti, $a%+ 7e%+a%9u%+ +la%9ula
,u9'ri8era $a%+ a*a% ;er7uara a9a ei9er7i,.
KULIT TI%IS
Me%utui ,eluruh ;a+ia% tu;uh *ecuali 'la 7a%u, 9a% la%ta e9i, $a%+
7erua*a% *ulit te;al.Ei9er7i,%$a tii,@,e9a%+*a% *ete;ala% *ulit%$a
ter+a%tu%+ 9ari 9aerah 9i tu;uh.
Pa9a 9a,ar%$a 7e7ili*i ,u,u%a% $a%+ ,a7a 9e%+a% *ulit te;al@ha%$a ter9aat
;e;eraa er;e9aa% :
1. Ei9er7i, ,a%+at tii,@teruta7a ,tratu7 ,i%',u7 7e%ii,.
". Stratu7 +ra%ul',u7 ti9a* 7erua*a% lai,a% $a%+ *'%ti%$u.
). Ti9a* ter9aat ,tratu7 luci9iu7.
4. Stratu7 c'r%eu7 ,a%+at tii,.
5. Paila c'rii ti9a* teratur ,u,u%a%%$a.
0. Le;ih ,e9i*it a9a%$a +la%9ula ,u9'ri8era.
!. Ter9aat 8'li*el ra7;ut 9a% +la%9ula ,e;acea.
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Su-u)i$ a)au H!+#er&i$
Merua*a% 2ari%+a% e%+i*at l'%++ar ,e;a+ai la%2uta% 9ari 9er7i,. De7i*ia% ula
,era;ut
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G'an#u'a Se-aea
Kele%2ar i%i ;er7uara a9a leher 8'li*el ra7;ut 9a% ,e*ret $a%+ 9iha,il*a%
;erle7a* (,e;u7#@ $a%+ ;er+u%a u%tu* 7e7i%$a*i ra7;ut 9a% er7u*aa% *ulit.
6la%9ula i%i ;er,i8at h'l'*ri%. 6la%9ula ,e;acea ;ia,a%$a 9i,ertai 9e%+a% 8'li*el
ra7;ut *ecuali a9a ale;ra@ aila 7a77ae@ la;ia 7i%'ra ha%$a ter9aat
+la%9ula ,e;acea ta%a 8'li*el ra7;ut.
Ra&-u)
Merua*a% ,tru*tur ;er*erati% a%2a%+ $a%+ ;era,al 9ari i%a+i%a,i eitel
ei9er7i,.Ra7;ut 9ite7u*a% 9i,eluruh tu;uh *ecuali a9a telaa* ta%+a%@ telaa*
*a*i@ ;i;ir@ +la%, e%i,@ *lit'ri, 9a% la;ia 7i%'ra.ertu7;uha% ra7;ut a9a 9aerahhari F.i.9 (1 hr#
-ehalei% "5hari F.i.9 (1 hr#
Kontraindikasipada wanita hamil
Mi%'c$cli% 1 7+ ;.i.9 (1 hr#
-ir'8l'aci% 5 7+ ;.i.9 (! hr#
Th> a7a% ut* &a%ita ha7il: Pe%icilli%
Bila ta*ut i%2e*,i: a7icilli%> a7'$cilli%
Bila aler+i e%icilli%@ ;eri eritr'7$ci% .c
Kontraindikasi: Maag
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EKTIMA
De3ini$i
E*ti7a a9alah ul*u, ,uer8icial atau ul*u, 9a%+*al 9e%+a% *ru,ta 9i ata,%$a@
9i,e;a;*a% 'leh Stret'c'ccu, B he7'l$ticu,. E*ti7a ,eri%+ ter2a9i a9a a%a*
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;er&ar%a *u%i%+ *ec'*lata%. ?i*a *ru,ta 9ia%+*at a*a% terlihat ul*u, 9a%+*al 9e%+a%
9a,ar *a,ar 9a% tei 7e%i%++i. ?i*a *ea9aa% u7u7 ;ai* le,i a*a% ,e7;uh ,e%9iri
9ala7 &a*tu ,e*itar ) 7i%++u 9a% 7e%i%++al*a% 2ari%+a% arut.
Hi$)+a)'*i
Pera9a%+a% 9ala7 $a%+ 9ii%8e*,i *'*u,@ 9e%+a% i%8iltra,i PMN 9a% e7;e%tu*a%
a;,e, 7ulai 9ari 8'li*el il',e;a,ea. Pa9a 9er7i,@ u2u%+ e7;uluh 9arah 7ele;ar 9a%
ter9aat ,e;u*a% ,el PMN.
%en*-a)an
U7u7 : 7e7er;ai*i h$+ie%e 9a% *e;er,iha%
Khu,u, : *ru,ta 9i;er,ih*a% 9a% 9ia%+*at ,erta 9i'le,*a% ,ale a%ti;i'tic 2i*a
2u7lah%$a ,e9i*it@ 2i*a 2u7lah%$a ;a%$a* 2u+a 9i;eri*a% a%ti;i'tic ,i,te7i*
FOLIKULITIS
De3ini$i
Ra9a%+ 8'li*el ra7;ut
E)i'*i
Bia,a%$a Staphylococcus aureus
\
K'a$i3ika$i
1. F'iku'i)i$ $u+er3i$ia'i$7 ter;ata, 9ala7 ei9er7i,
Sinni&
I7eti+' ;'*hart
Ge8a'a k'ini$
Te7at re9ile*,i 9i tu%+*ai ;a&ah.Kelai%a% ;erua aul> u,tul $a%+
eri7at',a 9a% 9ite%+ah%$a ter9aat ra7;ut@ ;ia,a%$a 7ultiel.
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". F'iku'i)i$ +r3un#a 7 ,a7ai *e ,u;*uta%
6a7;ara% *li%i,%$a ,eerti 9iata,@ ha%$a tera;a i%8iltrat 9i ,u;*uta%.
