Peny kulit darurat

PENYAKIT KULIT DARURAT Dr.dr. Maya Devita Lokanata, SpKK

[object Object],[object Object],[object Object],[object Object],PENYAKIT KULIT DARURAT

Sindrom Stevens-Johnson (SSJ) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Sindrom Stevens-Johnson ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Sindrom Stevens-Johnson

[object Object],[object Object],[object Object],[object Object],[object Object],Sindrom Stevens-Johnson

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Sindrom Stevens-Johnson

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Sindrom Stevens-Johnson

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Sindrom Stevens-Johnson

Sindrom Stevens-Johnson MDL/PKD/Jan/2006

Sindrom Stevens-Johnson ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Sindrom Stevens-Johnson

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Sindrom Stevens-Johnson

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Sindrom Stevens-Johnson

NEKROLISIS EPIDERMAL TOKSIK (NET) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],NEKROLISIS EPIDERMAL TOKSIK (NET)

NEKROLISIS EPIDERMAL TOKSIK (NET) ,[object Object],[object Object],[object Object],MDL/PKD/Jan/2006 Rifampisin Karbamasepin Fenilbutason Barbiturat Tetrasiklin Pirosikam Hidantoin Fenbufen Aspirin Sulfonamid Penisilin Fenolftalein Eritromisin Alopurinol

NEKROLISIS EPIDERMAL TOKSIK (NET) ,[object Object],MDL/PKD/Jan/2006 Penyakit graft versus host Infeksi virus (varisela, herpes simpleks Leukemia Anti toksin tetanus Limfoma Vaksinasi morbili Sepsis akibat E coli Vaksinasi polio Aspergilosis paru Difteri

[object Object],[object Object],[object Object],[object Object],[object Object],NEKROLISIS EPIDERMAL TOKSIK (NET)

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],NEKROLISIS EPIDERMAL TOKSIK (NET)

[object Object],MDL/PKD/Jan/2006 Nekrolisis epidermal toksik

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],NEKROLISIS EPIDERMAL TOKSIK (NET)

NEKROLISIS EPIDERMAL TOKSIK (NET) ,[object Object],MDL/PKD/Jan/2006 Buruk Lebih baik Prognosis (+) (-) Nekrosis epidermis (+) (-) Epidermolisis (+) (-) Tanda Nikolsky Sering menurun Kompos mentis Kesadaran Berat Ringan sp berat KU Dewasa Anak sp dewasa Usia NET SSJ

NEKROLISIS EPIDERMAL TOKSIK (NET) ,[object Object],MDL/PKD/Jan/2006 Rendah, umumnya sembuh spontan Tinggi (20 – 50 %) Mortalitas Jarang Srg ditemukan, dpt disertai hiper / hipopigmentasi Jaringan parut 10 – 14 hari > lama Penyembuhan 1+ (tampak epdermis superfisial) 4+ (tampak dermis) Derajat eksudasi (+) pada lesi & klt (N) (+) hanya di daerah lesi Tanda Nikolsky Jarang Umumnya ada Lesi oral Sangat nyeri Ringan sp sedang Nyeri kulit Tidak ada Sering ditemukan Lesi target > muda > tua Usia pasien SSSS NET

NEKROLISIS EPIDERMAL TOKSIK (NET) ,[object Object],[object Object],MDL/PKD/Jan/2006 Kematian Syok hemodinamik Kebutaan Ggg keseimbangan cairan & elektrolit Kekeruhan kornea Emboli paru Ektropion Udem paru-paru Simblefaron Bronkopneumonia Sepsis Trakeitis Kegagalan ginjal Perdarahan tr. Gastro-intestinal

[object Object],[object Object],[object Object],[object Object],[object Object],NEKROLISIS EPIDERMAL TOKSIK (NET) MDL/PKD/Jan/2006

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],NEKROLISIS EPIDERMAL TOKSIK (NET) MDL/PKD/Jan/2006

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],NEKROLISIS EPIDERMAL TOKSIK (NET) MDL/PKD/Jan/2006

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