berbagai penyakit dengan manifestasi kerontokan rambut

8/19/2019 Berbagai Penyakit Dengan Manifestasi Kerontokan Rambut

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REFRESHINGBERBAGAI PENYAKITKULIT DAN KELAMIN

DENGAN MANIFESTASI

KERONTOKAN RAMBUT

PEMBIMBING

dr. CHADIJAH RIFAI, Sp. KK Oleh

A. M. F. FAIDZIN AKBAR

!""#$!""


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PENDAHULUAN

• R%&'() &er(p%*%+ %l%h %)( %d+e*% *(l-) %+/)erd%p%) p%d% el(r(h )('(h *e0(%l- )el%p%* )%+/%+,)el%p%* *%*-, *(*(, d%+ '-'-r

• Ker1+)1*%+ r%&'() %d%l%h h%l %+/ per+%h d-%l%&-

h%&p-r e&(% 1r%+/, )e)%p- '-l% *er1+)1*%+ r%&'())ere'() 'erl%+/(+/ l%&% d%+ &e+e'%'*%+%l1pe-% %)%( *e'1)%*%+ %*%+ &e+-&'(l*%+ &%%l%h.

• B%+%* h%l %+/ d%p%) &e+e'%'*%+ *er1+)1*%+

r%&'(), p%d% (&(&+% r%&'() r1+)1* 'erh('(+/%+de+/%+ pe+%*-) -)e&-* %)%( -+)er+%l, d-e) %+/'(r(*, pe+%*-) )-r1-d, %)%( *1+(&- 1'%)21'%)%+)er)e+)(.


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ANATOMI RAMBUT

• K()-*(l%

• Terd-r- %)% l%p-%+ *er%)-+ %+/'er/(+% (+)(* perl-+d(+/%+)erh%d%p *e*er-+/%+ d%+pe+/%r(h l%-+ d%r- l(%r.

• K1r)e*

• Terd-r- %)% er%'() p1l-pep)-d%%+/ &e&%+3%+/ d%+ %l-+/'erde*%)%+. L%p-%+ -+- %+/&e+/%+d(+/ p-/&e+.

• Med(l%

• Terd-r- %)% $24 l%p- el *('(%+/ 'er-- *er%)1h-%l-+, '%d%+le&%*, d%+ r1+//% (d%r%.R%&'() 5el( )-d%* &e&p(+%-&ed(l%.


4/55

JENIS RAMBUT

• R%&'() *%%r %+/&e+/%+d(+/ '%+%*p-/&e+

• Terd%p%) d- *ep%l%,

%l-, '(l( &%)%, *e)-%*,d%+ /e+-)%l-%e*)er+%.

R%&'()

Ter&-+%l• R%&'() h%l( %+/

ed-*-) &e+/%+d(+/p-/&e+

• Terd%p%) h%&p-r d-el(r(h )('(h.

R%&'()

6el(


5/55

S-*l( per)(&'(h%+ r%&'()

• M%% A+%/e+

• Sel2el &%)r-* &el%l(- &-)1-

&e&'e+)(* el2el '%r( &e+d1r1+/el2el %+/ le'-h )(% *e %)%.A*)-5-)% -+- l%&%+% %+)%r% $ )%h(+.7"!!! h%r-8

• M%% C%)%/e+

• M%% per%l-h%+ %+/ d-d%h(l(- 1leh

pe+e'%l%+ 3%r-+/%+ -*%) d- e*-)%r91l-*el r%&'(). B%/-%+ )e+/%h %*%rr%&'() &e+e&p-) d%+ d- '%/-%+'%:%h+% &ele'%r d%+ &e+/%l%&-per)%+d(*%+ eh-+//% )er'e+)(*/%d% 7club8. M%% per%l-h%+ -+-'erl%+/(+/ "2$ &-+//(.

• M%% Tel1/e+

• Mer(p%*%+ &%% -)-r%h%) %+/d-&(l%- de+/%+ &e&e+de*+% elep-)el d%+ 'er'e+)(*)(+% *e0-l %+/&e&'(%) r%&'() '%r( eh-+//%r%&'() %*%+ )erd1r1+/ *el(%r 9%e -+-

'erl%+/(+/ $2; '(l% 7"!!h%r-8e'el(& r%&'() r1+)1*.