-'%t'h%$a $ik$i$ -ar-e $a%+ ;erl'*a,i 9i ;i;ir ata, 9a% 9a+u@ ;ilateral.
Dia*n$i$ -an#in*
Ti%ea ;ar;e@ l'*ali,a,i%$a 9i 7a%9i;ula> ,u;7a%9i;ula@ u%ilateral.Pa9a ti%ea
;ar;e ,e9ia% 9e%+a% KO= ',iti8.
%en*-a)an
A%ti;i'tic ,i,te7i* atau t'ical.-ari 8a*t'r re9i,',i,i.
FURUNKEL9 KARBUNKEL
De3ini$i
uru%*el ialah ra9a%+ 8'li*el ra7;ut 9a% ,e*itar%$a. ?i*a le;ih 9aria9a ,e;uah
9i,e;ut 8uru%*ul',i,. Kar;u%*el ialah *u7ula% 8uru%*el.
E)i'*i
Bia,a%$a Staphylococcus aureus.
Fa)r +re#i$+$i$i7
hi+ie%e ;uru*@ *ura%+ +ii@ a9a%$a e%$a*it *ulit lai% ( 7iliaria@ 9er7atiti,#
Kelai%a% ,eri%+ ter2a9i a9a te7at $+ 7e%+ala7i ;a%$a* +e,era% : aila J
;'*'%+ 9aat ter2a9i 9i *eala J leher
Ge8a'a k'ini$
Keluha%%$a %$eri. ?i*a ;erua %'9u, eri7at',a ;er;e%tu* *erucut@ 9ite%+ah%$a
ter9aat u,tul. Ke7u9ia% 7elu%a* 7e%2a9i a;,e, $a%+ ;eri,i u, 9a% 2ari%+a%
%e*r'ti*@ lalu 7e7ecah 7e7;e%tu* 8i,tel. Te7at re9ile*,i ialah te7at $a%+
;a%$a* 8ri*,i@ 7i,al%$a a*,ila 9a% ;'*'%+.
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%en*-a)an
?i*a ,e9i*it cu*u 9e%+a% a%ti;i'tic t'ical. ?i*a ;a%$a* 9i+a;u%+ 9e%+a% a%ti;i'tic
,i,te7i*. Kalau ;erula%+ hi+ie%e: *e;er,iha% $a%+ *ura%+ le;ih 7u9ah ter*e%a e%$a*it.
- a*t'r re9i,',i,i: Dia;ete, 7ellitu, 9a% 7al%utri,i.
- Li%+*u%+a%: ;a%$a* 9e;u 9a% *'t'ra% le;ih 7u9ah ter*e%a.
Ge8a'a7
- 6e2ala *'%,titu,i: 9e7a7 9a% 7alai,e
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- Le,i: ;er7ula ,e;a+ai 7acula erite7at',a $a%+ tera,a a%a,@ ,ela%2ut%$a
7elua, *e ,a7i%+ 9a% *e ;a&ah ,ehi%++a ter;e%tu* ;e%2'la% ;er&ar%a
7erah 9a% hita7 $a%+ 7e%+eluar*a% ,e*ret ,er'urule%.
%e&erik$aan ku'i)7
- L'*ali,a,i: e*,tre7ita, ,ueri'r 9a% i%8eri'r ,erta &a2ah.
- E8l're,e%,i: 7acula erite7at',a atau *ehita7a% 7e%'%2'l 9i ata, er7u*aa%
*ulit@ u*ura%%$a ;e,ar 9a% 9aat 7e%caai la*at. Di ata,%$a ter9aat 8i,tel7e%cuci a*aia% *utu 7ele*at 9i liata%
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Dia*n$i$ Ban#in*
Neur'tic ec'riati'%
%en*-a)an
- De%+a% *ri7 *a&ek$an1 9i'le,*a% tii, 9i ,eluruh tu;uh 9a% 9i9ia7*a%
"4 2a7@ lalu 7a%9i. ?i*a ;elu7 ,e7;uh@ ula%+i 4 hari *e7u9ia%. O;at lai%
ialah e7ul,i -en;!' -en;a)e"5 9a% ;u;u* &a'a)(in".
- Pa*aia% 9ire;u, atau 9i,etri*au%tu* 7e7;u%uh telur 9a% *utu.
- ?i*a ter9aat i%8e*,i ,e*u%9era%ti;i'tic ,i,te7i* 9a% t'ical.
%r*n$i$
Bai* 9e%+a% 7e%2a+a hi+ie%e.
%EDIKULOSIS %UBIS
De3ini$i
A9alah i%8e*,i ra7;ut 9i 9aerah u;i, 9a% ,e*itar%$a 'leh Phthirus pubis.
E+i#e&i'*i
- Me%$era%+ 'ra%+ 9e&a,a 9a% 9aat 9i+'l'%+*a% e%$a*it a*i;at hu;u%+a%
,e*,ual.
- Daat ula 7e%$era%+ 2e%++'t 7auu% *u7i,.
- Daat ter2a9i a9a a%a*
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%enu'aran
U7u7%$a 9e%+a% *'%ta* la%+,u%+@ tetai 9aat 2u+a 7elalui 7e9ia ,eerti ha%9u*.
E)i'*i
OlehPhthirus pubis $a%+ 7iri 9e%+a% e9i*ulu,@ ha%$a ,a2a le;ih *ecil 9a% iih.
%a)(*ene$i$
6e2ala teruta7a +atal 9i 9aerah u;i, 9a% ,e*itar%$a. 6atal 9aat 7elua, ,a7ai *e
arah a;9'7e% 9a% 9a9a@ 9i ,a%a 9i2u7ai ;erca*
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Dia*n$i$ Ban#in*
- Der7atiti, ,e;'r'i*a
- Der7at'7i*',i,
%en*-a)an
Pe%+';ata% ,a7a 9e%+a% e9i*ul',i, *'r'ri,@ $aitu 9e%+a% *ri7 *a&ek$an1 atau
e7ul,i -en;!' -en;a)e "5 $a%+ 9i'le,*a% 9a% 9i9ia7*a% ,ela7a "4 2a7.
