Derma to vehero Logi 2

dr. Rian M
.
 Perry TB . Kut 't
I .

Skrofuloderma
↳ (
lnfeksi TB di Kult dan KGB M .

Tuberkulosisl
DX - a
4mF adenitis C awal )
t

pecan ( Ulkus ) men Kuti Alur KGB

"
cold Abcess
"
it BB tkerlngatmalam

Rpenunjang →
FNAB ( Fine Needle Aspiration
Biopsy )

.
Bio psi Aspires -

Tamm Halos

FNAB - a
set data langerhans t heterosis

Thi .
Ryuk Kaseosa
-

OAT ( g - 12 Bulan )

2 .
Mor Bus Hansen lleprae Usta
La M di Kut 't
lnfeksi
.

leprae hipoeslesict)
DX - a Makuta
hlpolhiperpigmentasi ,
Mati rasa Canestesi ) ,
Kebas ( saraf )
Klaslflkasi WHO 9atalH "
Glove stocking phenomena
"

Type PB
(RD) (RDK) Type MB

3
ksi.is/ss,/d7b7aunE7enneisen
,
BTA E -

) Ct )
sample : Kero Kan Kuh't 3 tmpt

2 ygterllbat I Saraf 7
Kultur Lowenstein Janson
Saraf
: .

Bulan
'

trap .

6 Bulan 12 -

minim
petrosal inspiration
diderot Hi
② Rffamplsln 2×3005 Hi →
Rlfamptsin
Klofazlmln
2x 300mg +
Dapson
100mg
Dapsoh IX 100mg Lampron 1×300 mg

Hz the Dopson 1×100 mg

Hz H2O a
Rapson 1×100 mg

§
.
-
-

&
KIOFGZIMIN IX 50mg -

Setelah minim obat Kosta → Reaksikusta Eso :

Anemia GGPD .

ICPB) Pfiiumpism )Eso= Wht Hitam

}
lesi 2×100^9
-

:
spy .

icoxacin 400mg
Minori Min yoong
 Makuta Hipo / Hiperpigmentasi
#
gatalcj gatal 't)
gatalf)
KEBASGD hrebasf)
KEBASG)
'

t I t
Jamur Norby Kel Pigman
.

↳ vitiligo
" "
Hansen
PVC ↳ Albino
 Primer
TBM-iscancre-OKGB.in
→

TB
/ Utley
dirasi Ct ,

Bergavng

\
Otis

Selander
↳
3 ↳

1.skrofoloderrmayttemutogeMUMFOS.
1 Apple Jelly colour
↳
.
c n §' KGB GD
skin BRIDGE
Cpapul / nodus)
cold Arscesg ( abses
Dcrgm )
2.TBINTlsveruhosc.ba
TB
.
milkier
Nhl
↳
↳
BB G)
-

↳ wart like
↳ Discminatacselunh)
tvbvh
↳ Cesi Bolan Sabit
↳ Part
↳ immunovictim
, pistol
,
.

↳ SPAKE
prognosis Bunk
 Reaksikusta

. Reaksi Reversal CTyped ) 2. R Type

. 2 C Er Hema nodusum

↳ saatawalterapi leprosum )
t ↳ airhirpengubatan /
A. type 4 t stlhsuesai
fenomena

H.hpel.tn/lanjvt-Oth/StupsPrennisun
lucid
Makuta
✓ )
erik na Ct ) m .
eritema Ct ↳ 3.

Nyeri Ct ) nodus Ct ) im
etrilema
.
Ct )

nyeri Ct ) heterosis HI

abut gangrene)
Deny . KULA Atergi ( Keyword : Riwayat mnumobat Tertenn )

penicillin , Cefadroxll .
carbamazepine NSAID
Aterci seafood , Udara dlngm

Llrttkaria ( Biduran ) H Type

Klastflkasi
→
I
.
.

→
A. type 1
U Akut ( 56
44 men )
V.
subawt(4- 6mg)
→ .

U .
Kunis ( 76 mgu )
↳ A. type4
Dx erltema edema
.

- a
Makuta ,

pueat di Tengah Ppenunjang lain

Ilka Was - a
Ksi geo gratis ⑦ vjicumt
Skin prick
:

bruit
test

Cth :
Urtikariadlngin ( Cold Urticaria ) Uji tutor mtit .

Th : .
AH C CTM . Cehrizine )

-
Ks oral ( prednisont

② IgE rust G)
Eoknofildarah .