6/55


7/55

F%*)1r &e&pe+/%r(h- per)(&'(h%+

r%&'()

HEREDITER

HORMONAL

METABOLISME

NUTRISIVASKULAR

ISASIPERADAN

GANOBAT-

OBATAN


8/55

DEFINISI ALOPESIA

•

Kel%-+%+ %+/ d-)%+d%- de+/%+ 'er0%* %)%(d%er%h p%d% *(l-), )e&p%) r%&'() &e+/h-l%+/e0%r% *1&pl-) d%+ 0ep%).

• Pe+/(r%+/%+ %)%( h-l%+/+% r%&'(), l1*%l %)%((&(&, (+)(* e&e+)%r% %)%( e0%r% per&%+e+

• K%)%


9/55

KERONTOKAN RAMBUTDIFUS

• Se'(%h /%+//(%+ -*l( r%&'() +1r&%l&e+/%r%h *e *e'1)%*%+.

• H%l -+- &(+/*-+ *%re+% per('%h%+-r*(l%- h1r&1+, 1'%)21'%)%+, pe+%*-)

*(l-) -+?%&%- d%+ @)re@ d%r- 'er'%/%- 3e+-


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Tel1/e+ e(5-(&

• Ter3%d- 3-*%e&(% r%&'()&%(* *e

d%l%&per-)-r%h%)%+9%e e0%r%'er%&%2%&%,

p%l-+/ er-+/e)el%h&el%h-r*%+%)%( pe+%*-)

'er%)


11/55

P1) 9e'r-le %l1pe0-%

• Ter3%d- *e)-*%de&%&&ele'-h- $ 1C

)er()%&%de+/%+ep-1de'er(l%+/


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K1+/e+-)%l %l1pe0-%

• M(+/*-+)er3%d- p%d%'e'er%p%

-+dr1&*e)(r(+%+


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A+%/e+ e(5-(&

• Ter3%d- *e)-*%per*e&'%+/%++1r&%l r%&'()

d%+ 91l-*el%+/)er/%+//(&e+e'%'*%+

per)(&'(h%+r%&'() %+/)-d%* %de*(%).


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Faktor makanan

• Seper)-*e*(r%+/%+ %)'e- d%+

hp1pr1)e-+%e&-% &(+/*-+&e&%-+*%+per%+ , )%p-

3%r%+/&e+e'%'*%+%l1pe0-% d-9(

Endokrin

• Mer(p%*%+ 9%*)1rpe+e'%')er3%d-+% d-9(%l1pe0-% &e+0%*(pHp1)-r1-d-&e d%+H-per)-r1-d-&e,

Hp1p-)(-)%r-&,d%+ D-%'e)eMell-)(


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Obat it!mik

• Seper)- 1'%)S-)1)1*-*,A+)-*1%/(l%+,I&(+1(pre%+ , d%+

'e'er%p% 1'%)21'%)A+)-)-r1-d &(+/*-+&e+e'%'*%+%l1pe0-% d-9(,

'-%%+% eper)-pr1e


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OBAT YANG MENYEBABKAN ALOPECIA


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ETIOLOGI

HEREDITER

PENUAAN

PENYAKIT

PENGOBATAN

GAYA HIDUP


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FAKTOR RESIKO

GANGGUAN EMOSI

INFEKSI LOKAL

GANGGUAN HORMONAL

PENYAKIT SISTEMIK


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FOKAL ALOPECIA

• Ad%+% (%)( pr1e -+?%&%- %+/&e&'()(h*%+ pe+el-d-*%+ le'-h l%+3().

•

B%h:% %d% %)%( )-d%* %d% pe&(l-h%+ %+/ 'e%rr%&'() per)(&'(h%+.

• Ad%+% per%d%+/%+ )-d%* el%l( &e+/h%-l*%+d-)%+d%- er-)e&% d%l%& pe+%*-) L-0he+ l%+(

d%+ L(p( Er)he&%)1(, per('%h%+ -+?%&%-er-+/ *r1+-.