Pe%+';ata% 9iula%+i "4 2a7 *e7u9ia%@2i*a ;elu7 ,e7;uh.
Se;ai*%$a ra7;ut *ela7i% 9icu*ur. Pa*aia% 9ala7 9ire;u, atau 9i,etri*a.
Pa,a%+a% 2u+a haru, 9ieri*,a 9a% 9i';ati.
Ska-ie$
Sinni&
Ku9i,@ The Itch@ 6u9i+@ Bu9u*a%@ 6atal A+'+'
De3ini$i
S*a;ie, a9alah e%$a*it *ulit $a%+ 9i,e;a;*a% 'leh i%8e,ta,i 9a% ,e%,iti,a,i
terha9a Sarc'te, ,ca;iei aria% h'7i%i, 9a% r'9u*%$a.
E+i#e&i'*i
S*a;ie, 9ite7u*a% 9i,e7ua %e+ara 9e%+a% reale%,i $a%+ ;eraria,i.
Di;e;eraa %e+ara $a%+ ,e9a%+ ;er*e7;a%+ reale%,i ,*a;ie, ,e*itar 0 < "!
'ula,i u7u7 9a% ce%9eru%+ ti%++i a9a a%a*
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A9a 9u+aa% ;ah&a ,etia ,i*lu, ) tahu% ter2a9i ei9e7i ,*a;ie,. Ba%$a*
8a*t'r $a%+ 7e%u%2a%+ er*e7;a%+a% e%$a*it i%i@ a%tara lai%: ,',ial e*'%'7i $a%+
re%9ah@ hi+ie%e $a%+ ;uru*@ hu;u%+a% ,e*,ual $a%+ ,i8at%$a r'7i,*uita,@ *e,alaha%
9ia+%',i,@ 9a% er*e7;a%+a% 9er7'+ra8i* ,erta e*'l'+i*. Pe%$a*it i%i 9aat
9i7a,u**a% 9ala7 P.=.S. (Pe%$a*it a*i;at =u;u%+a% Se*,ual#.
E)i'*i
Sarc'te, ,ca;iei ter7a,u* 8ilu7 Arth''9a @ *ela, Arach%i9a@ 'r9'
Ac*ari%a@ ,uer8a7ili Sarc'te,. Pa9a 7a%u,ia 9i,e;ut Sarc'te, ,ca;iei ar.
h'7i%i,. Kecuali itu ter9aat S. ,ca;iei $a%+ lai%%$a a9a *a7;i%+ 9a% ;a;i.
Secara 7'r8'l'+i* 7erua*a% tu%+au *ecil@ ;er;e%tu* 'al@ u%++u%+%$a
ce7;u%+ 9a% ;a+ia% erut%$a rata. Tu%+au i%i tra%,ie%t@ ;er&ar%a utih *'t'r@ 9a%
ti9a* ;er7ata. U*ura%%$a $a%+ ;eti%a ;er*i,ar a%tara )) 45 7i*r'% "5 )5
7i*r'%@ ,e9a%+*a% $a%+ 2a%ta% le;ih *ecil@ $a*%i " "4 7i*r'% 15 "
7i*r'%. Be%tu* 9e&a,a 7e7u%$ai 4 a,a%+ *a*i@ " a,a%+ *a*i 9i 9ea% ,e;a+ai
alat alat u%tu* 7ele*at 9a% " a,a%+ *a*i *e9ua a9a ;eti%a ;era*hir 9e%+a% ra7;ut@
,e9a%+*a% a9a $a%+ 2a%ta% a,a%+a% *a*i *eti+a ;era*hir 9e%+a% ra7;ut 9a%
*ee7at ;era*hir 9e%+a% alat ere*at.
Si*lu, hi9u tu%+au i%i ,e;a+ai ;eri*ut. Setelah *'ula,i (er*a&i%a%# $a%+
ter2a9i 9i ata, *ulit@ $a%+ 2a%ta% a*a% 7ati@ *a9a%+
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;eti%a@ 9e%+a% 4 a,a%+ *a*i. Seluruh ,i*lu, hi9u%$a 7ulai 9ari telur ,a7ai ;e%tu*
9e&a,a 7e7erlu*a% &a*tu a%tara 3 1" hari.
Telur 7e%eta, 7e%2a9i lara 9ala7 &a*tu ) 4 hari@ *e7u9ia% lara
7e%i%++al*a% ter'&'%+a% 9a% 7a,u* *e 9ala7 8'li*el ra7;ut. Sela%2ut%$a lara
;eru;ah 7e%2a9i %i78a $a%+ a*a% 7e%2a9i ara,it 9e&a,a. Tu%+au ;eti%a a*a% 7ati
,etelah 7e%i%++al*a% telur@ ,e9a%+*a% tu%+au 2a%ta% 7ati ,etelah *'ula,i.
Sarc'te, ,ca;iei ;eti%a 9aat hi9u 9iluar a9a ,uhu *a7ar ,ela7a le;ih *ura%+ !
14 hari. a%+ 9i,era%+ a9alah ;a+ia% *ulit $a%+ tii, 9a% le7;a;@ c'%t'h%$a liata%
*ulit a9a 'ra%+ 9e&a,a. Pa9a ;a$i@ *are%a ,eluruh *ulit%$a 7a,ih tii,@ 7a*a
,eluruh ;a9a% 9aat ter,era%+.
%a)*ene$i$.
