ERYTHRODERMA
TEACHING BANGSAL
Group Name
Natasya Uzu BarselaFerdian Eris PriantoSiti HardiyantiSuci AnugrahRahmawatiRaswindaMuh. MustaqiblatMeyliana KusumaPATIENT IDENTITY
Name: Saebo
Gender: Male
Age: 55 years old
Job: Farmer
Address: Jln. Pampangan Abulosibatang, Maros
Marital Status: Married
Religion: Moslem
Admission Date: 24th August 2014
Medical Record Number : 677158
History Taking
Anamnesis: autoanamnesis
Chief complaint: scaling all over the body
Further Anamnesis:
Redness spots and scaling on almost the body since 20 days ago, accompanied by itching since about 4 year ago. The itching was perceived intermittent and appears when the patient is getting sweats. At the first time, the itchy was appearing at whole the body, then more severe.
History Taking
Current Status
Consciousness : Conscious (E4V5M6)General Condition : MediumHygiene : MediumNutrition : MediumVital SignBP : 110/70 mmHg
HT : 88x/minutes
RR : 18x/minutes
T : 36,6 C
Physical examination
Anemic (-), icterus (-), cyanoses (-)Cor/ Pulmonal: S1 S2 normal, reguler, Rh-/- Wh-/-Abdomen: Normal, peristaltic (+)Extremities: Edema (-)Lymph nodes: Enlargement (-)DERMATOLOGY STATUS
Location: Regio Generalisata
Distribution: General
Efflorescence: Macula erythema, Lichenification on legs, thick squama, fissure
Before treatment
After treatment
Laboratory Result
RBC: 4,52 (10 6 /uL)WBC: 13,2 (10 3 /uL)HGB: 14,6 (g/dL)HCT: 42 (%)PLT: 489 (10 3 /uL)GDS: 85 mg/dlUreum: 27 mg/dlCreatine: 0,95 mg/dlSGOT: 27 U/ISGPT: 26 U/ITreatment
R/IVFD RL 20 ttp/minute
Acytromicin 500 mg 1 tab daily
CTM 3 x 1
Lanolin 10%
Vaselin add 100 gr
Resume
A man 55 years complain there was redness spots and squama in the whole body, accompanied by itching since 4 years ago. The itching was perceived intermittent and appears when the patient is getting sweats. At the first time, the itchy was appearing at whole the body, then more severe.
History of medication (+) Dexamethasone, and chinesse traditional medicine for about among 1 year. History of allergic (+).
Dermatology status :
Location: Regio Generalisata
Efflorescence: Macula erythema, Lichenification on legs, thick squama, fissure
Diagnosis : Erythroderma ec susp. psoriasis
Discussion
Erythroderma is the term applied inflammatory skin disease that affects more than 90% of the body surface.
Erythroderma has multiple etiologies; the most common causes are psoriasis, atopic dermatitis, cutaneous T-cell lymphoma (CTCL) and drug reactions.
Men are more commonly affected (male-to-female ratio of approximately 2:1 to 4:1).
An even higher ratio can be found in the subset of idiopathic erythroderma. The average age at onset of erythroderma was 52 years.
Erythroderma is defined clinically as generalized redness and scaling of the skin.
Systemic manifestations include peripheral edema, tachycardia, loss of fluid and proteins, and disturbances in thermoregulation.
TREATMENT
Emollients
Urea Cream
10%
Lanolin 10%
TOPIKAL
Prednisone4x10 mg/day
Metilprednisolon4x10 mg/day
DexamethasonSISTEMIK
Becom-C
REFERENCE
Bolognia, Jorizzo, Rapini. 2008. Dermatology 2nd ed.Burns DA. Diseases caused by arthropods and other noxious animals. In: Rooks textbook of dermatology. 8th ed. United kingdom. Willey-blackwell; 2010.Blauvelt A. MP. Inflammatory disease bsd on abnorml hmorl ctivity and inflamatory disease. In, fitzpatricks dermatology in general medicine. Ed.8th.vol 1.New York, america. 2008. P327-328Thank You