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Lapsus Ppt Tinea Cruris

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2015
8/17/2019 Lapsus Ppt Tinea Cruris
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*EFINISI
*%rmat!+t!sis Tin%a in,%(si -am$r s$p%r+sia" pa&a ($"it -am$r (%ratin!+"ia s%p%rti
Trichophyton, Epidermophyton . &an sp%si%s Microsporum #
Tin%a Cr$ris : &%rmat!+t!sis pa&a ar%a s%"an/(an/an. /%nita". p$'is. p%rin%$m. &an ($"it
p%riana"
Sin!nim : eczema marginatum, jockey itch, ringworm of the groin, dhobie itch
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E I*EMIOLO I ETIOLO I
- I10 3 hin//a 20 3 p!p$"asi &$nia t%rin,%(si !"%h in,%(si -am$r ($"it
- La(i4"a(i 55 6anita - S%rin/ t%r-a&i pa&a !ran/ yan/ ($ran/
m%mp%rhati(an (%'%rsihan &iri ata$ "in/($n/an s%(itar yan/ (!t!r &an "%m'a'
Eti!"!/i : 1. Trichopyhton rubrum 2. Epidermophython uccosum
. Trichophyton mentagrophytes!. Trichopyhton tonsurans
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ATO ENESIS
8# RES ON E AMU
1# ERLEKATAN A*A KERATIN 4 m%"%6ati '%r'a/ai rintan/an $nt$( m%"%(at
pa&a -arin/an (%ratin sinar U . s$h$. (%"%m'a'an. (!mp%tisi &%n/an ;!ra n!rma" &an sphin/!sin yan/ &ipr!&$(si !"%h (%ratin!sit#
2# ENETRASI - sp!ra '%r(%m'an/ m%n%m'$s strat$m (!rn%$m &%n/an (%<%patan yan/ "%'ih <%pat &aripa&a pr!s%s
&%s=$amasi#- %n%trasi &i'ant$ ! s%(r%si pr!t%inas%. "ipas% &an %n>im m$<in!"iti( - Tra$ma &an mas%rasi 'ant$ p%n%trasi -am$r (% (%ratin!sit#
8# RES ON E AMU -. *%ra-at in;amasi stat$s im$n p%n&%rita
&an vir$"%nsi !r/anism% yan/ t%r"i'at# -. R%a(si hip%rs%nsitivitas tip% I . ata$ "e#ayed
Type $ipersensiti%ity ?*@T -. In,%(si prim%r in;amasi %rit%ma &an
s($ama yan/ &ihasi"(an !"%h p%nin/(atan
p%r/antian (%ratin!sit# -. %rt$m'$hannya p!"a ra&ia" &i strat$m
(!rn%$m tim'$"nya "%si ($"it &%n/an 'atas yan/ -%"as &an m%nin//i ?rin/6!rm #
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ATOFISIOLO I
K%a&aan s!sia" s%rta ($ran/nya (%'%rsihan
Um$r &an -%nis (%"amin
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N
- Rasa /ata" (%m%rahan pa&a s%"an/(an/an. '!(!n/. s%(itar an$s m%nin/(at -i(a
'anya( '%r(%rin/at# - T%mpat tin//a" yan/ '%ri("im "%m'a'
- K%'iasaan : pa(aian (%tat. '%rt$(ar pa(aian &%n/an !ran/ "ain. a(ti, '%r!"ahra/a
- R * : m%n&%rita &ia'%t%s m%""it$s K%"$han sama
- Ri6ayat p%(%r-aan : tahanan p%n-ara. t%ntara. at"it !"ahra/a. santri
- Ma($"a %rit%mat$s &%n/an <%ntra"
h%a"in/ &i "ipatan in/$ina". &ista" "ipatpaha. &an pr!(sima" &ari a'&!m%n 'a6ah &an p$'is# - T%pi "%'ih a(ti, t%r&iri &ari pap$"a ata$ p$st$"a - Kr!nis : ma($"a hip%rpi/m%ntasi &%n/an s($ama &iatasnya &an &is%rtai "i(%ni+(asi - Ar%a s%ntra" 'iasanya hip%rpi/m%ntasi &an t%r&iri atas pap$"a %rit%mat$s yan/ t%rs%'ar &an s%&i(it s($ama - %nis &an s(r!t$m -aran/ ata$ ti&a( t%r(%na
