Teaching Bangsal

Drug Eruption
Seborrheic Dermatitis
 Takwin - Naya
Kamal - Kiko
Syazwan - dr. Catherine
Saiful - Munir
Hadi - Yunita
Olyvia - Shalini
Eka
Irma

Group Members
 Name : Mrs. L
Gender : Female
Age : 57 years old
Marital status : Marriage
Religion : Muslim
Address : Takalar
Job : -
Addmission date : 2 April 2012
Medical record no : 542557

PATIENT IDENTITY
HISTORY TAKING

Chief Complaint:
Redness and scaly on all the body

Brief Anamnesis :
Occur since 2 weeks ago before admission to
the hospital. The patient had suffered same
complaint two months ago with erythema
and squama started at hand and leg, then
spread on the body.
 Medicine history :
Had taken medication before but she does
not knew the name of the drugs
One month ago,she had suffered cough,
high fever and redness.
No family members suffered with the same
disease.
 Consciousness : Compos Mentis
General Condition : Moderate
Hygiene : Moderate
Nutrition : Under nutrition
Vital sign :
BP : 110/70 mmHg
Pulse : 80x/minutes
RR : 22x/minutes
Temperature : 36,60C

CURRENT STATUS
 Anemic (-), icterus (-), cyanoses (-)
Cor/ Pulmonal : Normal
Abdomen : Normal, peristaltic
(+) N
Extremities : Edema (-)
Lymph nodes : Enlargement (-)

PHYSICAL EXAMINATION
Head & Scalp region
Body region
Superior Extremities region
Inferior Extremities region
Inferior Extremities region
 Region : Generalized
Efflorescency :
- Erythermatous
- macule hypopigmentation
- desquamation.

DERMATO-VENEROLOGY STATUS
 Ureum : 34 mg/dl
Creatine : 0.84 mg/dl
GDS : 127 mg/dl
SGOT : 21 U/I
SGPT : 33 U/I
WBC : 35.57 (10 3 /uL)
RBC : 3.16 (10 6 /uL)
HB : 9.3 (g/dL)
HCT : 26.9 (%)
PLT : 111 (10 3 /uL)

LABORATORY RESULT
 A woman 57 years old came to the
hospital with erythema and squama on
all over her body. It happened since two
weeks ago. The patient has suffered
same complaint two months ago with
erythema and squama started at hand
and leg, then spread on the body.

Dermato-venereology:
Region : Generalized
Efflorescency : Erythema and
desquamation.

RESUME
DIAGNOSIS

Drug Eruption
Seborrheic Dermatitis
DISCUSSION
Seborrheic dermatitis (DS) is a skin
disorder that located at seborrheic.
The causes is still unknown. The
disorder consists of erythema and
oily squama and a little bit
yellowish. It has irregular border.
DS can come with severe acne. If it
is chronic, it can turn into
erythroderma.
DISCUSSION
Allergic drug reaction (ADR) happened
at skin and mukokutan because of
systemic drug reaction. It divided into
immunological mechanism and non
immunological mechanism. Clinical
appearance are macula papular
eruption, urticaria, erythroderma,
purpura, photoallergic reaction and
vasculitis. The common drugs that cause
ADR are penicillin group, sulfonamide
and analgetic-antipyretic group.
Blood Examination
Glucose Examination
Liver Function Test
Ureum/Creatinin
Electrolit
Urinalysis
Uric Acid
Albumin

RECOMMENDED EXAMINATION
TREATMENT & MANAGEMENT
The following medications are given to the
patient:
1) Dexamethason 1 amp/12 h/IV
2) Gentamycin 80 ml/12 h/IV
3) Amoxicyllin 3 x 500 mg
4) Mefenamic Acid 3 x 500 mg
5) B-com tab 3x1
6) Vit. C tab 3 x 2
7) Gentamycin cream (on biopsy wound)
8) Kloderma 20 gr
Lanolin 10 % morning-evening
Vaselin 50 gr
 Doubt (Dubia et bonam)

PROGNOSIS