Presentasi Eritroderma

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Chainurridha

Cut Nurul Azzahra

Supervisor :

 Nanda Earlia

Eritroderma pada Pasien

TB Paru

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Insidensi diIndia dan

Belanda 0,9-! per"00#000

 pendudu$

Per%andin&aninsidensi pria

dan 'anita(:" hin&&a):"

*sia rata-rata penderita )"-

+" tahun#

Pendahuluan

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einisi

Eritroderma adalah eritema dan

 pen&elupasan $ulit se.ara dius /an&

meli%at$an le%ih dari 90 dari total permu$aan $ulit tu%uh

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4%atan-o%atan:

Etiologi

Acetaminofen Minocycline

Actinomycin-D  Nitrourantoin

Allopurinol 4meprazole

Arsenic Para-amino sali./li. a.idBarbiturates Peni.ilin

Captopril Phenotiazine

Chloroquine diphosphate Phen/toin

Chlorpromazine 5uinidineCimetidine 1iampi.in

Dapsone Streptom/.in

Gold Suladiazine

Hydantoin sodium Sulon/lurea

Interferon Tetra./.line

Isoniazid/ Isonicotinic hydrazide Thalidomide

Isotretinoin Tol%utamide

ithium 6an.om/.in

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Patogenesis

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8a%oratorium

"# arah len&$ap

(# *rin len&$ap

# Serolo&is.2istopatolo&i

"# S$in Pun.h Biops/

.Ima&in&

"# oto Thora

Pemeriksaan Penunjang

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Penatala$sanaan

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Eritroderma adalah $elainan $omple$s /an& meli%at$an

 %an/a$ a$tor tetapi out.ome-n/a ter&antun& den&an

 pen/a$it /an& mendasari# Eritroderma di$arena$an rea$si

o%at a$an sem%uh den&an sempurna 7i$a penan&anan a'al

tepat

Pro&nosis

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Identitas %asien

 Nama : N/# N

;enis 3elamin : Perempuan

*mur : + tahunPe$er7aan : I%u 1umah Tan&&a

Alamat : arussalam

 No# C< : "-0"-9!-!0Tan&&al Pemeri$saan : ( Septem%er (0")

8aporan 3asus

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$eluhan .tama'

3ulit ter$elupas di seluruh tu%uh

i0ayat %enya"it #e"aran&'

Pasien datan& den&an $eluhan $ulit ter$elupas di seluruh tu%uh se7a$

" %ulan /an& lalu dan sema$in parah se7a$ ( hari se%elum masu$

rumah sa$it# A'aln/a dari %a&ian tu%uh atas, lalu men7alar $e

seluruh tu%uh# Pasien men&a$ui pertama &atal-&atal dan mun.ul

ruam $emerahan $emudian men7adi hitam dan ter$elupas# Pasien

menderita TB dan harus meminum o%at TB namun %erhenti se7a$satu %ulan /an& lalu# Pasien 7u&a menderita ia%etes <ellitus tipe

( =$adar &ula darah ter$ontrol># 1i'a/at men&&anti 7enis sa%un dan

shampo disan&$al

8aporan 3asus

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i0ayat %enya"it Dahulu '

Tida$ pernah menderita pen/a$it seperti ini se%elumn/a#

i0ayat %enya"it $eluar&a 'Tida$ ada an&&ota $eluar&a dan $era%at den&an $eluhan

/an& sama

Laporan Kasus

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%emeri"saan 1isi" 

Status ?eneralisata'

3eadaan *mum : Tampa$ sa$it %erat

3esadaran : Apatis

Status &izi : Cu$up

6ital si&n : T: "(0@0 mm2&   21: "00 @ menit

  11: (0 @ menit

  T: ,9 .

Pemeri$saan isi$ : 3epala dan 8eher:dalam %atas normal   Thora$s: dalam %atas normal

  A%domen: dalam %atas normal

  E$stremitas: Tampa$ edema pada tun&$ai

$iri

8aporan 3asus

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#tatus Dermatolo&is '

1e&io : a.ialis, thora$alis anterior dan

 posterior, a%domen, e$stremitas superior dan

inerior 

es$ripsi 8esi : idapat$an pat.h

hiperpi&mentasi, u$uran pla$at den&an

 permu$aan erosi dan s$uama $asar# ;umlahmultipel dan distri%usi &eneralisata#

8aporan 3asus

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Eritroderma den&an Underlying Disease :

"# ru& Eruption

(# ermatitis Se%oroi$ 

# Psoriasis 6ul&arisisertai anemia, leu$ositosis, TB Paru, dan < tipe (

ia&nosis Bandin&

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%emeri"saan Interpretasi 2ilai 2ormal

Hemo&lobin "0,) &r@l "(,0 "),0 &r@d8

Hemato"rit ( )0 !!

!ritrosit , "0+@ul ),! +,0 "0+@ul

eu"osit (9,! "0@ul )," "0,! "0@ul

(rombosit "+ "0

@ul "!0 )00 "0

@ul!D + mm@7am 0 (0 mm@7am

#G3( " D " *@8

#G%( (0 D ) *@8

2atrium ")" "!-")! mmol@8

$alium ,( ,! ),! mmol@8

$lorida "(+ 90 ""0 mmol@8

.reum "0! " -) m&@dl

$reatinin (,90 0,!" 0,9! m&@dl

Pemeriksaan Laboratorium

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Eritroderma den&an Underlying Diseaseru& Eruption

isertai anemia, leu$ositosis, TB Paru, dan< tipe (

ia&nosa 3er7a

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Terapi suporti :

<onitorin& pemasu$an .airan@ %alan.e

ele$trolit@ re&ulasi temperatur 

iet tin&&i protein

Pen&hentian $onsumsi o%at /an&

men/e%a%$an eritroderma

Tirah %arin&

Penatala$sanaan

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(erapi 1arma"olo&i'

I6 18 (0 tetes@menit =>

#istemi"'

In7# <etilprednisolon +(,! m&@ 7amIn7# 1anitidin !0 m& @ "( 7am

Cetirizine "0 m& ("

(opi"al'

"# Co.onut oilF dilu$ortolone valerate =pa&i@sore>

(# Co.onut oilF desoimetasone =malam>

Penatalaksanaan

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5uo Ad 6itam : du%ia

5uo Ad Sana.tionam : du%ia

5uo Ad un.tionam: du%ia

Pro&nosis

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is$usi <asalah

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Diskusi Masalah

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Diskusi Masalah

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Diskusi Masalah

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Diskusi Masalah

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(HA2$ 43.