DERMATOVENEROLOGI

2 .

dr. Dea Yulia Lubis

 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
E- t heterosis

Thi .
Ryuk Langhans 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 9atalH "
Glove stocking phenomena
"

WHO 2- 5

Type PB ( RD) (RDK) Type MB

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

) Ct )
sample : Kero Kan Kuh't

ygterllbat I Saraf 7
Kultur Lowenstein Janson
Saraf
: .

Bulan
'

trap .

6 Bulan 12 -

Hi Rffamplsln 2×3005 Hi →
Rlfamptsin 2x 300mg

Dapsm 1×100
mg lamp rene 1 Klofazlmln 1×300 mg

Hz the Dopson 1×100 mg

Hz H2O a
Rapson 1×100 mg

§
.
-
-

KIOFGZIMIN IX 50mg -

Setelah minim obat Kosta → Reaksikusta

Lest I ( PB) Rifampicin 2×300 Mr Anemia GGPD
} ( SD)
:

Ottoman'm -400ms v kalif menghitanymengseiap

Minoksiklin too my
 Primer -7 Po Kuh's canoe
HKEB , induran .

4kEUR bergaang

TO Kutis

Siekunder
ht .
5knfekoderma
D ④ KEE
7 Skin bridge
7
• Cold abbess ( absenting in )

2. TO Kutis Wnek
on

9 El Koo
7 Wart like
7 less balan saw
.

3 .
lupus vulgaris
of themab gen , limfogen
7 Apple jelly color

4. TO Kutis Miller

7 Immunocompromised
od Phoghoth BUNK
 axnirtempilwawmep.jp
Reaksikusta "
"
"

'

ENL
. Reaksi Reversal CTyped ) 2. R Type
. 2 C Er Hema nodusum
leprosum )
t A. Type 4 H .type3
t
Makuta erik na Ct ) m .
eritema Ct ) 3. fenomena lucid
Nyeri Ct ) + Prednisone + im
etrilema
tonight!
nodus Ct ) Ct )

Heffington gangrene
.

nyeri Ct ) heterosis HI

H)
Deny . KULA Atergi ( Keyword : Riwayat mnumobat Tertenn )

penicillin , Cefadroxll .
carbamazepine NSAID
Aterci seafood , Udara dlngm

Llrttkaria ( Biduran ) H Type

Klastflkasi A
→
I

44ms )
.

→ U .
Akut ( 56 men subakut 46ms
URTHTA-IRUHU.tipe.tt U .
Kunis ( 76 mgu )

Dx - a
Makuta erltema ,
edema

pueat di Tengah Ppenunjang lain

Skin prick test
Ilka Was gratis
:
- a
Ksi geo
Ujicukik Halit
Cth :
Urtikariadlngin ( Cold Urticaria )
Th : .
AH C CTM . Cehrizine )

-
Ks oral ( prednisont

IgE RAFT ft )

Ice cube Test

 AH →
sedate ( CTM :
Klarfeniramin Male at ,
Dimenhidrinat , lnj Dtfenhidramin )

↳ non .

Sedate ( Cet train lxiomg ,

1×20 mg ,
loratadln ,
Inter hittin
'

2 Angioedema
↳
.

Atergi - a
Beng Kak pd otot ? Kecil -

( Kelo path Mata ,

BI Btr )
Th : -
AH
-
KS oral .

Riw -
min um 06at
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
 10 30% overlapping i

yells syndrome
#
-

535 - TEN

G .
STS ( Steven Johnson Syndrome ) Nikolsky
TE N Toxic f
Epidermal sis Necrosis ) -

Bula hipopianckendur )
Dx → But act ) di KULA e mu Kosa
730%
40%
Mouth
Skin
→
conjunctivitis
Eye → But act IKUIH melepuh
→
stomatitis

Thi .

RYUK
-

ABC DEG
-
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
difasepengembuhan
Huitt
!
↳ Riwayat mmvm obat C- I Rew Alergi c- ) .

