Review Jurnal Kel3b13

8/18/2019 Review Jurnal Kel3b13

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PSORIASIS


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Gejala Klinis

Dimulai dengan makula dan papuleritematosa, ukuran lentikular – numulamenyebar secara sentriugal!Gambaran klasik" plak eritematosa dilip

skuama puti# disertai titik perdara#an!Dapat menyerang kulit, kuku, mukosa, tetapi tidak mengganggu rambut$erdapat enomena Koebner, lida# geo


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! Psoriasis in*ersa

&esi " tampak lembab dan eritematosa

$erdapat di daera# intertriginosa, aksila, osa

antecubital, poplitea, lipat inguinal, nramamae

perineum!

)entuk lesi" tidak berskuama, mera# merona,

mengkilap, berbatas tegas


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)ackground

)ackground rom case in t#is journal is a risk apatient! It is actor genetic -father was bald. a

-vegetarian for 20 years). /air loss, or alopecia

common presenting symptom! 0ore t#an one

'omen #a*e clinically signiicant #air loss du

lietime! /air loss may be t#e irst clinical sign o

disease!


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/air biology


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1ause o #air loss

/air loss can #appen in central portion, lateral portin, or ro

o t#e scalp! /air loss categories scarring can be caused "

a.#iperandrogen -#irsutism or menstrual disturbances. mo

b.2lu*ium telogen numbers o anagen #airs to telogen #a

scalp 34 " 54! /air loss 6 544+day

c. Ater a major illness or ot#er stress -e!g!, surgery, parturitio

'eig#t loss, nutritional deiciency, #ig# e*er, or #emorr#age

#ormonal derangement - t#yroid dysunction.

d.2lu*ium Anagen agent kemoterap#y


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1ause o #air loss

/air loss categories non scarring can be caused"

A less re7uent cause o nonscarring alopecia is alopeci

areata!

$#e cause is unkno'n

)ut it is t#oug#t to be autoimmune, compulsi*e #air pulli

-tric#otillomania., se*ere bacterial inections, tinea capit

in rare cases, abnormalities causing ragility or breakage

irregularly s#aped #air!


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/o' to diagnosis 8

Patients should be asked about hair-care practicedamage hair (e.g., braiding that causes tractionas well as about the loss of eyelashes, eyebaxillary, pubic, or body hair, since any hair-bearinbe aected by alopecia areata or trichotillomaniaof illness, childbirth, surgery, psychosocial stressmedication predating the onset of hair loss bmonths suggests telogen e"u#ium. Acne, menstrual cycles, or hirsutism may indicate excess contributing to female-pattern hair loss.


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0anagement

0ino9idil solution Antiandrogen t#erapies

/air transplantation


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Result

$#e aut#or 'ould initiate treatment 'it# topical :;

solution t'ice daily, 'it# t#e plan to continue t#is

indeinitely i t#ere is e*idence o eicacy 'it#in % year! I t

are unsatisactory, #air transplantation mig#t be conside

procedure is a*ailable and aordable to t#e patient and i

t#e donor area #as suicient density! $#e aut#or 'ould

re*ie' t#e patient(s e9pectations regarding t#erapy, 'it# a

t#e magnitude o impro*ement t#at can be realistically a

Results o treatment are usually seen in < mont#s to % yea


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Review Jurnal Kel3b13

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