teaching bangsal i - tinea cruris (1)
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7/23/2019 Teaching Bangsal I - Tinea Cruris (1)
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Isriyanti Silonde C 111 11 350Winda Merlysa Allorerung C 111 11 115
Anggisani Syawal A C 111 11 102
Nur Izzati Nabila Suriali C 111 11 858
Azrin Nurfarain !ainal Abidin C 111 11 8"3
Nurul Nadia Ari#n C 111 11 85$
Mod %adzley &a'ar C 111 11 833
Mua((ad Sya(il )ozlan C 111 11 81*
Mi+dad (od suberi C 111 11 82,
-a.z -azwan C 111 11 88*
BAGIAN ILMU KESEHATAN KULIT DAN KELAMIN
FAKULTAS KEDOKTERAN
UNIVERSITAS HASANUDDIN
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PATIENT’S IDENTITYPATIENT’S IDENTITY
Name : Dian Ayu Prai!i
Re"#r$ N#% : &'()*(+,
A-e : .+ year/ #0$
Maria0 Sau/ : Sin-0e
A$mi//i#n : (
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ANAMNESISANAMNESIS
12ie3 1#m40ain: B0a"5 4a"2 #n 2e ri-2(0e3
6u#"5 an$ 6a"5 #3 2i-2
Anamne/i/
S2e 2a$ e74erien"e$ i /in"e a6#u !# !ee5/ a-#%Iniia00y8 i a44eare$ #n 2e ri-2 6u#"5% T2en /4rea$ #
2e 0e3 6u#"5 an$ 6a"5 #3 2e 2i-2% Paien’/ "2ie3
"#m40ain i/ 2e a44earan"e #3 60a"5 4a"2 a""#m4anie$
6y "#m40ain/ #3 i"2in-8 n# 4ain an$ n# num6ne//%
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1URRENT STATUS1URRENT STATUS
(16 November 2015) Genera0 1#n$ii#n : Mi0$
A!arene// : 1#m4#/ meni/
Nurii#na0 Sau/ : G##$
Hy-iene : G##$
Via0 Si-n/ ( BP : ).9,9 mmH-
( Pu0/e: ,.7minue
( RR : .; 7minue( Tem4: '*%& <1
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-ead / Nor(oeal efor(ities / 4
Sy((etrial fae/ 6eft 7 )igt-air/ Straigt ard re9o:ed
eye / <:sotal(us=<notal(us / 4=4 (o9e(ent /Nor(al
eye>s lid/ <de(a alebra 4
Con?unti9a / Ane(is 4 on?unti9a In?etious 4Slera / Iterus 4 @uil / Iso:or 25 ((= 25 ((
ear / Boi / 4 earing /Nor(al
Serete 4
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Nose / <istais 4 Serete / 4
Mout / li / dry 4 Bonsil / B14B1-yere(esis 4
teets/ Caries dents 4 %aring / -yere(esis 4
Du(/ bleeding 4 tongue / witis 4 iere(esis 4
ne: / 6y( nodes/ No enlarge(ent Byroid/ No enlarge(ent ES/ ) F 1 (-2G Hlood 9essels/ Nor(al
Sti' ne:/ 4
Bu(or / 4
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Cest / Insetion/ Sy((etrial left 7 rigt
%or(/ Nor(oest sy((etrial left and rigt Bere does not aear 9ene:tasi
Ma((ary = S/ Nor(al ICS/ Sy((etrial left 7 rigt widened i(ression 4
Gter 4@ul(onary / Insetion/ e9elo(ent of sy((etrial rigt andleft est
isneu 4 taynea 4 est retration 4
@alation/ %re(itus on?eture/ Sy((etrial left 7rigt Benderness/ 4 @erussion/ 6eft 6ung/ Sonor rigt lung/ Sonor
6ung4li9er li(its/ ICS EI anterior detra )igt beind lung boundary/ As ig CE
B J detra @ul(onary left rear boundary/ As ig CE B
JI sinistraAusultation/ Be sound of breating/ EesiularAdditional sound/ ron:i 4 = 4 Weezing 4 = 4
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Car / Insetion/ Itus ordis does not aear @alation/ Itus ordis was not alable te trill 4 @erussion/ dull -eart uer li(it/ ICS III sinistra)igt eart border/ 6inea arasternalis detra ICS IE6eft eart border/ 6inea (idla9iularis te left ICS EAusultation/ H& I = II/ @ure regularadditional sound/ Noise 4
Sto(a Insetion/ %lat follow te (otion of breat Ausultation/ nor(al eristalsis i(ression @alation/ tu(or (ass 4 tenderness 4 6i9er/ Not alable Sleen/ No alable Kidney/ Hallote(ent 4 @erussion/ Bi(ani F
Denitals / Not ea(ined
Be anus and retu(/ )etal touer/ Not aliable
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Ha:s / Insetion/ Motion breat sy((etrialleft 7 rigt :yosis 4 lordosis 4
soliosis 4@alation/ %re(itus on?eture/