- Lamp$ D!!& - %m%ri(saan [email protected] 10 3 - K$"t$r &%n/an m%&ia S*A
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8#*%rmatitis S%'!r!i(7# s!riasis
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@I IENE SANITASI FARMAKOLO IS
E*UKASI @I IENE SANITASI 4 a/a &a%rah "%si t%tap (%rin/#
4 ar$(an &apat m%ny%'a'(an in,%(si# 4 a/a (%'%rsihan ($"it (%rin/(an (%rin/at &%n/an han&$( &an m%n//anti pa(aian yan/ "%m'a'# 4 $na(an pa(aian &%n/an 'ahan m%ny%rap (%rin/at s%p%rti (at$n. ti&a( (%tat &an /anti s%tiap hari# 4 @in&ari p%n$"aran p%nya(it <$<i pa(aian &an han&$( yan/ &i/$na(an p%n&%rita har$s s%/%ra &i<$<i &an &ir%n&am air panas#
KOM LIKASI LESI LUAS
SISTEMIK *AN TO IKAL
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1. &istemik
1. 'ntifungi ( -. )o# azo#es ( ketokonazo#e, itrakonazo#e -. )riseofu#%in, Terbina*ne 2. 'ntihistamin
2. Topika#
1. )o#. '##y#amines ( Terbina*n cr 1+, aftiine cr 1 + 2. )o# 'zo#es ( -#otrimazo#e cr 1+, Miconazo#e cr 2 +,
#uconazo#e cr /,0+, &u#conazo#e cr1 +, Econazo#e cr1+, ketoconazo#e cr2 +
247 min//$
INFEKSI RIMER. TAN A KOM LIKASI. LESI MINIMAL : TO IKAL 247 min//$
1. )o#. '##y#amines ( Terbina*n cr 1+, aftiine cr 1 + 2. )o# 'zo#es ( -#otrimazo#e cr 1+, Miconazo#e cr 2 +,
#uconazo#e cr /,0+, &u#conazo#e cr1 +, Econazo#e cr1+, ketoconazo#e cr2 +
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KOM LIKASI
r!/n!sis p%nya(it ini 'ai( &ia/n!sis &an t%rapi yan/ t%pat (%"%m'apan &an (%'%rsihan ($"it
s%"a"$ &i-a/a#
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K%"$han Utama
t$s4'r$nt$s m%rah yan/ t%rasa /ata" pa&a "ipatan paha (a
tim'$" 'r$nt$s m%rah &is%rtai rasa /ata" pa&a "ipatan paha (anan &an (iri s%-a( H1 '$"an yan/ "a"$#
asi%n m%n/%"$h tim'$" /ata" t%r$tama saat
'%r(%rin/at s%hin//a s%rin/ m%n//ar$(nya# A6a"nya'r$nt$s m%rah t%rs%'$t tim'$" '$"at s%'%sar (!in (%m$&ian m%n-a&i '%rtam'ah &is%(itarnya# asi%n m%n/a($ man&i &an m%n//anti <%"ana &a"am &$a (a"i s%hari. &an ti&a( p%rnah '%r/antian pa(aian &%n/an !ran/ "ain. nam$n pasi%n s%rin/ m%n//$na(an <%"ana
Ri6ayat %nya(it S%(aran/
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asi%n s%'%"$mnya p%rnah '%r!'at (% &!(t%r &an &i'%ri !'at sa"%p &an !'at min$m. nam$n pasi%n ti&a( in/at apa nama !'atnya# S%t%"ah m%ma(ai !'at t%rs%'$t s%"ama 2 min//$. (%"$han ti&a( '%r($ran/# K%"$han 'r$nt$s 4 'r$nt$s (%m%rahan &i &a%rah
"ipatan t$'$h "ain &isan/(a". (%"$han 'r$nt$s4'r$nt$s m%rah &is%rtai sisi( yan/ t%'a" &isan/(a". (%"$han 'r$nt$s4'r$nt$s (%m%rahan &is%rtai panas 'a&an &isan/(a"# K%"$han /ata" yan/ san/at h%'at sampai
