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NOVIA KARINA

30101307029
SGD 1
PITIRIASIS ROSEA
E N G L I S H F I N A L T E S T


A 19 year old woman presented to the general physician complaining to
have red patch in her left stomach for the last 2 weeks. The red, scaly,
itchy spots were getting larger and spreading to her back, arms, and
thigh. The Physical examination revealed that there was a herald patch
and macular erythema (0.5 - 1 cm in diameter), scales. On her back the
red patch had a configuration similar with Christmass tree.

Scenario
STEP 1

Herald patch : large circle in the chest enlarge up to the back.
Macular Erythema : flat lessions demarcated, red due to vasodilatation.

STEP 2

1. What is definition and diagnostic from the scenario?
2. What the cause of the herald patch and macular erythema?
3. What are the factor influence the spread of a widespread rash?
4. What are the treatment in the scenario?

STEP 3
1. WHAT IS DEFINITION AND DIAGNOSTIC FROM
THE SCENARIO?
Pitiriasis rosea a disorder of skin disease that the sign the are swasima
or self limiting disease, that the etiology hasnt known for sure but
some physicians say that the disease caused by viral infection.


2. WHAT THE CAUSE OF THE HERALD PATCH AND
MACULAR ERYTHEMA?

Macular erythema : is caused by antigen enters our bodies our bodies get
react there is vasodilatation or the widening of capilaries
vessel universal erythema in our skin.
Herald patch : it caused by herpes 6 and 7 virus infection and herald patch is
the primer lession of viral infection (pitiriasis rosea).

3. WHAT ARE THE FACTOR INFLUENCE THE
SPREAD OF A WIDESPREAD RASH?

Internal factor : Humidity in skin, scratch
External factor : Virus, winter season


4. WHAT ARE THE TREATMENT IN THE SCENARIO?

a. Avoiding soap, but using plain water or some kind of moisturizer
b. Steroid cream
c. Oral antihistamin
d. Dont stay in sun too long
e. Fototherapi using UV B maybe helpfull
Treatment : that have symptomatic characteristic, for the itchy it can use sedatif
antihistamin, topical drugs it can use salicilat acid powder with menthol 0.5
1 %.

SOURCE
Source:
http://www.medicinenet.com/article.htm
http://www.nhlbi.nih.gov/health/health-topics/topics/
CONCLUTION
Pitiriasis rosea is a condition in
which your body have a erthyme.If
you have Pitiriasis rosea your body
will feel very weak. You also may
have other symptoms, such as
shortness of breath, dizziness, or
headaches.

THANK YOU