• T-+e% C%p-)- d%p%) d-*%-)*%+ de+/%+ %l1pe0-%

de+/%+ %d%+% *er%* d%+ r%&'() r%p(h


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POLA KEBOTAKAN PRIA

• P1l% Al1pe-% p%d% pr-% %)%( P1l%Al1pe-% A+dr1/e+-* p%d% pr-% &(+0(l%%) re&%3%, de*%de !, %)%( p%d% %:%l

(&(r $! de+/%+ *er1+)1*%+ r%&'()%+/ 'er)%h%p, (&(&+% d%r- 6er)e>d%+ Re/-1 Fr1+)1)e&p1r%l

•

• Pr1e -+- &(l%- *%p%+ %3% e)el%hp('er)%, d%+ &(+0(l *(&- %)%( r%&'()*er-)-+/ d%p%) &er(p%*%+ )%+d% %:%ld%r- &(+0(l+% p1l% *e'1)%*%+ pr-%.


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KLASIFIKASI HAMILTON 2 PRIA• T-pe I R%&'() &%-h pe+(h

• T-pe II T%&p%* pe+/(r%+/%+

r%&'() p%d% *ed(% '%/-%+)e&p1r%l p%d% )-pe I d%+ II 'el(&)erl-h%) %l1pe-%

• T-pe III B1rder l-+e

• T-pe I6 Pe+/(r%+/%+ r%&'()

d%er%h 9r1+)1)e&p1r%l, d-er)%-pe+/(r%+/%+ r%&'() '%/-%+&-d9r1+)%l.

• T-pe 6 T-pe I6 %+/ &e+3%d-le'-h 'er%).

• T-pe 6I Sel(r(h *el%-+%+ &e+3%d-

%)(.• T-pe 6II Al1pe-% l(% d-'%)%-

p-)% r%&'() 3%r%+/.

• T-pe 6III Al1pe-% 9r1+)1)e&p1r%l&e+3%d- %)( de+/%+ '%/-%+

5er)e>.


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POLA KEBOTAKAN ANITA

•

R%&'() r1+)1* &e+e'%r d- el(r(h%p-*%l *(l-) *ep%l% de+/%+ '%/-%+ %+/le'-h l(% d- d%er%h %+)er-1r.

• %+-)% d%+ pr-% de+/%+ p1l% %l1pe0-%&e&-l-*- )-+/*%) le'-h )-+//- d%r- ; 2 2red(*)%e d%+ Reep)1r A+dr1/e+d%l%& 91l-*el r%&'() 9r1+)%ld-'%+d-+/*%+ de+/%+ )-+/*%) d%l%&91l-*el 1*-p-)%l .

KLASIFIKASI LUDIG


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KLASIFIKASI LUDIG 2ANITA


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Ge3%l% Kl-+-

• Ke'%+%*%+ p%-e+ &e+/el(h*%+ pe+-p-%+

r%&'() e0%r% perl%h%+2l%h%+ %)%( *e'1)%*%+.

• P%d% l%*-2l%*-, )erd%p%) *e&(+d(r%+ d%r- '%)%r%&'() %+)er-1r, )er()%&% d- d%er%h p%r-e)%l, %+/

&e+/h%-l*%+ ree- 'er'e+)(* h(r(9 M, *e&(d-%+,'er0%*2'er0%* *e'1)%*%+ &(+/*-+ d%p%) )-&'(l d-5er)e>.

• Sed%+/*%+ p%d% :%+-)%, *e'1)%*%+ d- d%er%hp%r-e)%l d%+ )e&p1r%l (&(&+% '(*%+ &er(p%*%+*el(h%+ ()%&%, d%+ *e'1)%*%+ &e+/-*()- /%&'%rd- %)%.


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ALOPESIA AREATA

• Per%d%+/%+ %+/ 'er-9%) *r1+- d%+'er(l%+/, %+/ &el-'%)*%+ 91l-*el r%&'(),%+/ d- )%+d%- 1leh )-&'(l+% %)( %)%( le'-h'er0%* *er1+)1*%+ r%&'() p%d% *%lp d%+%)%( *(l-) %+/ 'er%&'() )er&-+%l l%-++%.

