Download - Herpes Zoster
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Herpes ZosterSubheading goes here
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Definisi
Herpes zoster disebabkan oleh infeksi virus varisella zoster, merupakan reaktivasi virus yang telah terjadi setelah infeksi primer.
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Patogenesis
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Epidemiologi
• Daerah sering kena : torakal
• Frekuensi Pria = wanita
• Lebih sering pada orang dewasa.
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Gejala klinis• Didahului gejala prodormal lokal maupun
sistemik : nyeri otot-tulang, gatal, pegal, demam, pusing, malaise.
• Erupsi kali pertama : Makula papul eritem
• 12-24 jam : Vesikel
• Hari ke 3 : Pustul
• Hari ke 7-10 : Krusta
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Gejala klinis
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Gejala khas
• Unilateral
• Bersifat dermatomal sesuai dengan tempat persarafan
• Vesikel eritematous
• Nyeri radikuler
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Dermatom
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Komplikasi
• Neuralgia pascaherpatik
• Ulkus dengan jaringan nekrotik
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Differential diagnosis• Herpes simpleks
• Varicella
• Dermatitis kontak
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Pengobatan
• Anti viral : Asiklovir 5x800mg selama 7 hariValasiklovir 3x1000mg
• Anti nyeri :Asam mefenamat 3x500mg
• Antibiotik = ada infeksi sekunder• Nyeri neuropatik :
Pregabalin 2x75mg sehari, dosis maksimum 600mg sehari
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Prognosis
• Bonam
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Terima kasih