Sy((etrial left 7 rigt
Massa tu(or 4 tenderness 4 @erussion/6i(it lung rigt beind/ As ig CE B Jdetra left beind lung 6i(it/ As ig CE B@ain of word sinistra JI/ 4
Ausultation/ Eesiular ron:i 4 = 4
Weezing 4 = 4
<tre(ities/ wit in nor(al range
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DERMATOLOGI1AL STATUSDERMATOLOGI1AL STATUS L#"ai#n: Re-i# G0ueu/ $e7ra e /ini/ra
Si=e : Variai#n
E330#re/"en"e : Ma"u0a 2y4er4i-menai#n 40a>ue
!i2 rai/e$ e$-e/8 ery2ema#u/ 4a4u0e/8 /"a0in-
er#/i#n8 e7"#riai#n% L#"ai#n : 2i-28 4#/eri#r $e7ra e /ini/ra
Si=e : Variai#n
E330#re/"en"e : Ma"u0a 2y4er4i-menai#n8
/"a0in-8 er#/i#n
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PATIENT’S PHOTO1st DAY
Ma"u0a 2y4er4i-menai#n 40a>ue !i2 rai/e$ e$-e/8 ery2ema#u/ 4a4u0e/8 /"a0in-
er#/i#n8 e7"#riai#n%
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Ma"u0a 2y4er4i-menai#n8 /"a0in-8 er#/i#n
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1URRENT STATUS1URRENT STATUS
(17 November 2015) Genera0 1#n$ii#n : Mi0$
A!arene// : 1#m4#/ meni/
Nurii#na0 Sau/ : G##$
Hy-iene : G##$
Via0 Si-n/ ( BP : ))9&9 mmH-
( Pu0/e: ,.7minue
( RR : .* 7minue( Tem4: '*%+ <1
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DERMATOLOGI1AL STATUSDERMATOLOGI1AL STATUS L#"ai#n: Re-i# G0ueu/ $e7ra e /ini/ra
Si=e : Variai#n
E330#re/"en"e : Ma"u0a 2y4er4i-menai#n 40a>ue
!i2 rai/e$ e$-e/8 ery2ema#u/ 4a4u0e/8 /"a0in-
er#/i#n8 e7"#riai#n% L#"ai#n : 2i-28 4#/eri#r $e7ra e /ini/ra
Si=e : Variai#n
E330#re/"en"e : Ma"u0a 2y4er4i-menai#n8
/"a0in-8 er#/i#n
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PATIENT’S PHOTO2nd DAY
Ma"u0a 2y4er4i-menai#n 40a>ue !i2 rai/e$ e$-e/8 ery2ema#u/ 4a4u0e/8 /"a0in-
er#/i#n8 e7"#riai#n%
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Ma"u0a 2y4er4i-menai#n8 /"a0in-8 er#/i#n
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1URRENT STATUS1URRENT STATUS
(18 November 2015) Genera0 1#n$ii#n : Mi0$
A!arene// : 1#m4#/ meni/
Nurii#na0 Sau/ : G##$
Hy-iene : G##$
Via0 Si-n/ ( BP : ).9&9 mmH-
( Pu0/e: ,97minue
( RR : .; 7minue( Tem4: '*%* <1
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DERMATOLOGI1AL STATUSDERMATOLOGI1AL STATUS L#"ai#n: Re-i# G0ueu/ $e7ra e /ini/ra
Si=e : Variai#n
E330#re/"en"e : Ma"u0a 2y4er4i-menai#n 40a>ue
!i2 rai/e$ e$-e/8 ery2ema#u/ 4a4u0e/8 /"a0in-
er#/i#n8 e7"#riai#n% L#"ai#n : 2i-28 4#/eri#r $e7ra e /ini/ra
Si=e : Variai#n
E330#re/"en"e : Ma"u0a 2y4er4i-menai#n8
/"a0in-8 er#/i#n
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PATIENT’S PHOTO3rd DAY
Ma"u0a 2y4er4i-menai#n 40a>ue !i2 rai/e$ e$-e/8 ery2ema#u/ 4a4u0e/8 /"a0in-
er#/i#n8 e7"#riai#n%
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Ma"u0a 2y4er4i-menai#n8 /"a0in-8 er#/i#n
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DIAGNOSISDIAGNOSIS
Tinea 1ruri/
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DIFFERENTIAL DIAGNOSISDIFFERENTIAL DIAGNOSIS
1an$i$ia/i/P/#ria/i/ Tinea 1ruri/
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TREATMENTTREATMENT?)* N#@em6er .9)+
Ora0
Ke#5#na=#0e a6 .99m-.;2#ur#ra0
Ta5e i in 2e m#rnin-8 2e 0a4/e #3 . 2#ur/ 3r#m a3er
a5in- #2er $ru-/% Ta5e i #n an em4y /#ma"2 T#4i"a0
○ Sa0i"y0i" a"i$ 'C
○ Mi"#na=#0e "r .9-r
a440y !i"e a $ay8 m#rnin- an$ e@enin-
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Treamen 3r#m Inerna0 Me$i"ine
$e4armen?)* N#@em6er .9)+ L#! /a0 $ie
O. '0ier minue
Ome4ra=#0e .9 m-).2#ur#ra0 N(A"e .99m-).2#ur#ra0
Am0#$i4ine +-.;2#ur#ra0
Para"eam#0 +99m-,2#ur#ra0 Rim/ar ; FD1 'a60e.;2#ur#ra0
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RESUMERESUME
