Lesion on the leg.
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A 35-year-old woman was referred to a dermatologist for evaluation of a lesion on her right leg that had been present for 3 years. Based on the limited information provided, the dermatologist cannot make a definitive diagnosis about the lesion.
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Presented by seborrhea
Pengertian seborrhea
Adalah suatu peradangan pada kulit bagian atas, yang menyebabkan timbulnya sisik pada kulit kepala, wajah dan kadang pada bagian tubuh lainnya. Biasanya, proses pergantian sel-sel pada kulit kepala terjadi secara perlahan-lahan dan tidak terlihat oleh mata. Proses pergantian tersebut terjadi setiap bulan. Jika proses ini menjadi lebih cepat, maka akan timbul gangguan pada kulit kepala yang kita sebut ketombe. Gangguan yang lebih parah yaitu dermatitis seboroik, berupa serpihan berwarna kuning berminyak yang melekat pada kulit kepala.
Etiologi
Faktor hereditas, yaitu disebabkan karena adanya faktor keturunan orang tua :
Intake makanan berlemak dan berkalori tinggi
Asupan minuman beralkohol
Adanya gangguan emosi
Kelenjar minyak pada bayi biasanya bekerja terlalu aktif akibat tingginya kadar hormon ibu yang mengalir didalam tubuh bayi
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Pemeriksaan penunjang
Pemeriksaan yang dapat dilakukan pada pasien dermatitis seboroik adalah pemeriksaan histopatologi walaupun gambarannya kadang juga ditemukan pada penyakit lain, seperti pada dermatitis atopik atau psoriasis. Gambaran histopatologi tergantung dari stadium penyakit.
Diagnosis banding
Diagnosis banding dermatitis seboroik tergantung pada lokasi dari kelainan dan umur dari pasien. Pada anak, diferensial diagnosisnya adalah :
Psoriasis Vulgaris Psoriasis vulgaris meskipun jarang pada bayi, memiliki ciri yang mirip dengan dermatitis seboroik.
2. Pitiriasis Rosea
Pitiriasis rosea ialah penyakit kulit yang belum diketahui penyebabnya, dimulai dengan lesi inisial berbentuk eritema dan skuama halus.
3. Tinea kapitis
Tinea kapitis adalah kelainan pada kulit dan rambut kepala yang disebabkan oleh spesies dermatofit dan biasanya menyerang anak–anak. Kelainan pada tinea kapitis dapat ditandai dengan lesi bersisik, kemerahan.
Pencegahan diagnosis
Diagnosis dapat ditegakkan berdasarkan :
Anamnesa
Pemeriksaan fisik
Riwayat penyakit
gambaran klinis maupun hasil dari pemeriksaan penunjang
Dari riwayat didapatkan bahwa dermatitis ini terjadi pada bayi terutama yang berusia 1 bulan, tampak sebagai peradangan yang mengenai kulit kepala dan lipatan-lipatan intertriginosa yang disertai skuama berminyak dan krusta.
Penatalaksanaan seborrhea
Penatalaksanaan seborrhea tergantung kepada usia penderita.
1. Anak-anak
Untuk ruam bersisik tebal di kulit kepala, bisa dioleskan minyak mineral yang mengandung asam salisilat secara perlahan dengan menggunakan sikat gigi yang lembut pada malam hari.
2. Bayi
Kulit kepala dicuci dengan sampo bayi yang lembut dan diolesi dengan krim hydrocortisone. Selama ada sisik, kulit kepala dicuci setiap hari dengan sampo yang lembut. setelah sisik menghilang cukup dicuci 2 kali/minggu.
Pencegahan seborrhea
Pencegahan dapat dilakukan dengan cara sebagai berikut:
Hindari rangsangan gesek, lebih berhati-hati menggunakan sabun
Phototherapy beyond psoriasis and vitiligo
phototherapy in dermatology, other than psorasis and vitiligo.
Cutaneous Cysts
Cysts with a lining of stratified squamous epithelium: Epidermoid cyst
Milium
Trichilemmal cyst
Vellus hair cyst
Steatocystoma
Dermoid cyst
Cysts lined with non-stratified squamous epithelium: Hidrocystoma, Eccrine or Apocrine
Cysts without an epithelial lining: Mucocele
Digital mucous cyst
Ganglion
Seborrheic dermatitis
Comprehensive overview of "seborrheic dermatitis” further evidence showing the effectiveness and safety of pimecrolimus
Phototherapy treatment protocol
nice summarized points protocol for most dermatosis get benefit from UV light
Ichthyoses
They are a heterogenous group of inherited disorders of epidermal differentiation featuring excessive scaling, Ichthyosis vulgaris,
X-linked recessive ichthyosis,
Lamellar ichthyosis,
Non-bullous ichthyosiform erythroderma,
Bullous ichthyosiform erythroderma,
Ichthyosis bullosa of Siemens,
Harlequin ichthyosis
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Pengertian seborrhea
Adalah suatu peradangan pada kulit bagian atas, yang menyebabkan timbulnya sisik pada kulit kepala, wajah dan kadang pada bagian tubuh lainnya. Biasanya, proses pergantian sel-sel pada kulit kepala terjadi secara perlahan-lahan dan tidak terlihat oleh mata. Proses pergantian tersebut terjadi setiap bulan. Jika proses ini menjadi lebih cepat, maka akan timbul gangguan pada kulit kepala yang kita sebut ketombe. Gangguan yang lebih parah yaitu dermatitis seboroik, berupa serpihan berwarna kuning berminyak yang melekat pada kulit kepala.
