DIAGNOSIS PENYAKIT

KULIT
PRAHARSINI

 Sistematika data dan anamnesis

Identitas pasien
Keluhan utama dan riwayat penyakit
sekarang
Riwayat penyakit dahulu
Riwayat pribadi, sosial ekonomi dan
keluarga

Metode
diagnostik

The four components of the

dermatologic physical examination are
(1) primary
lesions, (2) secondary lesions, (3)
distribution, and (4) configuration

Ukuran lesi: milier, lentikuler,

numuler, plakat
Jumlak erupsi -> soliter multipel
Susunan lesi /bentuk ; linear,
sirsinsar anular, arsianar.
Polisiklik, korimbiformis

Eruption surface: e.g., smooth, rough, warty,

papillary, granular, dry, moist, exudative,
hemorrhagic (bloody, bleeding), scaly, crusty,
erosive, ulcerated, cracked, atrophic, shiny, necrotic,
elevated
Eruption color: e.g., colored, depigmented,
hyperpigmented, pale, anemic
Eruption texture: e.g., soft, firm (stiff), fragile,
Eruption
distribution: e.g., localized, widespread,,
tense, elastic.
diffuse, centrifugal, serpiginous, linear, symmetrical,
asymmetrical.

Bentuk elevasi

 Penyebaran dan lokalisasi

Sirkumskrip
Difus
Generalisata
Universalis
Herpetiformis
Konfluens
Diskrit
Serpiginosa
Irisformis
Simetrik
Bilaterla
unulateral

 Pemeriksaan laboratorium
Pemeriksaan darah , urine,faeses rutin
Pemeriksaan sediaan apus basah :
KOH, Na Cl
Pemeriksaan sekret/ bahan dari kuliy
dengna pewarnaan khusus : gram, ziehl
nelson, pemeriksaan lapangan gelap,
pemeriksaan Tzank, kerokan kulit

 Pemeriksaan serologik : sifilis

Pemeriksaan lampu wood
Pemeriksaan terhadap alergi : tes
tusuk, tes tempel
Pemeriksaan histopatologi

Penatalaksanaan
Terapi topikal
Terapi sistemik
KIE

A 16-year-old male high school student presents

with a large number of papular lesions of recent
onset in the right thoracic and axillary region. There
is a second grouping of similar lesions on the right
knee. The patient is on the wrestling team, desires
removal of the lesions, and was sent to you by his
wrestling coach to find out if they might
be contagious. You suspect this is molluscum
contagiosum.
1. What are the primary lesions you would expect to find in

molluscum contagiosum?
2. What is the prognosis for molluscum contagiosum?
3. How do you answer the patients question about
whether this condition is contagious?
4. How do you confirm your diagnosis of molluscum
contagiosum?
5. If this is molluscum contagiosum, how will you treat it?

Primary Lesions
1. Dome-shaped umbilicated papules
2. Dome-shaped umbilicated nodules
Distribution

1.Face, neck
Configuration
1. Grouped,
2. Occasionally linear following inoculation by excoriation
(autoinoculation).
Diagnosis
Prognosis :
Terapi

A 7-year-old girl was seen by her pediatrician with

multple wart on her right fingers. Her mother was told
that treatment was unnecessary because the wart
would
resolve by itself. Six months later the child presents at
your office with 30 warts over both hands, around and
beneath several fingernails

. What are the primary lesions

you would expect to find in wart?

A 32-year-old man comes to your office complaining of a

thick crusted flaking buttock dermatitis of 6 weeks
duration. You suspect psoriasis vulgaris.
1. What are the primary lesions of psoriasis vulgaris?
2. What distribution of lesions on the head would support
your suspected diagnosis of psoriasis vulgaris?

A 16-year-old female comes to your office

complaining of a pruritic generalized eruption
of gradually increasing intensity over the prior
4 months. The pruritus now frequently
awakens her during the night. You suspect a
scabies infestation.
1. What pertinent history should you seek from
this patient?
2. What primary lesions should you look for on
physical examination that support a diagnosis
of scabies?
3. What is the typical distribution of scabies in
an adolescent female?
4. How should you establish the diagnosis of
scabies?
5. What is the appropriate treatment for this
patient?