PPT Referart

7/25/2019 PPT Referart

1/15

PUSTULOSA PALMOPLANTARPUSTULOSA PALMOPLANTAR

RISNA KUSUMAWATYRISNA KUSUMAWATY

K1A2 11 0K1A2 11 03131

Pembimbing :Pembimbing :

dr. SHINTA NOIANTI !ARNAS" M.Ke#" S$.KKdr. SHINTA NOIANTI !ARNAS" M.Ke#" S$.KK


2/15

P%&m'$&%n(%r P)#()&'#i# *PPP+

mer)$%,%n #)%() derm%('#i# $)#()&%r &',%&-%ng ber#i%( ,r'ni, $%d% (e&%$%, (%ng%nd%n (e&%$%, ,%,i.

/INISI


3/15

PPP memi&i,i $re%&en#i ,e%di%n di #e&)r)4

d)ni%" n%m)n $re%&en#i ,e%di%nn-% (id%,

di,e(%4)i. Perem$)%n men)n),,%n $re%&en#i-%ng &ebi4 (inggi d%ri &%,i5&%,i" deng%n$erb%nding%n #e,i(%r 3: 1. In#iden#i $en-%,i((erb%n-%, di(em),%n $%d% ren(%ng )#i% 20560

(%4)n" d%n #%ng%( %r%ng di(em),%n #e(e&%4de,%de ,een%m ,e4id)$%n" d%n $%d% 10 7(er%di #ebe&)m )#i% 20 (%4)n.

PI/MIOLO8I


4/15

Pen-eb%b $en-%,i( ini #e9%r% $%#(i be&)mdi,e(%4)i.

Men)r)( beber%$% $ene&i(i%n #eb%n-%, ;7$enderi(% $en-%,i( ini )m)mn-% %d%&%4 $er',',"d%n $ene&i(i%n im)n'&'gi, men)n),,%n b%4


5/15

Le#i %


6/15

8AM!ARAN

Kumpulan pustul berukuran 2-3 mm, kulit eritomatosa pada telapak tangan simetris kiri dan kanan


7/15

K)m$)&%n $)#()& ber),)r%n 25 3 mm" ,)&i( eri(em%('#% $%d% (e&%$%, ,%,i


8/15

Pustul terkadang menyebar di atas pergelangan tangan.


9/15

/%&%m beber%$% 4%ri #e(e&%4 $emben(),%n $)#()&" &e#i %,%n ,ering" mer%(%"d%n ber


10/15

Diagnosis

/i%gn'#i# di(eg%,,%n berd%#%r,%n g%mb%r%n ,&ini#"

$emeri,#%%n 4i#('&'gi m%)$)n $emeri,#%%n&%b'(%('ri)m.

Histopatologi

P%d% g%mb%r%n 4i#('&'gi (er&i4%( %d%n-% 9e&%4in(r%e$iderm%& -%ng di d%&%mn-% (erd%$%( leukositpolimorfonuklear -%ng berben(), #$'n#. P%d% bi'$#ibi#% did%$%(,%n $ening,%(%n #e& m%#( d%n e'#in'@&.T%nd% &%in -%ng d%$%( di&i4%( -%i() #)&i( di(em),%nn-%b%gi%n e$idermi# d%ri d),()# e,rin -%ngmengindi,%#i,%n %d%n-% g%mb%r%n acrosyringium. *1+

/IA8NOSIS


11/15

Laboratorium

P%d% $emeri,#%%n &%b'r%('ri)m d%$%(

di(em),%n %d%n-% $ening,%(%n &e),'#i("#e&%in i() $emeri,#%%n &%b'r%('ri)m &%inn-%bi%#%n-% d%&%m b%(%# n'rm%&. P%d% $%#iendeng%n (%nd%5(%nd% ine,#i d%$%( di(em),%n

$ening,%(%n c-reaktif protein.


12/15

Tine% M%n)m

Tine% m%n)# %d%&%4 ine,#i derm%('@( $%d%

d%er%4 in(erdigi(%&i#" $erm),%%n $%&m%r d%nd'r#)m m%n)#. Pen-eb%b (er#ering %d%&%4g'&'ng%n %m)r Tricophyton.

/IA8NOSIS !AN/IN8


13/15

/erm%(i(i# ,'n(%,

/erm%(i(i# ,'n(%, %d%&%4 derm%(i(i# -%ng

di#eb%b,%n '&e4 b%4%n %(%) #)b#(%n#i -%ngmenem$e& $%d% ,)&i(


14/15

PPP #)&i( )n(), di'b%(i d%n #em)%

$eng'b%(%n -%ng di&%$'r,%n memi&i,i (ing,%(

,e,%mb)4%n -%ng ber#i%( re,)ren. H%& $er(%m%d%&%m $enge&'&%%n PPP %d%&%4 $eng4en(i%n %,('rri#i,' #e$er(i mer',',. Ter%$i ('$i,%& deng%ni(%min /3 %n%&'g #e$er(i calcipotriol/calcipotriene,tazarotene, %(%) An(4r%&in d%$%( men9eg%4

,e,%mb)4%n $%d% $%#ien. Peng'b%(%nmengg)n%,%n $#'r%&en d%n 9%4%-% UA *PUA+did%$%(i ee,(i dig)n%,%n #e9%r% berg%n(i%n %(%)#e9%r% ,'mbin%#i deng%n $eng'b%(%n #i#(emi,.

PNATALAKSANAAN


15/15

TRIMA KASIH

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