• Le- p%d% (&(&+% 'er'e+)(* '(l%) %)%(

l1+31+/ de+/%+ '%)% )e/%, per&(*%%+ l-0-+)%+p% %d%+% )%+d%2)%+d% %)r1p-, *(%&%-&%(p(+ -*%)r-*


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ALOPESIA AREATA

EPIDEMIOLOGIP%n'ak inid!n t!r(adi dari %ia )*-+, ta%n. S!ban"ak //0 oran1 d!n1an

a&o$!ia ar!ata t!&a m%&ai t!r&iat $ada %ia k%ran1 dari +2 ta%n dan

k%ran1 dari 320 oran1 d!n1an a&o$!ia ar!ata t!r&iat $ada %ia &!bi dari/2 ta%n

LESI%m%mn"a b%&at ata% &on(on1 d!n1an bata t!1a4 $!rm%kaann"a &i'in

tan$a adan"a tanda 5 tanda atro$i4 k%amai ma%$%n ikatrik

DEFINISIP!radan1an "an1 b!ri6at kroni dan b!r%&an14 "an1 m!&ibatkan 6o&ik!&ramb%t4 "an1 di tandai o&! timb%&n"a at% ata% &!bi b!r'ak k!rontokan

ramb%t $ada ka&$ dan ata% k%&it "an1 b!ramb%t t!rmina& &ainn"a.


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ETIOLOGI

FAKTORGENETIK

FAKTORAUTOIM

UNE

FAKTORENDOKR

IN


28/55

GEJALA KLINIS

D(r%-

M-+//( 2 B(l%+

S)%'-l T(&'(hSp1+)%+

Ber0%*

S1l-)er M(l)-ple

A()1-&(+ T-r1-d-)-S-+dr1& D1:+

K(l-)

N1r&%l

Er-)e&%

R%&'() 'e+)(* T%+d% Ser(

E>0l%&%)-1+ M%r*H%-r


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T-pe Al1pe0-%

• Ke'1)%*%+ %+/ &e+/e+%-el(r(h r%&'() %+/ %d% p%d%)('(h

Al1pe-%U+-5er%l-

• Ke'1)%*%+ %+/ &e+/e+%-el(r(h r%&'() *ep%l%

Al1pe-% T1)%l-

• Ke'1)%*%+ %+/ )er3%d-e)e&p%)2e)e&p%) d%+'er'%)% )e/%, (&(&+%)erd%p%) p%d% *(l-) *ep%l%,)e)%p- d%p%) 3(/% &e+/e+%-d%er%h 'er%&'() l%-++%.

Al1pe-%Are%)%


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ALOPECIA AREATA

7AA8Are% *e'1)%*%+1l-)er &%(p(+&(l)-ple

K&ai7kai a&o$!'ia ar!ata


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AA )1)%l- 7AAT8*e'1)%*%+ )1)%l d%r-r%&'() )er&-+%l d-

*ep%l%

AA U+-5er%l- 7AAU8*e'1)%*%+ )1)%l d%r-

e&(% r%&'() )er&-+%l d-)('(h d%+ *ep%l%.


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Oph-%- *e'1)%*%+'er'e+)(* eper)- p-)% p%d%per-9er *(l-) *ep%l%.


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EFFLU6IUM TELOGEN 7ET8• Pe+-+/*%)%+ *er1+)1*%+

r%&'() +1r&%l e&e+)%r% d%r-91l-*el r%&'() *ep%l%.

• P%-e+ d%)%+/ de+/%+ *el(h%+

'er)%&'%h+% 3(&l%h r%&'()%+/ r1+)1* d%+ d%p%)d-er)%- de+/%+ pe+-p-%+r%&'() p%d% 'er'%/%- der%3%)

• Me&pe+/%r(h-per)(&'(h%+ d%r- *(*(,&e+/h%-l*%+ /%r-Be%(.

• D-%/+1- d-'(%)'erd%%r*%+ %+%&+e-,

Te Pe+%r-*%+ R%&'(),d%+ B-1p

EFFLU6IUM


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EFFLU6IUMANAGEN

• Ker1+)1*%+r%&'() %+/d-e'%'*%+

1leh r%d-%-%)%(p(+0he&1)er%p-.

