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8/9/2019 KELAINAN KELENJAR
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ASTRI KARTIKA SARI
20090310055
STASE ILMU KULIT DAN KELAMIN
RSUD SALATIGA
KELAINAN KELENJAR
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KELAINAN KELENJAR
• Sebaceus Cysta• Nevus SebaceusJa!ass"#$
!%sease&• A!e$"'a
SebaceaTube(" sc)e("s%s&
• Ac$e vu)*a(%s
• +%,e(#%!("s%s• A$#%!("s%s• Sy(%$*"'a• Cy)%$!("'a• Mu)t%,)e S-eatG)a$! Absces
GLANDULASE.ACEA
GLANDULA SUD/RIERA
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GLANDULA SE.ACEASebaceus Cyst
K%sta ,%)a(%s K%sta T(%e'a)&
K%sta be(%s% keratin te(susu$ ")e# suatuepitel yang menyerupai selubung luarakar rambut !a,at !%tu(u$a$ seca(aautosomal dominan4
.%asa$ya ta',a ,a!a us%a ,e(te$*a#a$4a$%ta )eb%# se(%$* !a(%,a!a ,(%a4
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Et%")"*% 6
D%$!%$* %sta be(asa) !a(% se)ubu$* )ua( aa((a'but ya$* 'e$*e)%)%$*% ba*%a$ ba-a#7")%e) (a'but4
Ma$%7estas% K)%$%s 6.%asa$ya te(!a,at ,a!a u)%t e,a)a4
Seca(a )%$%s su)%t !%be!aa$ !e$*a$ %stae,%!e('a) $a'u$ %sta %$% lebih mudah
dienukleasi dan isinya lebih keratinosadan tidak terlalu berlemak, serta kurangberbau !%ba$!%$*a$ %s% %sta e,%!e('%s4
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+%st",at")"*% 6
a4 D%$!%$* %sta !%batas% bebe(a,a)a,%s se) e,%!e('%s ya$* be(be$tuub"%! ya$* te(susu$ ,a)%sa!e ta$,ast(atu' *(a$u)"su' !a$ 8e'bata$%$te(se)u)e(4
b4 Se) e,%te) ya$* be(batasa$ !e$*a$ %s%%sta 'e'be$*a !a$ be(%s%
s%t",)as'a ya$* be(-a($a ,ucat4c4 Is% %sta be(u,a 'ate(%a) e"s%$")%
ya$* #"'"*e$4
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ACNE :ULGARIS;e(a!a$*a$ ("$% 7")%e) ,%)"sebasea ya$* !%se(ta%
!e$*a$ ,e$%'bu$a$ !a$ ,e'a!ata$ ba#a$ e(at%$ya$* !%ta$!a% !e$*a$ a!a$ya "'e!" ,a,u) $"!u),ustu) %sta !a$ b%asa t%'bu) ,a!a -a8a# )e#e(!a!a !a$ ,u$**u$* ya$* te(8a!% ,a!a us%a (e'a8a4
;at"*e$es%s Ac$e6
14 ;("!us% sebu' 'e$%$*at4
24 A!a$ya ")"$% u'a$ Corynaebacterium acne&
34 ;e(uba#a$ b%"%'%a-% )a,%sa$ )e'a ,e('uaa$u)%t4
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Ge8a)a )%$%6
Les% be(be$tu ,")%'"(74 Les% ya$* #as a!a)a#
"'e!"4 .%)a te(8a!% ,e(a!a$*a$ aa$ be(be$tu,a,u) ,ustu) $"!u) !a$ %sta4
.%)a se'bu# )es% !a,at 'e$%$**a)a$ e(%te'a!a$ #%,e(,%*'e$tas% ,asca %$=a'as% ba#a$
!a,at be(be$tu s%at(% se,e(t% cetaa$ es ya$*at(" %ce ,%c )%)ac at(",%c sca(& !a$ e)"%!4
D%a*$"s%s ba$!%$*
Ac$e e(u,t%7u'")%u)%t%s
R"sasea
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Te(a,%
14 Ac$e K"'e!"$a)
De$*a$ ba#a$ ,ee)%$*> e?7")%a$t
