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DERMATOLOGY
ALLERGIC SKINDISEASES
BY :
E.SUTEDJA,DR,Sp.kk
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ALLERGIC SKIN DISEASES
ALLERGY ALLOS + ERGOS
DEVIATION IN BODY IMMUNE REACTION
(HYPERSENSITIVITY)
COOMB & GEL
TYPE I IMMEDIATE (RAPID) ANAPHYLAIS
II CYTOTOIC
III ANTIGEN!ANTIBODY COMPLE
IV DELAYED TYPE (CELL!MEDIATED)
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ALLERGEN : "OOD
INHALANT
DRUGS
PSYCHOLOGICAL
DISEASES :
URTICARIA
DRUG ERUPTION
CONTACT DERMATITIS
ATOPIC DERMATITIS
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URTICARIA
DE"INITON :A VASCULAR REACTION IN THE SKIN RESULTS "ROM A VARIETY O"
CAUSES THAT IS CHARACTERI#ED BY :
♦LOCALI#ED EDEMA $ RAPIDLY DISAPPEARED! GRADUALLY
♦"AINT %RED COLOR
♦RISE "ROM THE SUR"ACE
♦SENSATION O" ITCHING%BITE%PRICKED
ANGIOEDEMA DEEP SKIN LAYER LOOSE CONNECTIVE TISSUE
SUB!MUCOSA%SUB!CUTIS
(RESPIRATORY,GASTRO! INTESTINAL,
CARDIOVASCULAR TRACTS)
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ETIOLOGY : ' UNKNON
DRUGS : PENCILLIN & DERIVATIVES
SULPHONAMIDES
ANALGESICS%ANTIPYRETICS
DIURETICS
OPIATES CONTRAST
TRAN*UILI#ERS
ANTICONVULSANTS
"OODS : SEA "ISHES
LEGUMES
COCOA
EGGS
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INSECT BITES (VENOME)
PHOTOSENSITI#ER : GRISEO"ULVINE
SULPHONAMID
COSMETICS
INHALANT : POLLEN
"UNGAL SPORES
DUST ANIMAL "URS
CONTACTANTS
PHYSICAL TRAUMAIN"ECTIONS
IN"ESTATION
PSYCHE
SYSTEMIC DISEASES
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CLASSI"ICATION :
ACUTE : EEKS - EEKS (DAILY)
CHRONIC : EEKS
- EEKS (DAILY)
MORPHOLOGY : PAPULAR
GUTTATA
GIRATA
ETENT : LOCALI#ED GENERALI#ED
ANGIOEDEMA
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MECHANISM : IMMUNOLOGICAL
NON!IMMUNOLOGICAL
PATHOGENESIS : CAPILLARY VASODILATATION%ERYTHEMA INCREASED CAPILLARY PERMEABILITY
RELEASING O" MEDIATORS
IMMUNOLOGICAL%NON!IMMUNOLOGICAL
SYMPTOMS : ITCHING, SENSE O" BURNED , PRICKED,ERYTHEMATOUS & EDEMATOUS
SUPPORTIVE TESTS :
/. ROUTINE BLOOD, URINE, "AECES
0. TEETH LOCAL IN"ECTIONS
1. I2E, EOSINOPHIL
-. PRICK TEST INHALANTS, "OODS, "UNGUS
3. ELIMINATION TEST ELIMINATING
ATTEMPTED ONE BY ONE
. ICE TEST
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THERAPY : IDEAL AVOID THE CAUSES
ANTIHISTAMINE (H/) CORTICOSTEROID
U45678468 :
-98;7;85<-8=56p4>465>9
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ERYTHEMA MULTI"ORME
Erupsi :- Sudden & recurent
- Skin/mucosa
- Pupil-like- Severe S/constitution; vesceral lesion
TYPE : Macula erythema esico!ullosa
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M87>8
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DRUG ERUPTION
I=76
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D4>2 4
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"ORMS :
U45678468E4;548E8=5@ ("62 E4>p56?=)
! H;p
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STEVENS!JOHNSONS
SYNDROME
D7?98
V846
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DIAGNOSIS :
M6 9
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E;< D69?4
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THERAPY :
-C84
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T E N
M?4< 9
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ith the mucosa o, :
.ral/lipsErosion/ecoriation
'rust
P85??2678 8=85?@; : Epidermolysis
0ikolsky si1n 23)T