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8/9/2019 POSTER MINI Pityriasis Rosea - Nur Arifah M.said C11110841
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Nur Arifah Mohd SaidC11110841
Sutopo Sidik Lawajo C11109149
POSTER MINI
PITYRIASISROSEA
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• Name: Tn. A
• Se: Ma!e
•
A"e: #4 $ear% o!d• Addre%%: Maka%%ar
• Marita! %tatu%: Sin"!e
• &e!i"ion: '%!am
• (o%pita!: )o!i*!ini* &S +ahidin Sudirohu%odo
• ,ate admitted: 19-0-#014
Patient’s Information
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)re%ent i!!ne%% hi%tor$ :
)atient fee! it*h$ at the front and /a*k of hi%/od$ %in*e week% a"o. The it*h i% fe!t throu"h
da$ and ni"ht. The it*h %tarted on hi% upper/a*k of hi% /od$ and it %pread to hi% front and
a!mo%t hi% entire /a*k. The it*h wor%en when he%weat. The it*h i% a**ompanied with red and/!a*k %pot 23 with %*a!e% 23. The %pot% and
%*a!e% in*rea%e in num/er with time.
Autoanamne%i% Chief Comp!aint : 't*h$ at the front and /a*k of/od$
Anamnesis
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•
)re5iou% %ame *omp!ain hi%tor$ 26• 7ther di%ea%e hi%tor$ 26
• ami!$ hi%tor$ with %ame *omp!ain 26
• A!!er"$ of food and medi*ine 26
Anamnesis
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)re%ent *ondition : Mi!d i!!ne%% Nutritiona! %tatu% : Norma!
Con*iou%ne%% : Compo% menti% ita! Si"n%
6 !ood pre%%ure : 110- 80
mm(" 6 )u!%e rate : 80 -m re"u!ar 6 &e%pirator$ rate : #0 -m
6 od$ temperature : ;8o
C
General Status
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(ead : S*!era :'*teru% 26
: Conjun*ti5a : Anemia 26
: La/ia! : C$ano%i% 26
Cor-pu!muna! : 'n norma! %tate A/domen : )eri%ta!ti* 23 innorma! %tate
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• Lo*ation : &e"io trun*u% anterior et po%terior• Le%ion %i=e : Lenti*u!ar numu!ar
• ore%%en*e% :
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&e"io : Trun*u%anterior
ore%%en*e% :
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&e"io : Trun*u% po%teriorore%%en*e% :
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• )it$ria%i% &o%ea
• Tinea *orpori%
Diagnosis
Differential Diagnosis
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Topi*a! therap$ :
MS 2mentho! /ori*a*id %a!$*i!i* a*id :ta!* u%ed in themornin" e5enin"
(idro*orti%on 10 "r*ream 11
Mi*ona=o!e 1"r
Treatment
S$%temi* therap$ :
etameta%one11 m"
Ceftri=ine 110
m"
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PITYRIASIS ROSEA
• 7ri"ina!!$ de%*ri/ed /$ Bi/ert in 18;0.
• )it$ria%i% : ne %*a!e%.• &o%ea: ro%e *o!oured or pink.
• )it$ria%i% ro%ea 2)& i% a *ommon
a*ute %e!f6!imited %kin eruptiont$pi*a!!$ /e"in% a% a %in"!e thin o5a!%*a!$ p!a?ue on the trunk Dhera!dpat*hE and i% t$pi*a!!$ a%$mptomati*.
Defnition
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• )& i% reported in a!! ra*e% and %ee%throu"hout the wor!d fema!e F ma!e #:1.
• )& mo%t *ommon!$ o**ur% /etween thea"e% of 10 and $ear%.
• 0.1; G pre5a!en*e.
• Sea%ona! out/reak% and *!imati*5ariation more *ommon in %prin" andfa!! *!imate.
Epidemiology
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Etiopathogenesis
• Hn*ertain *au%e%.
