Anamnesis Skabies

Beruntus berisi cairan jernih /keruh terasa gatal

Terutama malam hari

Di sela jari/genital

Perubahan lesi papula eritem- vesikel- pustule- krista- erosi- ekskoriasi

Meluas

Drug (Topical Corticosteorid)

Vehicle

Roles of vehicles

Improve the transdermal delivery of the active ingredient

Improve patients’ acceptance, adherence

Steroid vehicles

• Ointment

• Cream

• Lotion

• gel

Drug (Topical Corticosteorid)

Vehicle

• Ointment: >> lubrication, occlusion,steroid absorption

Useful for dry/thick hyperkeratotic lesion

Shoul not be used on hairy areas, intertriginous areas

• Cream : water in oil (w/o) and oil in water (o/w)

Useful for intertriginous areas, hairy areas

<< occlusive effect

(w/o) water < 25%, hydrophobic, >> on skin surface

(o/w) water > 31%, less greasy