Post on 07-Jul-2018
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ICHTHYOSIS
VULGARIS
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Introduction
• Ichtyosis one of ichtyocyform disease,
which is marked with differentiated
abnormality from the epidermal.• Ichthyosis Vulgaris The type of
ichthyosis, most founded on children with
autosomal dominant inheritance.
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Introduction
• The sign of ichthyosis are :
– Smooth suama like scales of fish, on
the e!tensor surface of arms and legs,the skin of head, and on the fle!ures.
– Thickened on the palm and sole also
can be found.
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"pidemiology
• Ichthyosis #ulgaris is most founded type
of ichthyosis
• Sometime start to occure when the babies born. $sually found at baby with age %&
'( month, and same eui#alent between
boys and girls.
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"pidemiology
• The risk factor possibilities to suffer ichthyosis
#ulgaris :
– )amily member that suffering ichthyosis
– *old weather
– +ath habit, usually long time and with warm
water – ard soap or detegent
– $sing soap that contains fragrant.
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Ichthyosis vulgaris predilection
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"tiopathogenesis
• The cause of ichthyosis #ulgaris are
unknown. -uessed because less of
prophylagrine and it phylaments thatcontains in epidermis.
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*linical anifestation
• $sually found since born, and between %&
'( month. /ike scales on almost the body
surface.• The most area is on e!tensor surface,
which smooth scales . The more rough
scales is on the lower e!tremity
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*linical anifestation
• $sually hiperkeratosis happened on the
palm of hand and sole of foot.
• The scaly skin condition clearly seen onthe outside skin surface especially on the
cold and dry weather.
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The scrap on the palm on ichthiosis #ulgaris,
compared with normal palm.
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)urther "!amination
• The spesific result cannot be found by
laboratory e!amination.
• 1n histological e!amination, can befound hiperkeratosis, abnormal
keratohyaline, and none of inflammation
process.
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Shows epidermal atrophy with thinning of
the granular layer
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0iagnosis
• Ichthyosis #ulgaris can be diagnose by
skin e!amination and scale
charatheristics.• iperkeratosis can be found on the palm
of hand and sole of foot.
• Ichthyosis history on family must becounted.
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0ifferential 0iagnose
• Ichthyosis #ulgaris can be differentiated
with :
– 2erosis – 2&linked ichthyosis
– /amellare Ichthyosis
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Therapy
• Ichthyosis #ulgaris usually treated with
topical therapy with direct and early
charatheristics : – 3lpha&hydro!y acid
– 4ropylene gycol
– Some products contains '5&(56 urea
– Scales can be decreased by keratolytic
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Therapy
• Topical retinoid 7such as tretinoine8 might
be used.
• Take a bath with salt water can help byhydrating the lipid layers.
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*omplication
• The e!tremity skin may become crack
and de#eloping to secondary infection, if
there is a wound scratch that can makethe skin easy to be contaminated by
bacteria.
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4rognose
• The prognosis of ichthyosis #ulgaris,
depends on the systemic disease which
based it.
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