Efek Samping Kosmetik
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Efek Samping Kosmetik
dr. Fitria Agustina, SpKK
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KOSMETIKA
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PEMBAGIAN KOSMETIKA
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KULIT
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FUNGSI UTAMA KULIT
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Frekuensi Efek Samping Kosmetika
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Efek Samping Kosmetika
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Host - pemakai
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Agent - kosmetika
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Environment - lingkungan
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JENIS KOSMETIKA
Dekoratif
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ABSORBSI KULIT
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MANIFESTASI KLINIS
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TIPE REAKSI
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CONTOH KASUS
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CONTOH KASUS
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REAKSI IRITASI
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PENYEBAB REAKSI IRITASI
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GAMBARAN KLINIS REAKSI IRITASI
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IRITASI(Dermatitis Kontak iritan)
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Gambaran Klinis Alergi Kontak
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Gambaran Klinis Alergi Kontak
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ALERGI KONTAKDermatitis Kontak Alergi
Dok. Div. Alergi-Imunologi Klinik FKUI/RSCM
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ALERGI KONTAKDermatitis Kontak Alergi
Dok. Div. Alergi-Imunologi Klinik FKUI/RSCM
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Penyebab Dermatitis Kontak Alergi
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Penyebab Dermatitis Kontak Alergi
• Penelitian di berbagai negara kosmetik merupakan penyebab dermatitis
kontak alergi hasil bervariasi
• Bergantung pada:“Pola pemakaian kosmetika saat
itu dan perkembangan produk baru”
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Penyebab Dermatitis Kontak Alergi
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ALERGEN PENYEBAB
• 2 penelitian menemukan dengan cara uji tempel (patch test) kosmetika penyebab tersering pd alergi kontak adalah:
pewangi & pengawet
• Penyebab lain:pewarna rambut, pewarna kuku, lanolin, pengeriting rambut, tabir surya (sunscreen)
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URTIKARIA KONTAK
Dok. Div. Alergi-Imunologi Klinik FKUI/RSCM
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Gambaran Klinis Urtikaria Kontak
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AKNE / JERAWAT
Dok. Div. Dermatologi Kosmetik FKUI/RSCM
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GAMBARAN KLINIS AKNE
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PENYEBAB AKNE
• Minyak Mineral dan petrolatum • Lanolin • Pewarna merah D & C , deterjen
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PIGMENTASI KULIT
• Lebih sering pada individu dengan kulit gelap
• Penyebab: pewangi, petrolatum, hydroqinon
• Penghindaran akan memudarkan warna pigmentasi
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HIPERPIGMENTASI
• Usia: pertengahan – tua
• Mempengaruhi penampilan & kualitas hidup budaya: “kulit merupakan cermin kesehatan” & perempuan di “nilai” atas kecantikan
cantik berkulit “putih”
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HIPERPIGMENTASI
• Hiperpigmentasi kecoklatan, difus/berbatas tegas, tanpa peradangan
• Lokasi: sekitar mata, mulut, pipi, dan dahi
• Keluhan subjektif tidak ada
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PIGMENTASI KULIT
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PIGMENTASI KULIT
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TERAPI DAN PREVENSI• Penghentian produk tersangka !• Pengobatan:
Steroid Topikal & Sistemik (jarang) • Pencegahan pengulangan
- pasien harus mendapat catatan nama alergen penyebab
- menghindari produk mengandung alergen penyebab dan yang mempunyai kemungkinan bereaksi silang (bahan
dengan rumus kimia mirip)• Pemuatan kandungan kosmetika pada leaflet!• Sarana pengaduan ‘on call’ (Cosmetics on call !)
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PROSEDUR DIAGNOSIS UNTUK REAKSI SAMPING KOSMETIK
1. Diagnosis klinis
• Pasien dengan dermatitis pada wajah, kelopak mata, bibir, dll (lengan, tangan, dsb)
• Kulit sehat maupun rusak (dermatitis endogen dan peradangan lain)
• Riwayat pemakaian kosmetika (tidak hanya kosmetika dekoratif)
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PROSEDUR DIAGNOSTIK
2. Uji Tempel (Patch test)- Guna menetapkan diagnosis & menemukan
bahan alergen penyebab- Seri standar (ICDRG/NACDG/European)- Seri kosmetika- Semua produk yg digunakan pasien (dg
rekomendasi konsentrasi bahan kosmetika)
Uji tempel dengan sinar (Photopatch test)- Kasus dermatitis foto-kontak
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Uji Tempel /Patch Test
Alat dan bahan
o Alergen– Alergen standar 20-25 alergen (Amerika, Eropa dll)
– Alergen dibawa pasien
• Unit uji tempel- Finn chamber ®
• Micropore tape
Dok. Div. Alergi-Imunologi Klinik FKUI/RSCM
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Uji Tempel
• Pada masing-masing chamber diisi alergen secukupnya (50-60%)
• Untuk alergen cair, chamber dilapisi kertas saring
Dok. Div. Alergi-Imunologi Klinik FKUI/RSCM
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Uji Tempel
Penempelan
• Lokasi: punggung atas, lengan atas luar
• Dibersihkan dengan alkohol untuk menghilangkan lemak dan kotoran agar dapat menempel dengan baik
• Kulit kering, ditambah plester untuk menjamin fiksasi
Dok. Div. Alergi-Imunologi Klinik FKUI/RSCM
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Uji Tempel
• Pembacaan48, 72, 96 jam
• Cara pembacaan (ICDRG)? Makula eritematosa+1 Eritema, infiltrat, papul+2 (+) vesikel+3 (+) bulaIR = Irritant ReactionsNT = Not Tested
Dok. Div. Alergi-Imunologi Klinik FKUI/RSCM
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PROSEDUR DIAGNOSTIKDicurigai alergi terhadap kosmetika, namun hasil uji tempel tetap negatif lebih memberi informasi:
3. Uji terbuka (Open test ) 4. Semi-open test5. Repeated open application tests (ROATs)
- Pemakaian produk 2 x/hr selama maksimum 7 hari pada lipat siku
6. Uji pakai - Usage tests - Penghentian penggunaan semua bahan kosmetika sampai
dermatitis menghilang - Pemakaian ulang sesuai pemakaian normal, satu bahan setiap
saat dengan jeda waktu 3 hari untuk setiap produk
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Uji Terbuka (Open Test)
• Lokasi lengan bawah• Bahan dilarutkan dalam cairan
pelarut etanol, aseton• Dioleskan 5 x 5 cm
- + terhadap pewangi- 1 x pengolesan - dibaca dlm 48 jam
Adapted from:Lachapelle-Maibach Patch testing & PrickTesting. Springer, 2009 pp 100
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Semi-Open Test
Pengolesan bahan di punggungPenutupan dg plester non-occlusive
Adapted from:Lachapelle-Maibach Patch testing & PrickTesting. Springer, 2009 pp 100
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Shaving foam
Body lotion
Deodorant stick
Adapted from:Lachapelle-Maibach Patch testing & PrickTesting. Springer, 2009 pp 101
Repeated Open Application Tests (ROATs)
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KESIMPULAN
• Industri Kosmetika – kegiatan perdagangan di seantero dunia
• Membuat produk seaman mungkin • Meski tetap mempunyai kemungkinan
sebabkan efek samping, termasuk sistemik, pada individu tertentu
• Penelitian dibidang keamanan produk kosmetika masih diperlukan
• Monitoring efek samping sangat diperlukan !!!
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Penampilan Serasi Sesuai Usia
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Terimakasih