Kelai%a% *ulit 9aat 9i,e;a;*a% ti9a* ha%$a 'leh tu%+au ,*a;ie,@ tetai 2u+a
'leh e%9erita ,e%9iri a*i;at +aru*a%. Da% *are%a ;er,ala7a% atau ;er+a%9e%+a%
,ehi%++a ter2a9i *'%ta* *ulit $a%+ *uat@ 7e%$e;a;*a% *ulit ti7;ul a9a er+ela%+a%
ta%+a%. 6atal $a%+ ter2a9i 9i,e;a;*a% 'leh ,e%,iti,a,i terha9a ,e*ret 9a% e*,*rettu%+au $a%+ 7e7erlu*a% &a*tu *ira
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Pe%$a*it i%i ,a%+at erat *aita%%$a 9e%+a% *e;er,iha% er,e'ra%+a% 9a%
li%+*u%+a%@ atau aa;ila ;a%$a* 'ra%+ $a%+ ti%++al ,ecara ;er,a7a
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).# A9a%$a ter'&'%+a% (*u%i*ulu,# a9a te7at
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Pa9a ;e%tu* i%i le,i ;erua %'9u, c'*lat *e7eraha% $a%+ +atal. N'9u, ;ia,a%$a
ter9aat 9i9aerah tertutu@ teruta7a a9a +e%italia la*i
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). Skabies terbaring ditempat tidur !bed ridden".
Pe%9erita e%$a*it *r'%i, 9a% 'ra%+ tua $a%+ tera*,a haru, ti%++al 9ite7at
ti9ur 9aat 7e%9erita ,*a;ie, $a%+ le,i%$a ter;ata,.
%e&-an)u Dia*n$i$
-ara 7e%e7u*a% tu%+au:
1. -arilah 7ula
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). Pe%$e7;uha% ceat ,etelah e7;eria% ';at a%ti ,*a;ie, t'ical $a%+ e8e*ti8.
4. A9a%$a +atal he;at a9a 7ala7 hari. Bila le;ih 9ari ,atu a%++'ta *eluar+a
7e%9erita +atal@ haru, 9icuri+ai a9a%$a ,*a;ie,. 6atal a9a 7ala7 hari 9i,e;a;*a%
'leh te7erature tu;uh 7e%2a9i le;ih ti%++i ,ehi%++a a*tiita, *utu 7e%i%+*at.
Di3eren$ia' Dia*n$i$
Dia+%',i, ;a%9i%+%$a a9alah :
1. Pruri+'@ ;ia,a%$a ;erua ael
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E8e*ti8 terha9a ,e7ua ,ta9iu7@ 9i;eri*a% ,etia 7ala7 ,ela7a ti+a hari. Seri%+
ter2a9i irita,i 9a% *a9a%+
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REE%ING ERU%TION
DEFINISI
Kera9a%+a% *ulit $a%+ 7erua*a% era9a%+a% ;er;e%tu* li%ear atau ;er*el'*
*el'*@ 7e%i7;ul 9a% r'+re,i8@ 9i,e;a;*a% 'leh i%a,i lara caci%+ ta7;a%+ $a%+
;era,al 9ari a%2i%+ 9a% *uci%+
ETIO%ATOGENESIS
Lara caci%+ ta7;a%+ A%c$l',t'7a ;railie%,e 9a% A%c$l',t'7a ca%i%u7@
;i,a 2u+a Echi%'c'ccu,@ Str'%+$l'i9e, ,terc'%ali,@ Der7at';ia 7aiale,@ Luciliacae,ar. Selai% itu 9aat ula 9i,e;a;*a% 'leh lara 9ari ;e;eraa 2e%i, lalat 7i,al%$a
-a,tr'hilu, 9a% cattle 8l$.
GEJALA KLINIS
Ma,u*%$a lara *e *ulit 9i,ertai ra,a +atal 9a% a%a,. Mula 7ula a*a%
ti7;ul aul@ *e7u9ia% 9ii*uti ;e%tu* $a%+ *ha,@ $a*%i le,i ;er;e%tu* li%ear atau
;er*el'* *el'* 9e%+a% 9ia7eter " ) 77 9a% ;er&ar%a *e7eraha%.
DIAGNOSIS
Be%tu*%$a *ha, $aitu *elai%a% ,eerti ;e%a%+ $a%+ luru, atau ;er*el'*
*el'*@ 7e%i7;ul@ 9a% ter9aat aul atau e,i*el 9iata,%$a
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%ENGOBATAN
< A%tihel7i%te, ;er,e*tru7 lua,@ 7i,al%$a tia;e%9a'l 9e%+a% 9',i, 5 7+ >
*+ BB>hari@ ,ehari " *ali@ 9i;eri*a% ;erturut turut ,ela7a " hari
< Al;e%9a'l@ 9',i, ,ehari 4 7+ ,e;a+ai 9',i, tu%++al 9i;eri*a% ) hari
;erturut turut
< Bi,a 2u+a 9e%+a% cr$'thera$ $aitu 7e%++u%a*a% -O" ,%'& (9r$ ice# 9e%+a%
e%e*a%a% ,ela7a 45 ,a7ai 1
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JAMUR
Mi$i$ Su+er3iia'i$
Der&a)3i)$i$
Der7at'8it',i, a9alah e%$a*it a9a 2ari%+a% $a%+ 7e%+a%9u%+ at ta%9u*@ 7i,al%$a
,tratu7 *'r%eu7 a9a ei9er7i,@ ra7;ut@ 9a% *u*u@ $a%+ 9i,e;a;*a% 'leh +'l'%+a%
2a7ur 9er7at'8ita. Der7at'8it',i, ,i%'%i7%$a a9alah ti%ea@ ri%+&'r7@ *ura@ tai+%e@
here, ,ir,i%ata.
E)i'*i
Der7at'8ita 7e7u%$ai ,i8at 7e%cer%a*a% *erati%@ ter7a,u* *ela, 8u%+i i7er8ecti@
$a%+ ter;a+i 9ala7 ti+a +e%u,@ $aitu:
1. Microsporium) spesies
2. *richophyton# spesies
3. +pydermophyton# spesies
Selai% ,i8at *erat'8ili*@ 7a,ih ;a%$a* ,i8at $a%+ ,a7a 9i a%tara 9er7at'8ita@ 7i,al%$a
,i8at 8aali@ ta*,'%'7i,@ a%ti+e%ic@ *e;utuha% at 7a*a%a% u%tu* ertu7;uha%%$a@ 9a%
e%$e;a; e%$a*it.