• )& ha% /een *on%idered to /e *au%ed /$an infe*tiou% a"ent in*!uded /a*teria
fun"i 5iru%e%.
• )o%%i/!e 5ira! tri""er ((6; and ((6I.
• Atta*k% "enera!!$ !a%t 4 6 8 week%.
• S$mptom% ma$ di%appear /$ J 1#week% 2%e!f !imitin" di%ea%e.
• &are re*urren*e% of )& !ife!on"
immunit$ after out/reak.
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• Minor %$mptom% : 't*h$ Ku ma!ai%eheada*he nau%ea !o%% of appetite fe5erarthra!"ia.
• 'nitia!!$ Dhera!d pat*hE *an /e %een in 0690G *a%e%. – Lar"e 2# J 4 *m
– So!itar$ %in"!e or mu!tip!e
– 75a! or anu!ar – )ink er$thematou% or h$perpi"mented
– ine %*a!e at the /order of !e%ion
– H%ua!!$ !o*ated on trunk in area%
*o5ered /$ *!othe%
Clinical Maniestation
(era!d pat*h with o5a!%hape ne %*a!e at the
ed"e of it
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4 J 10 da$% !ater :• Sma!!er !e%ion appear on the /od$ 2%ma!!
round papu!e%.
• Trunk 2*he%t and /a*k %ometime% thi"h%.
• Can en!ar"e to 1 J # *m o5a! %hape.
• S*a!$ %urfa*e.
• &ai%ed or Kat.• ($per or h$po J pi"mented.
• &un a!on" dermatoma! !ine%-ri/%
"i5in" DChri%tma% treeE di%tri/ution.
Clinical Maniestation
)apu!e% in DChri%tma%
treeE di%tri/ution
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• iop%$ with a*id6fa%t %tainin" %hou!d/e done when the hi%tor$ and ph$%i*a!eamination %u""e%t pit$ria%i% ro%ea.
Diagnosis
A /iop%$ of !e%ion %howfo*a! parakerato%i%
mi!d a*antho%i% mi!d%pon"io%i% papi!!ar$derma! edema and
%uper*ia! derma!inter%titia! in!trate of
!$mpho*$te% andhi%tio*$te% fo*a!etra5a%ation% of
er$thro*$te%
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• )& i% %e!f6!imited no need of treatment.
• Topi*a! *orti*o%teroid i% u%ed to treatpruritu%.
• or patient% ear!$ in the di%ea%e *our%ewho ha5e Ku6!ike %$mptom% and eten%i5e%kin di%ea%e ora! a*$*!o5ir 800 m" for 1
week ma$ ha%ten re*o5er$ from di%ea%e.• or %e!e*ted patient% phototherap$ ma$
/e u%efu! /ut %hou!d /e u%ed with *aution.
Teatment
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• Tinea *orpori% refer% to an$dermatoph$to%i% of an$ part of%kin e*ept pa!m% %o!e%
"roin• Etiology ! T. rubrum, T.
tonsuran, Epidermophytonfoccosum, T. interdigitale, andM. canis
•
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• A!! patient% with )& ha5e *omp!ete%pontaneou% re%o!ution of their di%ea%e.
• The di%ea%e duration norma!!$ 5arie%
/etween 4 610 week%.
• oth po%t inKammator$ h$popi"mentationand h$perpi"mentation *an fo!!ow )&.
• Treatment with u!tra5io!et !i"htphototherap$ ma$ a!%o wor%en po%tinKammator$ h$perpi"mentation.
•
&e*urrent )& i% po%%i/!e /ut it i% rare.
Pognosis
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&eferen*e%
• 1. @!au% +o! &A. it=patri*k% Co!or At!a% andS$nop%i% of C!ini*a! ,ermato!o"$. 8th ed: TheM*Braw6(i!! Companie%O #01#.
•
#. ,juanda A. ,ermato%i%
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