Ice cube Test

?⃝
 C- rgb )
-

DX
PBY
:

=
- Hit
RD
 AH →
sedate ( CTM :
Klarfeniramin Male at ,
Dimenhidrinat , lnj Dtfenhidramin )

↳ non .

Sedate ( Cet train lxiomg ,

1×20 mg ,
loratadln ,
Inter hittin
'

2 Angioedema ( Ht Hpe 1)
↳
.

Atergi - a
Beng Kak pd otot ? Kecil -

( Kelo path Mata ,

BI Btr )
Th :
AH ↳
luring → Edema
-

-
KS oral .
caring

Exanthema
3 .
Drug eruption ( Erupsiobat MOR bill forms )
DX -
a
ruam makulo papular seluneh Tubuh

( m
trip cam pak )
Th : 1st ITS oral

2nd AH Gita gatal )

Bedale
Saly sik Acid 22 t menthol
Topi Kal
:

C Cala dyn Bedale ) -

.
xed Drug eruption ( exanthema Fix turn )
↳ setup Akrgi →
muneul lest
'

yg Sama di Tempat yg Sama .

Dx
'

a
plate hlperplgmentaa
-

tumular ( Koin )

di to Kasi yg Sama

Th : -
Steroid Topi Kal

( Hidrokortison )
-

AH Gita Gata H .

5 .

Et Hema Multiform
DX Makuta Hema le si Target
le si Target
a er
-

①
G .
STS ( Steven Johnson Syndrome ) if armorer lap Sjs -

Ten -

TE N Toxic f
Epidermal sis Necrosis ) -

Bula hipopianckendur )
Dx → But act ) di KULA e mu Kosa

Mouth
Skin
→
conjunctivitis
Eye → But act IKUIH melepuh
→
stomatitis

Thi .

RYUK
-

ABC DEE
-
Ks ( lnjeksi ) 7. Erttroderma ( Dermatitis eksfollatira generate sated

↳ Makuta enema +stoma Generali Sata

Perry
Pem
.
KULA

Ficus
lmundogi
( ada Autoantibodies mere gang Kan lapis an Huitt
!
↳ Riwayat mmvm obat C- I Rew Alergi c- ) .

Pem
vicus vulgaris
- Bula Kendo r

-
Nikolsky Ct )

Patologi epidermis Lin

Epidermal
-

-
melt bat Kan mucosa

.
C stomatitis I t)
DEG

Pemfigus Bukka - €
-
Bula Tegan g
-
Nikolsky C -
I

=
Sub epidermal
. -

stomatitis C -
t
Th : KS .
 Rule of nine

Ei
①
☒
g=9 = 9×11=99 %
+

g g
?⃝
 -0MW nninumobat
.

*=*m"
Pemfigy Vulgaris Pemfigus D- ulosa

Autoitnun .

gej = Bula Hipopion ( Kondor) Bula Hyang

nihollhy G) nitrous try G)
( usiu knot) ( Usia mvda ) -

Px =

igbdsnbomplemen Ñg5 dimombron Basal

di Epidermis danterbentoarnyssptpita .

(Pita Form)
Th :
KS KS
prednisone prednisone
( too -150mg 1ham) (40 -60mg than )
DEE
 Usia lanjvt .

5cal
45 ( staphylococcal
syndrome
D) De
,

grin

↳
( Ritter
Disease ) -

anak < 5 fun

↳
.

Pew . Demain G) IIPA nyeriterggo

↳
,
,

- ruban .

roam Em term

↳ town
,

Epidermal in doh
Bula trendier

↳ pomp =
Ehgfoliqtin
Seniti ,
.

Th
/ AB → sistemik
 Pinyan : 40%

Dermatitis ④ sedany
Bernt
:( 0-50010
i
55040
i . D .

Atopi ( Riwayat Atopilttlergiugditumnkan )

DX → RN .

Atop Ct )

lest KULA →
Makuta erltema , papul ,
gatal

di
plpi ( Bayi ) di
hpatslkullutut C anak ? ) .

Th :
Topi Kal : KS Topi Kal ( Hldrokorhson )
Sistemik :
.
AH oral ↳ low potent .

-
Ks oral

Zika lnfeksi set under Ct ) → AB C Topi Kal ,

oral )

2 .
DITA e DRI .

DKA ( Alergi ) Dkt C infant )

etui Atercen ( Kuutinlkel ,

kart ) irritant ( As . KUCH , Basa that ) .

H Type 4 .
Non .

Man .