K'a$i3ika$i
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Ber9a,ar*a% l'*a,i (ali%+ ;a%$a* 9ia%ut#:
- Ti%ea *aiti,@ 9er7at'8it',i, a9a *ulit 9a% ra7;ut *eala
- Ti%ea ;ar;e@ a9a 9aerah 9a+u 9a% 2e%++'t
- Ti%ea *ruri,@ 9er7at'8it',i, a9a 9aerah +e%it'*rural@ ,e*itar a%u,@ ;'*'%+@
9a% erut ;a+ia% ;a&ah
- Ti%ea e9i, et 7a%u7@ a9a *a*i 9a% ta%+a%
- Ti%ea u%+ui%u7@ a9a *u*u 2ari ta%+a% 9a% *a*i
- Ti%ea *'r'ri,@ 9er7at'8it',i, a9a ;a+ia% lai% $a%+ ti9a* ter7a,u* ;e%tu* 5
ti%ea 9i ata,.
Selai% itu@ 7a,ih 9i*e%al C
- Ti%ea i7;ri*ata@ 9er7at'8it',i, 9e%+a% ,u,u%a% ,*ua7a $a%+ *'%,e%tri, 9a%
9i,e;a;*a% *richophytonconcentricum
- *inea favosa !favus", disebabkan oleh *richophyton schoenleini ,ecara *li%i,
ter;e%tu* ,*utula 9a% ;er;au ,eerti ti*u,
- *inea fasialis, tinea aksilaris
- Ti%ea ,ir,i%ata@ ar*uata $a%+ 7erua*a% e%a7aa% 9e,*riti8 7'r8'l'+i,
Selai% itu 2u+a 9i*e%al ti%ea i%c'+%it'@ $aitu 9er7at'8it',i, 9e%+a% ;e%tu*ti9a* *ha, 'leh *are%a telah 9i';ati 9e%+a% ,ter'i9 t'ical *uat.
Ti%ea e9i, (athlete, 8''t@ ri%+&'r7 '8 the 8''t@ *utu air#
1# I%ter9i+itali,
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Di a%tara 2ari IG 9a% G terlihat 8i,ura $a%+ 9ili%+*ari ,i,i* halu, 9a%
tii,. Kelai%a% i%i 9aat 7elua, *e ;a&ah 2ari (,u;9i+ital# 9a% 2u+a *e
,ela 2ari $a%+ lai%. Oleh *are%a 9aerah i%i le7;a;@ 7a*a ,eri%+ terlihat
7a,era,i. A,e* *li%i, 7a,era,i ;erua *ulit utih 9a% rauh. Bila
;a+ia% *ulit $a%+ 7ati i%i 9i;er,ih*a% @ a*a% terlihat *ulit ;aru $a%+
a9a u7u7%$a 2u+a telah 9i,era%+ 'leh 2a7ur.
"# M'cca,i% 8''t
Pa9a ,eluruh *a*i@ 9ari telaa*@ tei@ ,a7ai u%++u%+ *a*i terlihat
*ulit 7e%e;al 9a% ;er,i,i*@ erite7a ;ia,a%$a ri%+a% teruta7a terlihat
a9a ;a+ia% tei le,i. Di tei le,i 9aat ula 9ilihat aul 9a% *a9a%+er$i'r %i)!ria$i$ a'-a Der&a)i)i$ $e-rika
%en*-a)an
Pe%+';ata% haru, 9ila*u*a% 7e%$eluruh@ te*u% 9a% *'%,i,te%. Kare%a ala,a%,uer8i,ial u7u7%$a e%+';ata% a9alah )+ika',eerti
laruta% ti',ul8a, %atri*u, "5 @
,ale atau ;e9a* *'c'* ,ul8u, re,iitatu7 4 " @
,u,e%,i ,ele%iu7 ,ul8i9a@
,ali,il ,iritu, 1 @
*re7 +'l'%+a% a,'l@ t'l,i*lat@ t'l%a8tat.
Bila 9e%+a% t'i*al ,ulit 9i,e7;uh*a% 9aat 9ierti7;a%+*a% e7;eria% ra'
ke)kna$'" 7+ er hari ,ela7a 1 hari.
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ALERGI
DERMATITIS KONTAK
De3ini$i
Der7atiti, *'%ta* a9alah era9a%+a% *ulit (ei9er7i, 9a% 9er7i,# $a%+ 9i,e;a;*a%
'leh ;aha%>,u;,ta%,i $a%+ 7e%e7el a9a *ulit.
K'a$i3ika$i
Der7atiti, *'%ta* ter9iri 9ari 9ua 2e%i,@ $aitu
1. Der7atiti, K'%ta* Irita% (DKI#
Merua*a% rea*,i era9a%+a% *ulit %'%i7u%'l'+i*@ 2a9i *eru,a*a% *ulit ter2a9i
la%+,u%+ ta%a 9i9ahului r',e, ,e%,iti,a,i.
