Download - Eritema Multiforme , SJS , TEN - UI
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ERITEMA MULTIFORME
UI
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• Eritema multiforme : erupsi mendadak dan rekuren pada kulit dan terkadang mengenai mukosa juga
• Etio pasti blm diketahui , faktor penyebab :1. alergi terhadap obt sistemik2. Inf bakteri / virus tertentu 3. Rangsangan fisik ( sinar matahari , hawa dingin )4. faktor endokrin ( hamil , haid )5. neoplasma
• Anak & dewasa muda -> erupsi srg dsertai infeksi• Dewasa -> erupsi k/ obat n keganasan
Pendahuluan
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Gejala klinis
Tipe Makula Eritema Vesikobulosa
Onset Mendadak, Tetapi muncul tidak serentak . Berturut turut dalam 2 – 3 minggu
Predileksi Simetris pada1. Tangan2. Ekstensor ekstremitas3. Selaput lendir4. Badan ( bila berat )
Tampilan Bentuk iris ( target lesion ) -dalam: vesikel n eritema keunguan-- tengah : lingkaran konsentris pucat-- luar : lingkaran merah
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Tanda
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Pemeriksaan Penunjang
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Pemeriksaan Penunjang
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Pemeriksaan Penunjang
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Pemeriksaan Penunjang
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Tatalaksana
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Komplikasi
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Prognosis
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•THANK YOU
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Macam – Macam Pioderma
1. Impetigo 7. Selulitis & flegmon2. Folikulitis 6. Ulkus piogenik3. Furunkel / karbunkel 7. Abses multipel kel keringat4. Ektima 8. Hidraadenitis5. Erisipelas 9. Staphylococcal Scalded
Skin6. Pionikia Syndrome
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1. Ukuran molekul 6. Kekerapan ( terus terus / berselang )2. Daya larut 7. Oklusi ( kulit > permeabel )3. Konsentrasi bahan 8. Gesekan / trauma fisis4. Vehikulum 9. Suhu & Kelembapan5. Lama kontak
Faktor kontak
1. Ukuran molekul 6. Kekerapan ( terus terus / berselang )2. Daya larut 7. Oklusi ( kulit > permeabel )3. Konsentrasi bahan 8. Gesekan / trauma fisis4. Vehikulum 9. Suhu & Kelembapan5. Lama kontak
Faktor Individu
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Infeksi pd mata ,
hidung , telinga ,
tenggorok
Sumber infeksi
Kuman keluarkan eksotoksin
Epidermolitik
( epidermolin ,
eksfoliatin )
epidermolisis
Fs ginjal yg baik perlu u/ ekskresi eksfoliatinSering pd
anak k/ fs ginjal belum
sempurna
Patogenesis
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Impetigo Krustosa
• Streptococcus B hemolyticus
• ANAK
• Muka ( sekitar lubang hidung dan mulut )
• Eritema + vesikel -> pecah -> krusta madu -> dilepas erosi dbwahnya
Impetigo bulosa
• Staphylococcus aureus
• Anak & dewasa
• Ketiak , dada , punggung ( sering bersama miliaria
• Eritema + bula , bula hipopion -> pecah koleret dasar eritematosa