teaching-bangsal - drug eruption

TEACHING BANGSAL

DRUG ERUPTION

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Group Name

o FUAD TRY KHALASo NUR RAHMYo IKA NOVI ASTUTIo NENO FEBRIYANTIo FEBRIANTY PALISURI

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History Taking

Anamnesis : Autoanamnesis

Chief complaint : Florid skin in almost whole body and itchy face swelling

Further Anamnesis :The patient complained of redness in almost all body and facial swelling itching that starts on the face and then spreads throughout the body since 3 days, patients initially feel itching in the face, followed by the appearance of reddish spots widespread throughout the body. Complaints arise after the patient drinks Azhytromicin obtained when control in skin and venereal clinic. Fever (+). HT (+) DM (+). Patients never cared about december 2014

Family History :Diabetes Mellitus

Drugs and Food Allergic History :1. Egg, Cakalang fish, and dry fish2. Ciprofloxacin and mefinal

Treatment History :3. Mefinal4. Ciprofloxacin5. Cetirizine (10 mg/24jam/oral)6. Cefadroxil (500mg/8jam/oral)7. Paracetamol (500 mg/8jam/oral)8. MBO Talk (oles pagi-sore)9. Obat racikan (oles pagi-sore)

Current Status

• Consciousness : E4M6V5 • General Condition : Good• Nutrient : Good

• Vital Sign- BP : 170/90 mmHg- R : 20 x/minutes- HR : 88 x/minutes- T : 36.6°C

DERMATOLOGY STATUS

Location : Regio Generalisata

Efflorescence : Eritema, Skuama, Xerosis

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Laboratory Result• 21 Januari 2015

– WBC 14.9 x 10^3/uL– RBC 3.02 x 10^6/uL– HGB 8.3 gr/dl– HCT 26 %– MCV 85 fL– MCH 28 pg– MCHC 32 gr/dl– PLT 340 x 10^3/uL– MPV 7.0 fL– PCT 0.3 %– NEUT 69.2 %– LYMP 14.5 %– MONO 4.6 %– EOS 11.4 %– BASO 0.3 %

– GDS 239 mg/dl– GDP 259 mg/dl– GD2PP 354 mg/dl– Ureum 26 mg/dl– Creatinine 1.10 mg/dl– SGOT 27 U/L– SGPT 23 U/L– Natrium 141 mmol/l– Kalium 4.0 mmol/l– Cloride 109 mmol/l

Diagnosis

Drug Eruption

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Treatment

R/ IVFD Ringer Laktat 20 dpm

Dexametasone 1 Amp/24 hr/IV

Cetirizine tab 10 mg/24 hr/oral

Betamethason 10 mg+fuson cream 5 gr. (morning-afternoon)

Hidrokortison (face)

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Resume

A Woman 45 y.o complain about reddish skin and itchy all over the body since ±5 days ago after consume two type of drugs that is Mefinal and Ciprofloxacin. The patient consumed those drugs because she felt hurt on her ears. At first, reddish skin and itchy appear on her face and then spread all over the body.

Fever (-), Malaise (-), Anorexia (-),

Latest disease : Diabetes Melitus, HT

Allergic History : Unknown14

Dermatology status :

Location : Regio Generalisata

Efflorescence : Eritema, Skuama, Xerosis

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Thank You

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