Ay : gatal perch Ctl

- a
gala ICH

les , KULA papule

-11 erltema Vest Keith erilema .

onset 712J am Mari ment -

jam
P .

penuryang Tes tempel Patch Test Patch Test

( Makin lama makin Merah ) ( makin lama - a Merah I )

Crescendo decrescendo '

DRI Kumul ahf ( Infante mah Petersen)

"
Makuta erltema
"
Laggan munculsekkh
Sesvialbentuk Bend anya bebera Bulan .

Handan Akrgen C DFA )

'

Th :
Toplkal
C ITS ) Hldrotortison → .

AH .

KS oral
 DA ( kriteri A Hani Fin Raska)
3 Minor + 3 Mayor

f-
^ Minor

1.) pruritus 19am 1.) Xerosis

2.) naorfulogi Distribvsi
2) ichtyosi
,

Anan →
Facial
( pip;)
Extensor
( upats, my 3) Filum Peri Auricular
Wtvt
Dewan to ✗or 4.) IgE reactivity
Khani pibasi

{
"" d " " ""

" " "" '

^ "" """ "" Dermatitis
4.) AW .

Aiopi 6.) Scalp Dermatitis .

 Tomcat 7 Dermatitis
DKI Toxin C Bile ) ÑrmahH Paederus
'

3. Insect Uibnenata
.

eh 0 :
Rw .

gig , tan Serang ga

Dx a er Hema ,
neurosis Sentral

di Kher
"
"
Kissing Phenom en

Th : ITS Topi Kal

LSK
4. Neuro dermatitis Slrkumskripta ( lichen simpler kronikus ) / when vidal .

R :
stress gatal di Kaki →
pung gung
→

gyaruk
DX - a
plate hlperpigmentasi
Llkehiftkasi erosict ) mene bat
,

C KUCH Kayu)
Th : Hlndari FR t KS C pig potent )
Clobetasol 2-ate

+ AH oral

5 .
Dermatitis Seborolk
etio : Malassezia ( pltyrosporum ovale ) ldiopatik
,

predlleksi
DX
i
Skalp ,
wajah
Berm
( naso labial )
stressor
-
a Skua ma tuning in yak .

Th : -
KS Topi Kal C Hidrokortison )

Aka KOH Ct ) : 1st Shampoo selenium sulfide 1.88

2nd Shampoo Ketoconazole

G .
Dermatitis Numularls ( Discoid eczema ) ( eko :
ldaopatik )
Plate
Dx →
Makuta
/ er Hema Ben tuk number ( Koin ) / Bulat
,

Th : . ITS Topi Kal C Beta meta son Cr ) ↳ madidsns

Cpsyditergah)
⑤
-
AH C gatal )
 7 .
Dermatitis stasis
Varies Berdan
'

FR : , lama : SPG , Koki ,

was .

Dx enema papal ft )
plat
- a
,

nyeri Ctl - a
djika Kaki di Tinggi Kan

ThKS :
Topeka I ( Beta meta son Cream ) .

Hkne Vulgaris

I
etio :
. Sumba tan Kel sebaseacmnyak ) → Home do ! ! !

Prop on bacterium Acne CP . Acne )

15,1
50,1
Klas Ifl Kasi
Ring an - a
papal 420
pustule nodule -
I

Sed ang nodal

Ti
15 55
papal postal

5526
-
a
tetra / inn
-

→
Berat →
papal 7100
postal 750 nod ul 75 2X 500mg
Da →
-

Down Amin

20-100,1
Total aksana
2 ✗
lung

k→mmdam
Ring an Komedo As retlnoat Topi Kal
y
→ .

Ab to Pikul .

pustular - a As Retinoat
.

Topi Kal t Kunda my sin 2- alf

300mg I ✗
.

I
Sedans komedo As retinoat / Ben 2- oil peroxyda
y
→ .

lbu Hamil .

Ab Oran
pustular -0
As retinoat .

/ Ben 2- oil peroxyda 52 t Kunda man 300 Mohr

Berat Ryuk Doxyeihn io
'

→ → isotretinoin Tablet 2x omg

C 7 -
lohr )

Erupsi Aknei For mis -

La FR :
steroid in Feksi mkt hormonal , og meta both
, ,
'

DX - a steroid -
a lest min patine C Komedo C -
I )

pung Dungdi Idi dada

Th :
Hentikan steroid
 ①
Komodo pupil/pustule Horst

Pinyan 420 < 15 0

Sedang 20-100 15-50 45 .

