Referat SLE Hana-fakhri

8/15/2019 Referat SLE Hana-fakhri

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LUPUS ERITEMATOSUSSISTEMIK

PEMBIMBING : DR. MARTHA ,SPPD

DISUSUN OLEH : HANA FADHILAH

FAKHRI KARTANEGARA

Program Studi P!didi"a! Do"tr UIN S#ari$ Hida#atu%%a& 'a"arta


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IDENTITAS

No RM : 01421537

Nama : Ny. S M

TTL : Jakarta, 11/08/1976

Umur : 39 tau!

Statu" : M#!$ka %&amat : Mam'a!( )ra'ata! Jakarta S#&ata!

)#!*$*$ka! : Tamat SLT%

)#k#r+aa! : -u ruma ta!((a

Jam$!a! : JS Ta!((a& ma"uk : 19 Mar#t 2013


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ANAMNESIS

%&&oa!am!#"$" *#!(a!

"uam$ 'a"$#!,

20 Mar#t2016

#&ua! utama :

L#ma" "#+ak

3 -u&a!SMRS


4/63

9 TAHUN YANG LALU

Suam$ '#rtama 'a"$#! m#!$!((a&, *$*u(akar#!a o#r *o"$"

TAHUN 2011 )a"$#! m#!$ka &a($ *#!(a! "uam$ k#*ua Suam$ k#*ua "u*a *$*$a(!o"$" "#+ak

tau! 2005 *a! rut$! m#!(ko!"um"$ o-at

%R

RIWAYAT PENYAKITSEKARANG

AKHIR TAHUN 2012

)a"$#! m#!(a&am$ '#!uru!a! !a"umaka!, '#!uru!a! -#rat -a*a! *a!*#mam $&a!( t$m-u&

Suam$ m#m#r$k"aka! 'a"$#! k# RSM*$!yataka! 'o"$t$ *#!(a! 4 200/mm3 *$"ara!ka! m#!(ko!"um"$

o-at %R t#ta'$ t$*ak ko!tro& u&a!( Saat $tu a"$#! "#*a! am$& 3 -u&a!

3 BULAN YANG LALU

)a"$#! m#&a$rka! a!ak k#*ua "#ara S*$ RS. atmaat$

%!ak 'a"$#! m#!(ko!"um"$ "u"u ormu&a

2 BULAN YANG LALU

)a"$#! -#ro-at k# 'o&$ $+aya u"uma RS.atmaat$, *$*$a(!o"$" m#!*#r$ta T 'aru*a! m#!*a'at ;%T

3

BULAN YANG LALU

S#r$!( m#ra"a ma" )a"$#! "#"ak "aat m#&akuka! akt$


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RIWAYATPENYAKITDAHULU

M, $'#rt#!"$,a"ma, *a! ar($*$"a!(ka&

Tau! 2013 'a"$#!m#!*#r$ta t- 'aru

*a! "#"a$'#!(o-ata! *a&am 9-u&a!

#&uar(a t$*ak a*a

ya!( m#!(a&am$a& ya!( "ama

R$ayat M,

$'#rt#!"$, a"ma,*a! '#!yak$t +a!tu!( *a&amk#&uar(a *$"a!(ka&.

RIWAYATPENYAKIT

KELUARGA


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RIWAYAT SOSIAL

R$ayat ko!"um"$ o-at=o-ata! *#!(a! +arum "u!t$k, tra!"u"$*ara, *a! tatoo *$ tu-u *$"a!(ka&

M#rokok >=?

%&koo& >=?


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PEMERIKSAAN FISIK

#a*aa! umum: Tam'ak "ak$t "#*a!( #"a*ara! : om'o" M#!t$"

#rat -a*a! : 37 k(

T$!(($ -a*a! : 154 m

#a*aa! A$B$ : Gizi Kura! "IMT # 1$%&' T#ka!a! ara: 100/50 mm(

Na*$ : 78 C/ m#!$t, r#(u&ar, $"$ uku'

)#r!aa"a! : 18 C/ m#!$t, r#(u&ar

Suu : 36,6 D >aC$&&a?


8/63

PEMERIKSAAN FISIK "2'

K()a*a + Normo#'a& , ram-ut $tam t#r"#-ar m#rata,

t$*ak mu*a *$a-ut

Ma,a + o!+u!(t$a 'uat >@/@?, "kra $kt#r$k >=?, r#E#k"

aaya &a!("u!( F tak &a!("u!( >@?, 'u'$& -u&at

$"okor 3 mm

a+a : "$m#tr$", t$*ak *$t#muka! -#!+o&a!, ma&ar ra" >@?

