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Kevinara Putra Lamey
102010215
Herpes Zoster
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Identitas
KELU
RPS
RPDRPK
Riwayat Priadi ! Sosia"
Hasi" anamnesis #u"it me"entin$#emera%an di daera%
dada #iri yan$ terasasa#it dan panas
&namnesis
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Pemeri#saan umum '(()*
Pemeri#saan "o#a" E+oresensi 'ruam*
Primer 'papu"a eritema ! vesi#e"*
Se#under
Pemeri#saan ,isi#
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Tzanck smear
Direct fuorescent assay (DFA)
P-R
.iopsi #u"it
Pemeri#saan Penun/an$
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Herpes Zoster 's%in$"es dampa aar u"ar*
• virus )Z)
• uoutaneus
• Dermatom sara3 • Uni"atera"
4or#in$ Dia$nosis
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)Z)
Penu"aran seara aero$en
(ersear di se"uru% duniaPriawanita 6 7 or$ dewasa
Etio"o$i ! Epidemio"o$i
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)arise"a 8 virus mu#osa sa"9na3as atas mu"tip"i#asi
dara% 'viremia 1* RES'viremia 2* #u"it !mu#osa
sara3 peri3er $an$"ion dorsa" root in3e#si
"aten9
)irus tera#ti3asi Herpes Zoster
Ke#ea"an sete"a% semu% varie"a seumur%idup tetapi wa"aupun #ea"
ter%adap
varie"a isa ter#ena :oster
Pato$enesis
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Prodroma" ; %r vesi#e"
er#e"ompo# u"a pea% 'erosi?u"#us*
[email protected]
Predi"e#si 8 mu#a ! adan uni"atera" '#adan$i"atera"*
&na#
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.entu# K"inis
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8/16/2019 PBL Blok 15 Herpes Zoster Kevin
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DiAerent Dia$nosis
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@e/a"a #"inis
(:an# se" datia mu"tinu"eated e""
Dia$nosis ! La
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Beura"$ia pasa %epati#
In3e#si se#under
Ke"ainan pada mata
Sindrom Ramsay %untPara"isis motori#
Komp"i#asi
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)a#sin "ive attenuated )Z) e$a% varie"apd ana# ! :oster pd
dewasa
&na# 1
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en$atasi in3e#si virus a#ut
en$atasi nyeri a#ut yan$ ditimu"#an o"e%virus %erpes :oster
ene$a% timu"nya neura"$ia pasa%erpeti#9
Penata"a#sanaan
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Bon medi#a mentosa
edi#a mentosa
Sistemi# 'oat antivira" pre$aa"in
#orti#osteroid* (opi#a"
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.ai#
(inda#an penan$anan dini ! e$a% #omp"i#asi
usia tua #omp"i#asi
Pro$nosis
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Perempuan F5 t%n Papu" eritema = vesi#e" %erpes
:oster
Hipotesis diterima
Kesimpu"an
