kasus tinea corporis

8/18/2019 kasus tinea corporis

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REFLEKSI KASUS TINEA CORPORIS

Rossy Krisvalentina

42100090


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IENTITAS

• Na!a " Nn# A

• $enis Kela!in" Pere!%&an

•

U!&r " 2' ta(&n• No# R) " 00*+0*1,*--

• Tan..al /e RS " 9 Fer&ari 201,


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Kel&(an Uta!a

• atal i li%atan ela/an. l&t&t3%a(a3%&n..&n. an aa


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Riayat Penya/it Se/aran.

• Os !en.ala!i .atal %aa a.ianli%atan ela/an. l&t&t3 %a(a3%&n..&n. an aa# atal yan.

irasa/an s&a( se5a/ 6 &lan yan.lal Os !erasa/an .atal yan. (ilan.ti!&l# Palin. terasa .atal ya/ni saat

!ala! (ari an %aa saat %anasserta /erin.at erlei(# Aalnya(anya er7a/ /e!era(an /e!&ian

/arena .atal Os !en..ar&/ se(in..a


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Riayat Penya/it a(&l&

• Riayat e5ala Ser&%a " 8*

• As!a " 8*

•

T:C " 8*


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Riayat O%erasi

• Pasien tia/ %erna( !ela/&/ano%erasi


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Riayat Aler.i

• Aler.i " Keelai an I/an La&t

• Rea/si " atal*.atal i aan


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Riayat Penya/it Kel&ar.a

• Riayat e5ala ser&%a " 8*

• ;i%ertensi " 8*

•

) " 8*• Aler.i )a/anan " 8


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Riayat Pen.oatan

• Pasien el&! !e!eri %en.oatan&nt&/ .atal*.atalnya


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Stat&s eneralis

• Keaaan U!&! " C&/&%

• Kesaaran " Co!%os )entis

•

=ital si.n " Tia/ ila/&/an• S/ala Nyeri " '


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Stat&s Lo/alis

• Paa a.ian li%atan ela/an. l&t&t3%a(a 3 %&n..&n.3 %antat an aaia%at/an %at7( erite! yan.

tert&t&% en.an s/&a!a serta erosian e/s/oriasi3 atasnya sir/&!s/ri%3ent&/ %la/at terat&r3 !&lti%el3

is/ret3 an istri&si .eneralisata


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ia.nosis :anin.

• Tinea Cor%oris

• er!atitis Konta/ Aler.en

•

Ptiriasis Rosea


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Pe!eri/saan Pen&n5an.

• Kero/an K&lit en.an KO; 10>ia%at/an ;i?a %an5an.3 erse/atan tera%at s%ora ala! (i?a


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ia.nosis Ker5a

• Tinea Cor%oris en.an =&ln&se/s/oriat&!


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Tera%i

R@ )i7onaole 2> 7rea! t&e I

S 2 # e ! et v

R@ riseos&lvin 600 !. ta No# =II S 1 # ta I

R@ Cetiriine 10 !. ta No# =II

S 1 # ta I


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E&/asi

• $an.an !en..&na/an a5&3 7elana3ro/ yan. terlal& /etat an le!a#Seai/nya !en..&na/an yan.

era(an /at&n an lon..ar

• )en..anti a5& setia% /ali %a/ai

• )en5a.a /eersi(an iri

• $an.an !en..ar&/ %aa a.ian yan.sa/it

• Seai/nya t&r&n/an erat aan


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Tinea Cor%oris

• Tinea /or%oris aala( er!atoBtosis%aa /&lit yan. tia/ era!&t8.laro&s s/in /e7&ali tela%a/

tan.an3 tela%a/ /a/i3 an li%at %a(a


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ETIOLOI

• er!atoBtosis aala( in?e/si 5a!&ryan. isea/an ole( 5a!&rer!atoBta yait& E%ier!o%(yton3

)y7ros%or&! an Try7o%(yton#


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Fa/tor Risi/o

1# Lin./&n.an yan. le!a an %anas

2# I!&noeBsiensi

'# Oesitas4# iaetes )elit&s


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PATOENESIS

1# Res%on i!&n nons%esiB/ !er&%a/an%erta(anan lini %erta!a !elaan in?e/si 5a!&r# )e/anis!e ini a%at i%en.ar&(i?a/tor &!&!3 se%erti .ii3 /eaaan(or!onal3 &sia3 an ?a/tor /(&s&s se%erti%en.(alan. !e/ani/ ari /&lit an!&/osa3 se/resi %er!&/aan an res%ons

raan.# Res%ons raan. !er&%a/an!e/anis!e %erta(anan nons%esiB/ter%entin. yan. iran.san. ole(%enetrasi ele!en 5a!&r#


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2# I!&nitas s%esiB/ !e!ent&/ lini /e&a%erta(anan !elaan 5a!&r setela( 5a!&r!en.ala(/an %erta(anan nons%esiB/# Li!?osit Tan li!?osit : !er&%a/an sel yan. er%eran

%entin. %aa %erta(anan t&&( s%esiB/# Sel*selini !e!%&nyai !e/anis!e ter!as&/ %en.enalanan !en.in.at or.anis!e asin.3 en.an!e!%ro&/si antioi3 sean./an li!?osit T

er%eran ala! res%ons sel&ler ter(aa% in?e/si#I!&nitas sel&ler san.at %entin. %aa in?e/si

5a!&r# Ke&a !e/anis!e ini i7et&s/an ole(aanya /onta/ antara li!?osit en.an anti.en