Etiologi
Faktor hereditas, yaitu disebabkan karena adanya faktor keturunan orang tua :
Intake makanan berlemak dan berkalori tinggi
Asupan minuman beralkohol
Adanya gangguan emosi
Kelenjar minyak pada bayi biasanya bekerja terlalu aktif akibat tingginya kadar hormon ibu yang mengalir didalam tubuh bayi
Pengaruh hormon ibu biasanya hanya berlangsung pada bulan-bulan pertama kehidupan sikecil.
Pemeriksaan penunjang
Pemeriksaan yang dapat dilakukan pada pasien dermatitis seboroik adalah pemeriksaan histopatologi walaupun gambarannya kadang juga ditemukan pada penyakit lain, seperti pada dermatitis atopik atau psoriasis. Gambaran histopatologi tergantung dari stadium penyakit.
Diagnosis banding
Diagnosis banding dermatitis seboroik tergantung pada lokasi dari kelainan dan umur dari pasien. Pada anak, diferensial diagnosisnya adalah :
Psoriasis Vulgaris Psoriasis vulgaris meskipun jarang pada bayi, memiliki ciri yang mirip dengan dermatitis seboroik.
2. Pitiriasis Rosea
Pitiriasis rosea ialah penyakit kulit yang belum diketahui penyebabnya, dimulai dengan lesi inisial berbentuk eritema dan skuama halus.
3. Tinea kapitis
Tinea kapitis adalah kelainan pada kulit dan rambut kepala yang disebabkan oleh spesies dermatofit dan biasanya menyerang anak–anak. Kelainan pada tinea kapitis dapat ditandai dengan lesi bersisik, kemerahan.
Pencegahan diagnosis
Diagnosis dapat ditegakkan berdasarkan :
Anamnesa
Pemeriksaan fisik
Riwayat penyakit
gambaran klinis maupun hasil dari pemeriksaan penunjang
Dari riwayat didapatkan bahwa dermatitis ini terjadi pada bayi terutama yang berusia 1 bulan, tampak sebagai peradangan yang mengenai kulit kepala dan lipatan-lipatan intertriginosa yang disertai skuama berminyak dan krusta.
Penatalaksanaan seborrhea
Penatalaksanaan seborrhea tergantung kepada usia penderita.
1. Anak-anak
Untuk ruam bersisik tebal di kulit kepala, bisa dioleskan minyak mineral yang mengandung asam salisilat secara perlahan dengan menggunakan sikat gigi yang lembut pada malam hari.
2. Bayi
Kulit kepala dicuci dengan sampo bayi yang lembut dan diolesi dengan krim hydrocortisone. Selama ada sisik, kulit kepala dicuci setiap hari dengan sampo yang lembut. setelah sisik menghilang cukup dicuci 2 kali/minggu.
Pencegahan seborrhea
Pencegahan dapat dilakukan dengan cara sebagai berikut:
Hindari rangsangan gesek, lebih berhati-hati menggunakan sabun
Phototherapy beyond psoriasis and vitiligo
phototherapy in dermatology, other than psorasis and vitiligo.
Cutaneous Cysts
Cysts with a lining of stratified squamous epithelium: Epidermoid cyst
Milium
Trichilemmal cyst
Vellus hair cyst
Steatocystoma
Dermoid cyst
Cysts lined with non-stratified squamous epithelium: Hidrocystoma, Eccrine or Apocrine
Cysts without an epithelial lining: Mucocele
Digital mucous cyst
Ganglion
Seborrheic dermatitis
Comprehensive overview of "seborrheic dermatitis” further evidence showing the effectiveness and safety of pimecrolimus
Phototherapy treatment protocol
nice summarized points protocol for most dermatosis get benefit from UV light
Ichthyoses
They are a heterogenous group of inherited disorders of epidermal differentiation featuring excessive scaling, Ichthyosis vulgaris,
X-linked recessive ichthyosis,
Lamellar ichthyosis,
Non-bullous ichthyosiform erythroderma,
Bullous ichthyosiform erythroderma,
Ichthyosis bullosa of Siemens,
Harlequin ichthyosis
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Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
Ocular injury ppt Upendra pal optometrist upums saifai etawah
Ocular injury ppt Upendra pal optometrist upums saifai etawah
NVBDCP.pptx Nation vector borne disease control program
NVBDCP.pptx Nation vector borne disease control program
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...
Maxilla, Mandible & Hyoid Bone & Clinical Correlations by Dr. RIG.pptx
Maxilla, Mandible & Hyoid Bone & Clinical Correlations by Dr. RIG.pptx
Lesion on the leg.
- 1. Lesion on the leg. What is you diagnosis? F. Peral Rubio, M.D. Department of Dermatology Hospital Universitario Virgen Macarena Seville, Spain
- 2. What is you diagnosis? Lesion on the leg. A 35-years-old women. The patient was referred to us for the assessment of a lesion on the right leg 3 years
- 6. Lesion on the leg. What is you diagnosis? F. Peral Rubio, M.D. Department of Dermatology Hospital Universitario Virgen Macarena Seville, Spain