POSTER MINI Pityriasis Rosea - Nur Arifah M.said C11110841

8/9/2019 POSTER MINI Pityriasis Rosea - Nur Arifah M.said C11110841

1/21

Nur Arifah Mohd SaidC11110841

Sutopo Sidik Lawajo C11109149

POSTER MINI

PITYRIASISROSEA


2/21

• 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


3/21

)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


4/21

•

)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


5/21

)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


6/21

(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


7/21

• Lo*ation : &e"io trun*u% anterior et po%terior• Le%ion %i=e : Lenti*u!ar numu!ar

• ore%%en*e% :


8/21

&e"io : Trun*u%anterior

ore%%en*e% :


9/21

&e"io : Trun*u% po%teriorore%%en*e% :


10/21

• )it$ria%i% &o%ea

• Tinea *orpori%

Diagnosis

Differential Diagnosis


11/21

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"


12/21

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


13/21

• )& 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


14/21

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.


15/21

• 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


16/21

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


17/21

• 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%


18/21

• )& 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


19/21

• 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

•


20/21

• 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


21/21

&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%

Documents

POSTER MINI Pityriasis Rosea - Nur Arifah M.said C11110841