T(*i!a + Normot$a, !y#r$ t#ka! tra(u" >=?, "#kr#t >=?, &$a!( t#&$!(a&a'a!(, m#m-ra! t$m'a!$ $!tak

Hi-u! + S#'tum *#$a"$ >=?, !a'a" u'$!( $*u!( >=?,

muko"a $'#r#m$" >=?, "#kr#t >=?

Mu*u, + ;ra& $($#! -a$k, muko"a m-a-, atro< 'a'$& >=?, ar$!($'#r#m$" >=?, to!"$& T1/T1, -$-$r k#r$!(, u&"#ra"$ @, &$*a kotor, ora& tru" >@?

L(.(r + J) 5 = 2 m2;, A F t$ro$* t$*ak t#ra-a

m#m-#"ar


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PEMERIKSAAN FISIK "3'

Paru !"'#k"$ : #!tuk "$m#tr$" "tat$" *a! *$!am$", (#rak !aa"

"$m#tr$", t$'# torako=a-*om$!a&, r#trak"$ "#&a $(a >=?,*$&ata"$ #!a >=?, "'$*#r !#$ >=?

)a&'a"$ : oa& r#m$tu" "$m#tr$", ma""a >=? )#rku"$ : "o!or

%u"ku&ta"$: Suara !aa" #"$kur, ro!k$ @/=, ##B$!(=/=


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/a,u! !"'#k"$ : $tu" or*$" t$*ak t#r&$at

)a&'a"$ : $tu" or*$" t#ra-a 'a*a S &$!#am$*&a$u&ar$" k$r$

)#rku"$ : -ata" +a!tu!( ka!a! "#t$!(($ $" &$!#a"t#r!a&$" ka!a!

-ata" +a!tu!( k$r$ "#t$!(($ $" &$!#a

m$*k&a$ku&ar$" k$r$-ata" +a!tu!( ata" "#t$!(($ $" &$!#a "t#r!a&$" k$r$

%u"ku&ta"$: -u!y$ +a!tu!( *a! r#(u&ar, Murmur>=?, Aa&&o' >=?


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A-(+

!"'#k"$ : atar, $&ata"$ #!a >=?

)a&'a"$ : L#ma", !y#r$ t#ka!>=?,#'ar *a! &$#! t$*ak t#ra-am#m-#"ar

)#rku"$ : T$m'a!$, shifting dullness >=?

%u"ku&ta"$ : $"$!( u"u" >@? !orma&

E4,r(i,a4+ %kra& a!(at , RT 2G,#*#ma '$tt$!( = =

5 5

11

)#m#r$k"aa! $"$k


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13/63


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PEMERIKSAANLABORATORIUM a"$& La- *$ )ro*$a 30 Mar#t 2016

)#m#r$k"aa! a"$& N$&a$ Ru+uka!

%!t$ "=N% 610 100 U/mL

%N%

)o"$t$, !uo&$t$t#r, !uo'&a"ma(ra!u&ar

1:100 1:100


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a"$& La-orator$um

>R".$a$?Pemeriksaan Hasil Nilai Normal 23/2/2016 24/2/2016 25/2/2016

Hematologi

Hmog%o(i! 9.6 10.1 9.4 )),*+), g-d%

Hmato"rit 30 32 30 +/ 0

Lu"o1it 6100 6600 5000 +)2 ri(u-UL

Trom(o1it 32.222 50.000 39.000 )2+//2 ri(u-UL

Eritro1it ,42+.52 6uta-UL


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Analisa Gas Darah 5-5 5/-5 5-5