Berat 3100 750 35

 telas-kelassteroid-l.hr#as
Super potent → LSK

(
( ceorseiasol 0105%)
↳ psoriasis
KVAT
2.) Kaas potent
( Desoxi methadone 025%)

3) betas upper mild

( Desoxi methadone 0150%1
-

4.) treas Milb

(
( FN# None cr 0105 %)
( Beta metasonecr on %)
day
⑤

5) Keta lower mics

( Triamsmo lone 011%)

6.) Kotas less potent

t ( Hidrohortrson 2%125%11%105 %)
pinyan .

KUAT = Lsk ,Psoriasis Discoid lupus Akpetia Arcata

, ,
.

Sedang :
Dermatitis seboroik D. Homeland , D. stasis
,
.

D. ATOPIK

Ring an :
napkin
Eczema
,
Facial
Dermatitis
,
D. intentriginosa .

I
wajib → Anak ¥
 Dermatitis Peri oral
↳ FR : steroid

Dx steroid Hema di Sekhar

pustular mullet
→
papal
- a
, .

Th :
Henk Kan steroid

Dermatitis percival Anne Rosacea

Akne Rosacea
↳ FR Makan an
:
pedas dan Berminyak
etio :
lnflamasi Kel Seba sea .

Dx - a
papal Ct ) pustule ) Home do C- I
hiding boar tan
di wajah 1 Flushing ↳
,Rhyrophym①
-

' bunt ditgh

Th Handan FR
Spt
:

Doh Lam
.

Push ) a

salep Klindamycin lampv

- -

Akne Kong lobata

La DX - a
Kist a Ct )

Th :
Steroid intra le si
 Miliaria
↳ etio : Sumba tan Kettering at C Ekin )
FR :
coach
Panas , Bap Tebal

Klas IFI Kasi

Epidermis St
le si :
superficial
.
Spinosum Ksi

Teles air
↳
en papal .

er Hema

nyeri G)

le si le si
↳ no dot
↳ pus
yg dalam
danker as
Dermo Epidermal .

sewarna
KULA
.

Junction .

( )
Ctc)
Th Bedak
: -
Kook Asn .

Saly silat 2% + menthol

) Klorhelksldin
-

515km ik → gatal → AH

pastel →
AB oral / Topikat
-

Edu Kasi Hindari e hind ari Tebal

cuaca
panas pakatan
:

Psoriasis
↳ etio T ( Idiopathy
pi ouferasi lapis an epidermis
: - -

}
DX berta pls
→
plaklskuama Tebal

did
:{
" "
warn a keperakan seperli mika
autyanutut
das ar er Hema

PF -
a l .

Auspitz Sign
2 .
Fenomena Tete san Lun ( Candle wax
Tranter
sign )

3 .
Fenomena Ko ebner sign
 P
penury ang
.

↳ Bio psi Histopatologi

I

prohferasi set

Yg Berle bihari

Th le si : total
dobetasol Cr

le si slstemlk :
KS oral

( prod neon )

Pity Maas Rosea

et lo : HHH type 6 dan type 7 C Human Herpes Virus )
di
Spkuama ping gir
DX → awal : Herald patch
C plate Souter to er Hema Kola ret Ct ) )
ryong , ,

t
Orme
papilla Ct ) makuta Ct ) eritema

'm
'
!
:t
.

Ignite
Yg bersusun sseperti potion cemaraterballk

' " mast Tree ) .

*
Gata →
. AH oral
-

Bed at Saly sik

26

Ring an introns vulgaris

( KULA )
f-
=

Iktyosis Vulgaris than .

sodomy :
iwtyosis lamellar

0
.

FR :
Riwayat Ato pi Koons Berat =
itrtyojy Harley Quinn .

Dx - a KULA Kering ,
Berson , seperti than ( Fish Uke skin ) -

ding in
'

gatal yg member at di mush

Thi .
emotion Cpelembab )
-

AH Gira Gata it
 Pigment
Yann
the
I.:
n'
h "

%
'

Penyakitkuut smakhloasnia

VITILIGO
La
→ lamp wood → Putih Kapur ( chalk
White
)
Hip melanosis
.

ldlopatik
Dx → Makuta hip pigmentasi
gata IC I Matt rasa C I trauma c- I

Melanin
- -

Klas Itt Kasi

-

V. general Bata - a
hamper seluruh Tubvh

.
V Vulgaris
.
→
pola talk Menen tu

V Akrofasial distal ekstremttitas

a
wajaht
-
. -

Th t UV A P UVA
psoralen
: . →

( Metoksalen ) I

2 .
Melas ma -
a th per melanosis -

et lo
.

estrogen
Hormonal C )
TR : T papa rant
Sinar ma tamari Ibo Hamil lpengguna
KB hormonal
Dx hiperpigmentasi Bilateral
.