24 Ac$e ,a,u)",ustu)"sa
R%$*a$ 6 A$t%b%"t% t",%a)
.e(at 6 A$t%b%"t% t",%a)@s%ste'%34 Ac$e N"!u)"%st%a K"$*)"bata&
A$t%b%"t%@a$t% %$=a'as%
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GLANDULA SUD/RIERA
Hiperhidrosis
I!("s%s E,#%!("s%s Su!at"(%aSu!"((#ea&
suatu ea!aa$ be(ta'ba#$ya 8u')a#e(%$*at ,a!a ,e('uaa$ u)%t 'e)eb%#%$"('a)4 Seba*a% a%bat !a(% e$a%a$
#as%) ,("!us% e)a$8a( e(%$4
Te',at ,(e!%)es% 6 Da,at te(8a!% ,a!ase)u(u# tubu# atau )"a) sete',at&
'%sa)$ya ,a!a te)a,a ta$*a$ !a$ a%4
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+%,e(#%!("s%s !a,at 'e(u,aa$ ta$!ata$!a !a(% *a$**ua$ e$!"(%$")"*% sa(a7
!a$ 8u*a b%sa 'e(u,aa$ #%,e(#%!("s%s'u($%4
+%,e(#%!("s%s ya$* s%")"*%s !a,at te(8a!%!a)a' -atu ,e$yesua%a$ !%(% !e$*a$ %)%'
!a$ )%$*u$*a$ t(",%s4
+%,e(#%!("s%s ya$* se(%$* t%'bu) !% !ae(a#t(",%s !a$ )e'bab 'e$*e$a% a$a 'au,u$!e-asa ,a!a "(a$* tua 8a(a$* te(8a!%4
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K)as%as%
HIPERHIDROSIS
Hiperhidrosis Neural
HiperhidrosisNon Neural
ortik al
Hipotalamik
!edular
Spinal
"elapaktangan dan
kaki#etiak
$isiologik Patologik
Re%eks&kson
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+I;ER+IDR/SIS NEURALA4 +%,e(#%!("s%s K"(t%a) +%,e(#%!("s%s E'"s%"$a)&
+%,e(#%!("s%s "(t%a) !a,at te(8a!% a%bat,e$*a(u# ,e$*a(u# e'"s% 'e)%,ut% (a$*sa$*a$'e$ta) !a$ se$s"(%4
+%,e(#%!("s%s "(t%a) b%asa 'u$cu) !% te)a,ata$*a$ !a$ te)a,a a% !$a et%a4 Se(%$*e(%$*at t%'bu) ,a!a b%b%( atau !a#% $a'u$te)a,a ta$*a$ te)a,a a% !a$ et%a )eb%#
'e$c")"4
.Hiperhidrosis telapak tangan dan kaki
Te(8a!% ,a!a se'ua (as !a$ ses4
Da,at te(8a!% se8a bay% !a$ a$aa$a4
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Te(a,% #%,e(#%!("s%s ,a!a ta$*a$6
A$t%,(es,%(a$ !e$*a$ !asa( "bat a$t% ")%$e(*%
*a(a' a)u'u$%u' !a$ ,(e,a(at 7"('a)%$4;(e,a(at ya$* !%a$8u(a$ a!a)a# a)u'u$%u')"(%!a #esa#%!(at 10 30B4
I"$t"7"(es%s !e$*a$ a%( ta$,a ta'ba#a$ ba#a$
a$t%")%$e(*% #usus u$tu ,e()e$*a,a$ (u'a#
ya$* a'a$ u$tu ,e$*"bata$4
;e$*#a)a$* s%',at%s se'e$ta(a !e$*a$
su$t%a$ a$astes% atau ,e('a$e$ !e$*a$,e'"t"$*a$ *a$*)%"$ s%',at%s se(v%a)%s4
T%$!aa$ u'u' se,e(t% "bat se!at%va !e$*a$ba#a$ a$t%")%$e(*% 'es%,u$ 'e',u$ya% e7eec%)4
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Te(a,% #%,e(#%!("s%s ,a!a a% 6
'e$8a*a #%*%e$e a% !e$*a$ se(%$*'e$cuc% !e$*a$ sabu$ !e"!"(a$ atau!ete(*e$ 'e'aa% a"s a% atu$ atau-"") !a$ 'e$**a$t% set%a, #a(% *u$aa$
se,atu te(bua4 De"!"(a$ !a$ be!a
A$t%,(es,%(a$ se,e(t% ,a!a #%,e(#%!("s%sta$*a$4
.a#a$ba#a$ ast(%$*e$t a)!e#%!7"('a)!e#%! *)uta(a)!e#%!& !a$ asa'asa' t(%)"( asetat asa' a'%$"&4&ldehid dapat menimbulkan kontak