7H 7.43 *,*2+*,//2

P8O5 40 ,2+/,2 mmHg

PO5 84 4,22+)24,2 mmHg

BP

H8O 27 5),2+54,2 mmo%-L

O5 Satura1i 97 3,2+33,2 0

BE 9Ba1 E;11< 2 +5,+5, mmo%-L

Tota% 8O5 )3,2+5/,2 mmo%-L

Fngsi Hati

SGOT 55 2+4 U-%

SGPT = 2+/2 U-%

Fngsi Gin!al

Urum dara& *. 52+/2 mg-d%

Krati!i! dara& 0"#1 2,=+), mg-d%

Dia$etes

G%u"oa1a Dara& S>a"tu 95 *2+)/2 mg-d%

%lektroli& &arah

Natrium 43' )+)/*mmo%-%

Ka%ium 2.9 ,)2+,)2 mmo%-%

K%orida 3 3+)24 mmo%-%


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a"$& La-orator$um

>R".$a$?Pemeriksaan Hasil Nilai Normal 26/2/2016 2'/2/2016 2#/2/2016

Hematologi

Hmog%o(i! 9.9 9.3 9.4 )),*+), g-d%

Hmato"rit 31 30 29 +/ 0

Lu"o1it 5#00 3500 5#00 +)2 ri(u-UL

Trom(o1it )3.222 35.000 3'.000 )2+//2 ri(u-UL



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Analisa Gas Darah 5=-5 54-5 53-5

7H *./2 7.40 7.40 *,*2+*,//2

P8O5 /5 45 41 ,2+/,2 mmHg

PO5 *3 173 161 4,22+)24,2 mmHg

BP

H8O 5= 28 26 5),2+54,2 mmo%-L

O5 Satura1i 3= 99 99 3,2+33,2 0

BE 9Ba1 E;11< )./ 2.3 0.6 +5,+5, mmo%-L

Tota% 8O5 )3,2+5/,2 mmo%-L

Fngsi Hati

SGOT 55 2+4 U-%

SGPT = 2+/2 U-%

Fngsi Gin!al


Krati!i! dara& 0"#1 2,=+), mg-d%

Dia$etes

G%u"oa1a Dara& S>a"tu 95 *2+)/2 mg-d%

%lektroli& &arah

Natrium 43' 142 )+)/*mmo%-%

Ka%ium 2.9 3.1 ,)2+,)2 mmo%-%

K%orida 3 102 3+)24 mmo%-%


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a"$& La-orator$um


Hematologi

Hmog%o(i! 10.2 9.5 #.# )),*+), g-d%

Hmato"rit 33 30 2# +/ 0

Lu"o1it 5400 113.000 5#00 +)2 ri(u-UL

Trom(o1it *22238.000

11.000 )2+//2 ri(u-UL



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Analisa Gas Darah -/ /- -

7H *.= 7.40 *,*2+*,//2

P8O5 = 41 ,2+/,2 mmHg

PO5 )/4 161 4,22+)24,2 mmHg

BP

H8O 52 26 5),2+54,2 mmo%-L

O5 Satura1i 33 99 3,2+33,2 0

BE 9Ba1 E;11< +.2 0.6 +5,+5, mmo%-L

Tota% 8O5 )3,2+5/,2 mmo%-L

Fngsi Hati

SGOT 55 2+4 U-%

SGPT = 2+/2 U-%

Fngsi Gin!al


Krati!i! dara& 0"#1 2,=+), mg-d%Dia$etes

G%u"oa1a Dara& S>a"tu 95 '3 144 *2+)/2 mg-d%

%lektroli& &arah

Natrium 43' )// )+)/*mmo%-%

Ka%ium 2.9 .3 ,)2+,)2 mmo%-%

K%orida 3 )) 3+)24 mmo%-%


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a"$& La-orator$um


Hematologi

Hmog%o(i! #.' 8.7 '.4 )),*+), g-d%

Hmato"rit 2# 27 23 +/ 0

Lu"o1it 6200 4600 6600 +)2 ri(u-UL

Trom(o1it ).222 44.000 15'.000 )2+//2 ri(u-UL



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PEMERIKSAANLABORATORIUM a"$& La- *$ RS. atmaat$

Pemeriksaan Hasil Nilai Normal

15/3/2016 16/3/2016 1'/3/2016

Hematologi

Hmog%o(i! 9"6 #"' )),*+), g-d%

Hmato"rit 30 26 +/ 0

Lu"o1it 1'.900 10"500 +)2 ri(u-UL

Trom(o1it )=4.222 124.000 )2+//2 ri(u-UL

Eritro1it 3"65 3"19 ,42+.52 6uta-UL

?ER 4),5 45,/ 42+)22 $%

HER 5=, 5*,5 5=+/ 7g

KHER 5,/ ,2 5+= g-d%

RD@ 19"9 20"1 )).+)/. 0


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a"$& La-orator$um

Pemeriksaan Hasil Nilai Normal 1#/3/2016 19/3/2016 23/3/2016

Hematologi

Hmog%o(i! 10"0 )),*+), g-d%

Hmato"rit 31 +/ 0

Lu"o1it =,/ +)2 ri(u-UL

Trom(o1it '6 )2+//2 ri(u-UL

Eritro1it 3"69 ,42+.52 6uta-UL

?ER 4,) 42+)22 $%

HER 5*,) 5=+/ 7g

KHER 31"# 5+= g-d%

RD@ 1#"' )).+)/. 0


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a"$& La-orator$umPemeriksaan

