anatomi, eflouresensi kulit

7/23/2019 anatomi, eflouresensi kulit

http://slidepdf.com/reader/full/anatomi-eflouresensi-kulit 1/67

ANATOMI, FUNGSI, PATOLOGI DAN EFLORESENSI

Organ paling luar, paling luas (1,5 – 1,75 !", paling #$ra% (15 & ''"

$%$#alan sanga% #$r)ariasi * paling %$#al l+ (%$lapa+ +a+i"

paling %ipis -,5 (p$nis"

S$%iap 1 .! +uli% $ngan/ung *

! 0u%a s$l1-- u0ung sara

5 +$l2 S$#as$3us /an 3li+$l ra#u%

4- +$l2 $ringa%

1- . s$ra% sara

- 6 p$#ulu /ara

uli% /i#$n%u+ 3l$ #$#$rapa s$l * +$ra%in3si%, M$lan3si%, s$l Lang$rans

/an %$rsusun /ala 4 lapis * EPIDERMIS, DERMIS DAN SU'UTIS

















































































FUNGSI KULIT1. Protection

The skin acts as a barrier against such things as water

loss/entry che!icals bacteria an" #ungic as well as against !inortrau!a. This #unction is ser$e" by the li%i"s an" %roteins o# the stratu!

corneu! the outer!ost e%i"er!al layer which is continually sloughe" o##

an" regenerate".

&. Sensation

'laborate neural rece%tors an" s!all ner$e en"ings !e"iate touch %osition%ressure te!%erature an" %ain.

(. Ther!oregulation $ia the eccrine sweat glan" a%%aratus

). I!!unological "e#ense $ia the Langerhans cells

*. +ita!in,- synthesis in res%onse to sun e%osure. Pig!entation/color #or U+ %rotection

0. e%ro"ucti$e #unction2 seual attracti$eness !ay be "e%en"ent

u%on a%%earance an" s!ell o# skin

3. 'stetika/Kos!etika



PATOLOGI ANATOMI ULIT

8ip$r+$ra%3sis

A th l i



Acantholysis

T$ l3ss 3 63$si3n #$%9$$n $pi/$ral 3r a/n$:al

+$ra%in36;%$s2

E:apl$ 3 a6an%3l;sis in Pemphigus Foliaceus2



Acanthosis

T$ in6r$as$ in %$ %i6+n$ss 3 %$ s%ra%u alpigii2

E:apl$s 3 a6an%3sis in Psoriasis (%3p" an/ Lichen Simplex

Chronicus (#3%%3"2



Parakeratosis

R$%$n%i3n 3 nu6l$i in %$ s%ra%u 63rn$u2 Tis is a n3ral

in/ing 3n u63us $#ran$s2

E:apl$ 3 para+$ra%3sis in Normal Oral Mucosa2

Papillomatosis



Papillomatosis

Up9ar/ pr3li$ra%i3n 3 $pi/$ris an/ su#$pi/$ral papilla$ 6ausing

%$ sura6$ $pi/$ris %3 s39 irr$gular un/ula%i3n2

E:apl$ 3 papill3a%3sis in Verruca Vulgaris (T3p an/ '3%%3"2



EFLORESENSI ULIT

P$ru#aan +uli% /apa% /ilia% s$6ara 3#;$+%i +ar$na+$lainan pa%3l3gis

El3r$s$nsi Pri$r *

El3r$s$nsi %i#ul +ar$na p$n;a+i%n;a s$n/iri

El3r$s$nsi S$+un/$r *



12 MA.ULE

A a6ul$ is a 6ang$ in %$ 63l3r 3 %$ s+in2 I% is la%, i ;3u9$r$ %3 6l3s$ ;3ur $;$s an/ run ;3ur ing$rs 3)$r %$ sura6$3 a pur$l; a6ular l$si3n, ;3u 63ul/ n3% /$%$6% i%2 A a6ul$gr$a%$r %an 1 62 a; #$ r$$rr$/ %3 as a patch2

htt%2//www.%e"iatrics.wisc.e"u/"er!/tuta/%a%ule.ht!l

El3r$s$nsi pri$r

http://www.pediatrics.wisc.edu/derm/tuta/01.html



8ip$r$ia * p$l$#aran p$#ulu /ara

R3s$3la

T$l$angi$+%asi

8$3ragi * p$r/araan /i#a9a +uli%

P%$+i$ %i%i+<%i%i+ p$r/araan

=i#is$s lini$r

E+i3sis #$r6a+<#$r6a+ p$r/araan

Un%u+ $#$/a+an /$ngan ip$r$ia /ila+u+an %$s DIASOPI

Pig$n%asi * p$ru#aan 9arna +uli%

8ip$rpig$n%asi

8ip3pig$n%asi

D$pig$n%asi



!2 PAPULE

A papul$ is a s3li/ rais$/ l$si3n %a% as /is%in6% #3r/$rs an/ is

l$ss %an 1 6 in /ia$%$r2 Papul$s a; a)$ a )ari$%; 3 sap$s

in pr3il$ (/3$/, la%<%3pp$/, u#ili6a%$/" an/ a; #$ass36ia%$/ 9i% s$63n/ar; $a%ur$s su6 as 6rus%s 3r s6al$s2