". Der7atiti, K'%ta* Aler+i* (DKA#
Ter2a9i a9a ,e,e'ra%+ $a%+ telah 7e%+ala7i ,e%,iti,a,i terha9a ,uatu aler+e%
DERMATITIS KONTAK IRITAN 5DKI6
E)i'*i
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Pe%$e;a; 7u%cul%$a 9er7atiti, 2e%i, i%i ialah ;aha% $a%+ ;er,i8at irita%@ 7i,al%$a
< Baha% elarut
< Deter+e%
< Mi%$a* elu7a,
< A,a7
< Al*ali
< Ser;u* *a$u
Kelai%a% *ulit $a%+ ter2a9i 9ie%+aruhi 'leh :
< U*ura% 7'le*ul
< Da$a larut
< K'%,e%tra,i ;aha%
< La7a *'%ta*
< a*t'r i%9ii9u (*ete;ala% *ulir@ ra,@ ,e@ 9ll#
%a)*ene$i$
Baha% irita% 7eru,a* 7e7;ra% le7a* a*tia,i 7e9iat'r
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". DKI A*ut La7;at
6e2ala ,a7a 9e%+a% DKI a*ut@ ha%$a ,a2a ;aru 7u%cul 3 ,a7ai "4 2a7
atau le;ih ,etelah *'%ta*
). DKI Ku7ulati8>Kr'%i,
I%,i9e%,i%$a ali%+ ,eri%+
Kelai%a% ;aru %$ata ,etelah *'%ta* ;er7i%++u
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Kelai%a% *ulit ti9a* terlihat %a7u% tera,a e9ih atau ter;a*ar
%ena)a'ak$anaan
- Me%+hi%9ari a2a%a% ;aha% irita%
- K'rti*',ter'i9 t'i*al
DERMATITIS KONTAK ALERGI 5DKA6
E)i'*i
Baha% *i7ia ,e9erha%a 9e%+a% ;erat 7'le*ul re%9ah (H1 9a#@ 7erua*a% aler+e%$a%+ ;elu7 9ir',e,@ 9i,e;ut hate%@ ;er,i8al li'8ili*@ ,a%+at rea*ti8@ 9aat
7e%e7;u, ,tratu7 *'r%eu7 hi%++a 7e%caai ,el ei9er7i, 9i;a&ah%$a.
%a)*ene$i$
Me*a%i,7e ter2a9i%$a *elai%a% *ulit DKA a9lah 7e%+i*uti re,'% i7u% $a%+
9iera%tai 'leh ,el atau rea*,i i7u%'l'+i* tie IG (tie la7;at#. Rea*,i i%i ter2a9i
7elalui " 8a,e@ $aitu 8a,e ,e%,iti,a,i 9a% eli,ita,i
Ge8a'a K'ini$
6atal
Berca* eri7at',a $a%+ ;er;ata, te+a, (a&al%$a#
E9e7a
Paul'e,i*el
Ge,i*el atau ;ula
Kr'%i, : *ulit *eri%+@ ;er,*ua7a@ aul@ li*e%i8i*a,i 9a% 8i,ur
%ena)a'ak$anaan
- Ua$a e%ce+aha% terula%+ *e7;ali
- K'rti*',ter'i9 2a%+*a e%9e*
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URTIKARIA
De3ini$i
Rea*,i a,cular 9i *ulit a*i;at ;er7aca7
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Ber9a,ar &a*tu :
a*ut :H 0 7i%++u atau 4 7i%++u tai tia hari@ ;ia,a%$a 9 la*i
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Urti*aria a*ut : r'+%',i, ;ai* *are%a e%$e;a;%$a ceat 9aat 9iata,i
Urti*aria *r'%i* : r'+%',i,%$a ;uru* *are%a e%$e;a;%$a ,ulit 9icari
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STEVENS JOHNSONS S
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Tria, +e2ala:
1. Kelai%a% *ulit
erite7a
e,i*el 9a% ;ulaecah ,ehi%++a ter2a9i er',i $a%+ lua,
urura
2i*a ;erat+e%erali,ata
". Kelai%a% ,elaut le%9ir 9a% 'ri8iciu7
a9a 7u*',a 7ulut
< e,i*el 9a% ;ula $a%+ ecah 7e%2a9i er',i 9a% e*,*'ria,i 9a% *ru,ta
$a%+ *elihata%
< 9i ;i;ir*ru,ta ;er&ar%a hita7
< ter;e%tu* ,eu9'7e7;ra%
< 7e%2alar *e 8ari%+@tractu, re,irat'riu, ata, 9a% e,'8a+u,
a9a alat +e%ital
a9a lu;a%+ hi9u%+ 9a% a%u,
). Kelai%a% 7ata
*'%2u%+tiiti, *atarali,
2u+a 9aat ;erua: *'%2u%+tiiti, urule%@ er9araha%@,i7;le8ar'%@ ul*u,
*'r%ea@iriti, 9a% iri9',i*liti,
%e&erik$aan 'a-
leu*',it',i,i%8e*,i ;a*terial
e',i%'8iliaaler+i
Hi$)%A
1. I%8iltrat ,el MN 9i ,e*itar e7;uluh 9arah ei9er7i, ,uer8i,iali,
". E9e7a 9a% e*,traa,a,i ,el 9arah 7erah 9i 9er7i, ailar
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). De+e%era,i hi9r'i* lai,a% ;a,ali, ,a7ai ter;e%tu* e,i*el ,u;ei9er7al
4. Ne*r',i, ,el ei9er7al 9a% *a9a%+hari 9i+a%ti 9e%+a% 'ral
< a%ti;i'ti* u%tu* 7e%ce+ah i%8e*,i a*i;at e7a*aia% *'rti*',ter'i9
< 7e%+atur *e,ei7;a%+a% caira% 9a% ele*tr'lit ,erta %utri,i 9e*,tr'*,e
5:Na-l :RL 1:1:1
2i*a ;elu7 cu*u@ tra%,8u,i 9arah ) cc ,ela7a " hari ;erturut
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DERMATOSIS ERITROSKUAMOSA
%SORIASIS
De3ini$i
P,'ria,i, 7erua*a% e%$a*it $a%+ e%$e;a;%$a aut'i7u%@ ;er,i8at *r'%i*
9a% re,i9i8@ 9ita%9ai 9e%+a% a9a%$a ;erca*
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a. Keluha% e%9erita ;ia,a%$a ,e9i*it +atal 9a% a%a, 9i,a7i%+ *eluha%
*',7eti*
;. Le,i *ulit $a%+ erta7a *ali ti7;ul ;ia,a%$a a9a te7at
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- K'e;%er he%'7e%a : ;ila a9a *ulit $a%+ 7a,ih %'r7al ter*e%a
trau7a>+aru*a% 7a*a a*a% ti7;ul le,i ;aru $a%+ ;er,i8at ,a7a 9e%+a% le,i
$a%+ telah a9a.