Hasil

Nilai Normal

25/3/2016 26/3/2016 30/3/2016

Hematologi

Hmog%o(i! #"# ),* )),*+), g-d%

Hmato"rit 2' 3 +/ 0

Lu"o1it 2.100 4.300 +)2 ri(u-UL

Trom(o1it 32 55 )2+//2 ri(u-UL

Eritro1it 3"16 4"#' ,42+.52 6uta-UL

?ER 4=,5 42,/ 42+)22 $%

HER 54,2 54,) 5=+/ 7g

KHER 35,/ ,2 5+= g-d%

RD@ 1#"00 1'"2 )).+)/. 0


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a"$& La-orator$um

Pemeriksaan

Hasil

Nilai Normal

31/3/2016 '/4/2016

Hematologi

Hmog%o(i! ),2 )),*+), g-d%

Hmato"rit // +/ 0

Lu"o1it 3,2 +)2 ri(u-UL

Trom(o1it )2+//2 ri(u-UL

Eritro1it ,5 ,42+.52 6uta-UL

?ER 4,* 42+)22 $%

HER 54, 5=+/ 7g

KHER /,) 5+= g-d%

RD@ 16"6 )).+)/. 0


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a"$& La-orator$um

Analisa Gas Darah )- )=- )*-

7H '"531 *,/)/ *,*2+*,//2

P8O5 32"3 46"3 ,2+/,2 mmHg

PO5 5#"4 149"# 4,22+)24,2 mmHg

BP *5,2 *2,2H8O 5=,/ 53,2 5),2+54,2 mmo%-L

O5 Satura1i 93"3 34,3 3,2+33,2 0

BE 9Ba1 E;11< 4"3 3"6 +5,+5, mmo%-L

Tota% 8O5 2'"4 30"4 )3,2+5/,2 mmo%-L

Fngsi Hati SGOT 54 2+4 U-%

SGPT 5= 2+/2 U-%

Fngsi Gin!al

Urum dara& 54 52+/2 mg-d%

Krati!i! dara& 0"4 2,=+), mg-d%Dia$etes

G%u"oa1a Dara& S>a"tu 49 43 *2+)/2 mg-d%

%lektroli& &arah

Natrium 131 )+)/*mmo%-%

Ka%ium 3"03 ,)2+,)2 mmo%-%K%orida )22 3+)24 mmo%-%


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a"$& La-orator$um

Analisa Gas Darah )4- )3- 52-

7H *,/)4 *,*2+*,//2

P8O5 4'"9 ,2+/,2 mmHg

PO5 169"6 4,22+)24,2 mmHg

BP */4,2

H8O 30"2 5),2+54,2 mmo%-L

O5 Satura1i 99"2 3,2+33,2 0

BE 9Ba1 E;11< 4"' +5,+5, mmo%-L

Tota% 8O5 31"' )3,2+5/,2 mmo%-L

Analisa Gas Darah 5- 5=- 2-


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a"$& La-orator$um

Analisa Gas Darah 5- 5=- 2-

7H '"526 *,*2+*,//2

P8O5 =,2 ,2+/,2 mmHg

PO5 125"4 4,22+)24,2 mmHg

BP *,2

H8O 29"1 5),2+54,2 mmo%-L

O5 Satura1i 34,4 3,2+33,2 0

BE 9Ba1 E;11< 6"3 +5,+5, mmo%-L

Tota% 8O5 30"2 )3,2+5/,2 mmo%-L

Fngsi Hati

SGOT 2+4 U-%

SGPT 2+/2 U-%

A%(umi! 2"#0 ,2 ,/2+/,42 g-d%

Fngsi Gin!al

Urum dara& 52+/2 mg-d%

Krati!i! dara& 2,=+), mg-d%

Dia$etes

G%u"oa1a Dara& S>a"tu *2+)/2 mg-d%

%lektroli& &arah

Natrium )= )+)/*mmo%-%

Ka%ium ,5 ,)2+,)2 mmo%-%


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)rinalisa )4- 19/3 52-

Uro(i%i!og! 2,5 ) EU-d%

A%(umi! Ngati$ Ngati$

Brat '!i1 ),2) ),22+),22

Bi%iru(i! Ngati$ Ngati$

Kto! Ngati$ Ngati$

Nitrit Ngati$ Ngati$

7H #"0 /,4+*,/

L"o1it Ngati$ Ngati$