alergi4
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C4 +%,e(#%!("s%s Me!u)a( +%,e(#%!("s%s Gustat"(%&
+%,e(#%!("s%s 8e$%s %$% b%asa$ya 'e)%bata$
(ese,t"( (asa taste& se#%$**a !%sebut#%,e(#%!("s%s *ustat"(%4 D%ba*% 'e$8a!% 2ya%tu6
. +%,e(#%!("s%s Me!u)a( s%")"*%
+%,e(#%!("s%s %$% t%'bu) seca(a )"a) !a$b%asa$ya t%'bu) !% !ae(a# 'ua te(uta'a !a#%,%,% !a$ b%b%( atas sete)a# 'aa$ atau '%$u''aa$a$>'%$u'a$ be(asa ta8a' atau ,e!as4
.e$tu )a%$ ya$* t%!a )a%' ,a!a#%,e(#%!("s%s *ustat"(% a!a)a# t%'bu)$yae(%$*at !% e,a)a ba#aa$ !% )utut4
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+%,e(#%!("s%s 'e!u)a( ,at")"*%
14 Au(%cu)" te',"(a) sy$!("'e s%$!("' au(%cu)a&
;a!a (a$*sa$*a$ )u!a# ")e# '%$u'a$ 'aa$a$atau -atu 'e$*u$ya# ta$!a sa%t )"a)vas"!%)atas% !a$ e(%$*at !%te'ua$ !% !ae(a#,e(sya(a7a$ au(%u)a te',"(a)%s caba$* !a(% (a'us'a$!%bu)a(%s $e(vus t(%*e'%$us N4:&
24 +%,e(#%!("s%s 'e!u)a( ,at")"*% ya$* a!a ,a!as%(%$*"'%e)%a atau e$se7a)%t%s 'e$*#as%)a$ )eb%#ba$ya va(%as% *a'ba(a$ )%$%s ya$* 'e$*#as%)a$(eas% e(%$*at )eb%# )uas !a$ 'e)%,ut% (a$*sa$* !a(%$e(vus va*us4
34 +%,e(#%!("s%s Me!u)a( ya$* 'e$*%ut% ,e()uaa$sya(a7 s%',at%s t"(as te)a# !%*a'ba(a$ sesu!a#
s%',atet"$% a$e( ,a(u "ste"'a tu)a$*be)aa$* a$eu(%s'a sub)av%a !a$ t%("%!et"'%4
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D4 +%,e(#%!("s%s S,%$a)
Ra$*sa$* u$tu e(%$*at a!a)a#be(va(%as% !e$*a$ ,usat (e=es ya$*te()eta !% se)se) "($u%$te('e!%")ate(a) !a$ 'e!u)a s,%$a)%s4
.
+%,e(#%!("s%s (e=e as"$.e(e(%$*at )"a) ya$* a%bat(a$*sa$* e)e'e$ ,a)%$* ,e(%7e( as"$s%',at%s te(8a!% sesu!a# a!a
(a$*sa$* s% e)et(% !a$7a('"")"*%s ya$* )aya4
;a!a )e,(a t%,e tube(u)"%! !a$$eu(",at% ,e(%7e( t%!a !%!a,ata$
e!ua "t"$"'% (e=es as"$ '%sa)
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&NHIDROSIS
+%,"#%!("s%s&
eu(a$*a$ se(es% e)e$8a( e(%$*atse,e(t% te(8a!% ,a!a !%s,)as%a et"!e('a)4A$#%!("s%s t"ta) 8a(a$* sea)% te(8a!%4
E,%!e'%")"*% a$#%!("s%s $"('a) te(8a!% ,a!a614 ;e$ya%t e$!"(%$ A!!%s"$ !%sease
'%se!e'a a#es%a !%abetes %$s%,%!us!a$ *a$**ua$ *%$8a)&4
24 A!a$ya )es% !a)a' s%ste' sa(a7 ,usat atau,e(%7e( S%$!("' A!%e s%$!("' #"($e(s)e("s%s *a$!a t(au'a 'e!u)a
s,%$a)%s!%abetes 'e)%tus !a$ )e,(a&
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+eat st(ess !a,at te(8a!% ,a!a sese"(a$*
!e$*a$ a$#%!("s%s ya$* )uas a(e$aet%!a'a',ua$ !a)a' 'e'bua$* ,a$as4
Et%")"*%6
14 A$#%!("s%s a(e$a s%ste' sya(a7 ya$*
t%!a $"('a)4D%sebaba$ ")e# )es% !% "(tes se(eb(%#%,"ta)a'us 'e!u)a 'e!u)a s,%$a)%s!))
