erythroderma
DESCRIPTION
FK-UMI MakassarTRANSCRIPT
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ERYTHRODERMA
TEACHING BANGSAL
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Group Name
Natasya Uzu BarselaFerdian Eris PriantoSiti HardiyantiSuci AnugrahRahmawatiRaswindaMuh. MustaqiblatMeyliana Kusuma -
PATIENT IDENTITY
Name: Saebo
Gender: Male
Age: 55 years old
Job: Farmer
Address: Jln. Pampangan Abulosibatang, Maros
Marital Status: Married
Religion: Moslem
Admission Date: 24th August 2014
Medical Record Number : 677158
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History Taking
Anamnesis: autoanamnesis
Chief complaint: scaling all over the body
Further Anamnesis:
Redness spots and scaling on almost the body since 20 days ago, accompanied by itching since about 4 year ago. The itching was perceived intermittent and appears when the patient is getting sweats. At the first time, the itchy was appearing at whole the body, then more severe.
- Treatment history: had been treated by primary health care with
dexamethasone. And he ever consume chinesse traditional medicine
for about among 1 year.Family History with the same complaint:
(-)History of allergy : (+) meatballs and fish (bandeng)Medical
history : DM (-)
History Taking
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Current Status
Consciousness : Conscious (E4V5M6)General Condition : MediumHygiene : MediumNutrition : MediumVital SignBP : 110/70 mmHg
HT : 88x/minutes
RR : 18x/minutes
T : 36,6 C
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Physical examination
Anemic (-), icterus (-), cyanoses (-)Cor/ Pulmonal: S1 S2 normal, reguler, Rh-/- Wh-/-Abdomen: Normal, peristaltic (+)Extremities: Edema (-)Lymph nodes: Enlargement (-) -
DERMATOLOGY STATUS
Location: Regio Generalisata
Distribution: General
Efflorescence: Macula erythema, Lichenification on legs, thick squama, fissure
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Before treatment
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After treatment
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Laboratory Result
RBC: 4,52 (10 6 /uL)WBC: 13,2 (10 3 /uL)HGB: 14,6 (g/dL)HCT: 42 (%)PLT: 489 (10 3 /uL)GDS: 85 mg/dlUreum: 27 mg/dlCreatine: 0,95 mg/dlSGOT: 27 U/ISGPT: 26 U/I -
Treatment
R/IVFD RL 20 ttp/minute
Acytromicin 500 mg 1 tab daily
CTM 3 x 1
Lanolin 10%
Vaselin add 100 gr
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Resume
A man 55 years complain there was redness spots and squama in the whole body, accompanied by itching since 4 years ago. The itching was perceived intermittent and appears when the patient is getting sweats. At the first time, the itchy was appearing at whole the body, then more severe.
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History of medication (+) Dexamethasone, and chinesse traditional medicine for about among 1 year. History of allergic (+).
Dermatology status :
Location: Regio Generalisata
Efflorescence: Macula erythema, Lichenification on legs, thick squama, fissure
Diagnosis : Erythroderma ec susp. psoriasis
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Discussion
Erythroderma is the term applied inflammatory skin disease that affects more than 90% of the body surface.
Erythroderma has multiple etiologies; the most common causes are psoriasis, atopic dermatitis, cutaneous T-cell lymphoma (CTCL) and drug reactions.
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Men are more commonly affected (male-to-female ratio of approximately 2:1 to 4:1).
An even higher ratio can be found in the subset of idiopathic erythroderma. The average age at onset of erythroderma was 52 years.
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Erythroderma is defined clinically as generalized redness and scaling of the skin.
Systemic manifestations include peripheral edema, tachycardia, loss of fluid and proteins, and disturbances in thermoregulation.
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TREATMENT
Emollients
Urea Cream
10%
Lanolin 10%
TOPIKAL
Prednisone4x10 mg/day
Metilprednisolon4x10 mg/day
DexamethasonSISTEMIK
Becom-C
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REFERENCE
Bolognia, Jorizzo, Rapini. 2008. Dermatology 2nd ed.Burns DA. Diseases caused by arthropods and other noxious animals. In: Rooks textbook of dermatology. 8th ed. United kingdom. Willey-blackwell; 2010.Blauvelt A. MP. Inflammatory disease bsd on abnorml hmorl ctivity and inflamatory disease. In, fitzpatricks dermatology in general medicine. Ed.8th.vol 1.New York, america. 2008. P327-328 -
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