Dara&-HB Ngati$ Ngati$

G%u"o1a uri!-rdu"1i Ngati$ Ngati$

@ar!a Ku!i!g Ku!i!g

K6r!i&a! 'r!i& 'r!i&

*e&imen rin

E7it% /,2 Pria ,* @a!ita/,=

L"o1it ),* Pria3,5 @a!ita,3

Eritro1it ),3 Pria),) @a!ita2,*

Si%i!dr Ngati$ Ngati$

Kri1ta% Ngati$ Ngati$

Ba"tri 5=,4 Pria)),/ @a!ita4,

Lai!+%ai! Ngati$ Ngati$


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a"$& La-orator$um

%lektroli& &arah 31/3 '/4

Natrium )+)/*mmo%-%

Ka%ium ,)2+,)2 mmo%-%

K%orida 3+)24 mmo%-%

8a%;ium Io! 0"9' 0"94

No!atu1: ),5+),/4

Rma6a: )+),4

D>a1a: )+),)

F, R,!( T.ra4


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F, R,!( T.ra4"27838201&' #"a! :

or : a&am -ata" !orma&

)u&mo :)!#umo!$a, /T

P i EKG


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P((ri4aa EKG"2081282013'

Si!u1 ritm, !ormoai1, HR 4= -m!t, P >aC !orma%, PR i!trCa% 2,)=, "om7%"1

RS 2,24, ST ;&a!g1 9+


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Ho


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$a(!o"$"

%)

SLH

# R

$'oka&"#m$a o! kor#k"$


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DEFINISI

• Lu'u" Hr$t#mato"u" S$"t#m$k >LHS?m#ru'aka! '#!yak$t $!Eama"$ auto$mu!"$"t#m$k ya!( *$ta!*a$ *#!(a! t#mua!autoa!t$-o*$ 'a*a +ar$!(a! *a! kom'k"$mu! "#$!((a m#!(ak$-atka! ma!$#"ta"$k&$!$" *$-#r-a(a$ "$"t#m or(a!.

Su*oyo %, S#t$yoa*$ , %&$ , S$ma*$-rata M, S#t$at$ S, #*$tor". uku a+ar $&mu '#!yak$t *a&am. J$&$* .4t #*. Jakarta: aku&ta" #*okt#ra! U!$#r"$ta" !*o!#"$a 2009.

EPIDEMIOLOGI


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EPIDEMIOLOGI

$ %"$a, 'r#a!"$ LHS 4.3=37.7 ka"u" /100.000 '#!*u*uk,

$!a m#m$&$k$ $!"$*#!"$ t#r-a!yak ya$tu 3.1 ka"u" /100.000

'#!*u*uk.

90I 'a"$#! LHS a*a&a '#r#m'ua! u"$a 15=40 tau! .

Ra"$o '#!yak$t LHS 'a*a '#r#m'ua! *a! &ak$=&ak$ a*a&a

9:1.

2010 *$ RS a"a! Sa*$k$! a!*u!( t#r*a'at 291 'a"$#!

>10.5I? *ar$ tota& 'a"$#! ya!( -#ro-at k# 'o&$k&$!$k

r#umato&o($

2002 *$ RSM 1.4I ka"u" LHS *ar$ tota& ku!+u!(a! 'a"$#!

*$ 'o&$k&$!$k R#umato&o($ )#!yak$t a&am.

)#r$m'u!a! R#umato&o($ !*o!#"$a. $a(!o"$" *a! )#!(#&o&aa! Lu'u" Hr$t#mato"u" S$"t#m$k. Jakarta.)#r$m'u!a! R#umato&o($ !*o!#"$a. 2011.


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ETIOLOGIa ANA

'ro*uk"$ "$rku&a"$ autoa!t$-o*$ m#!+a*$ "uatu !uko'rot#$!, ya$tu

antinuclear antibodies >%N%?.

Fa,r G((,i

%!((ota k#&uar(a m#m'u!ya$ r$"$ko ya!( m#!$!(kat u!tukm#!*#r$ta LHS *a! $!((a 20I

: Fa,r Li!u!a

- ;-at=o-ata!