A 4aien8 !#men8 .+ year #0$ "ame # 2e RSS!i2 60a"5 4a"2 #n 2er ri-2(0e3 6u#"5 an$ 6a"5
#3 2i-2 "#m40ain% S2e 2a$ e74erien"e$ i /in"e
a6#u !# !ee5/ a-#% Iniia00y8 i a44eare$ #n 2e
ri-2 6u#"5% T2en /4rea$ # 2e 0e3 6u#"5 an$
6a"5 #3 2e 2i-2% Paien’/ "2ie3 "#m40ain i/ 2e
a44earan"e #3 60a"5 4a"2 a""#m4anie$ 6y
"#m40ain/ #3 i"2in-8 n# 4ain an$ n# num6ne//%
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Binea ruris is a der(atoyte infetion of teinguinal region in artiular te inner asets ofte uer tigs and rural folds wit ossibleetension onto te abdo(en and butto:s in(ore se9ere ase
Wile tinea ruris ours worldwide li:e (ostoter de(atoyte infetions it is (oreo((on in troial en9iron(ents
Be tree (ost o((on ausati9e agents are
<ider(oyton Loosu( B rubru( and B(entagroytes
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Be disease our in (en and wo(enbut it is (u (ore often seen in (en forse9eral reason/ te srotu( enourages a
war( and (oist en9iron(ent and tineaedis and onyo(yosis are bot (oreo((on in (an
Gter redisosing fators inlude
obesity and eessi9e ersiration Binearuris is fre+uently assoiated wit Bineaedis beause loting tat is brougto9er te feet is onta(inated and ten
o(es in ontat wit s:in in te groinregion
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Binea ruris is alled (yosis suer.sialor eze(a (arginatu( double it
?o:ey it ring wor( of te groin wilassify under aute = roni
der(ato.tosis grou S:in lesions (ay be li(ited to te
region = area genitorural alone oretends to te area around te anus
te area under gluteus and lowerabdo(inal or oter art of body
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er(atoyte sread all o9er te worldand beo(e a roble( eseially inde9eloing ountries Binea ruris tineaedis and tinea ororis is
der(atoytosis wi (ost found InIndonesia der(atoytosis is 52 ofte entire er(ato(yosis tinea rurisand tinea ororis are (ost
der(atoytosis found
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Be ri(ary ause of tinea ruris are Brioyton rubru( *0 and<ider(oyton Luosu( Brioyton (entagroytes $
Brioyton tonsurans , In Westernountries <ider(oyton Loosu( iste (ost o((on der(atoytes
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S:in disorder tat aears to be ade(arated lesions inLa((ation ofte edge (ore 9isible tan in te(iddle area If tis beo(es a roni
disease an be a bla: sot wit littlesales <rosion and disarge isusually due to srating
@rediletion lae in te groinerineu( and around te anus
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Binea ruris on its ru( Bere are sarlyde(arated eryte(atousla+ues in te groin and
ubi area
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KG- Culture
istoatology
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i'erential iagnosis
)% Kan$i$#/i/.% P/#ria/i/
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Boial anti4fungal Bolylat 1 4 lotion
rea(
-alorogin
I(inazole grous
(i:onazoleloti(azole 1:eto:onazole
Allia(in grous terbina.ne
butena.ne
Syste(i anti4fungiDriseoful9in/ 104
15(g=:gHW=day
adults 200 O 1000single dose
Keto:onazole 1 200(g = 3 wee:s
Itra:onazole / 1 100(g = 2 wee:s
Berbina.n/ 1 1 = 2wee:s
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@re9ent ot Binea Cruris re4infetion Breat all ati9e areas of tinea ruris
infetion si(ultaneously
eduation
ietWeigtloss for atient wo obese and
a9e Binea Cruris
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@rognosis is good if roer diagnosisand regular treat(ent
)eurrene an our wen te area ofrediletion u(idity is not
(aintained
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