c. =i,t'at'l'+i*
- A*a%t'i, 9e%+a% 9i,ertai e7a%2a%+a% 9ari rete ri9+e,
- Pe7a%2a%+a% 9a% e7;e,ara% ailla 9er7i,
- =$er*erat',i, 9a% ara*erat',i,
- Pe%ii,a% ,a7ai hila%+%$a ,tratu7 +ra%ul',u7
- Pe%i%+*ata% 7it',i, a9a ,tratu7 ;a,ali,
- E9e7a 9er7i, 9i,ertai i%8iltra,i li78',it 9a% 7'%',it
- Mi*r' a;,e, 9ari Mu%r' $a%+ 7erua*a% *u7ula% *ecil 9ari ,el
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Bia,a%$a 9i+u%a*a% ,ale>crea7 $a%+ e%+a%9u%+ ,ter'i9 atau tar
(,ale L-D 5#
;. Pe%+';ata% ,i,te7i*
1. U%tu* le,i $a%+ ter;ata, 9i+u%a*a% 8'lic aci9 ta;let 9e%+a% 9',i,
,ehari ) *ali 1 ta;let
". U%tu* le,i $a%+ lua, 9i+u%a*a% 7et'tre*,at (MT#
c. Pe%+';ata% *'7;i%a,i
1. P,'rale% ,i,te7i* 9e%+a% e%$i%ara% UG a9a le,i *ulit 9ala7
;e;eraa hal ;i,a 9ia*ai ,e;a+ai e%+';ata% alter%atie
". K'7;i%a,i ';at t'ical 9a% ,i,te7i*
%IT
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a. Se;a+ia% *ecil 9i9ahului +e2ala e%9ahulu $a%+ u7u7%$a ri%+a%@ $aitu
7alai,e 9a% 9e7a7
;. E8l're,e%,i erta7a ;erua 7acula $a%+ ;e,ar )7'ther laFue>i%itial laFue. Ke7u9ia% 9ii*uti e8l're,e%,i lai% $a%+
le;ih *ecil.
Be%tu* le,i :
- Macula ;ulat l'%2'%+
- Su7;u a%2a%+ ,earah eliata% *ulit
- Tei 7e%i%++i
- Di te%+ah a9a ,*ua7a 9i ata, 9a,ar *ulit $a%+ *e*u%i%+
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9. Se;a+ia% *a,u, lai%%$a e8l're,e%,i ti7;ul ha%$a a9a e*,tre7ita, ata, 9a%
aha
%ena)a'ak$anaan
a. Ti9a* a9a ';at ,e,i8i*@ e%$a*it 9aat ,e7;uh ,'%ta%
;. A%tihi,ta7i% 9i;eri*a% ;ila e%9erita 7era,a +atal
c. L'cal : talcu7 aci9u7 ,alic$licu7 1
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DEFINISI
Eritr'9er7a ialah *elai%a% *ulit $a%+ 9ita%9ai 9+% a9a%$a erite7a u%ier,al
(77"r'tei% hila%+al;u7i% hila%++l';uli%
+a77a (*elai%a% *ha,#
GEJALA KLINIS
1. Eritr'9er7a a*i;at aler+i ';at ,i,te7i*
Eritr'9er7a u%ier,al
A*ut,*ua7a
Pe%$e7;uha%,*ua7a
". Eritr'9er7a a*i;at erlua,a% e%$a*it *ulit
a. P,'ria,i, eritr'9er7i*
Erite7a ti9a* 7erata
Pa9a te7at re9ile*,i ,'ria,i, erite7at',a J a+a* 7e%i%++i@ ,*ua7a
le;ih te;al
Pitti%+ %ail
;. Lei%er, 9i,ea,e (eritr'9er7a 9e,*ua7atiu7#
Erite7a u%ier,al
S*ua7a $a%+ *a,ar
Kare%a 9er7atiti, ,e;'r'i* $+ 7elua,
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3. Eritr'9er7a a*i;at e%$a*it ,i,te7i*Sear$, ,$%9r'7e
< Li78'7a
< Erite7a ;er&ar%a 7erah 7e7;ara $+ u%ier,al 9+% ,*ua7a
< Sa%+at +atal
< Leu*',it',i, (".>77#
%ENGOBATAN
1. Eritr'9er7a +'l I
K'rti*',ter'i9re9%i,'%e 41 7+
". Eritr'9er7a +'l II
K'rti*',ter'i9re9%i,'%e 41 7+ 415 7+taeri%+ '88
). Eritr'9er7a +'l III
K'rti*',ter'i9re9%i,'%e ) 7+> hari@ *l'ra7;u,il " hari
4. Eritr'9er7a *r'%i,
< Diet ti%++i r'tei%
< E7'lie%,ale la%'li% 1 atau *ri7 urea 1
%ROGNOSIS
Eritr'9er7a +'l I ;ai*. Er'tr'9er7 i9i'ati*e%+';ata% ha%$a u%tu*
7e%+ura%+i +e2ala. Sear$, ,$%9r'7e ;uru*.
DERMATITIS SEBOROIK
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DEFINISIKelai%a% *ulit $a%+ 9i9a,ari 'leh 8act'r *'%,titu,i 9a% ;erte7at re9ile*,i 9i
te7at
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Daat ;er,a7a 9+% a*%e
DD
P,'ria,i,@ *a%9i9i',i,@ 't'%i*',i,@ 'titi, e*,ter%a
%ENGOBATAN
1. Si,te7i*
< K'rti*',ter'i9
re9%i,'%e "
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Far&ak'*i
DASAR:DASAR %ENGOBATAN TO%IKAL
1 A-$r+$i +erku)an
O;at $a%+ 9i'le,*a% ,ecara t'i*al a*a% 7e%+ala7i a;,'r,i atau e%etra,i *e
9ala7 lai,a% *ulit 9i ;a&ah%$a. A9a ;e;eraa 8a*t'r $a%+ 7e7e%+aruhi
a;,'r,i er*uta% i%i@ $aitu:
1. Ketebalan kulit. Stratu7 *'r%eu7 e%aha% $a%+ ter;e,ar 9a% 7erua*a%
lai,a% $a%+ erta7a *'%ta* 9e%+a% ';at t'i*al. Ma*i% te;al ,tratu7
*'r%eu7 7a*i% *ecil a;,'r,i er *uta% ';at t'i*al.