42 PLA>UE

A pla?u$ is a s3li/, rais$/, la%<%3pp$/ l$si3n gr$a%$r

%an 1 62 in /ia$%$r2 I% is anal3g3us %3 %$ g$3l3gi6al3ra%i3n, %$ pla%$au2



2 =ESI.LE

=$si6l$s ar$ rais$/ l$si3ns l$ss %an 1 62 in /ia$%$r %a% ar$

ill$/ 9i% 6l$ar lui/2

4on#luent



52 'ULLAE

'ulla$ ar$ 6ir6us6ri#$/ lui/<ill$/ l$si3ns %a% ar$ gr$a%$r

%an 1 62 in /ia$%$r2



2 @8EAL URTI.A

A 9$al is an ar$a 3 $/$a in %$ upp$r $pi/$ris2



72 PUSTULE

Pus%ul$s ar$ 6ir6us6ri#$/ $l$)a%$/ l$si3ns %a% 63n%ain pus2

T$; ar$ 3s% 633nl; in$6%$/ (as in 3lli6uli%is" #u% a; #$

s%$ril$ (as in pus%ular ps3riasis"

B NODULE



B2 NODULE

A n3/ul$ is a rais$/ s3li/ l$si3n 3r$ %an 1 62 an/ a; #$ in

%$ $pi/$ris, /$ris, 3r su#6u%an$3us %issu$2



C2 TUMOR

A %u3r is a s3li/ ass 3 %$ s+in 3r su#6u%an$3us %issu$ i% is

larg$r %an a n3/ul$2 (Pl$as$ #$ar in in/ %is /$ini%i3n /3$s n3%

a% all $an %a% %$ l$si3n is a n$3plas2"

1-2 .ST ISTA

l i + /



12 S.ALE s+uaa

S6al$ 63nsis%s 3 la+$s 3r pla%$s %a% r$pr$s$n% 63pa6%$/

/$s?uaa%$/ la;$rs 3 s%ra%u 63rn$u2 D$s?uaa%i3n 366urs

9$n %$r$ ar$ p$$ling s$$%s 3 s6al$ 3ll39ing a6u%$ in0ur; %3

%$ s+in2

El3r$s$nsi s$+un/$r



!2 .RUST RUSTA

.rus%ing is %$ r$sul% 3 %$ /r;ing 3 plasa 3r $:u/a%$ 3n %$ s+in2

Pl$as$ r$$#$r %a% 6rus%ing is /i$r$n% r3 s6aling2 T$ %93

%$rs r$$r %3 /i$r$n% p$n3$na an/ ar$ n3% in%$r6ang$a#l$2 On$6an usuall; #$ /is%inguis$/ r3 %$ 3%$r #; app$aran6$ al3n$2

4 EROSION



42 EROSION

Er3si3ns ar$ slig%l; /$pr$ss$/ ar$as 3 s+in in 9i6 par% 3r all 3

%$ $pi/$ris as #$$n l3s%2

2 ESORIASI

5 FISSURE R8AGADE



52 FISSURE << R8AGADE

A issur$ is lin$ar 6l$a)ag$ 3 s+in 9i6 $:%$n/s in%3 %$ /$ris2

SUSUNAN LESI



12 LINEAR LESIONS

Lin$ar l$si3ns 366ur in a lin$ 3r #an/<li+$ 63nigura%i3n2 Tis/$s6rip%i)$ %$r a; appl; %3 a 9i/$ )ari$%; 3 /is3r/$rs2 (On$

s3ul/ #$ 6$r%ain %a% %$ l$si3ns ar$ n3% 3ll39ing a /$ra%3$2"

4! OE'NER P8ENOMENON



4!2 OE'NER P8ENOMENON

T$ 3$#n$r p$n3$n3n, als3 6all$/ %$ is33rpi6 r$sp3ns$,

r$$rs %3 %$ app$aran6$ 3 l$si3ns al3ng a si%$ 3 in0ur;2 Tis

p$n3$n3n is s$$n in a )ari$%; 3 63n/i%i3ns 3r $:apl$,li6$n planus, 9ar%s, 3llus6u 63n%agi3su, ps3riasis, li6$n

ni%i/us, an/ %$ s;s%$i6 3r 3 0u)$nil$ r$ua%3i/ ar%ri%is2

4- GUTTATE



4-2 GUTTATE

Gu%%a%$ l$si3ns l33+ as %3ug s3$3n$ %33+ a /r3pp$r an/

/r3pp$/ %is l$si3n 3n %$ s+in2 Gu%%a%$ l$si3ns ar$ 6ara6%$ris%i6 3

3n$ 3r 3 ps3riasis, %3ug %a% is n3% %$ 3nl; $:apl$2

!5 DIS.RETE



!52 DIS.RETE

Dis6r$%$ l$si3ns %$n/ %3 r$ain s$para%$2 Tis is a $lpul /$s6rip%i)$

%$r #u% as li%%l$ sp$6ii6 /iagn3s%i6 signii6an6$2

! ANNULAR



!2 ANNULAR

Annular l$si3ns ar$ s$$n in a ring sap$2 Tin$a 63rp3ris, $r;%$a

igrans (%$ l$si3n ass36ia%$/ 9i% l;$ /is$as$", an/ granul3a

annular$ ar$ %r$$ 633n $:apl$s2

!7 .ONFLUENT



!72 .ONFLUENT

.3nlu$n% l$si3ns %$n/ %3 run %3g$%$r2

Documents

anatomi, eflouresensi kulit