• B%/-%+ *(l-) l%-+ )%&p%* +1r&%l.

• Ke'1)%*%+ r%&'() *ep%l%)%&p%* &er%)% d%+ e*)e+-9.

• Ke'1)%*%+ 3(/% )er3%d- d- %l-&%)%, 3%+//(), r%&'() )('(h.

• R%&'() d%p%) )(&'(h *e&'%l-%p%'-l 0he&1)her%p d%+r%d-%- d-he+)-*%+.

• Per)(&'(h%+ r%&'() *e&'%l-

-+- )er/%+)(+/ d%r- 3e+- 1'%)d%+ d1- %+/ d-/(+%*%+d%p%) &e+/h%-l*%+ *er(%*%+91l-*el r%&'() eh-+//%+*e'1)%*%+ &e+3%d- -rre5er-'le


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ALOPESIA SIKATRIKALPRIMER

• Al1pe-% S-*%)r-*%l Pr-&er )-&'(l %*-'%) *er(%*%+p%d% )e& el 91l-*el r%&'() 1leh *%re+%

• I+?%&%- 7'-%%+% +1+-+9e*-(8

• I+9e*- 01+)1h


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CHRONIC CUTANEOUS 7DISKOID8LUPUS ERYTHEMATOSUS 7CCLE8

• Ge3%l% *l-+-+% 'er(p%pl%* er-)e&%)1(, d%p%)'er5%r-%- d%l%& 3(&l%h,d%+ d%p%) 'er*1+?(e+-.

• T%&p%* %)r1 p%d%p%-e+ l%+3() (-%.

• Sed%+/*%+ p%d% p%-e+LE )%&p%* *(l-) *ep%l%er-)e&%)1( d-9( de+/%+pe+-p-%+ r%&'().

• P%d% der&%)1p%)h1l1/%&% de+/%+ LE.

LICHEN PLANOPILARIS


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LICHEN PLANOPILARIS7LLP8

• LPP d%p%) )-&'(l )%+p% %)%( 'er%&%de+/%+ l-0he+ pl%+( 7LP8 d- *(l-) %)%(p(+

&(*1%.• P%l-+/ er-+/ &e+/e+%- :%+-)% (-%

per)e+/%h%+.

• M%+-9e)%- p%d% *(l-) *ep%l% 'er(p%er-)e&% per-91l-*(ler de+/%+ %)%( )%+p%hper*er%)1-.

• Ter3%d- per('%h%+ :%r+% *e(+/(%+ p%d%*(l-) *ep%l%. S0%rr-+/ )-&'(l %*-'%)-+?%&%- %+/ 'er*el%+3()%+.

• D-)e&(*%+ d%er%h de+/%+ %l1pe-%-*%)r-*%l, %+/ d-e'() e'%/%- )%p%**%*- d- %l3(, %)%( Pe(d1pel%de.

• D-)r-'(- )erer-+/ %d%l%h d- *(l-) *ep%l%'%/-%+ p%r-e)%l +%&(+ 3(/% d%p%)&e+er%+/ '%/-%+ l%-+ %+/ 'er%&'()eper)- %>-ll%.

• Ge3%l% *l-+- l%-++% %d%l%h +er- d-

'%/-%+ *(l-) *ep%l%.


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6ARIASI LICHEN PLANOPILARIS

S-+dr1& Gr%h%&2lL*e• Le- &-r-p LP d-)%&'%h de+/%+ le- *er%)1- 91l-*(l%r-

d- d%er%h %l1pe-%.

Fr1+)%l F-'r1-+/ Al1pe0-%• Ter3%d- *e&(+d(r%+ '%)% r%&'() d- d%er%h

9r1+)1)e&p1r%l d%+ *e'1)%*%+ p%d% %l- p%d% :%+-)%p1)&e+1p%(e de+/%+ er-)e&% 91l-*(ler.

Per-91ll-0(l%r Er)he&% d%+ F1l-0(ll%rKer%)1-• Al1pe-% -*%)r-*%l pr1/re-9 %+/ )er'%)% p%d% d%er%h

de+/%+ *e'1)%*%+ 'erp1l% 7p%))er+ h%-r l18.