Pem
vicus vulgaris
- Bula Kendo r

-
-
Nikolsky
Patologi :
Ct

epidermis
)
Intrepieermel
-
melt bat Kan mucosa

.
C stomatitis I t)
DEG

Pemfigus Bukka -
-mmnmmmm

-
Bula Tegan g -

-
Nikolsky C -
I

=
Sub epidermal
. -

stomatitis C -
t
Th : KS .
 Peinfigus Vulgaris Pemfigurbulosa
-

Autoimam Auto imam

Nikolsky th Nikolsky L-7

Intra epidermal subepidermal

lmunoploreiencsi laughing :

Ig E & Kemplemen IgG di membrane

di epidermis basal & bemuse

spt
pith .

Th / K 5 K5
Prednisone prednisone
( 60 150mg 1ham ) Cao 60mg than>
-
-

Hipenenrihvithr
Tip f :
Rapid onset , IgE mediated
ex :
5yok anafilaktik , Afp i : Asma , urticaria akut

Tip e 2 :
Sitotokrik , Ig G & IgM mediated
Tori Katan lgsg dgn set target
ex :
AHA I , PTR , ITP ,
Mia Henie Ennis , Grave disease

Tile 3 :

Komp leks iman , Ig 6- mediated

-
beriKatan An antigen
ex : RA ,
f- NAPS

set T mediated
Tile 4 :

Delayed onset ,
Cx
:
TB , Mantova , DRA
.fi?IFrbAnakZC5RGRi4Jemamc-H.nyeritenjgokor
↳ Periyar

15pA
,

Kan,

↳ Taksin epidemotineekstoliax.is
4- Roam : eñtems ,
boka hipopioh
( lntmepidennel)
b. Komp : sekllilit

Th / AB sistemik
 Ringan :< 10%
sedans 10-50%0
Dermatitis
:

Berat :
7 50%
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 ) Feting
Sistemik :
.
AH oral
Kait jgn
-
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
3. DKI Toxin
'

C Insect Bile ) / Dermatitis Venerate .

eh 0 :
Rw .

gig , tan Serang ga

Dx a er Hema ,
neurosis Sentral

di Kher
"
"
Kissing Phenom en

Th : ITS Topi Kal

( 5k
4. Neuro dermatitis Slrkumskripta ( lichen simpler kronikus )
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 Hiperpheliferasi Kel .
releases
etio : Malassezia ( pltyrosporum ovale ) ldiopatik
,

Skalp wajah ( naso labial )

predlleksi i
,

DX -
a Skua ma tuning Berm 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
/ Hema Ben tuk number ( Koin ) / Bulat
stress
' er ,

Th : . ITS Topi Kal C Beta meta son Cr ) Tengah bath

-
AH C gatal )
 lnrafisiensi Vena kumite
7 .
Dermatitis stasis
y
Varies Berdan
'

FR : , lama : SPG , Koki i Koas

Dx enema papal ft )
plat
- a
,

nyeri Ctl - a
djika Kaki di Tinggi Kan

ThKS :
Topeka I ( Beta meta son Cream ) .

whitehead
Hkne Vulgaris
/ bteotvtrp

I
etio sebaseacmnyak ) Home do ! ! !

\
Sumba tan
→
:
. Kel

Prop on bacterium Acne CP . Acne ) Blade head

↳ terbwka

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

Sed ang
¥-400
15 nodal 55
papal postal

5526
-
-
a

Berat
ti
ul
→
papal 7100
postal 750 nod 75

,É¥¥÷¥

20-100,1
Total aksana
Vita an
Ring an Komedo As retlnoat Topi Kal
topikab y
→ .

AB As Retinoat Kunda my sin ☒

pustular - a
.

Topi Kal t 2- alf

±
Sedans komedo As retinoat / Ben 2- oil peroxyda
0Mt y
→ .

87506
☒ 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 iinpekh
'

,
hormonal ,
gang
metabolite
'

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

pung Dungdi Idi dada I Wajah

Th :
Hentikan steroid
 Kotnedo Papullpustvl Nodal

Go
Ringan 45 -

25
Siedang 20-100 15-50

Berat 7100 750 75

Keta Eteria

Kela, -

neper potent Kaas Mild

.

