SMF/Bag. Ilmu Kesehatan Kulit dan KelaminRSU. dr. Saiful
Anwar/Fak. Kedokteran UNIBRAW Malang2014
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Direct infection of skin : impetigo, ecthyma, folliculitis,
furunculosis, carbuncle, sycosis.Secondary infection: eczema,
infestations, ulcers, etc. Effect of bacterial toxin:
staph.-associated scalded skin syndrome (SSSS), toxic shock
syndrome.
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Direct infection of skin or subcutaneous tissue: Impetigo,
ecthyma, cellulitis, vulvovaginitis, perianal infection, strepto.
ulcers, blistering distal dactylitis, necrotizing
fasciitis.Secondary infection: eczema, infestations, ulcers,
etc.Tissue damage from circulating toxin: scarlet fever, toxic
shock-like syndrome.Skin lesions attributed to allergic
hyper-sensitivity to strepto. antigens: erythema nodosum,
vasculitis.Skin disease provoked or influenced by strepto.
infection: psoriasis especially guttate forms.
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Abrasio / macerationInsect biteImmunosupresant
medicineMalnutritionDMHIV/AIDS
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NutritionPersonal hygieneClimateUnderlying disease
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2 clinical patterns :- Nonbullous : streptococcusstaphylococcus-
Bullous :staphylococcus
Clinical pattern :Red patchVesicles to flaccid
bullae(hipopion)Honey-colored crusted plaqueErosionBaby : SSSS
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Treatment :Causal : Topical antibiotic Mupirocin 2%Fusidic
acidNeomisin basitrasinSystemic antibioticSymptomaticSupportif
Complication :Acute glomerulonephritis
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Multiple ulcerations, punched-outGranulating base extends deeply
into dermisScar (+)Predilection : extensor lower extremityEtiology
: streptococcusTreatments :LocalNaCl 0,9% wet dressingTopical
antibiotic Systemic antibiotic
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Pyoderma that begins within the hair folliclePapule atau
pustuleEtiology : staphylococcusDeep-seated inflammatory nodule
that develops around hair follicleHard, tender, red
folliculocentric nodule in hair-bearing skin that enlarges, become
painful & fluctuantPapule or nodulePus (+)Etiology :
staphylococcus
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NoduleRed, indurated, multiple pustules, draining externally
around multiple hair folliclesPredilection
:NeckShoulderThighsBackFace
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Acute infectionEtiology : streptococcusMinor wound,
abrasio/excoriation (+)Clinical findings :Erythematous
plaque-likeSharply defined
marginTendernessVesiculatedConstitutional symptoms
:FeverMalaise
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Suppurative inflammation of skin and subcutaneous fatRegional
lymphadenopathyMay cause deeper necrosisEtiology : streptococcus
>>, staphylococcusClinical findings :Erythemathous
plaqueMargins generally indistinctRapidly intensify and spreadPain,
firm and tender indurationConstitutional symptoms :FeverMalaise
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Etiology :Corynebacterium minutissimumGram-positif rod
Predilection : Genitocrural, axillary, inframammary regionsWeb
spaces of the feet
Clinical findings :Asimptomatic Pruritic Generalisata : scally
plaqueExcoriationChronic : lichenification
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