39/55

PSEUDOPELADE BROC• Mer(p%*%+ )%/e )er%*h-r d%r-

e&(% %l1pe-% -*%)r-*%l+1+-+?%&%- d%+ 'e'er%p%

*el%-+%+ -+?%&%-

• Pel%de %d%l%h -)-l%h %+/

d-/(+%*%+ (+)(* %l1pe-% %re%)%.

• Pe(d1pel%de &e+/-%r%)*%+'%h:% *el%-+%+ %+/ d-)e&(*%+

&-r-p de+/%+ AA.

• G%&'%r%+ le- p%d% %:%l+%%&%r, l-0-+, 'er:%r+% *(l-) %)%(

p-+*, 'er'e+)(* -rre/(l%r )%+p%%d%+% hper*er%)1- 91l-*(ler

%)%( -+?%&%- per-91l-*el.

• Der&%)1p%)h1l1/+% &-r-p de+/%+LPP


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CENTRAL CENTRIFUGALSCARRING ALOPECIA 7CCSA8

• B-%%+% )er3%d- p%d% :%+-)% 'er*(l-)h-)%&.

• H('(+/%+ CCSA de+/%+ pe+//(+%%+'%h%+ *-&-%, pe&%+%%+ r%&'(), %)%()e*%+%+ *r1+-* p%d% r%&'() &%-h 'el(& 3el%, )e)%p- e'%-*+% d-h-+d%r*%+.

• CCSA &er(p%*%+ %l1pe-% pr1/re-9l%&'%) %+/ d-&(l%- d%r- 5er)e> d%+'er*e&'%+/ e0%r% e+)r-9(/%l.

• P%d% der&%)1p%)h1l1/+% d-)e&(*%+

de*(%&%- pre&%)(re d%r- el('(+/%*%r d%l%& %+/ %*%+ &e+e'%r *eel('(+/ %*%r l(%r r%&'(), -+l)r%)e&1+1+(0le%r )er()%&% p%d% '%/-%+-)h&(, d%+ *eh-l%+/%+ ep-)el 91l-*(lerd%+ d-/%+)-*%+ 1leh 3%r-+/%+ -*%)


41/55

ALOPECIA MUCINOSA7FOLLICULAR MUCINOSIS8

• Al1pe-% &(-+1% 'er(p%%l1pe-% de+/%+ le-er-)e&%)1( 7p%p(l, pl%*,%)%( *(%&%8, )-&'(l)er()%&% p%d% *(l-)*ep%l% d%+%)%( :%3%h.

• Der&%)1p%)h1l1/+%)%&p%* &(-+ %+/

'erle'-h, -+l)r%-l&ph1h-)-10)-0per-91l-0(ll%r )%+p%'r1- l%&ell%r


42/55

DISSECTING FOLLICULITIS• D-e0)-+/ 91ll-0(l-)- p%l-+/

er-+/ )er3%d- p%d% l%*-2l%*-

'er*(l-) h-)%&.

• P%d% %:%l+% )erd%p%)

+1d(l2+1d(l -+?%&%-,)er()%&% p%d% d%er%h100-p(), %+/ 'er*e&'%+/ *e

d%er%h l%-+.

• Der&%)1p%)h1l1/+%'er(p% pe+(&'%)%+ 91l-*el

%)%( (pp(r%)-5e

91ll-0(l%rper-91ll-0(l%r%'0e de+/%+ -+l)r%)e0%&p(r%+ el2el -+?%&%-.

• P%d% )%h%p l%+3() d%p%)

)er'e+)(* /r%+(l%-, d%+

)er'e+)(* 0%rr-+/

FOLLICULITIS KELOIDALIS


43/55

FOLLICULITIS KELOIDALISNUCHAE

• F1ll-0(l-)- *el1-d%l- +(0h%ep%l-+/ er-+/ )er3%d- p%d%pr-% *(l-) h-)%&.

• B-%%+% &(+0(l p%d% *(l-)*ep%l% '%/-%+ 100-p-)%l d%+'%/-%+ 'el%*%+/ leher,d-&(l%- de+/%+ er(p-p1p(l%r *r1+-* %)%( er(p-p()(l%r.