- S$!ar U

- !#k"$ H

- Fa,r Hra*


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HT;L;A

A$!Br HM. Sy"t#m$ &u'u" #ryt#mato"u" r#umat$ *$"#a"# &$!$" o !ort %m#r$a. H&"#$#r 201036>1?.

)ato(#!#"$"


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)ato(#!#"$"

umar , otra! RS, Ro--$!" SL. uku a+ar 'ato&o($ ro--$!". 7 t #*. Jakarta: HA 2009.

)%T;AHNHSS


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)%T;AHNHSS

#rt"$a" A, #t a&. Sy"t#m$ &u'u" #ryt#mato"u" : 'ato(#!#"$" a!* &$!$a& #atur#". Hu&ar t#Ct-ook or#umat$ *$"#a"# 2012 20: 476=505


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PATOFISIOLOGI


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MANIFESTASI KLINIS

A$&& JM, #t a&. $a(!o"$" o "y"t#m$ &u'u" #r$t#mato"u". %m#r$a! am$&y 'y"$$a! 2003 68>11? : 1=6


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MANIFESTASI KLINIS

Ge!ala +koktanes

Butterfly

Rash

PhotosensitivityOral Ulcers Discoid

Rash



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MANIFESTASI KLINIS

Ge!ala +koktanes

Urticaria Livedo

Reticularis



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MANIFESTASI KLINIS

Ge!ala ,a&a gin!al• Ditmu"a! =40 "a1u1 SLE.

• Ma!i$1ta1i 7a%i!g 1ri!g ia%a&

7roti!uria da! atau &maturia.

• Dua ma;am "%ai!a! 7ato%ogi1 7ada

gi!6a% #aitu !$riti1 %u7u1 di$u1 da!!$riti1 %u7u1 mm(ra!o1a.

K%a1 I: minimal mesangial lupus nephritis

K%a1 II: mesangial proliferative lupusnephritis

K%a1 III: focal lupus nephritis

K%a1 I?: diffuse lupus nephritis

K%a1 ?: membranous lupus nephritis

K%a1 ?I: advanced sclerotic lupus nephritis

K%a1i$i"a1i m!urut @HO :


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DIAGNOSIS

-riteria *% menrt A 199'

)#r$m'u!a! R#umato&o($ !*o!#"$a. $a(!o"$" *a! )#!(#&o&aa! Lu'u" Hr$t#mato"u" S$"t#m$k. Jakarta.

)#r$m'u!a! R#umato&o($ !*o!#"$a. 2011.


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LABORATORIUM

= T#"t %N% m#ru'aka! t#"t ya!( "#!"$t$, !amu! t$*ak"'#"$


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KRITERIAPenakit *% $erat ata menganam naa a,a$ila &itemkan kea&aan

se$agaimana terantm &i $aah ini" ait

a. 'a!tu!g: !do"arditi1 Li(ma!+Sa;"1, Ca1"u%iti1 artri "oro!aria, mio"arditi1,

tam7o!ad 6a!tu!g, &i7rt!1i ma%ig!a.

(. Paru+7aru: &i7rt!1i 7u%mo!a%, 7rdara&a! 7aru, 7!umo!iti1, m(o%i 7aru,

i!$ar" 7aru, i(ro1i1 i!tr1ti1ia%, shrinking lung.;. Ga1troi!t1ti!a%: 7a!"ratiti1, Ca1"u%iti1 m1!tri"a.

d. Gi!6a%: !$riti1 7ro%i$rati$ da! atau mm(ra!ou1.

. Ku%it: Ca1"u%iti1 (rat, ruam di$u1 di1rtai u%"u1 atau m%7u& 9blister


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DIAGNOSIS BANDING

a. Artritis Rheumatika

b. Sklerosis Sistemik

c. Dermatomiositis

d. Purpura Trombositopenik


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PENATALAKSANAAN

Tu6ua! umum :

• M!i!g"at"a! "1i!ta1a! da! "ua%ita1 &idu7 7a1i! SLE

m%a%ui 7!g!a%a! di!i da! 7!go(ata! #a!g 7ari7ur!a.

