Download - MILIARIA
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MILIARIA Annisa Aprianti
FK UPN “Veteran” Jakarta
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Definisi:
• Kelainan kulit akibat retensi keringat, ditandai: vesikel milier
Sinonim
• Biang keringat• Keringat buntet• Liken tropikus• Prickle heat
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klasifikasi
Miliaria Kristalina
Miliaria Rubra
Miliaria Profunda
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Vesikel 1-2 cm pd badan setelah banyak berkeringat
Vesikel bergerombol tanpa tanda radang Tanpa keluhan, sembuh -> sisik yg halus Histopatologi:
gelembung intra/subkorneal Terapi tdk diperlukan-> mengindari panas
berlebuhan, ventilasi yg baik, pakaian tipis & menyerap keringat
Gejala klinis Miliaria Kristalina
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Lebih berat dr miliaria kristalina Terdapat badan yg terkena tekanan /
gesekan Papul merah/ vesikuler ekstrafolikular yg
sangat gatal & pedih Pada org yg tdk terbiasa pd daerah tropik
Gejala klinis Miliaria Rubra
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Patogenesa blm diketahui, ada 2 pendapat:1. Primer -> byak keringat, perubahan
kualitatif, akibat sumbatan keratin pada muara kelenjar keringat dan perforasi sekunder pada bendungan keringat di epidermis
2. Primer kadar garam yg tinggi pada kulit -> spongiosis dan sekunder tjd pada muara kelenjar keringat
Staphylococcus diduga mempunyai peran
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Histipatologi :
gelembung tjd pada stratum spinosum -> menyebabkan peradangan pada kulit & perifer kulit di epidermis
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Terapi : Pakaian tipis dan menyerap keringat Bedak salisil 2% dibubuhi menthol ¼-2% Losio faberi :
acid salicylic 1talc venet 10oxyd. Zinc 10amyl. Oryzae 10Spiritus ad 200 cc
Efek priritus dpt ditambahkan metholum / camphora pd losio faberi
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Jarang, kecuali daerah tropis Setelah miliaria rubra Papul putih, keras, 1-3 mm Badan & ekstremitas Papul dari pada vesikel krn letak retensi
keringat lebih dalam Gatal (-), eritema (-)
Gejala klinis Miliaria Profunda
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•saluran kelenjar keringat yang pecah pada dermis bagian atas dg / tanpa infiltrasi sel radang
Histopatologi
•menghindari panas & kelembapan berlebihan, mengusahakan regulasi suhu yg baik dan pakaian yg tipis
•Losio calamin dg/ tanpa menthol 0,25%, resorsin 3% dlm alkohol
Terapi
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Terima Kasih