• D%p%) 'er'e+)(* h%+%p%p(l2p%p(l 'r1)-0 *e0-l%&p%- *el1-d h-per)r1

PSEUDOFOLLICULITIS


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PSEUDOFOLLICULITISBARBAE

• Pe+%*-) -+- '-%%+% )er3%d- p%d% pr-% 'er*(l-)

h-)%& %+/ 'er0(*(r.• P(d19(ll-0(l-)- B%r'%e 'eh('(+/%+ de+/%+

91l-*el r%&'() %+/ &ele+/*(+/.

• R%&'() %+/ )er0(*(r 'ere)r%*- *e d%l%&,)(&'(h, d%+ &e+e&'( d-+d-+/ 91l-*el 7)-pe

)r%+91ll-0(l%r8 %)%( &e+e&'( *(l-) e*-)%r+%7)-pe e>)r%91ll-0(l%r8 %+/ &e+/%*-'%)*%+ re%*-'e+d% %-+/


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ACNE NECROTICA

• A0+e Ne0r1)-0% 'er(p% p%p(l de+/%+ d%%r 91l-*el

er-)e&%)1( %+/ /%)%l %)%( +erde+/%+ +e*r1-d- )e+/%h+%, 'er*r()%, d%+ e(d%h e&'(h)%&p%* 'e*% l(*% %+/ &e+0e*(+/ *e '%:%h.

• Le- '-%%+% &(0(l p%d% *(l-) *ep%l% %+)er-1r,

d%h-, h-d(+/, d%+ *%d%+/2*%d%+/ '%d%+.• Der&%)1p%)h1l/+% 'er'e+)(* l&ph10)-0

+e0r1)--+/ 91ll-0(l-)-

EROSI6E PUSTULAR DERMATOSIS KULIT


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EROSI6E PUSTULAR DERMATOSIS KULITKEPALA

• Pe+%*-) -+- '-%%+% &e+er%+/ 1r%+/ )(%,)er()%&% :%+-)%, :%l%(p(+ d-l%p1r*%+ %d% 3(/%*%( %+/ &e+er%+/ %+%*2%+%*.

• M%+-9e)%-+% 'er(p% pl%*2pl%* *r()% '%%h d-*(l-) *ep%l% d- %)% er1- e*(d%)-9 d%+ p()(le,

%+/ 'er%*-'%) p%d% %l1pe-% -*%)r-*%l.• D%p%) d-%*-'%)*%+ 1leh )r%(&% p%d% %:%l+%

PEMERIKSAAN PENUNJANG


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PEMERIKSAAN PENUNJANG• U+)(* &e+e+)(*%+ 3(&l%h r%&'()

%+%/e+ d%+ )el1/e+ d%+ d-'(%)de+/%+ &e+%r-* ;! hel%- r%&'() %)%(le'-h d%r- *(l-) *ep%l% de+/%+&e+//(+%*%+ +eddleh1lder d%+&e+/h-)(+/ 3(&l%h r%&'()

TRICHOGRAM

• D-/(+%*%+ (+)(* &el-h%) 3%r-+/%+*(l-) d%+ %d+e*%+% '%-* %+/+1r&%l &%(p(+ %+/ %'+1r&%l p%d%le5el &-*r1*1p-*

DERMATOPATHOLOGY

• P%d% :%+-)% de+/%+ *e'1)%*%+ d%+

'(*)- pe+-+/*%)%+ %+dr1/e+7&e+)r(%- -re/(ler, -+9er)-l-)%,h-e()-&, 3er%:%) *-)-* %+/ p%r%h,5-r-l-%-8, )e+)(*%+ *%d%r)e)1)er1+e 7)1)%l d%+ 'e'%8,dehdr1ep-%+dr1)er1+e 7DHEA8 d%+pr1l%*)-+

PEMERIKSAANHORMON


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• TSH, T4, KADAR BESI SERUM,KADAR FERITIN SERUM, TIBC,

DARAH RUTIN, RPR, ANA

PEMERIKSA

AN LAIN

•D-/(+%*%+ (+)(*&e+-+/*-r*%+ )-+e% *%p-)-PREPARATKOH

• D-l%*(*%+ pe+%r-*%+ p%d%r%&'() *(l-) *ep%l%, +1r&%l+%)-/% %&p%- l-&% r%&'() d%p%))er0%'(), le'-h d%r- -)(&e+%+d%*%+ %d%+% p%)1l1/-.