↳ Clobetasol 0,05% ↳ Fheticaione 0058

Betameihasone 01106
Kaas -

potent
4 Deisoximelhasone O ,W% Keta lower mild
↳ Triamsinaone 01140
.

Kaas upper mild

4 Desoximehaoohe 005% Kedar less potent
↳
Hidrokortisone 0,590,1% ,

2% 2.IT
,
 Dermatitis Peri oral
↳ FR : steroid / pasta gigi , idiopatik
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

di
'
wajah -

, flushing ,
rynophyma
Th : .
Handan FR
-

Push ) - a

salep Klindamycin .

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 npeq-iq.ae stratum spinosum

le si : Ksi

Teles air
↳
en papal .

er Hema

le si le si
↳ no dot thermo -

epidermal ↳ pus
yg dalam
junction
danker as

sewarna .

KULA

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
→ Adanyabintikterdamhan
2 .
Fenomena Tete san Lun ( Candle sign ) / Karvieks
wax

3 .
Fenomena Ko ebner
↳ Adanyalesibamditempat
-

trauma
 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

Rinan :
I ktyosir Vulgaris -

Iktyosis Vulgaris ( KULA than ) ✓sedan re : lktyosir Lame lqir

\
.
-

FR Riwayat Ato pi Koons Berat lktyo sir Harlequin

:
:

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 -7
lampu wood :
putih Kapur
La
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 → Hidrokuinon
.
V Vulgaris
.
→
pola talk Menen tu

V Akrofasial distal ekstremttitas Pls Oy k

a
wajaht →
-
. -

Th UV A P UVA Tacrolimus
-

t
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
Dx →
Makuta hiperpigmentasi
gata IC -

I Mati rasac -

I
'

Th : . Handan FR
-

Hldrokuinon

lentigo Solaris ( Age spot)

FR : -

Usia Tua
.

Papa ran Sinar Mata hari

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

Hip pigment

↳
Post lnflamasi a as i Post heiamasi

lesi
.

Trauma hip pigmentosa

tiipeipigmentaa
-17 - a

(Trauma '

Post htamasi
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 )
C Depigmenlari)
 Nodal me ngnilat
Kegan asan pd KULH
.

µ
fact
I .
BCC ( Basal Cell Carcinoma .

FR : Kars lnogenik
Dx → Ult vs Kotor .

wanna teh Haman ,

Tdk Teratur
" "
"
Ulkus Rodent ,
Teleangietetasis .

Black
" "

Meng khat pearl

Hislopalulogi - a
palisade set NLM
predlleksiiwajah . I
Th Kemolerapi pagar
Ryuk : -
a

2 . SCC ( Squamose Cell Carcinoma )

# kasariberfeujol
?
FR :

Karslnog@hlkDx-ahodul.Hiperkeratosis.uk
era si
"

Berdarah
"
Moolah

Hlstopat : Matara Tanduk

Th :
Ryuk

3. Melanoma Malign a
↳ Kegan as an dr Nevus pigmentosa
N .

pigments us →
plate hiperpigmenfasi , Batas teas ,
Folke I Ram
but

↳ Ganas C M .
M )
A → Asimetris

B → Border ( Batas Kabir )

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

Ryuk E
Th .
.
. :
evolving elevated '

⑤ Cutaneous Xanthoma Distipideouia

↳ Tumpukan Lipid di Kult Xanlhdatma
DX → nodal / plate kekuningan .

↳ kelopakmata
Th :
-
Diet Rendahlemak
-

. EKSISI
 dlopahk
Dx - x exclamation mark C Tanda send

Th lotion Minoxidil RAM but

'

.
:

Mlmbentk
2 Alopecia Androgen it
( Testosterone )
.

etio Genetic Hormonal :

.
hvwf MI
DX
Ram but talk Tumbuh pola Ferfentu
"
mengikuti
-

Th :
Minoxidil t Finasteride Tab ) .

3. Telogen
"Ram but
Efkvwm :

diameter
I
to:*
Ron tok , C I -

5h redukthse
Cth diet ketat
iinfeksi hamil
-
:
, ,
inhibitor
4 .
A hagen Efluvlum Postpartum

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

Karna obat kmoterapi

Aragon -

Collagen -

Feelogenn

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