STATUS OF PATIENTS

I. PATIENTName: An F NAge: 10 yearsFemale genderIslamAddress: Jl Kartini 1Education: Elementary SchoolOccupation: Not workingJavanese EthnicInspection Date: 28 April 2015

II. AUTOANAMNESA

Main complaints: Itching of the skin since 1 week ago

Additional complaints: Perih, heat, fever

Disease History NowPatients come to the clinic of skin and venereal RS TK II Moh. Ridwan Meuraksa with complaints of itching on the skin between the fingers, right wrist and left, right and left arm, abdomen, waist back, buttocks, groin, right foot and left since one week ago. Itch-itch initially on the wrist because patients scratch and itch are gradually spreading. Itching is getting itchy when in the late afternoon to evening. Because often scratched by the patient's skin into blisters and bleeding and cause the patient complained of sore.Initially the patients feel the itch in between fingers and scratching until eventually spread to other places. One day prior to the RS arise bubbles filled with liquids on the palms, because carded by the patient then the bubble burst and spread everywhere, and cause injury to the scratch mark. The itching then spread to the groin, buttocks, back waist, to toe.

New patients have complaints like this. The patient's sister had lived in boarding schools but now the patient's brother lived with his family. History of contact or rubbing something into the skin at disclaimed. Found it ticks denied.

Formerly Disease history:• History of disease like this before denied• History of food allergy denied• History of asthma denied• History sneezing morning denied• History of atopic dermatitis denied

Illness Family history:• History of the same skin disease is recognized and happened to brother

• History of allergy medication and denied food• History of asthma denied• History besin morning denied• History of atopic dermatitis denied

III. PHYSICAL EXAMINATIONStatus generalistGeneral state: GoodAwareness: Compos mentisWeight: 20 kgHeight: 100 cm

Vital signsNadi: 78x / minRespiratory rate: 20x / minTemperature: afebrileHEAD: NormocephalEYESo conjunctiva: anemic - / -o sclera: jaundice - / -o PUPIL: Round, Isokor, reflexes Light + / +NECK: Enlarged lymph nodes (-)Thoraxo INSPECTION: Symmetrical right and left hemithorax.o palpation: Symmetrical right and left hemithoraxo Percussion: Sonor throughout the lung fieldso auscultationCast: BJ I-II regular pure, murmur (-), gallops (-)Pulmo: Vesicular + / +, ronkhi - / -, wheezing - / -ABDOMINALo INSPECTION: Symmetrical flato Auscultation: Normalo palpation: Supple, tenderness (-), liver and spleen not palpableo Percussion: TimpaniEXTREMITIESo edema: - -o cyanosis: - -

Status Dermatology

Location: volar posterior region Distribution: bilateral, regionalShape: not typical

Order: discrete - confluentLimit: firmSize: billion - lenticularEfloresensi: overview lesions looked round and elongated form of macular hyperpigmentation topped with erythematous papules and papules hyperpigmentation at the end, accompanied by excoriation and crusting tawny.Efloresensi: multiple erythematous papules miliary size, sirkumkrip, discrete. Black-colored crusts sized lenticular - nummular, confluent. Location: regio PLANAT dextra pedis and the leftEfloresensi: multiple erythematous papules miliary size, sirkumkrip, discrete and groups. Nummular sized black-colored crusting, confluent. White pustule sized lenticular, solitary.

RESUMEWomen aged 10 years came with complaints of itching on the skin between the fingers, right wrist and left, right and left arm, abdomen, waist back, buttocks, groin, right foot and left since 1 week agoItching is getting itchy when in the late afternoon to evening. Because often scratched by the patient's skin into blisters and bleeding and cause the patient complained of sore.

On dermatologic examination found:• Location: volar posterior regionEfloresensi: multiple erythematous papules miliary size, sirkumkrip, discrete. Black-colored crusts sized lenticular - nummular, confluent. There are no fleas from skin examination.

• Location: regio PLANAT dextra pedis and the leftEfloresensi: multiple erythematous papules miliary size, sirkumkrip, discrete and groups. Nummular sized black-colored crusting, confluent. White pustule sized lenticular, solitary. There are no fleas from skin examination.

IV. SUPPORTING INVESTIGATIONNot done

V. DIAGNOSISScabiesAtopic Dermatitis

VI. DIAGNOSIS OF WORKScabies

VII. EXAMINATION RECOMMENDED• Examination of mites: pried placed on a glass slide and viewed under a microscope, magnifying glass on a piece of paper with a brushed Puth, biopsy sliced with a light

microscope, HE staining excisional biopsy

VIII. TREATMENT• Medical Scabimite 30gr used at night ± 10jam, the symptoms have not disappeared can be repeated one week later, the treatment is done by family members who live with patients with smeared all over the body except the hair and face. Betasone cream 5gr 2xsehari Loratadine 10mg tablets 1x1 Ctm 1x1 4mg tablet

• Education• All garments that have been used, either used or are dependent soaked with water boiling stew. Bed linen, blankets, pillowcases and bolsters, towels, and all objects made of cloth soaked with water boiling stew. Sofa and mattress in the sun at noon.• All family members who live in contact with the patient should be treated in conjunction with the patient in order to avoid re-infection.• Maintain environmental cleanliness and skin.

IX. PROGNOSISQuo ad vitam: ad bonamQuo ad functionam: ad bonamQuo ad sanationam: dubia ad bonam