→
Makuta ,
.

gata IC -

I Mati rasac -

I
'

Th : . Handan FR
-

Hldrokuinon

lentigo Solaris ( Age spot)

FR : -

Usia Tua
1 Unilateral .

Papa ran Sinar Mata hari

•
Keratosis Seboroik → us in TM -

Dx :
papal Verrucosa lplak hyperkeratosis
Kehl taman ( Tumor Anak )
 • Freckles ( nuda)
FR :
Bangsa KULA Putih

Hip pigment

↳
Post lnflamasi a as i Post heiamasi
-
lesi (Putih
.

Trauma hip pigmentosa

tiipeipigmentaa
- a

(Trana KD
'

/ Hidrolrinon
Post htamasi
th
( Hitam)
-

Trauma → le si flip er pigment a si .

( Garu Kan )
H Ipo melanosis
Bykebinian
→
aka Rambut on de ,
Iris warn a C talk hitam)

,
Albino C dari Anak Z
)

( Dep igmentasi) → total .

PIEBALDISME → mutagen C- kit

↳ Autosomal Domitian ( Depigmontasi melanosit

↳ Depigmenlasi Hunyadi
Pads Cesi

but dsn Nkt

Nut

↳ in
ram

Hitam ( what → sebagian)

0¥
(Bilateral)

( ni lateral .

DX : Mela Img
 Kegan asan pd KULH
.

I .
BCC ( Basal Cell Carcinoma .

FR : Kars lnogenik
Dx → Ult vs Kotor .

wanna teh Haman ,

Tdk Teratur
" "
"
Ulkus Rodent ,
Teleangietetasis .

Meng khat
"
Black pearl
"
/ pearly App
Hislopalulogi - a
palisade set NLM
predlleksiiwajah
↳ Ter Hun .

Spt pagqr
Th Ryuk Kemolerapi
: -
a

2 . SCC ( Squamose Cell Carcinoma )

FR : horas , busier
Karslnog@hlkDx-ahodul.Hiperkeratosis.uk
si
.
Ber Benoit
}
era

"

Berdarah
"
Moolah

Hlstopat : Matara Tanduk ( Horn Pearl) .

Th :
Ryuk

3. Melanoma Malign a
↳ Kegan as an dr Nevus pigmentosa
N Batas teas Folke I Ram
but Regular Warm Hitam
pigments us plate hiperpigmenfasi
.

→
.

, ,
,
,

↳ Ganas C M .
M )
A → Asimetris

B → Border ( Batas Kabir )

C -17
Color ( warn a makin hilum )
D →
Diameter ( makin me luas ) -

E-
Evolving
+
Th .
. Ryuk .

→ Rcw . Dis LIP I Do mig

⑤ Cutaneous Xanthoma
↳ Tumpukan Lipid di Kult
math .
= Xanthus my
DX → nodal / plate kekuningan .

plane Xanth ma .

Th :
-
Diet Rendahlemak
-

. EKSISI
 dlopahk ( in'FeMi ,
inflamasi) -1 Diameter 1*1
Dx - x exclamation mark C Tanda send

Th lotion Minoxidil
'

.
:

2 Alopecia Androgen it
( Testosterone )
.

etio Genetic Hormonal :

Hing
.

DX - "
Ram but talk Tumbuh mengikuti pola Ferfentu ( Spt
ta
,

Th :
Minoxidil t Finasteride Tab ) .

3. Telogen Efkvwm : b
5- ✗ rcsdukfusi
Ram but Ron tok diameter
Hair C I -

inhibitor
,

iniemi
politest Cth iibv
diet ketat
ibuitumlpytpwtm
:

,
I
A Efluvlum
BPH
4
1*1
hagen
.

@AlopesiaCkeronlokanRambutti.ALopeciaAreataetIoi.l
Cth Ram but Ron : tok

Karna obat kmoterapi

thdra adenitis supinate

↳ eko Stapletons I streptococci
↳
:

lnfeksi pd kelenjar Apokrin Cdi Alcala )

Fri Trauma C waxing deodorant ) .

DX : nodal ,
abses ,
Asura di ketiak
Th : -
AB

Abses draignase
'

-
→ insist
 Abate

Dt )
stray
g) ✗

↳ (e) .