PENARIKANRAMBUT

7HAIR

PULL8

PENATALAKSANAAN


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PENATALAKSANAANNON MEDIKAMENTOSA

• M!8arnakan k%&it k!$a&a

d!n1an 8arna "an1 amad!n1an ramb%t

• M!&!takkan 7b!r k!'i& k!ba1ian "an1 rontok "an1m!&!kat d!n1an 'ara!&!ktrotatik $ada k%&itk!$a&a

CAMOUFLAGE

• Fib!r int!tik• Nat%ra& 5 Ramb%t A&i

RAMBUT PALSUIG

PENATALAKSANAAN


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PENATALAKSANAANMEDIKAMENTOSA

• Ora& )m19ari• :ara k!r(a m!n1inibii !n;im

* D!rmatiti Kontak Iritan

MINOIDIL

PENATALAKSANAAN


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PENATALAKSANAANMEDIKAMENTOSA %+)- %+dr1/e+

• D1- "!!2$!!&/h%r-• ES G%+//(%+ Me+)r(%-,

Perd%r%h%+ P1) Me+1p%(%l,Pe&'e%r%+ P%(d%r%

• %+-)% H%&-l T-d%* d-%+3(r*%+

SPIRONOLAKTON

• D1- ;! 2 "!!&/h%r- "! h%r-per)%&% S-*l( Me+)r(%-

• %+-)% Me+1p%(e )er( &e+er(

E)r1/e+• ES BB , L-'-d1, Depre-, N%(e%

CYPROTERONASETAT

• N1+ S)er1-d %+)- %+dr1/e+FLUTAMIDE

TERAPI BEDAH


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TERAPI BEDAH

• Red-)r-'(- 91l-*el r%&'() d%r- '%/-%+ 'er%&'()

*e '%/-%+ %+/ )-d%* 'er%&'() p%d% *(l-) *ep%l%.• Red-)r-'(- -+- d%p%) d-l%*(*%+ de+/%+

&e+//(+%*%+ )eh+-* %()1/r%9 %)%( ?%p %)%(/%'(+/%+ *ed(%+%.

• Teh+-* -&pl%+)%- 'er %r)--%l )-d%* d-%+3(r*%+&%l%h )-d%* d-)er-&% p%d% e)e+/%h +e/%r%*%re+% re-*1 -+9e*- d%+ re%*- 'e+d% %-+/.

• H%-r Tr%+pl%+)%)-1+ %+/ e&%*-+ 'er*e&'%+/

e*%r%+/ de+/%+ 0%r% &e+/%&'-l 91l-*el r%&'()p%d% '%/-%+ %+/ *(r%+/ pe*% )erh%d%p%+dr1/e+ eper)- per-9er 100-p-)%l d%+ '%/-%+p%r-e)%l %+/ 'er%&'() d%+ d- )r%+pl%+) *%+ *e'%/-%+ %+/ )-d%* 'er%&'().

PENCEGAHAN


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PENCEGAHAN

Me+/h-+d%r- pe+//(+%%+ '%h%+ *-&-%p%d% r%&'()

Me+/h-+d%r- pe&%+%%+ r%&'()

Me+3%/% *e'er-h%+ r%&'()

Ter%)(r &e+//(+%*%+ h%&p1

H-+d%r- )re

H-+d%r- *e'-%%%+ &e+0%'()20%'()r%&'()

PROGNOSIS


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PROGNOSIS

Al1pe0-% 2 B%-*

Al1pe0-% Are%)% K(r%+/ B%-*A:-)%+ D-+-

Al1pe0-% Hered-)er 2 6%r-%-

L-0he+ Pl%+( Al1pe0-%Per&%+e+


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• TERIMA KASIH

berbagai penyakit dengan manifestasi kerontokan rambut

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