panas s%p%rti t%r'a(ar &isan/(a"# Ri6ayatp%n//$naan -am$4-am$an $nt$( p%/a" "in$ &a"am -an/(a 6a(t$ yan/ "ama &isan/(a"#
Ri6ayat %nya(it S%(aran/
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• Ri6ayat p%rnah m%n&%rita p%nya(it ($"it yan/ sama &ia($i H 1 tah$n yan/ "a"$#
• Ri6ayat *ia'%t%s M%"it$s &isan/(a" #
Ri6ayat %nya(it *ah$"$
• Ti&a( a&a an//!ta (%"$ar/a yan/ m%mp$nyai (%"$han yan/ sama s%p%rti pasi%n
Ri6ayat %nya(it K%"$ar/a
%n/!'atan
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• Keadaan Umum : <$($p • Kesadaran : CM • Status Gizi
– s%(aran/ : 8 (/ – Um$r : 10 tah$n – Tin//i 'a&an : 170 <m – IMT : 20 (/ m2
• Tanda Vital – T%(anan &arah : 100 G0 [email protected]/ – Na&i :JGB m%nit r%/$"ar. ($at
an/(at – %rna,asan :20B m – S$h$ a(si"a :8G. 0 C
– Da(t$ p%n/isian (api"%r : 2&%ti(
EMERIKSAAN UMUM
• Th!ra(s : C!r &an $"m! &'n
• A'&!m%n : &a"am 'atas n!rma"
• E(str%mitas : &a"am 'atas n!rma"
Kesimpulan: pemeriksaan umum dbn
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EMERIKSAAN FISIK
Stat$s *%rmat!"!/is R%/i! In/$ina"is &%Btra
T%r&apat ma($"a %rit%mat$s m$"tip%". $($ran n$m$"ar. '%r'atas t%/as. &%n/an s($ama ha"$s &i pin//ir "%si. Ma($"a hip%rpi/m%ntasi &i t%pi "%si#
T%r&apat pap$"a %rit%mat$s m$"tip"%. &%n/an &iam%t%r 0.140.8 <m. (%rin/. t%pi a(ti,. <%ntra" h%a"in/#
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*IA NOSIS
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- %m%ri(saan [email protected] 103 -
K$"t$r &%n/an m%&ia S*A t%sr%sist%nsi anti,$n/i
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LANNIN UMUM
4 An-$r(an a/ar m%n-a/a &a%rah "%si t%tap (%rin/# 4 i"a /ata". -an/an &i/ar$( (ar%na /ar$(an &apat
m%ny%'a'(an in,%(si#4 a/a (%'%rsihan ($"it 'i"a '%r(%rin/at (%rin/(an &%n/an han&$( &an m%n//anti pa(aian yan/ "%m'a'# 4 $na(an pa(aian yan/ t%r'$at &ari 'ahan yan/ &apat m%ny%rap (%rin/at s%p%rti (at$n. ti&a( (%tat &an /anti s%tiap hari# 4 Unt$( m%n/hin&ari p%n$"aran p%nya(it. pa(aian &an han&$( yan/ &i/$na(an p%n&%rita har$s s%/%ra &i<$<i &an &ir%n&am air panas#
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LANNIN [email protected]
Sist%mi( : a# Antimi(!ti( !ra" : K%t!(!na>!" 1 B 200 m/ hari s%"ama 2 min//$# '# Antihistamin !ra" : L!rata&in 1 B 10 m/ hari s%"ama 10 hari# 4 T!pi(a" : Antimi(!ti( t!pi(a" : t%r'ina+n% <r%am 1 3 2 B 1 s%"ama 247 min//$
LANNIN
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RO NOSIS
$! a& vitam : a& '!nam $! a& ,$n<ti!nam : a& '!nam $! a& sanati!nam : a& '!nam
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