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A):ARAN KLINIS

• Lesi &lat ata& lon5on. en.an te%iyan. a/ti? en.an %er/e!an.an/eara( l&ar3 er7a/*er7a/ isa !elear

an a/(irnya !e!eri .a!aran yan.%olisi/li/3arsinar3an sirsinar# Paaa.ian %in..ir ite!&/an lesi yan. a/ti?yan. itanai en.an erite!a3 aanya%a%&l ata& vesi/el3 sean./an %aaa.ian ten.a( lesi relati? lei( tenan.#


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• Tinea /or%oris yan. !ena(&n3 tana*tana a/ti? !en5ai (ilan. anselan5&tnya (anya !enin..al/an

aera( (i%er%i.!entasi sa5a

• e5ala s&ye/ti? yait& .atal3 an

ter&ta!a 5i/a er/erin.at an /aan.*/aan. terli(at erosi an /r&sta a/iat.ar&/an


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• Tinea /or%oris iasanya ter5aisetela( /onta/ en.an inivi& ata&en.an inatan. %iaraan yan.

terin?e/si# Penyearan 5&.a !&n./inter5ai !elal&i ena !isalnya%a/aian3 %eraot an sea.ainya


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IANOSA :ANIN

• :eera%a ia.nosis anin. tinea /or%oris3antara lain

1# Pitiriasis rosea3 Penya/it i!&lai en.an lesi

%erta!a 8(eral %at7(3 &!&!nya i aan3soliter3 erent&/ oval3 an

an&lar3 ia!eternya se/itar

' 7!# Te!%at %reile/si yan.

serin. aala( %aa aan3

len.an atas a.ian %ro/si!al

an %a(a atas#


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2# er!atitis /onta/

Kel&(an /elainan /&lit er&%a .atal# Kel&(ana%at isertai ti!&lnya er7a/ /e!era(an#Riayat /onta/ en.an a(an*a(an yan.

er(&&n.an en.an riayat %e/er5aan3 (oi3oat to%i/al yan.

%erna( i.&na/an3 oat

siste!i/3 /os!eti/3

a(an*a(an yan. a%at

!eni!&l/an aler.i3 serta

riayat aler.i i /el&ar.a


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PE)ERIKSAAN PENUN$AN

1# Pe!eri/saan !i/ros/o%is ari /ero/an /&lit3 /e!&ianseiaan it&an.i lar&tan KO; 10># Ses&a( 16 !enitata& ses&a( i%anas/an en.an a%i /e7il3 ili(at iaa( !i/ros/o%# Pe!eri/saan ini !e!eri/an (asil

ite!&/an (i?a yan. erse%ta ata& er7aan.3 selainit& ta!%a/ 5&.a s%ora er&%a ola /e7il seesar 1*'

2# K&lt&r ila/&/an ala! !eia a.ar saaro& %aas&(& /a!ar 826*'0DC3/e!&ian sat& !in..& inilai

a%a/a( aa %ert&!&(an 5a!&r# S%esies 5a!&r a%atitent&/an !elal&i ent&/ /oloni3 ent&/ (i?a anent&/ s%ora


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TERAPI

• Penatala/sanaan non !ei/a!entosa aala(

a# &na/an (an&/ terseniri &nt&/!en.erin./an a.ian yan. ter/ena in?e/si ata&a.ian yan. terin?e/si i/erin./an tera/(ir &nt&/

!en7e.a( %enyearan in?e/si /e a.ian t&&(lainnya#

# $an.an !en.&na/an (an&/3 a5&3 ata& enalainnya se7ara er.antian en.an oran. yan.

terin?e/si#7# C&7i (an&/ an a5& yan. ter/onta!inasi

5a!&r en.an air %anas &nt&/ !en7e.a(%enyearan 5a!&r terse&t#


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# :ersi(/an /&lit setia% (ari!en..&na/an sa&n an air &nt&/!en.(ilan./an sisa*sisa /otoran a.ar

5a!&r tia/ !&a( t&!&(#e# $i/a !e!&n./in/an (inari %en..&naan

a5& an se%at& yan. a%at!enyea/an /&lit selal& asa( se%ertia(an ool an a(an sintetis yan.a%at !en.(a!at sir/&lasi &ara#


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• Pen.oatan to%i/al !er&%a/an %ili(an&ta!a# Oat erivate i!iaole analila!in a%at i.&na/an &nt&/

!en.atasi !asala( tinea /or%oris ini#Pe!erian oat ian5&r/an sela!a '*4!in..& ata& sa!%ai (asil /&lt&r ne.ative#Selan5&tnya ian5&r/an 5&.a &nt&/

!ener&s/an %en.oatan sela!a *10 (arisetela( %enye!&(an /linis an !i/olo.isen.an !a/s& !en.&ran.i /e/a!&(an


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Pen.oatan siste!i/ yan. a%at ieri/an %aa

tinea /or%oris aala("

riseo?&lvin !er&%a/an oat siste!i/ %ili(an

%erta!a# osis &nt&/ ana/*ana/ 16*20!.@/.::@(ari3 sean./an easa 600*1000!.@(ari

Keto/onaol i.&na/an &nt&/ !en.oati tinea

/or%oris yan. resisten ter(aa% .riseo?&lvinata& tera%i to%i/al# osisnya aala( 200!.@(ari sela!a ' !in..


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a?tar P&sta/a

• 5&ana3 A#3 ;a!a(3 )#3 Aisa(3 S# 201'# Il!&Penya/it K&lit an Kela!in# Eisi /eena!#

$a/arta# :alai Penerit Fa/&ltas Keo/teranUniversitas Inonesia#

• $a!es3 G##3 :er.er3 T##3 Elston3 #)# 2000#AnreHs iseases o? t(e S/in" Clini7aler!atolo.y# 10t( E# Canaa# Sa&nersElsevier#

• Per(i!%&nan o/ter S%esialis K&lit anKela!in#2011#Peo!an Pelayanan )ei/#

$a/arta#


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kasus tinea corporis

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