24 A$#%!("s%s a(e$a ,e(uba#a$,e(uba#a$!% !a)a' u)%t4
A$#%!("s%s ,a!a !%s,)as%a et"!e('a)#e(e!%te( !%sebaba$ ")e# t%!aa!a$ya>u(a$*$ya 8u')a# e)e$8a( e(%$
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Ma$%7estas% )%$%
Ket%!a'a',ua$ ,e$!e(%ta u$tu 'e'bua$*,a$as 'e$yebaba$ t%'bu)$ya e'u$*%$a$t%'bu)$ya *a$**ua$ se,e(t% #eat s%$",ee)e)a#a$ a(e$a ,a$as #eat e?#aust%"$&atau #eat st("e4
Te(a,%
;e$*"bata$ ya$* ,e$t%$* a!a)a# ,e$*"bata$
te(#a!a, ,e$ya%t ya$* 'e$!asa(%$ya4;e$!e(%ta a$#%!("s%s ya$* t%!a !a,at !%"bat%#a(us be(#at%#at% te(#a!a, ,a,a(a$ ,a$as!a$ at%v%tas s% ya$* be()eb%#a$4
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SIRING/MA H SILINDR/MATUR.AN&
SIRIN'O!& SI(INDRO!&ASAL Ke)e$8a( E(%$ Ke)e$8a( E(%$
!a$ A,"(%$
TEM;AT
;REDILEKSI
-Ke)",a 'ata
ba-a#>atas- ;%,% Da#%
-Mua
Ku)%t e,a)a
GAM.ARAN
KLINIS
-;a,u),a,u)
'%)%a( !a$)e$t%u)e(-a($a ,ut%#
-;a,u),a,u)
c")at Te)e$*%etas%s
ANJURAN
TERA;I
.e!a# )%st(%& .e!a# )%st(%&
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S G
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MULTI;LE SEAT GLANDA.SCES
I$7es% bate(% ,a!a e)e$8a( e(%$*at be(u,aabses ya$* be(s%7at 'u)t%,e) be(be$tu uba#!a$ t%!a $ye(%4
Se(%$* te(8a!% ,a!a bay% !a$ a$a ec%) !e$*a$*%% bu(u4 I$s%!e$s% 'e$%$*at ,a!a #a-a ,a$as4
Et%")"*% 6 Staphylococcus aureus
Te',at ,(e!%)es%
Te(uta'a ,a!a "s%,ut te$*u ba!a$ b""$*!a$ ,a#a4
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Ge8a)a "byet%7
D%'u)a% !e$*a$ $"!us 'e(a# 'e(a#
ec")ata$ $"!us 'e)u$a 'e'be$tuabses ta$,a 'ata be(be$tu uba#4 Absesya$* te(8a!% )eb%# !a)a' !a$ !%tutu,% ")e#u)%t ya$* #a',%( se)u(u#$ya $"('a)4
Abses s")%te( !a$ t%!a $ye(%4 .%)a ,eca#aa$ t%'bu) s%at(% ya$* )eb%# 8e)a !a(%,a!a7u(u$e)4
;a!a ,e'e(%saa$ !%te'ua$ ,e(besa(a$
e)e$8a( *eta# be$%$*4 Se(%$* 'e(u,aa$"'b%$as% '%)%a(%a4
;e'e(%saa$ #%st",at")"*%
Ta',a abses !a)a' !e('%s te(!%(% !a(%)eu"s%t ;MN a!a ba %a$ te$ a# !%e)%)%$ %
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D%a*$"s%s .a$!%$*
u(u$")%s%s
:asu)%t%s $"!u)e(
Te(a,%
14 Te(a,% U'u' 6 Atas% 7at"(,(e!%s,"s%s% ,e(ba%% status *%%&
24 Te(a,% S%ste'% 6 Da,at !%be(%a$e(%t("'%s%$4
34 Te(a,% .e!a# 6 I$s%s% b%)a su!a# te(8a!%abses4
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K)as%as%
14 M%)%a(%a Rub(a.;a)%$* se(%$*4 D%se(ta% *ata)
.Les% be(u,a ves%e) atau ,a,u)"ves%e)!e$*a$ !asa( e(%te' be(uu(a$ ec%) !a$be(8u')a# ba$ya4 .%)a se(a$*a$be()a$*su$* )a'a ves%e) !a,at'e$*a)a'% %$7es% seu$!e( !a$ 'e$8a!%,ustu)4
. Te',at ,(e!%)es% ,a!a !ae(a# )e#e(,u$**u$* !a!a !a#% et%a )%,at ,a#a4
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34 M%)%a(%a ;("7u$!a
. Ja(a$* !%8u',a%4
..%asa$ya t%'bu) ,a!a ,e$!e(%ta ya$*se(%$* 'e$*a)a'% '%)%a (ub(a4
.Les% be(u,a ,a,u) '%)%e( be(-a($ase,e(t% u)%t $"('a)4
..%)a 'e$*e$a% !ae(a# tubu# ya$* )uasaa$ !%se(ta% a$#%!("s%s atau#%,e(#%!("s%s4
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K"',)%as%
a4+%!(a!e$%t%s su,u(at%va
b4Ca$!%!"s%s
. Te(a,%
14 Te(a,% U'u' 6 +%$!a(% ea!aa$ ya$*'e$*%$!us% e)ua($ya e(%$*at4 ;aa%a$t%!a b")e# te()a)u teba) !a$ #a(us'e$ye(a, e(%$*at b%)a basa# #a(us
se*e(a !%*a$t%424 Te(a,% t",%a) 6 Da,at !%be(%a$ be!a
sa)%cy) 2B atau !a)a' )"t%" abe(%