". Lokasi. Selai% *are%a *ete;ala% ,tratu7 *'r%eu7@ er;e9aa% l'*a,i 2u+a
7e%$e;a;*a% er;e9aa% 8'li*el ra7;ut 9a% *ele%2ar e*ri%. A;,'r,i
er*uta% a9a *ulit *eala ,e;e,ar )@5 *ali 9i;a%9i%+ le%+a% ;a&ah@
,e9a%+*a% 9ahi 0 *ali@ ii 1) *ali 9a% a9a ,*r'tu7 9aat ,a7ai 4"
*ali. =al i%i ter2a9i a*i;at tii,%$a *ulit@ a;,'r,i le&at 8'li*el ra7;ut@
lua,%$a area 9a% a9a%$a '*lu,i.
). Keadaan kulit. Kulit %'r7al 9a% utuh a9a u7u7%$a 7erua*a% e%aha%
a;,'r,i t'i*al. A9a%$a 9e8e* a9a ,tratu7 *'r%eu7 a*a% 7e%i%+*at*a%
a;,'r,i@ 7i,al%$a *ulit $a%+ lecet atau e*e7at',a. Oleh *are%a itu
9ala7 e%+';ata% t'i*al a9a ,uatu e9'7a% $aitu ;ah&a a+re,iita,
9ala7 e%+';ata% haru, ;er;a%9i%+ ter;ali* 9e%+a% 9era2at era9a%+a%
*ulit. Ma*i% a*ut era9a%+a% *ulit atau 7a*i% ceat '%,et e%$a*it *ulit
*'%,e%tra,i ';at haru, ,e7a*i% *ecil@ 7i,al%$a 9e%+a% *'7re, e%$e2u*@
re%9a7@ l',i' atau e7'lie%. ?i*a le,i ,u9ah te%a%+ atau 7e%2a9i *r'%i*
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9aat 9i;eri*a% e%+';ata% $a%+ le;ih a+re,i8 9e%+a% *'%,e%tra,i le;ih
ti%++i. Pe%$a*it *ulit 9e%+a% hier*erat',i, ,eerti ,'ria,i, a*a%
7e%uru%*a% a;,'r,i er*uta%.
4. Umur. Me,*iu% lai,a% ta%9u* 7a,ih tii, 9a% ;elu7 ;er*e7;a%+
,e7ur%a@ ter%$ata *ulit a9a ;a$i atau %e'%atu, telah 7e7ili*i 8u%+,i
a;,'r,i er *uta% $a%+ ha7ir ,a7a 9e%+a% 'ra%+ 9e&a,a 2i*a 9ihitu%+
er c7" lua, er7u*aa% ;a9a%. a%+ 7e7;e9a*a% 9e%+a% 'ra%+ 9e&a,a
a9alah ra,i' a%tara lua, er7u*aa% ;a9a% (LPB# 9e%+a% ;erat ;a9a%%$a
(BB#. Pa9a ;a$i ra,i' i%i le;ih ;e,ar 9i;a%9i%+ 'ra%+ 9e&a,a@ ,ehi%++a
a9a e7;eria% ';at t'i*al ;a+i ;a$i 9a% a%a* ,elai% hal
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Baha%
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'*lu,i8 ,ehi%++a 9ia*ai u%tu* le,iA# atau oil in water
(O># 9a% air 9ala7 7i%$a* (A>M# atau water in oil(>O#. Kri7 M>A
;ia,a%$a 9ia*ai u%tu* le,i ,u;a*ut atau a9a e7a*aia% ,ia%+ hari *are%a
le;ih 7u9ah 9icuci@ ,e9a%+*a% ;e%tu* A>M le;ih c'c'* u%tu* le,i,u;*r'%i* atau a9a 7ala7 hari *are%a le;ih ;erle7a*.
BAHAN:BAHAN AKTIF OBAT TO%IKAL
1 KORTIKOSTEROID
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Merua*a% ';at t'i*al $a%+ ali%+ ;a%$a* 9i+u%a*a% 9ala7 e%+';ata%
e%$a*it *ulit. =al i%i 9i,e;a;*a% *are%a *'rti*',ter'i9 7e7u%$ai e8e*
a%tii%8la7a,i@ a%ti7it',i, 9a% a%tir'li8era,i. I%9i*a,i e%++u%aa% *'rti*',ter'i9
t'i*al a9a ;a$i 9a% a%a* ti9a* ;a%$a* ;er;e9a 9e%+a% 9e&a,a. a%+ erlu
9ii%+at a9alah ;ah&a 9e%+a% *'%,e%tra,i $a%+ ,a7a 9e%+a% 9e&a,a a;,'r,i
*'rti*',ter'i9 *e *ulit a%a* 9a% ;a$i le;ih ;e,ar. Pa9a u7u7%$a +'l'%+a%
e*e7a atau 9er7atiti, 7erua*a% +'l'%+a% e%$a*it $a%+ re,'%,i8 terha9a
,ter'i9@ ,e9a%+*a% ,'ria,i, al7'
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Sistemik :< Sure,i A=A
< Si%9r'7 -u,hi%+ Iatr'+e%i*
< 6a%++ua% ertu7;uha%
Lokal :
a Ka)a-'ik7
- atr'8i *ulit < a*%e ,ter'i9
- tela%+ie*ta,ia < +a%++ua% e%$e7;uha% lu*a
- urura> e*i7',i, < r',a,ea
- hiertri*',i, < 9er7atiti, eri'ral
- ,triae
- %eru-a(an re$+n 'ka' 7
: )inea ink*ni) : (i++i*&en)a$i
< +lau*'7a
Der&a)i)i$ kn)ak a'er*i
Pe7a*aia% ,ter'i9 ,e;ai*%$a 9i7ulai 9e%+a% 'te%,i le7ah@ aa;ila ;etul