resume sk 4 klmpk D

5/24/2018 resume sk 4 klmpk D

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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,.
http://photos1.blogger.com/blogger/5893/3234/1600/2.%20kulit%20tebal%207.jpg


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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.
http://photos1.blogger.com/blogger/5893/3234/1600/1.%20kulit%20tipis%202.jpg


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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


38/99

- 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%


45/99

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*


46/99

%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*


47/99

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


52/99

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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59/99

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


74/99

STEVENS JOHNSONS S


75/99

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 "


87/99


88/99

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*


89/99

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%


91/99

'*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


92/99

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

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