Tu6ua! "&u1u1 :

• M!da7at"a! ma1a rmi1i #a!g 7a!6a!g

• M!uru!"a! a"tiCita1 7!#a"it 1ri!ga! mu!g"i!,

• M!gura!gi ra1a !#ri da! mm%i&ara $u!g1i orga! agara"tiCita1 &idu7 "1&aria! agar tta7 (ai" gu!a m!;a7ai

"ua%ita1 &idu7 #a!g o7tima%.



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PENATALAKSANAAN

Pilar Pengo$atan ,s %ritematoss *istemik

I. Edu"a1i da! "o!1%i!g

II. Program r&a(i%ita1i

III. P!go(ata! mdi"am!to1a

a. OAINS

(. A!ti ma%aria

;. Stroid

d. Imu!o1u7r1a! - Sitoto"1i"

. Tra7i %ai!


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A L O G A R

I T M A T A T

A L A K S A N

A S L E



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MEDIKAMENTOSA

E$" 1am7i!g Korti"o1troid :

)#!#(aa!


60/63

)#!#(aa! M#maka$ kr$m >"u!"r##!? a'a-$&a k#&uar *ar$ ruma

M#maka$ 'aka$a! ya!( m#!utu' #k"tr#m$ta" "t$raat

J$ka '#!*#r$ta m#!*#r$ta *#mam atau a*a ta!*a=ta!*a $!#k"$ maka aru" *$o-at$ *#!(a! "#(#ra.

)#ru-aa! (aya $*u' u!tuk m#!$!(kat!ya *aya$mu!.

$!*ar$ M#rokok

$!*ar$ '#ru-aa! uaa kar#!a m#m'#!(aru$'ro"#" $!Eama"$

$!*ar$ "tr#" *a! trauma


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%'aka t#r*a'at m$kroor(a!$"m# +u(a *$a!((a'a!t$(#!

%!t$ma&ar$a -#k#r+a *$ma!a


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TERIMAKASI

DAFTAR PUSTAKA


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Su*oyo %, S#t$yoa*$ , %&$ , S$ma*$-rata M, S#t$at$ S, #*$tor". uku a+ar $&mu '#!yak$t *a&am. J$&$* . 4 t #*. Jakarta:aku&ta" #*okt#ra! U!$#r"$ta" !*o!#"$a 2009.

a! .. Sy"t#m$ Lu'u" Hryt#mato"u". ! Lo!(o .L, au$ %.S., a"'#r .L, au"#r S.L, Jam#"o! J.L, Lo"a&Bo J.arr$"o!" )r$!$'" o !t#r!a& M#*$$!#. H*$"$ 18. U!$t#* Stat#" o %m#r$a M Ara $&& om'a!$#" 2012. 2724=35.

)#r$m'u!a! R#umato&o($ !*o!#"$a. $a(!o"$" *a! )#!(#&o&aa! Lu'u" Hr$t#mato"u" S$"t#m$k. Jakarta. )#r$m'u!a!

R#umato&o($ !*o!#"$a. 2011.

Jak#" R, #t a&. Sy"t#mat$ r#$# o t# #'$*#m$o&o(y o "y"t#m$ &u'u" #ryt#mato"u" $! t# %"$a=)a"$11? : 1=6.

Mar$"a S. $!=A$t#&ma!, M$a#& L. M$&r, a't#r 148 = Sy"t#m$ Lu'u" Hryt#mato"u" : N#&"o! T#Ct-ook o )#*$atr$"17t #*$t$o!. . Sau!*#r", )$&a*#&'$a. 2003. '810=813.

art#&" , #t a&. Sy"t#m$ &u'u" #ryt#mato"u" >SLH? O!t#r!#tP. M#*"a'# 2014 O$t#* 2015 M#$ 19P. %a$&a- rom:tt'://#m#*$$!#.m#*"a'#.om/art$/332244=o#r$#

To!am, u*a T, ar$*a LM. Manifestasi Neurologik pada Lupus Eritematosus Sistemik . a($a! N#uro&o($ U/RSU)N=M. 2007.

u*$a!t$ . Lu'u" #r$t#maro"u" kuta! *a&am $&mu '#!yak$t ku&$t *a! k#&am$! H* 7. Jakarta: a&a$ )#!#r-$t U 2015..300=302.

r$tB'atr$k". Sy"t#m$ Lu'u" Hryt#mato"u". o&our %t&a" a!* Sy!o'"$" o &$!$a& #rmato&o(y. o&, Jo!"o!,S * M A $&& 5 *$t$ 2005 384 7

Documents

Referat SLE Hana-fakhri